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Journal of Visceral Surgery

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https://www.readbyqxmd.com/read/27888039/total-midgut-volvulus-in-adults-with-intestinal-malrotation-report-of-eleven-patients
#1
H Kotobi, V Tan, J Lefèvre, F Duramé, G Audry, Y Parc
OBJECTIVE: Total small-intestinal volvulus with malrotation (TSIVM) classically presents in the neonatal period; it occurs much less frequently in the adult and is often misdiagnosed. Prognosis is directly related to the degree and duration of intestinal ischemia. Our goal is to describe our experience with TSIVM in the adult, to identify any specific findings and to discuss its management. METHOD: Eleven patients who had undergone surgery for TSIVM at three centers between 1992 and 2012 were included...
November 22, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27865742/internal-rectal-prolapse-definition-assessment-and-management-in-2016
#2
L Cariou de Vergie, A Venara, E Duchalais, E Frampas, P A Lehur
Internal rectal prolapse (IRP) is a well-recognized pelvic floor disorder mainly seen during defecatory straining. The symptomatic expression of IRP is complex, encompassing fecal continence (56%) and/or evacuation disorders (85%). IRP cannot be characterized easily by clinical examination alone and the emergence of dynamic defecography (especially MRI) has allowed a better comprehension of its pathophysiology and led to the proposition of a severity score (Oxford score) that can guide management. Decision for surgical management should be multidisciplinary, discussed after a complete work-up, and only after medical treatment has failed...
November 16, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27863946/should-ct-scan-be-performed-when-crp-is-elevated-after-colorectal-surgery-results-from-the-inflammatory-markers-after-colorectal-surgery-study
#3
S Holl, I Fournel, D Orry, O Facy, N Cheynel, P Rat, P Ortega-Deballon
INTRODUCTION: Serum concentration of C-reactive protein (CRP) that exceeds a pre-defined threshold between the 3rd and 5th postoperative day is a reliable marker of infectious complications after colorectal surgery. However, the optimal strategy to follow when a high CRP is found has not been defined. The aim of this study was to analyze the usefulness of computed tomography (CT) scan in this situation in a prospective cohort of patients following colorectal surgery. METHODS: Between November 2011 and April 2015, patients at two surgical centers who had undergone elective colorectal resection with anastomosis and who had a CRP>12...
November 15, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27863944/how-to-introduce-a-program-of-enhanced-recovery-after-surgery-the-experience-of-the-capio-group
#4
J-F Verrier, C Paget, F Perlier, F Demesmay
The traditional model of hospital care has been challenged by the development of a care-management process that allows early patient autonomy (outpatient surgery, Enhanced Recovery after Surgery). Hospitalization has been transformed in response to this development, based on innovative medical and organizational strategies. Within a surgical service, the deployment of these processes requires the creation of a support structure, with re-organization of existing structures, analysis of potential obstacles, implementation of management tools, and ongoing follow-up of organizational function, clinical results, organizational and patient satisfaction...
November 15, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27856172/feasibility-of-selective-non-operative-management-for-penetrating-abdominal-trauma-in-france
#5
G Goin, D Massalou, T Bege, C Contargyris, J-P Avaro, G Pauleau, P Balandraud
INTRODUCTION: In France, non-operative management (NOM) is not the widely accepted treatment for penetrating wounds. The aim of our study was to evaluate the feasibility of NOM for the treatment of penetrating abdominal traumas at 3 hospitals in the Southeast of France. METHODOLOGY: Our study was multicentric and retroprospective from January, 2010 to September, 2013. Patients presenting with a penetrating abdominal stab wound (SW) or gunshot wound (GSW) were included in the study...
November 14, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27856171/teaching-risk-management-by-analysis-of-undesirable-events-associated-with-care
#6
EDITORIAL
B Millat
No abstract text is available yet for this article.
November 14, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27842907/are-enhanced-recovery-programs-in-colorectal-surgery-feasible-and-useful-in-the-elderly-a-systematic-review-of-the-literature
#7
M-V Launay-Savary, M Mathonnet, A Theissen, S Ostermann, A Raynaud-Simon, K Slim
INTRODUCTION: Enhanced recovery programs (ERP) are no longer questionable in the management of patients undergoing surgery. However, there is some doubt as to their feasibility and efficacy in the elderly. Our goal was to systematically review the evidence-based literature concerning the feasibility of ERP in elderly patients undergoing colorectal surgery. MATERIAL AND METHODS: The PubMed and Cochrane Database for systematic reviews as well as the "grey" literature between 2000 and 2015 were sought...
November 11, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27793512/enhanced-recovery-after-gastro-intestinal-surgery-the-scientific-background
#8
P Mariani, K Slim
Enhanced recovery programs (ERP) are without any doubt a major innovation in the care of surgical patients. This multimodal approach encompasses elements of both medical and surgical care. The goal of this in-depth review is to analyze the surgical aspects of ERP, underlining the scientific rationale behind each element of ERP after surgery and in particular, the role of mechanical bowel preparation before colorectal surgery, the place of minimal access surgery, the utility of nasogastric tube, abdominal drainage, bladder catheters and early re-feeding...
October 25, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27789266/the-benefits-of-enhanced-recovery-after-surgery
#9
K Slim
Enhanced recovery programs (ERP) after surgery are now being increasingly applied in daily practice. The purpose of this article is to review specific aspects and advantages of this approach. Beyond the reduction in overall morbidity (found for multiple surgical specialties), ERP include issues and stakes that affect patient care, the care team and society in general. Data from the literature are in agreement, emphasizing that, in this clinical pathway, the patient has thus become an actor in his own care, whose active participation is paramount to the success of the program...
October 24, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27789264/early-ambulation-and-prevention-of-post-operative-thrombo-embolic-risk
#10
P Talec, S Gaujoux, C M Samama
The prevention of post-operative risk of venous thrombo-embolism (VTE) is of fundamental importance, but preventive methods have progressed with the introduction of direct oral anticoagulants (DOAC), the development of ambulatory surgery and enhanced recovery programs (ERP) after surgery. Surgery is, inherently a trigger for venous thrombo-embolic disease, as is prolonged immobilization. However, the risk of VTE is very low following ambulatory surgery, especially in this selected population. ERP, consists of a set of measures to optimize the patient's peri-operative management while reducing length of stay, costs and morbidity and mortality; one measure is the encouragement of early ambulation...
October 24, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27789263/postoperative-cerebral-dysfunction-in-the-elderly-diagnosis-and-prophylaxis
#11
D Benhamou, A Brouquet
Post-operative cerebral dysfunction includes delirium, usually occurring early and reversible, and post-operative cognitive disorders, usually occurring later and prolonged. This is a frequent complication in patients older than 75 years old. The two neurological pictures are often inter-related. The pathophysiology of both entities is similar and related to post-operative neuro-inflammation; therefore onset may occur independently of any surgical complication. Post-operative cerebral dysfunction is a serious organic complication...
October 24, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27771281/the-surgeon-anesthesiologist-relationship-in-the-era-of-enhanced-recovery
#12
R Villet, D Collard
No abstract text is available yet for this article.
October 19, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27671006/improvement-of-peri-operative-patient-management-to-enable-outpatient-colectomy
#13
P Chasserant, M Gosgnach
AIM OF THE STUDY: Outpatient left colectomy has been described in several small series or case reports. We conducted a prospective study to determine whether an optimized management approach could allow performance of this procedure in a broader patient population. PATIENTS AND METHODS: Between December 2014 and December 2015, all eligible patients were prospectively and consecutively included in this study. They all underwent surgery following the same outpatient management protocol...
September 23, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27671005/surgical-revision-of-benign-hepaticojejunostomy-stricture-using-a-robotic-system-with-video
#14
F Guerra, S Amore Bonapasta, M Di Marino, F Coratti, M Annecchiarico, A Coratti
No abstract text is available yet for this article.
September 23, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27663643/practice-patterns-for-complex-situations-in-the-management-of-rectal-cancer-a-multidisciplinary-inter-group-national-survey
#15
J H Lefevre, S Benoist
GOAL: To report the current clinical practice of French physicians for rectal cancer in various complex settings. METHODS: Nineteen clinical situations and four surveillance modalities were proposed to a panel of experts via 11 learned societies. The answers of 48 experts and the impact of colorectal specialists on therapeutic options were compared to those of other participants. RESULTS: A total of 722 physicians [surgeons=319 (44%), gastro-intestinal oncologists=305 (42%), radiotherapists=98 (14%)] participated in this study...
September 20, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27642061/adrenal-surgery-for-oligometastatic-tumors-improves-survival-in-selected-cases
#16
P Tomasini, M-E Garcia, L Greillier, C Paladino, F Sebag, F Barlesi
INTRODUCTION: Oligometastatic cancer prognosis is distinct from polymetastatic cancer prognosis and surgery can improve survival. The objective of this study was to assess the role of adrenalectomy and to look for prognostic or predictive factors for the treatment of patients with oligometastatic solid tumors and adrenal metastasis. MATERIAL AND METHODS: Patients with oligometastatic solid tumors undergoing adrenalectomy were selected. Clinical data were retrieved from electronic patients records...
September 15, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27640089/an-easy-to-follow-algorithm-to-improve-pre-operative-diagnosis-for-appendicitis-in-children
#17
G Podevin, P De Vries, H Lardy, C Garignon, T Petit, O Azzis, J MCheik, J C Roze
GOAL: To evaluate physician compliance with use of a diagnostic algorithm for appendicitis in children. Our secondary objective was to determine the impact of the algorithm on diagnostic accuracy and morbidity. METHODS: We conducted a clustered randomized trial in eight centers. A total of 866 patients were included and, depending on the period of randomization at particular centers, 543 patients were managed before the formal institution of the diagnostic algorithm; their diagnostic management was compared to that of the subsequent 323 patients...
September 14, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27638322/large-scale-implementation-of-enhanced-recovery-programs-after-surgery-a-francophone-experience
#18
J Veziant, O Raspado, A Entremont, J Joris, B Pereira, K Slim
INTRODUCTION: Enhanced recovery after surgery program (ERP) has now surpassed the stage of clinical research in certain specialties and currently poses the problematic of large-scale implementation. The goal of this study was to report the experience during the first year of implementation in three French-speaking countries. MATERIAL AND METHODS: This is a prospective study in which 67 healthcare centers, all registered in the Grace-Audit databank, participated...
September 13, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27623079/autonomous-ambulatory-surgery-unit-a-successful-model
#19
G Champault, A Rogeau, V Garnier, L Pennanech
No abstract text is available yet for this article.
September 9, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27618703/inferior-vena-cava-resection-without-prosthesis-replacement-for-vena-cava-sarcoma-with-video
#20
G Nigri, N Petrucciani, D Sirimarco, L Mangogna, P Aurello, F D'Angelo, G Ramacciato
No abstract text is available yet for this article.
September 8, 2016: Journal of Visceral Surgery
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