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BMC Surgery

Wenlong Zhong, Peng Hong, Guangpu Ding, Kunlin Yang, Xuesong Li, Junsheng Bao, Guochang Bao, Liang Cui, Changping Men, Zhe Li, Peng Zhang, Ning Chu, Liqun Zhou
BACKGROUND: Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China. METHODS: We retrospectively collected data of patients who underwent ileal ureter replacement between January 2010 and January 2015. We reviewed the medical history, indications for surgery, operative data, perioperative data, and outcomes. Besides, follow-up data included symptom, urine routine test, serum creatinine, serum electrolyte status, and radiographic test...
January 18, 2019: BMC Surgery
Shin Sasaki, Yoriko Nomura, Shogo Fukutomi, Nobuhisa Shirahama, Hironori Kusano, Jun Akiba, Hisamune Sakai, Toru Hisaka, Osamu Nakashima, Hirohisa Yano, Yoshito Akagi, Hiroyuki Tanaka, Koji Okuda
BACKGROUND: Liver is a common location of colorectal metastasis, but intrabiliary growth of liver metastasis is not well recognized. Furthermore, intrabiliary metastasis that discovered over 10 years after excision has rarely been described. CASE PRESENTATION: An 80-year-old man was admitted due to the presence of a liver mass in segment 5 (S5) concomitant with elevated carcinoembryonic antigen (CEA), and carbohydrate antigen (CA) 19-9. He underwent right hemicolectomy for colon cancer 12 years prior...
January 18, 2019: BMC Surgery
W Pepke, H Almansour, R Lafage, B G Diebo, B Wiedenhöfer, F Schwab, V Lafage, M Akbar
BACKGROUND: Several studies have emphasized the importance of restoring thoracic kyphosis (TK) in the setting of AIS, but very few have discussed changes in cervical spine alignment following surgery. Aim of this study was to evaluate reciprocal cervical alignment change after modification of global and regional thoracolumbar alignment with surgery in the setting of adolescent idiopathic scoliosis (AIS). METHODS: Baseline and 2-yrs follow-up radiographs of AIS patients (n = 81) were analysed measuring cervical parameters (upper cervical: C2-C0, McGregor Slope; lower cervical: C2-C7, C2-C7 sagittal vertical axis (SVA), C2-T3, C2-T3SVA, C2-T1Harrison (C2-T1Ha), T1 Slope (T1S)), thoracic, lumbar, pelvic and global alignment parameters...
January 15, 2019: BMC Surgery
Soichi Shibuya, Naho Fujiwara, Takanori Ochi, Momoko Wada, Toshiaki Takahashi, Kyeong Deok Lee, Eiji Miyazaki
BACKGROUND: Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the experience needed to acquire the skill to perform LPEC adequately. METHODS: This descriptive single-center study used clinical data from patients who underwent LPEC between May 2009 and May 2016...
January 14, 2019: BMC Surgery
V Popov, A Yonkov, E Arabadzhieva, E Zhivkov, S Bonev, D Bulanov, V Tasev, G Korukov, L Simonova, N Kandilarov, A Taseva, V Dimitrova
BACKGROUND: A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about the early postoperative results. The data about long-term outcomes is still limited. We aimed to compare Doppler-guided THD and CH with regard to early and long-term postoperative results. METHODS: The conducted prospective research included 287 patients who underwent CH (167 cases) or Doppler-guided THD with mycopexy (120 patients) between November 2010 and December 2015...
January 10, 2019: BMC Surgery
Verena Tripke, Stefan Heinrich, Tobias Huber, Jens Mittler, Maria Hoppe-Lotichius, Beate K Straub, Hauke Lang
BACKGROUND: Primary hepatic angiosarcoma (PHA) is a rare tumor entity. Radical surgical resection is currently considered the best treatment choice. The aim of this analysis is to report our experience with surgery for PHA. METHODS: All resections of PHA from 01/2002 until 06/2017 were identified from our prospective institutional database. All cases were re-confirmed by a second pathologist. We analyzed completeness of resection, overall (OS) and disease-free survival (DFS)...
January 10, 2019: BMC Surgery
Qiao-Fei Liu, Ling-Ling Bian, Meng-Qing Sun, Rong-Hua Zhang, Wei-Bin Wang, Yong-Ning Li, Jun-Chao Guo
BACKGROUND: Intrahepatic subcapsular hematoma (ISH) is an extremely rare, life-threatening complication after laparoscopic cholecystectomy (LC). Only few cases have been reported. Herein, we reported a rare giant ISH after LC and summarized all of the reported cases. CASE PRESENTATION: A 32-year old woman with recurrent acute cholecystitis for one year, underwent elective LC without intra-operative complications and was discharged 2 days after operation. On the next day after discharge, she developed severe right upper abdominal pain and was sent to our emergency department...
January 7, 2019: BMC Surgery
Zhilong Ma, Bin Xu, Long Wang, Yukan Mao, Bo Zhou, Zhenshun Song, Tingsong Yang
BACKGROUND: The spontaneous rupture of the gallbladder is extremely rare, majority of ruptures occur secondary to traumatic injuries. Here, we report a case of spontaneous rupture of the gallbladder with probably cause of oral anticoagulants. CASE PRESENTATION: A 51-year-old woman presented to the emergency room with sudden-onset severe abdominal pain, as well as hypotension and low level of hemoglobin. Abdominal computed tomography (CT) scan showed a 2.5 cm filling defect and discontinuity in the wall of the gallbladder body, and a massive hematocele in the abdominal cavity...
January 5, 2019: BMC Surgery
Mario Trompetto, Roberta Tutino, Alberto Realis Luc, Eugenio Novelli, Gaetano Gallo, Giuseppe Clerico
BACKGROUND: The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier's rectosigmoidectomy for complete rectal prolapse in a referral center for pelvic floor functional disorders. METHODS: Peri-operative data on 43 consecutive female patients were reviewed. At follow-up any change in pelvic floor function and recurrences were determined. Thirty four patients were assessed at a median interval of 49 (2-135) months, six being deceased for reason not related to the prolapse and three lost to follow-up...
January 3, 2019: BMC Surgery
Duilio Pagano, Elisabetta Oliva, Simone Khouzam, Fabio Tuzzolino, Davide Cintorino, Sergio Li Petri, Fabrizio di Francesco, Calogero Ricotta, Pasquale Bonsignore, Alessandro Tropea, Sergio Calamia, Federico Costanzo, Angelo Luca, Salvatore Gruttadauria
BACKGROUND: Liver transplantation is the best treatment for end-stage liver disease. The interruption of the blood supply to the donor liver during cold storage damages the liver, affecting how well the liver will function after transplant. The drug Simvastatin may help to protect donor livers against this damage and improve outcomes for transplant recipients. The aim of this study is to evaluate the benefits of treating the donor liver with Simvastatin compared with the standard transplant procedure...
December 27, 2018: BMC Surgery
Dong Yin, Bin Liu, Yunbing Chang, Honglin Gu, Xiaoqing Zheng
BACKGROUND: There are no universally accepted protocols for the treatment of late-onset deep surgical site infection. This study retrospectively evaluates the methods of aggressive debridement with instrumentation retention, high vacuum closed-suction drain without irrigation, primary wound closure, and antibiotic therapy for the treatment of late-onset deep surgical site infection after instrumented spinal surgery. METHODS: A total of 4057 patients who underwent instrumented spinal surgeries were surveyed from January 2010 to June 2014...
December 22, 2018: BMC Surgery
Chong Jin, Jinggang Mo, Guoyu Wang, Hao Jiang, Yifu Feng, Song Wang
BACKGROUND: The diagnosis of paraduodenal hernia is still a challenge in clinical practice due to lacking of specific symptoms. CASE PRESENTATION: An 83-yr-old male patient presented to our department due to severe abdominal pain for 8 h. Abdominal contrast enhanced computerized tomography (CT) scan indicated intussusception in the duodenum and the upper segment of jejunum, as well as internal hernia. He complaint of progression in the abdominal pain, and then laparoscope was carried out, which indicated left-sided paraduodenal hernia...
December 22, 2018: BMC Surgery
Yumeng Niu, Wenzhou Liu, Lei Xian, Tao Liu, Chusheng Huang, Shengzhuang Yang
BACKGROUND: Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported. CASE PRESENTATION: We make a report on a case of intrapulmonary thoracic splenosis. A 44-year-old male patient underwent splenectomy due to a high fall accident injury in 2008...
December 20, 2018: BMC Surgery
J Haijanen, S Sippola, J Grönroos, T Rautio, P Nordström, T Rantanen, M Aarnio, I Ilves, S Hurme, H Marttila, J Virtanen, A Mattila, H Paajanen, P Salminen
BACKGROUND: Based on epidemiological and clinical data acute appendicitis can present either as uncomplicated (70-80%) or complicated (20-30%) disease. Recent studies have shown that antibiotic therapy is both safe and cost-effective for a CT-scan confirmed uncomplicated acute appendicitis. However, based on the study protocols to ensure patient safety, these randomised studies used mainly broad-spectrum intravenous antibiotics requiring additional hospital resources and prolonged hospital stay...
December 17, 2018: BMC Surgery
Xin Yu, Yan Chun Yan, Gang Chen, Hong Yu
BACKGROUND: Laparoscopic hepatectomy (LH) has been identified to be effective and safe for elderly patients (≥70 years). This study aims to assess the short-and long-term outcome of totally laparoscopic liver resection for elderly patients with Hepatocellular carcinoma (HCC). METHODS: We retrospectively reviewed 93 patients with HCC who underwent LH from August, 2003 to July, 2013 in a single center. Short-term operative and postoperative outcomes together with long-term outcomes, including disease free survival (DFS) and overall survival (OS) were analyzed...
December 17, 2018: BMC Surgery
Chongwei Yang, Lei Huang, Xinyu Li, Jiye Zhu, Xisheng Leng
BACKGROUND: To investigate the effects of retrograde reperfusion on the intraoperative internal environment and hemodynamics in classic orthotopic liver transplantation (OLT). METHODS: Thirty patients were undergone classic OLT using retrograde reperfusion in our center. Blood sampling was done at different time points including: Before blood venting via the portal vein (PV), 10 mL of blood was collected from the inferior vena cava (T0 ); During retrograde reperfusion through the inferior vena cava (IVC), 10 mL of blood was collected when the volume of blood venting reached 10 mL (T1 ), 100 mL (T2 ), and 200 mL (T3 ), respectively...
December 12, 2018: BMC Surgery
Jingjing Wang, Jiang Shao, Chenyang Qiu, Yu Chen, Bao Liu
BACKGROUND: Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. Because of its rarity, a symptomatic synovial cyst is often confounded with a tumor as a space-occupying lesion or with other diseases, depending on its various clinical presentations. Therefore, guidelines for the precise diagnosis and appropriate management for synovial cyst of the hip joint are required...
December 5, 2018: BMC Surgery
Yun-Xiao Lyu, Yun-Xiao Cheng, Hang-Fei Jin, Xin Jin, Bin Cheng, Dian Lu
BACKGROUND: The timing of laparoscopic cholecystectomy (LC) performed after the mild acute biliary pancreatitis (MABP) is still controversial. We conducted a review to compare same-admission laparoscopic cholecystectomy (SA-LC) and delayed laparoscopic cholecystectomy (DLC) after mild acute biliary pancreatitis (MABP). METHODS: We systematically searched several databases (PubMed, EMBASE, Web of Science, and the Cochrane Library) for relevant trials published from 1 January 1992 to 1 June 2018...
November 29, 2018: BMC Surgery
Zhou Ye, Mo-Jin Wang, Li-Fen Bai, Han-Xiang Zhuang, Wen Zhuang
BACKGROUND: Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen. CASE PRESENTATION: A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia...
November 27, 2018: BMC Surgery
Rui Liao, Pei-Yuan Tang, Jun-Feng Song, Ke-Le Qin, Xun Wang, Xiong Yan
BACKGROUND: Laparoscopic splenectomy (LS) is regarded as a second-line treatment for medically refractory idiopathic thrombocytopenic purpura (ITP), but the predictive factors for the long-term postoperative responses to ITP are still a matter of debate. We aimed to investigate the factors that can predict the long-term response after LS for Chinese patients with medically refractory ITP. METHODS: From January 2011 to September 2016, 78 Chinese patients with ITP who underwent LS were retrospectively analyzed...
November 26, 2018: BMC Surgery
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