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International Journal of Surgery

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https://www.readbyqxmd.com/read/29146271/factors-affecting-the-under-diagnosis-of-atypical-ductal-hyperplasia-diagnosed-by-core-needle-biopsies-a-10-year-retrospective-study-and-review-of-the-literature
#1
Michael Co, Ava Kwong, Tony Shek
INTRODUCTION: Due to the possibility of underestimation, surgical excision is usually offered to patients with atypical ductal hyperplasia (ADH) diagnosed with core needle biopsy (CNB). Here we review the 10-year data of patients with ADH diagnosed by CNB, aiming to identify the factors associated with under-diagnosis. METHODS: Retrospective review of database from 1st Jan 2005 to 31st Dec 2014 was performed; patients with ADH diagnosed by CNB were identified. Diagnosis upgrade rate and its risk factors were evaluated...
November 13, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29146270/retrospective-cohort-study-on-angio-seal-closure-device-safety-and-effectiveness-in-antegrade-superficial-femoral-artery-punctures-a-comparison-with-antegrade-common-femoral-artery-punctures
#2
Tarig Adlan, Yousef Shahin, Peter Kember, John Isaacs, Richard Seymour
PURPOSE: This retrospective study evaluates the effectiveness and safety of the Angio-Seal closure device in superficial femoral artery (SFA) antegrade punctures compared to common femoral artery (CFA) antegrade punctures. METHODS: Over a period of 46 months from January 2012, consecutive patients who underwent antegrade CFA or SFA punctures using Angio-Seal as a closure device in a single centre were studied. Patients were identified by reading all the individual reports on our radiology system for all patients who underwent any angiographic examination during the study period, and their individual case notes were subsequently reviewed...
November 13, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29146269/impact-of-obesity-on-postoperative-complications-after-laparoscopic-and-open-incisional-hernia-repair-a-prospective-cohort-study
#3
Patrick Hamid Alizai, Anne Andert, Eric Lelaona, Ulf Peter Neumann, Christian Daniel Klink, Marc Jansen
BACKGROUND: Obese patients are often required to lose weight prior to incisional hernia repair as obesity is thought to increase postoperative complications and recurrence rates. The aim of this study was to determine the impact of BMI on the outcome after laparoscopic and open incisional hernia repair. MATERIALS AND METHODS: In a cohort study from May 2012 to August 2016, 178 patients underwent incisional hernia repair: 90 patients open SUBLAY and 88 patients laparoscopic intraperitoneal onlay mesh (IPOM)...
November 13, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29146268/surgical-apgar-score-predicts-30-day-morbidity-in-elderly-patients-who-undergo-non-laparoscopic-gynecologic-surgery-a-retrospective-analysis
#4
Kazumi Kurata, Yoko Chino, Akiko Shinagawa, Tetsuji Kurokawa, Yoshio Yoshida
INTRODUCTION: The aim of this study was to determine whether a preoperative health status index and intraoperative data could predict perioperative morbidity and mortality in women over the age of 65 years undergoing surgery for gynecologic disorders. METHODS: The medical records of 68 female patients who were ≥65 years of age and who underwent surgery under general anesthesia in our institute from January 2014 to December 2015 were retrospectively reviewed. Preoperative data were extracted from a database and included comorbidities, American Society of Anesthesiologists physiological status classification, the Charlson Comorbidity Index, the Subjective Global Assessment 2011 revision, the subjects' risk of falling, body mass index, and age...
November 13, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29146267/indocyanine-green-tissue-angiography-affects-anastomotic-leakage-after-esophagectomy-a-retrospective-case-control-study
#5
Ioannis Karampinis, Ulrich Ronellenfitsch, Christina Mertens, Andreas Gerken, Svetlana Hetjens, Stefan Post, Peter Kienle, Kai Nowak
PURPOSE: Optimal perfusion of the gastric conduit during esophagectomy is elementary for the anastomotic healing since poor perfusion has been associated with increased morbidity due to anastomotic leaks. Until recently surgical experience was the main tool to assess the perfusion of the anastomosis. We hypothesized that anastomoses located in the zone of optimal ICG perfusion of the gastric conduit ("optizone") have a reduced anastomotic leakage rate after esophagectomy. METHODS: Indocyanine green (ICG) fluorescence tissue angiography was used to evaluate the anastomotic perfusion in 35 patients undergoing esophagectomy with gastric conduit reconstruction...
November 13, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29104127/incidence-risk-factors-and-prognostic-impact-of-re-exploration-for-bleeding-after-cardiac-surgery-a-retrospective-cohort-study
#6
Lucas B Ohmes, Antonino Di Franco, T Sloane Guy, Christopher Lau, Monica Munjal, William Debois, Zhongyi Li, Karl H Krieger, Alexandra N Schwann, Jeremy R Leonard, Leonard N Girardi, Mario Gaudino
BACKGROUND: Postoperative re-exploration for bleeding (RB) is a frequent complication following cardiac surgery. We aim to assess incidence, risk factors, and prognostic significance of RB in a large cohort of cardiac patients. MATERIALS AND METHODS: We reviewed prospectively collected data for all patients who underwent cardiac surgery at our institution from 2007 to 2015. Logistic regression analysis was used to identify independent predictors of RB and specific outcomes...
November 7, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29104126/long-term-quality-of-life-associated-with-early-surgical-complications-in-patients-with-ulcerative-colitis-after-ileal-pouch-anal-anastomosis-a-single-center-retrospective-study
#7
Weimin Xu, Hairong Ye, Yilian Zhu, Wenjun Ding, Jihong Fu, Long Cui, Peng Du
BACKGROUND: Ileal pouch-anal anastomosis (IPAA) is recommended for patients with ulcerative colitis (UC) in terms of surgical treatment. Measuring surgical complications of IPAA and long-term quality of life (QOL) are important to achieve an acceptable risk/benefit ratio for patients with UC. MATERIALS AND METHODS: Patients with UC who underwent total proctocolectomy (TPC) with IPAA from February 2008 to July 2016 at our institute were included. Early surgical complications were defined as mechanical/infectious events within one month after IPAA...
November 7, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29122707/robotic-versus-laparoscopic-distal-pancreatectomy-a-comparative-study-of-clinical-outcomes-and-costs-analysis
#8
Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Riccardo Caruso, Luis Malavé, Valentina Ferri, Sara Lazzaro, Denis Kalivaci, Yolanda Quijano, Emilio Vicente
BACKGROUND: The robotic surgery cost presents a critical issue which has not been well addressed yet. This study aims to compare the clinical outcomes and cost differences of robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP). METHODS: Data were abstracted prospectively from 2011 to 2017. An independent company performed the financial analysis. RESULTS: A total of 28 RDP and 26 LDP were included. The mean operative time was significantly lower in the LDP (294 vs 241 min; p = 0...
November 6, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29122706/mid-to-long-term-outcomes-of-laparoscopic-sleeve-gastrectomy-in-indian-population-3-7-year-results-a-retrospective-cohort-study
#9
Harshit Garg, Sandeep Aggarwal, Mahesh Chandra Misra, Pratyusha Priyadarshini, Ashish Swami, Lokesh Kashyap, Richa Jaiswal
INTRODUCTION: Few studies have addressed the mid to long term impact of Laparoscopic Sleeve Gastrectomy (LSG) on weight loss and obesity associated co-morbidities, particularly in Indian population. The aim of this study is to assess the efficacy of LSG in morbid obesity over 3-7 years follow up. MATERIALS AND METHODS: Data of all patients who underwent LSG between January 2008 and March 2015 and completed their at least 1 year follow up till March 2016 was retrospectively reviewed using a prospectively collected database...
November 6, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29107188/the-number-of-positive-lymph-node-is-a-better-predictor-of-survival-than-the-lymph-node-metastasis-status-for-pancreatic-neuroendocrine-neoplasms-a-retrospective-cohort-study
#10
Xianbin Zhang, Lili Lu, Yuru Shang, Peng Liu, Yushan Wei, Li Ma, Peng Gong
BACKGROUND: The recently released AJCC TNM staging system of pancreatic adenocarcinoma has endorsed the number of positive lymph node(NPLN) as the criterion of N staging. However, the prognostic role of NPLN is still unclear for pancreatic neuroendocrine neoplasms (pNENs). METHODS: Patients underwent resection and at least one lymph node examined were identified from the Surveillance, Epidemiology, and End Results database. The overall survival (OS) and disease specific survival (DSS) were estimated using Kaplan-Meier analysis and compared by log-rank test...
November 2, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29104125/a-review-of-illicit-psychoactive-drug-use-in-elective-surgery-patients-detection-effects-and-policy
#11
REVIEW
Gennaro Selvaggi, Antonio G Spagnolo, Anna Elander
Limited information is present in literature regarding detection of illicit drug users visiting physicians when planning elective surgery; also, there is no update manuscript that is illustrating the effects of illicit drugs use that require reconstructive surgery interventions. Aims of this manuscript are: 1) to summarize existing knowledge, and give surgeons information how to detect patients who might possible use illicit drugs; 2) to review the effects of illicit drug use that specifically require reconstructive surgery interventions; 3) to assess on existing policies on asymptomatic illicit drug users when planning elective surgery...
November 2, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29081375/dose-surgical-resection-of-hepatic-metastases-bring-benefits-to-pancreatic-ductal-adenocarcinoma-a-systematic-review-and-meta-analysis
#12
REVIEW
Xinzhe Yu, Jichun Gu, Deliang Fu, Chen Jin
OBJECTIVE: The objectives of this systematic review and meta-analysis were to examine morbidity, mortality, and long-term survival after surgical resection of hepatic metastases from pancreatic ductal adenocarcinoma (PDAC) patients. BACKGROUND: Patients with hepatic metastases from pancreatic ductal adenocarcinoma are facing a dilemma of whether to make hepatic resection. METHODS: A systematic literature research was undertaken through computerized databases as well as manually research from unpublished data...
November 2, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29102691/the-impact-of-surgeon-volume-and-hospital-volume-on-postoperative-mortality-and-morbidity-after-hip-fractures-a-systematic-review
#13
REVIEW
Azeem Tariq Malik, Usman Younis Panni, Bassam A Masri, Shahryar Noordin
INTRODUCTION: Recently, strategies aimed at optimizing provider factors have been proposed, including regionalization of surgeries to higher volume centers, and adoption of volume standards. With limited literature investigating the impact of hospital and surgeon volume on the outcome of hip fracture repairs, we undertook a systematic review to solidify the findings and attempt to arrive at a definitive conclusion with respect to both factors. MATERIALS AND METHODS: We performed a systematic review examining the association between surgeon and hospital volume and hip fracture outcomes...
November 1, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29102690/response-to-students-participation-in-collaborative-research-should-be-recognised
#14
LETTER
Ginimol Mathew
No abstract text is available yet for this article.
November 1, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29100907/feasibility-and-safety-of-nerve-stimulator-attachment-to-energy-based-devices-a-porcine-model-study
#15
Sung-Chan Shin, Eui-Suk Sung, Sung-Won Choi, Sung-Dong Kim, Da-Woon Jung, Seok-Hyun Kim, Jung Hoon Ro, Jin-Choon Lee, Byung-Joo Lee
BACKGROUND: Recently, several energy-based devices (EBDs) have been developed and applied in the context of thyroid surgery. EBDs can reduce operation time, blood loss, and postoperative pain. Compared to conventional electrocautery, EBDs operate at a relatively lower temperature and produce minimal lateral tissue damage. Yet, during device operation, the tip of the EBD is hot enough to cause thermal nerve damage, increasing the need for surgeons to be cautious about EBD application. To increase the safety of EBDs, we attached nerve stimulators to the tips of two EBDs and compared them to conventional monopolar nerve stimulation using a porcine model...
October 31, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29097326/letter-to-the-editor-on-the-article-the-effect-of-vitamin-d-supplementation-on-knee-osteoarthritis-a-meta-analysis-of-randomized-controlled-trials
#16
LETTER
Salman Hussain, Ambrish Singh, Mohd Akhtar, Abul Kalam Najmi
No abstract text is available yet for this article.
October 30, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29097325/efficacy-and-safety-of-different-doses-of-dezocine-for-preemptive-analgesia-in-gynecological-laparoscopic-surgeries-a-prospective-double-blind-and-randomized-controlled-clinical-trial
#17
Meiyan Zhou, Liwei Wang, Congyou Wu, Li Yan, Rongguo Wang, Bin Sun, Jianhua Wang
BACKGROUND: The incidence of reproductive system tumors in Chinese females is increasing year by year, with the trend of younger onset ages. Laparoscopic surgery has been recognized by the majority of medical staff and patients, but the postoperative pain still exists. Therefore, it has become the focus of attention of medical workers to take effective analgesia measures to alleviate postoperative pain as well as to improve the degree of comfort and satisfaction for the patients. OBJECTIVES: The research objective was to study the effect of different doses of dezocine preemptive analgesia on the safety and the pain post laparoscopic surgeries, in order to explore the best dose of dezocine for postoperative analgesia in gynecological laparoscopic surgeries...
October 30, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29081373/a-case-matched-comparison-study-of-total-pancreatectomy-versus-pancreaticoduodenectomy-for-patients-with-pancreatic-ductal-adenocarcinoma
#18
Junjie Xiong, Ailin Wei, Nengwen Ke, Du He, Selina Kwong Chian, Yi Wei, Weiming Hu, Xubao Liu
BACKGROUND: Total pancreatectomy (TP) is considered a viable option in some selected patients with pancreatic ductaladenocarcinoma (PDAC). The aim of this study was to compare the clinical outcomes between TP and pancreaticoduodenectomy (PD) in patients with PDAC. MATERIALS AND METHODS: A total of 375 patients were selected from our center's database in China and classified into two groups: the PD group (n = 325) and the TP group (n = 50). A matched-pair analysis of the patients was conducted with a ratio of 1:1...
October 30, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29081372/multiphoton-microscopy-a-novel-diagnostic-method-for-solid-tumors-in-a-prospective-pediatric-oncologic-cohort-an-experimental-study
#19
Oliver J Muensterer, Sibylle Waldron, Yoon Jung Boo, Claudius Ries, Lisa Sehls, Frank Simon, Larissa Seidmann, Jérôme Birkenstock, Jan Gödeke
BACKGROUND: The prognosis of solid pediatric tumors strongly correlates with accurate staging and complete local control. Currently, surgeons rely on macroscopic cues and intraoperative cryosection to determine resection borders. Multiphoton Microscopy (MPM) is a real time technique that allows imaging of tissue without time-consuming tissue processing. PURPOSE: This pilot study evaluates the diagnostic potential of MPM in pediatric solid tumors compared to routine histopathology...
October 30, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29081374/enhanced-recovery-after-surgery-for-pancreaticoduodenectomy-review-of-current-evidence-and-trends
#20
REVIEW
Xiequn Xu, Chaoji Zheng, Yupei Zhao, Weiyun Chen, Yuguang Huang
Pancreaticoduodenectomy (PD) remains a morbid procedure. The use of Enhanced Recovery After Surgery (ERAS) pathways has proven to reduce care time and post-operative complications after colorectal surgery. There is a high potential for reducing morbidity associated with PD by utilizing ERAS. Guidelines for perioperative care after PD were published in 2013, but these recommendations could even change in one year. The purpose of this review is to examine the current evidence for ERAS in preoperative, intraoperative and post-operative setting of care for PD patients and to propose ERAS evidence-based protocol for patients undergoing PD...
October 25, 2017: International Journal of Surgery
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