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International Journal of Surgery

Ersin Gundogan, Cuneyt Kayaalp, Aydin Aktas, Kutay Saglam, Mufit Sansal, Ufuk Uylas, Cihan Gokler, Egemen Cicek, Fatih Sumer
BACKGROUND: Bleeding from the staple line is a rare but serious problem following bariatric surgery. Staple line bleeding control (SLBC) can be achieved in different ways such as the application of sutures, clips, glue or buttressing materials over the staple line. Cauterization alone is generally not preferred due to concerns about debilitating the staple line. OBJECTIVES: The aim of this study was to compare the clip and monopolar cauterization methods for SLBC in laparoscopic Roux-en-Y gastric bypass...
September 18, 2018: International Journal of Surgery
Burcin Ekser, David K C Cooper
No abstract text is available yet for this article.
September 17, 2018: International Journal of Surgery
Sarfaraz J Baig, Pallawi Priya
No abstract text is available yet for this article.
September 17, 2018: International Journal of Surgery
Carrie Luu, Ram Thapa, Trevor Rose, Katherine Woo, Daniel Jeong, Kerry Thomas, Dung-Tsa Chen, Mark Friedman, Mokenge P Malafa, Pamela J Hodul
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) following pancreatectomy is a potential cause of long term morbidity in patients undergoing pancreatic resection with curative intent. Prior studies have reported an incidence of NAFLD up to 30% following pancreatectomy but the investigated cohorts were typically a mix of benign and malignant disease. Here we examined the incidence of NAFLD in a homogenous cohort of patients following pancreatectomy for benign intraductal papillary mucinous neoplasm (IPMN)...
September 12, 2018: International Journal of Surgery
Philipp Kirchhoff, Henry Hoffmann, Ferdinand Köckerling, Daniela Adolf, Reinhard Bittner, Ralph F Staerkle
BACKGROUND: Several meta-analyses showed that laparoscopic incisional hernia repair is associated with lower surgical site infection (SSI) rates compared to open repair. However, the efficiency of antibiotic prophylaxis (AP) in laparoscopic incisional hernia repair alone is unknown and needs evaluation. Due to increasing antimicrobial resistance, a major global health care problem, AP needs to be critically evaluated. The aim of this study was to investigate the impact of AP on the rate of SSI and complication-related reoperations in patients undergoing laparoscopic incisional hernia repair...
September 10, 2018: International Journal of Surgery
D Light, M Pawlak, A de Beaux, R R Brady
BACKGROUND: The contemporary practice of the sharing of speaker's slides from medical conference presentations is common but raises a number of complex ethical and legal questions. We investigated the views of a large group of international hernia surgeons to evaluate the comtemporary view on this topic. METHODS: A questionnaire was widely promoted on Twitter and distributed by email to target the membership of the British and European Hernia Societies. Demographics and responses were recorded...
August 29, 2018: International Journal of Surgery
Qingsong Li, Xin Qi, Zhenxiang Zhang
OBJECTIVE: Knee osteoarthritis (OA) is a common disease, imposing a great burden through pain and decreased function. Numerous methods have been tested for pain management in knee OA and the optimal method is currently still under debate. We performed a meta-analysis from randomized controlled trials (RCTs) to compare the efficacy and safety of intra-articular hyaluronic acid (HA) and oxygen-ozone in the treatment of knee OA. METHODS: Electronic databases included PubMed, Embase, web of science and the Cochrane Library...
August 29, 2018: International Journal of Surgery
F Shaban, K Carney, K McGarry, S Holtham
BACKGROUND: No consensus has been reached in the management of perforated diverticulitis. Many surgeons opt for a Hartmann's procedure to avoid the risk of an anastomotic leak. We hypothesise that resection with primary anastomosis is a safe alternative in selected patients. We aim to conduct a systematic review and meta-analysis on the available literature. METHODS: Studies that compared emergency Hartmann's with primary anastomosis in perforated left sided colonic diverticulitis were systematically reviewed...
August 27, 2018: International Journal of Surgery
Yang Wang, Peng Jia
INTRODUCTION: This study aims to explore whether metallic clips could be a kind of localizer and guider in transcatheter arterial embolization for patients with non-variceal upper gastrointestinal bleeding, who received an unmanageable endoscopic therapy. METHODS: A total of 18 patients with non-variceal hemorrhage of the upper gastrointestinal tract, who received an unmanageable endoscopic therapy at *** Hospital of **** Province from July 2010 to December 2016, were included into this study...
August 23, 2018: International Journal of Surgery
Xionghu Shen, Longzhen Piao, Songnan Zhang, Yan Cui, Yuzhen Cui, Xianglan Quan, Honghua Sun
BACKGROUND: Recently, long non-coding RNA activated by transforming growth factor beta (TGF-β) (lncRNA ATB) was shown to be useful in cancer prognosis, however, its prognostic value in human cancer has been inconsistent. Our study aimed to explore the prognostic role of lncRNA ATB expression in cancer prognosis. METHODS: PubMed, Embase, and Cochrane Library databases were thoroughly searched to retrieve studies focusing on the prognostic role of lncRNA ATB expression in cancer, and meta-analysis was performed...
August 16, 2018: International Journal of Surgery
Joseph W Y Lau
No abstract text is available yet for this article.
September 2018: International Journal of Surgery
Khalid Hureibi, Charles Evans, Ling Wong, Quratul Ain
Since 2013, individual surgeon and NHS Trusts outcomes following elective colorectal cancer surgery have been in the public domain in England. The 90-day operative mortality rates following colorectal resections are available for the public to view online. AIM: The aim of this study is to evaluate the quality of the published data. It also aims to find whether this data will show the expected pattern of inverse correlation between case volume and the postoperative 90-day mortality rate...
September 2018: International Journal of Surgery
Sheng Shen, Zongyan Gao, Junyi Liu
BACKGROUND: Pain management after arthroplasties has become a serious problem. We perform a meta-analysis from randomized controlled trial (RCTs) to examine the efficacy and safety of methylprednisolone in the setting of postoperative pain after total knee arthroplasty (TKA). METHODS: We conduct electronic searches of Medline (1966 to October 2017), Embase (1980 to October 2017), ScienceDirect (1985 to October 2017) and the Web of Science (1995 to October 2017)...
September 2018: International Journal of Surgery
Joshua Feinberg, Lorna Flynn, Matthew Woodward, Christopher Pennell, Helen Higham, Lauren Morgan, Lance Holman, Patrick Tully, Peter McCulloch
INTRODUCTION: Methods to improve clinical systems safety suffer from significant difficulties in implementation and scaling up. We used an upscaling implementation strategy entitled Supported Champions in a quality and safety improvement programme for emergency surgery at regional level, focusing on patients with right iliac fossa pain. METHODS: A before-after study was conducted across four acute NHS Trusts: A 6 month intervention phase was preceded and followed by 3 months of data collection...
September 2018: International Journal of Surgery
Jiang Zhu, Zhao Xue, Shumei Zhang, Xinxin Guo, Laihui Zhai, Shipeng Shang, Yan Zhang, Haibo Lu
BACKGROUND: The lymph node ratio (LNR) as a prognostic parameter for gastric cancer has yet to be fully validated in the current tumor node metastasis staging system. We assessed the prognostic role of LNR in lymph node-positive gastric cancer through a meta-analysis. MATERIALS AND METHODS: PubMed and EMBASE were searched for relevant studies up until December 2016. The effect measure for meta-analysis of primary outcomes was the hazard ratio (HR) for overall survival...
September 2018: International Journal of Surgery
Asha Khachane, Yiannis Philippou, Allison Hirst, Peter McCulloch
INTRODUCTION: Evaluation of new surgical innovations is complex and variably regulated, and historically the quality of surgical studies has been criticized. The IDEAL (Idea, Development, Exploration, Assessment, Long-term monitoring) Framework was established to provide a pathway for evaluating surgical innovations at each stage of their development in order to produce high quality surgical research. Since the inception of IDEAL in 2009, there has been no assessment of its use. In this review, we look at the uptake and usage of IDEAL by examining the published literature...
September 2018: International Journal of Surgery
Linzhen Xie, Chunhui Chen, Yingying Zhang, Wenhao Zheng, Hua Chen, Leyi Cai
PURPOSE: The objective of this meta-analysis was to assess the influence of three dimensional printing technology on the open reduction and internal fixation (ORIF) of tibial plateau fractures from current randomized controlled trials and prospective comparative studies. METHODS: The electronic literature database of Pubmed, Embase, and Cochrane library were searched in January 2018. The data operation time, intraoperative blood loss, follow-up knee function (Rasmussen score, HSS) and complications (including infection, screw loosening, knee stiffness, knee instability, posttraumatic osteoarthritis, VTE) were extracted...
September 2018: International Journal of Surgery
De-Tao Yin, Huanan He, Kun Yu, Jing Xie, Mengyuan Lei, Runsheng Ma, Hongqiang Li, Yongfei Wang, Zhen Liu
BACKGROUND: Thyroid cancer is rapidly increasing in incidence worldwide in the past several decades, same as the incidence of metabolic syndrome. We performed a system review and meta-analysis of the association between metabolic syndrome, its components and insulin resistance and thyroid cancer incidence. METHODS: We searched several computer-assisted databases PUBMED, EMBASE and ISI Web of Science to identify studies published before 31st January 2018. Every study must report either risk estimates of thyroid cancer incidence with 95% confidence interval (CI) or related data can speculate...
September 2018: International Journal of Surgery
Ying Zhu, Da Xu, Ze Zhang, Jian Dong, Yu Zhou, Wei-Wei Zhang, Liang Hong, Wen-Wei Zhu
BACKGROUND: Preoperative serum inflammatory markers have been correlated with survival outcomes after resection of hepatocellular carcinoma (HCC). Whether they can predict microvascular invasion (MVI) in HCC is still unknown. This study aimed to evaluate the association of inflammatory markers with MVI, and develop a simple and inexpensive preoperative prediction model for MVI. METHODS: We developed a novel index using routine laboratory tests to predict MVI. The index was developed based on a study on patients with HCC, and validated in an internal cohort and another external cohort...
September 2018: International Journal of Surgery
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