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International Journal of Surgery

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https://www.readbyqxmd.com/read/29339230/balanced-crystalloids-vs-0-9-saline-for-adult-patients-undergoing-non-renal-surgery-a-meta-analysis
#1
REVIEW
Lili Huang, Xiaoshuang Zhou, Hai Yu
BACKGROUND: Fluid maintenance and resuscitation is an important strategy during major surgeries. There has been a debate on the choice of crystalloids over the past decades. 0.9% saline (normal saline) is more likely to cause hyperchloremic acidosis when compared to balanced crystalloids with low chloride content. Meta-analyses comparing these two kinds of crystalloids have been performed in renal transplantations. We aim to compare the safety of balanced crystalloids to normal saline among adult patients undergoing non-renal surgery...
January 12, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337180/impact-of-an-acute-surgical-unit-in-appendicectomy-outcomes-a-systematic-review-and-meta-analysis
#2
REVIEW
Ishwarya Balasubramanian, Ben Creavin, Des Winter
BACKGROUND: The provision of emergency general surgical services is undergoing a paradigm shift towards a consultant led, patient centered model in order to improve patient outcomes. The aim of this current study is to use meta-analytical techniques to assess the efficacy of acute surgical unit (ASU) in appendectomy. METHODS: A meta-analysis was conducted according to the PRISMA guidelines. A comprehensive literature search of PubMed, Embase and Scopus for published studies comparing ASU and traditional (TRAD) model on appendectomy outcomes was performed...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337179/surgical-treatment-of-recurrent-varicose-veins-in-the-lower-limbs-associated-with-endovascular-treatment-of-iliac-vein-stenosis
#3
Jie Kong, Peng Liu, Jinyong Li, Xueqiang Fan, Jianyan Wen, Jianbin Zhang, Rongwei Xu, Yiyao Cui, Xia Zhen, Zhidong Ye
OBJECTIVE: We present our experience with endovascular surgery for recurrent varicose veins (RVV) of the lower limbs combined with the iliac vein compression syndrome (IVCS). MATERIALS AND METHODS: This study was a retrospective analysis of 6 patients with RVVs combined with IVCS who were admitted to our hospital between January 2007 and December 2014. Transfemoral venography was performed to confirm IVCS. Balloon dilation and stent placement were successful in all 6 patients...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337178/multifocality-as-a-prognostic-factor-in-thyroid-cancer-a-meta-analysis
#4
REVIEW
Kyle R Joseph, Senarath Edirimanne, Guy D Eslick
BACKGROUND: Thyroid cancer is one of the most common endocrine cancers whose incidence has been steadily increasing. Previous studies have suggested that multifocality in thyroid cancer is associated with poor prognosis. The present study aims to quantify the data on multifocality as a factor indicating poor prognosis by meta-analysis. METHODS: A systematic search was carried out using the electronic databases PubMed and Medline. We searched for articles containing keywords of multifocality and thyroid cancer, as well as risk factors and prognostic factors for thyroid cancer (Lymph node metastases, extrathyroidal extension, distant metastases, disease recurrence, Age, tumour size...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337177/laparoscopic-versus-open-pancreatectomy-for-pancreatic-ductal-adenocarcinoma-a-systematic-review-and-meta-analysis
#5
REVIEW
Ke Chen, Yu Pan, Bin Zhang, Hendi Maher, Xiu-Jun Cai
BACKGROUND: Laparoscopic pancreatic surgery (LPS) has been widely used in the treatment of benign and low-grade pancreatic diseases. It is necessary to expand the current knowledge on the feasibility and safety of LPS for pancreatic ductal adenocarcinoma (PDAC) by systematic reviewing the published studies and analyzing them by meta-analysis. METHODS: Original articles compared LPS with open pancreatic surgery (OPS) for PDAC, published from January 1994 to August 2017 were searched in medical databases...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337176/comparison-of-the-diagnostic-performances-of-ultrasonography-ct-and-fine-needle-aspiration-cytology-for-the-prediction-of-lymph-node-metastasis-in-patients-with-lymph-node-dissection-of-papillary-thyroid-carcinoma-a-retrospective-cohort-study
#6
Na Lae Eun, Eun Ju Son, Jeong-Ah Kim, Hye Mi Gweon, Jung-Hyun Kang, Ji Hyun Youk
PURPOSE: To evaluate the diagnostic performances of ultrasonographic (US) findings, computed tomography (CT) findings and fine needle aspiration cytology (FNAC) for the prediction of cervical lymph node (LN) metastases of papillary thyroid carcinoma (PTC) to determine which LN should be dissected. METHODS: 376 LNs in 302 patients who underwent both US-guided skin surface LN markings and CT before LN dissection were analyzed retrospectively. Indications for LN dissection were suspicious US findings of LN metastases (n = 300), suspicious CT findings (n = 67) or surgeon's request (n = 9)...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29337175/minimally-invasive-versus-extensile-lateral-approach-for-saners-type-ii-and-iii-calcaneal-fractures-a-meta-analysis-of-randomized-controlled-trials
#7
REVIEW
Zhikui Zeng, Lingmei Yuan, Shengpeng Zheng, Youqiang Sun, Feng Huang
BACKGROUND: The use of less-invasive techniques in the treatment of displaced intra-articular calcaneal fractures (DIACFs) remains controversial. No prior meta-analysis has considered the influence of differences in the fracture type. Thus, our meta-analysis aimed to investigate the efficacy and safety of minimally invasive (MI) in Sanders type II and III fractures. MATERIALS AND METHODS: A comprehensive search was performed to identify RCTs comparing MI using sinus tarsi approach (STA) or percutaneous reduction (PR) to open reduction (OR) via extensile lateral approach (ELA) from the Cochrane Library, PubMed, Embase and CNKI...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29331604/efficacy-of-intravenous-lidocaine-on-pain-relief-in-patients-undergoing-laparoscopic-cholecystectomy-a-meta-analysis-from-randomized-controlled-trials
#8
REVIEW
M M Jinyuan Li, M M Gang Wang, M M Weituan Xu, M M Mei Ding, M D Wenli Yu
OBJECTIVE: Whether intravenous lidocaine has a beneficial role in controlling acute pain after a laparoscopic cholecystectomy (LC) in currently unknown. We performed a meta-analysis from randomized controlled trials (RCTs) to determine the efficacy and safety of intravenous lidocaine for the treatment of acute postoperative pain after LC. METHODS: In August 2017, a systematic search was performed in PubMed, EMBASE, Web of Science, ScienceDirect, and the Cochrane Library...
January 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29329789/lateral-lymph-node-metastasis-in-papillary-thyroid-carcinoma-a-systematic-review-and-meta-analysis-for-prevalence-risk-factors-and-location
#9
REVIEW
Yoon Kyoung So, Min-Ji Kim, Seonwoo Kim, Young-Ik Son
BACKGROUND: Lymph node metastasis (LNM) is frequent in papillary thyroid carcinoma (PTC) and is associated with a poor prognosis. Unlike central LNM (CLNM), there are few studies focusing on LLNM. We aimed to investigate the prevalence and the risk factors for LLNM, with its most prevalent sites. METHODS: We performed a comprehensive literature search using the PubMed and EMBASE databases for relevant studies published prior to November 2016 that examined the risk factors for LLNM...
January 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29329788/effect-of-individualized-distal-femoral-valgus-resection-angle-in-primary-total-knee-arthroplasty-a-systematic-review-and-meta-analysis-involving-1300-subjects
#10
REVIEW
Kai Zhou, Tingxian Ling, Yuan Xu, Jinglong Li, Haoda Yu, Haoyang Wang, Zongke Zhou, Fuxing Pei
BACKGROUND: Proper limb alignment and implant positioning are important for successful total knee arthroplasty (TKA). Whether any differences exist in restoration of limb alignment for valgus knees between fixed and individual femoral valgus correction angle (VCA) for distal femoral resection remains unknown. METHODS: The PubMed, Medline, Embase, and Wangfang databases were searched to identify studies comparing individualized VCA and fixed VCA in the distal femoral valgus resection...
January 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29329787/outcomes-of-multisegmental-transforaminal-enlarged-decompression-plus-posterior-pedicle-screw-fixation-for-multilevel-lumbar-spinal-canal-stenosis-associated-with-lumbar-instability
#11
Chao Sun, Wei Ji Tian, Hui Xin Liu, Ping Guo Guan
PURPOSE: The aim of this study was to evaluate the clinical and radiologic results of multisegmental transforaminal enlarged decompression (TED) plus posterior pedicle screw fixation in the treatment of multilevel lumbar spinal canal stenosis (LSCS) with lumbar instability (MLSCSI). METHODS: 113 patients with MLSCSI underwent surgery were recruited in this study. All patients were suffering from symptoms typical of degenerative LSCS and treated with either TED plus fusion (TEDF group) or conventional laminectomy plus fusion (CLF group)...
January 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29329786/clinicopathological-and-prognostic-significance-of-lymphocyte-to-monocyte-ratio-in-patients-with-gastric-cancer-a-meta-analysis
#12
REVIEW
Jian-Ying Ma, Qin Liu
BACKGROUND: Recently, the lymphocyte-to-monocyte ratio (LMR) has been reported to be a prognostic factor in multiple malignancies. The current study was designed to assess the prognostic value of pretreatment LMR in gastric cancer (GC). METHODS: MEDLINE, EMBASE, Cochrane, and CNKI databases were searched until April 2017. Eligible articles were defined as studies assessing the prognostic role of pretreatment LMR in GC. Pooled hazard ratios (HRs) for overall survival (OS), disease-free survival (DFS), and recurrence-free survival (RFS) were calculated using fixed-effects or random-effects models...
January 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29292217/recognising-contributions-to-work-in-research-collaboratives-guidelines-for-standardising-reporting-of-authorship-in-collaborative-research
#13
EDITORIAL
Matthew J Lee
BACKGROUND: Trainee research collaboratives (TRCs) have been revolutionary changes to the delivery of high-quality, multicentre research. The aim of this study was to define common roles in the conduct of collaborative research, and map these to academic competencies as set out by General Medical Council (GMC) in the United Kingdom. This will support trainers and assessors when judging academic achievements of those involved in TRC projects, and supports trainees by providing guidance on how to fulfil their role in these studies...
December 29, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29292216/negative-pressure-therapy-versus-conventional-therapy-on-split-thickness-skin-graft-a-systematic-review-and-meta-analysis
#14
REVIEW
Yingchao Yin, Ruipeng Zhang, Shilun Li, Jialiang Guo, Zhiyong Hou, Yingze Zhang
OBJECTIVE: To compare the clinical outcomes of negative-pressure wound therapy (NPWT) versus conventional therapy on split-thickness skin after grafting surgery. DESIGN: Meta-analysis. BACKGROUND: Split-thickness skin grafts are widely used in reconstruction of large skin defects. Conventional therapy causes pain during dressing changing. NPWT is an alternative method to cover the wound bed. METHODS: The Pubmed, Embase, and Cochrane databases were searched for randomized controlled trials (RCTs) or cohort studies for articles published between 1993 and April 2017 comparing NPWT to conventional wound therapy for split-thickness skin grafts...
December 29, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29289678/integrating-coaches-into-the-national-training-programme-a-modern-approach-to-surgical-supervision
#15
LETTER
Faheem Ahmed, Ibrahim H N Sheriff, Mostafa Al-Alusi, Na'eem Ahmed, Tunji Lasoye
No abstract text is available yet for this article.
December 28, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29288807/major-inpatient-surgeries-and-in-hospital-mortality-in-new-south-wales-public-hospitals-in-australia-a-state-wide-retrospective-cohort-study
#16
Wei Du, Nicholas Glasgow, Paul Smith, Archie Clements, Art Sedrakyan
BACKGROUND: Surgical interventions save lives and are important focus for health services research worldwide. Investigating variation in postoperative mortality may improve understanding of unwarranted variations and promote safety and quality in surgical care. We aimed to evaluate trends of in-hospital mortality rates among adult inpatients receiving major elective surgeries and determine the variation in mortality among New South Wales (NSW) public hospitals. MATERIALS AND METHODS: In this study, we used the all-inclusive population-based NSW Admitted Patient Data from July 2001 to June 2014...
December 27, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29288117/quality-of-life-in-differentiated-thyroid-cancer
#17
Charlotte McIntyre, Thomas Jacques, Fausto Palazzo, Kate Farnell, Neil Tolley
BACKGROUND: The incidence of thyroid cancer has increased significantly over the last ten years and conversely the mortality has decreased. With 85% of patients with thyroid cancer surviving for ten years or longer it is increasingly important to study the quality of life in these patients and identify which aspects of the patients' health and wellbeing could be improved. METHODS: During the first UK patient-doctor thyroid cancer forum, patient attendees filled in an anonymized questionnaire...
December 26, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29288116/a-study-on-outcome-of-binding-pancreaticogastrostomy-following-pancreaticoduodenectomy-a-prospective-study
#18
Dronacharya Routh, Nishant Pathak, C S Naidu, A K Singh, P P Rao, Priya Ranjan
INTRODUCTION: The type of anastomosis of the pancreas following pancreaticoduodenectomy is often attributed to the reason for pancreatic leak. Results of various randomized trials comparing pancreaticojejunostomy and pancreaticogastrostomy are conflicting one suggesting advantage over the other and vice versa. In this study we intend to critically analyze a novel technique of binding pancreaticogastrostomy following pancreaticoduodenectomy. AIMS AND OBJECTIVES: The aim of this study is to see the outcome of binding pancreaticogastrostomy by evaluating the technical aspects of binding PG and study the incidence of post-operative complications...
December 26, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29288115/mastectomy-for-risk-reduction-or-symmetry-in-women-without-high-risk-gene-mutation-a-review
#19
REVIEW
R Kenny, M Reed, A Subramanian
BACKGROUND: Prophylactic or 'risk-reducing' mastectomy refers to the procedure of completely removing a healthy breast in order to reduce the risk of developing breast cancer. This may be bilateral or may be performed to the contralateral breast as part of the treatment of a proven breast cancer. The rate of this procedure being performed has been shown to be increasing over the last two decades. Recent guidance for Breast clinicians has been issued over the last 12 months by both The Association of Breast Surgery of Great Britain and Ireland (ABSGBI) and the American Society of Breast Surgeons (ASBrS)...
December 26, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29288114/efficacy-of-fast-track-surgery-in-laparoscopic-radical-gastrectomy-for-gastric-cancer-a-meta-analysis-of-randomized-controlled-trials
#20
REVIEW
Qing Liu, Li Ding, Honglei Jiang, Chundong Zhang, Junzhe Jin
OBJECTIVE: To conduct a systematic review of efficacy and security of fast track surgery (FTS) in laparoscopic radical gastrectomy for gastric cancer. METHODS: We searched PubMed, Embase, and Cochrane Library Databases and supplemented by other searches to collect randomized controlled trials (RCTs) on the comparison of fast track surgery combined with laparoscopy versus laparoscopy separately used in radical gastrectomy for gastric cancer before December 2016. After screening for inclusion, data extraction, and quality assessment, meta-analysis was conducted by the Review Manager 5...
December 26, 2017: International Journal of Surgery
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