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BMC Surgery

Wei Chen, Xumian Jiang, Hui Huang, Zao Ding, Chihua Li
Following publication of the original article [1], the authors reported that one of the authors' names is spelled incorrectly.
September 13, 2018: BMC Surgery
Yongchun Zhou, Weiwei Li, Jun Liu, Liqun Gong, Jing Luo
BACKGROUND: To compare the clinical efficacy of single posterior debridement, bone grafting and instrumentation with that of single-stage anterior debridement, bone grafting and posterior instrumentation for treatment of adult patients with thoracic and thoracolumbar spinal tuberculosis (TB). METHODS: We performed a retrospective analysis of 64 adult patients with thoracic and thoracolumbar spinal TB who underwent surgery between January 2011 and December 2014. Of the 64 patients, 34 patients were treated using a single posterior-only approach (posterior debridement, bone grafting and instrumentation; Group A)...
September 3, 2018: BMC Surgery
Apostolos Analatos, Mats Lindblad, Ioannis Rouvelas, Peter Elbe, Lars Lundell, Magnus Nilsson, Andrianos Tsekrekos, Jon A Tsai
BACKGROUND: Primary antireflux surgery has high success rates but 5 to 20% of patients undergoing antireflux operations can experience recurrent reflux and dysphagia, requiring reoperation. Different surgical approaches after failed fundoplication have been described in the literature. The aim of this study was to evaluate resection of the gastroesophageal junction with jejunal interposition (Merendino procedure) as a rescue procedure after failed fundoplication. METHODS: All patients who underwent a Merendino procedure at the Karolinska University Hospital between 2004 and 2012 after a failed antireflux fundoplication were identified...
August 30, 2018: BMC Surgery
Marco Milone, Mario Musella, Paola Maietta, Dario Gaudioso, Anna Pisapia, Guido Coretti, Giovanni De Palma, Francesco Milone
Following publication of the original article [1], the authors reported that one of the authors' names is spelled incorrectly.
August 30, 2018: BMC Surgery
Osvaldo Chiara, Stefania Cimbanassi, Giovanni Bellanova, Massimo Chiarugi, Andrea Mingoli, Giorgio Olivero, Sergio Ribaldi, Gregorio Tugnoli, Silvia Basilicò, Francesca Bindi, Laura Briani, Federica Renzi, Piero Chirletti, Giuseppe Di Grezia, Antonio Martino, Rinaldo Marzaioli, Giuseppe Noschese, Nazario Portolani, Paolo Ruscelli, Mauro Zago, Sebastian Sgardello, Franco Stagnitti, Stefano Miniello
BACKGROUND: A wide variety of hemostats are available as adjunctive measures to improve hemostasis during surgical procedures if residual bleeding persists despite correct application of conventional methods for hemorrhage control. Some are considered active agents, since they contain fibrinogen and thrombin and actively participate at the end of the coagulation cascade to form a fibrin clot, whereas others to be effective require an intact coagulation system. The aim of this study is to provide an evidence-based approach to correctly select the available agents to help physicians to use the most appropriate hemostat according to the clinical setting, surgical problem and patient's coagulation status...
August 29, 2018: BMC Surgery
Zoya Fatima Rizwan Ladiwala, Rija Sheikh, Ayesha Ahmed, Ibrahim Zahid, Amjad Siraj Memon
BACKGROUND: Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. We herein discussed a case of gastric volvulus as the content of MH, and small bowel diverticulosis present in a patient concomitantly. CASE PRESENTATION: A 30 year old woman, who presented with a one year history of epigastric burning and indigestion, occasionally associated with pain and vomiting...
August 29, 2018: BMC Surgery
Chun-Hua Ju, Ling-Na Xue, Hong-Jia Cheng, Zhong-da Jin
BACKGROUND: Rat renal transplantation is an essential experimental model for studies of transplantation immunobiology. Harvesting both kidneys from one donor rat for transplantation is widely used to reduce the number of experimental animals. Using the conventional method, both kidneys of the donor rat are harvested simultaneously, which leads to the prolonged warm ischemic times during transplantation of the second donor kidney. Prolonged warm ischemia time is the main risk factor for delayed graft function...
August 29, 2018: BMC Surgery
Beibei Cui, Sanlin Lei, Kuijie Liu, Hongliang Yao
BACKGROUND: Situs inversus totalis (SIT) refers to an unusual condition involving reversal of abdominal and thoracic viscera, with an incidence rate of 1/5000-20,000 adults. Minimally invasive surgeries for SIT patients are technically challenging, while the surgical experience for SIT patients is quite limited. CASE PRESENTATION: A 61-year-old man, previously diagnosed as SIT, came to our hospital for 6 months history of hematochezia and altered bowel habit. A diagnosis of rectal cancer was made in view of colonoscopic biopsy which confirmed an irregular circumferential lump of well differentiated adenocarcinoma at 10 cm from the anal verge...
August 20, 2018: BMC Surgery
Mehmet Bayrak, Yasemin Altıntas
BACKGROUND: Epidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitations in airflow. Comparing laparoscopic cholecystectomy (LC) in patients with chronic obstructive pulmonary disease (COPD) under spinal anesthesia (SA) and general anesthesia (GA). METHODS: We prospectively evaluated COPD patients who underwent laparoscopic cholecystectomy under general anesthesia (Group 1, n = 30) or spinal anesthesia (Group 2, n = 30) in our clinic between January 2016 and January 2018...
August 20, 2018: BMC Surgery
Wei Chen, Xumian Jiang, Hui Huang, Zao Ding, Chihua Li
BACKGROUND: No consensus exists regarding the best reconstruction style after total gastrectomy (TG). Roux-en-Y oesophagojejunostomy is a simple option for gastrointestinal tract reconstruction. Recently, jejunal pouch reconstruction has been suggested as an appropriate approach. We compared the postoperative outcomes of the two surgical approaches using a well-characterized cohort of gastric carcinoma patients. METHODS: A total of 60 patients who underwent TG were divided into two groups according to the reconstruction style...
August 20, 2018: BMC Surgery
Anis Hasnaoui, Raja Jouini, Dhafer Haddad, Haithem Zaafouri, Ahmed Bouhafa, Anis Ben Maamer, Ehsen Ben Brahim
BACKGROUND: Since the advent of immunohistochemistry for the diagnosis of stromal tumours, the incidence of leiomyosarcomas has significantly decreased. Nowadays, gastric leiomyosarcoma is an exceptionally rare tumour. We report the second case in the English literature of gastric leiomyosarcoma revealed with massive bleeding and hemodynamic instability and diagnostic pitfalls that we encountered. CASE PRESENTATION: A 63-year-old woman, with 2 years' history of dizziness and weakness probably related to an anaemic syndrome, presented to the emergency room with hematemesis, melena and hemodynamic instability...
August 17, 2018: BMC Surgery
Lubomír Tulinský, Marcel Mitták, Hana Tomášková, Petr Ostruszka, Igor Penka, Peter Ihnát
BACKGROUND: The aim of the present study was to evaluate the impact of BMI on the short-term outcomes of patients undergoing lung lobectomy. METHODS: This was a retrospective clinical cohort study conducted in a single institution to assess the short-term outcomes of obese patients undergoing lung resection. Intraoperative and postoperative parameters were compared between the two study subgroups: obese (BMI ≥30 kg/m2) and non-obese patients (BMI < 30 kg/m2)...
August 17, 2018: BMC Surgery
Giovanni D Tebala, Antonio Gallucci, Abdul Q Khan
BACKGROUND: The advantages of Enhanced Recovery (ER) programmes are well known, in terms of improved overall experience of the patients, which associates with low morbidity and reduced length of stay. As a result, the pattern of morbidity is changing and some patients may develop complications after discharge. Aim of this work was to evaluate the impact of morbidity and related outcomes such as unplanned readmission and reoperation rate on an ER programme in colorectal surgery. METHODS: Prospectively collected clinical data of patients who underwent colorectal resection have been retrospectively analysed...
August 16, 2018: BMC Surgery
Kamleshsingh Shadhu, Dadhija Ramlagun, Simeng Chen, Lijia Liu
BACKGROUND: Neuralgia due to iliohypogastric nerve entrapment from sutures and mesh after inguinal hernioplasty is a rare entity in clinic. Its' awareness and management remain a clinical challenge. CASE PRESENTATION: We report a case of 54-year-old male who presented with post-operative pain after 1 month and sensory disturbances of the right lower limb. He underwent partial neurectomy and during the surgery it was found that there was injury to iliohypogastric nerve due to entrapment from sutures and mesh...
August 16, 2018: BMC Surgery
Cristian Urla, Justus Lieber, Florian Obermayr, Andreas Busch, Roland Schweizer, Steven W Warmann, Hans-Joachim Kirschner, Jörg Fuchs
BACKGROUND: Total colonic aganglionosis (TCA) is a rare variant of Hirschsprung's disease occurring in 3-10% of the cases. Only few studies reported the long-term clinical and metabolic outcomes of patients with TCA. The aim of this study was to evaluate the functional and metabolic long-term outcomes of children undergoing surgical treatment for TCA. METHODS: A 15-year retrospective study was performed. Blood chemistry tests and stool analysis performed at the last follow-up visit were recorded...
August 15, 2018: BMC Surgery
J-N Kersebaum, C Schafmayer, M Ahrens, M Laudes, T Becker, J H Beckmann
BACKGROUND: We present a rare case of an antegrade intussusception of the remnant stomach four years after a biliopancreatic diversion. CASE PRESENTATION: A 55-year-old female patient presented with epigastric pain in our emergency room. Laboratory parameters showed an anemia as well as elevated transaminases and hyperbilirubinemia. The CT scan showed an intussusception of the remnant stomach into the duodenum followed by cholestasis. At laparotomy the remnant stomach was resected...
August 14, 2018: BMC Surgery
Oliver Beetz, Michael Klein, Harald Schrem, Jill Gwiasda, Florian W R Vondran, Felix Oldhafer, Sebastian Cammann, Jürgen Klempnauer, Karl J Oldhafer, Moritz Kleine
BACKGROUND: Distal cholangiocarcinoma (DCC) is a rare but over the last decade increasing malignancy and is associated with poor prognosis. According to the present knowledge curative surgery is the only chance for long term survival. This study was performed to evaluate prognostic factors for the outcome of patients undergoing curative surgery for distal cholangiocarcinoma. METHODS: 75 patients who underwent surgery between January 2000 and December 2014 for DCC in curative intention were analysed retrospectively...
August 13, 2018: BMC Surgery
Vitalijus Eismontas, Algirdas Slepavicius, Vinsas Janusonis, Paulius Zeromskas, Virgilijus Beisa, Kestutis Strupas, Zilvinas Dambrauskas, Antanas Gulbinas, Arvydas Martinkenas
BACKGROUND: Thyroid surgeries are among the most common operations performed in the world. Hypocalcemia following total thyroidectomy is a common complication that is sometimes difficult to correct. The aim of this study is to determine the risk factors for hypocalcemia following total thyroidectomy and their clinical value. METHODS: From January 2015 through to April 2017, 400 patients were included in this prospective multicenter study. All patients underwent total thyroidectomy due to various thyroid diseases...
August 9, 2018: BMC Surgery
Mingjie Zhang, Jianxin Zhang, Xu Sun, Jie Xu, Jing Zhu, Wenbin Yuan, Qiang Yan
BACKGROUND: Previous gastrectomy can lead to an increased incidence of cholecystocholedocholithiasis (CCL) and increased morbidity rate. However, the appropriate treatment strategy for patients with CCL and a history of gastrectomy remains unclear. METHODS: We performed a retrospective cohort study of patients with CCL and a history of gastrectomy who underwent either one-stage laparoscopic common bile duct (CBD) exploration with stone clearance and laparoscopic cholecystectomy (LCBDE+LC) or two-stage endoscopic retrograde cholangiopancreatography followed by LC (ERCP+LC) from May 2010 to March 2018...
August 9, 2018: BMC Surgery
Francesca Mandolfino, Rosario Fornaro, Cesare Stabilini, Marco Casaccia, Tommaso Testa, Marco Frascio
BACKGROUND: Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Recently several not invasive approaches have been developed. One of these is the radiofrequency (RF) energy application to the internal anal sphincter. CASE PRESENTATION: We report a rare case of an anal abscess related to a SECCA procedure in a 66-year-old woman affected by gas and FI for twenty years...
August 7, 2018: BMC Surgery
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