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Annals of Medicine and Surgery

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https://www.readbyqxmd.com/read/27900077/selective-beneficial-cardiometabolic-effects-of-vertical-sleeve-gastrectomy-are-predominantly-mediated-through-glucagon-like-peptide-glp-1-in-zucker-diabetic-fatty-rats
#1
Sunil Kumar, Raymond Lau, Thomas Palaia, Christopher Hall, Jenny Lee, Keneth Hall, Collin E Brathwaite, Louis Ragolia
BACKGROUND: Glucagon-like peptide-1 (GLP-1) level was significantly increased post Vertical Sleeve Gastrectomy (VSG), an effect believed to contribute to its beneficial cardiometabolic effects. OBJECTIVE: To validate the beneficial GLP-1 mediated cardiometabolic effects post VSG using GLP-1 antagonist (exendin 9-39) in Zucker diabetic fatty rats. METHODS: Animals were divided into three (n = 5) groups: (i) sham, (ii) VSG, and (iii) VSG received exendin 9-39 (GLP-1 receptor antagonist)...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27895909/retained-surgical-items-after-abdominal-and-pelvic-surgery-incidence-trend-and-predictors-observational-study
#2
Ahmad Elsharydah, Kimberly O Warmack, Abu Minhajuddin, Susan D Moffatt-Bruce
INTRODUCTION: Surgical retained items (RSIs) are associated with increase in perioperative morbidity and mortality. We used a large national database to investigate the incidence, trends and possible predictors for RSIs after major abdominal and pelvic procedures. METHODS: The nationwide inpatient sample data were queried to identify patients who underwent major abdominal and pelvic procedures and discharged with secondary ICD-9-CM diagnosis code of (998.44 and 998...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27895908/diathermy-awareness-among-surgeons-an-analysis-in-ireland
#3
P M McQuail, B S McCartney, J F Baker, P Kenny
INTRODUCTION: Diathermy is an integral part of many modern surgical procedures. While diathermy is generally accepted as 'safe', electrosurgery-induced injuries are among the more common causes for malpractice litigation. The purpose of this study was to evaluate the awareness among surgeons of the principles, risks, precautions and appropriate use of diathermy. METHODS: All surgeons employed from Senior House Officer (SHO) to Consultant grade in two teaching hospitals were surveyed...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27895907/succinct-guide-to-liver-transplantation-for-medical-students
#4
REVIEW
Cheng-Maw Ho, Po-Huang Lee, Wing Tung Cheng, Rey-Heng Hu, Yao-Ming Wu, Ming-Chih Ho
Literature on liver transplantation for use in medical education is limited and as yet unsatisfactory. The aim of this article is to help medical students gain enough insight into the reality of being a liver transplant recipient. This is crucial so in the future they can feel confident in approaching these patients with adequate knowledge and confidence. The knowledge-tree based learning core topics are designed for a 2-h class including indication/contraindication in the real-world setting, model for end stage liver disease scoring and organ allocation policy, liver transplantation for hepatic malignancy, transplantation surgery, immunosuppression strategy in practical consideration, and management of viral hepatitis...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27895906/respiratory-distress-associated-with-heterotopic-gastrointestinal-cysts-of-the-oral-cavity-a-case-report
#5
Marco Antonio Méndez Sáenz, Mario de Jesús Villegas González, Marco A Ponce Camacho, Lucia M Cavazos Cavazos, Bárbara Sáenz Ibarra, Blanca I Esquivel García, José Luis Treviño González
Heterotopic gastrointestinal cysts of the oral cavity are benign lesions usually discovered during infancy. Their pathogenesis is not very clear. They are rare congenital anomalies that result from remnants of foregut-derived epithelium in the head, neck, thorax or abdomen during embryonic development. The majority of these lesions occur in the anterior ventral surface of the tongue and extend to the floor of the mouth. They are confused clinically by surgeons in cases of head and neck masses in children as ranulas, dermoid and thyroglossal cysts, and lymphangioma...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27895905/outcomes-of-laparoscopic-sleeve-gastrectomy-at-a-bariatric-unit-in-south-africa
#6
Chrysis Sofianos, Constantinos Sofianos
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has gained popularity over the years as a standalone procedure. In 2014, it was the most rapidly growing bariatric procedure. The aim of this study was to describe the outcomes of LSG at a single bariatric unit in Johannesburg, South Africa, using the Bariatric Analysis and Reporting Outcome System (BAROS) standardised scoring. METHODS: A retrospective record review and analysis was carried out using data collected from patients who had LSGs...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27872746/a-prospective-cohort-study-to-assess-the-role-of-fdg-pet-in-differentiating-benign-and-malignant-follicular-neoplasms
#7
K Alok Pathak, Andrew L Goertzen, Richard W Nason, Thomas Klonisch, William D Leslie
BACKGROUND: Follicular and Hürthle cell neoplasms are diagnostic challenges. This prospective study was designed to evaluate the efficacy of [18F]-2-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography/computed tomography (PET/CT) in predicting the risk of malignancy in follicular/Hürthle cell neoplasms. MATERIALS AND METHODS: Fifty thyroid nodules showing follicular/Hürthle cell neoplasm on prior ultrasonography guided fine needle aspiration cytology (FNAC) were recruited into this study...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27872745/critical-review-of-sham-surgery-clinical-trials-confounding-factors-analysis
#8
REVIEW
Massimo Ciccozzi, Rosa Menga, Giovanna Ricci, Massimiliano Andrea Vitali, Silvia Angeletti, Ascanio Sirignano, Vittoradolfo Tambone
OBJECTIVE: Sham surgery (placebo surgery) is an intervention that omits the step thought to be therapeutically necessary. In surgical clinical trials, sham surgery serves an analogous purpose to placebo drugs, neutralizing biases such as the placebo effect. A critical review was performed to study the statistical relevance of the clinical trials about sham surgery in the light of potential confounding factors. MATERIALS AND METHODS: For the critical review 52 articles were included...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27833746/severe-trachea-compression-caused-by-riedel-s-thyroiditis-a-case-report-and-review-of-the-literature
#9
Ren Chong Xi, Wang Hong Qiao, Liu Yan
BACKGROUND: Riedel's thyroiditis (RT) is a rare form of chronic thyroiditis, associated with fibroinflammatory process involving the thyroid and surrounding cervical tissues, leading to compressive symptoms. CASE PRESENTATION: We present a case of RT in a 73-year-old female with dyspnoea caused by severe trachea compression. She had reported dyspnoea during physical stress, and had noticed a large mass on the front of the neck. Despite the combination of various imaging modalities, the thyroid mass was not differentiated from thyroid malignancy and other thyroid disorder...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27830064/evaluating-the-educational-environment-of-an-international-animal-model-based-wet-lab-course-for-undergraduate-students
#10
Michail Ch Sideris, Apostolos E Papalois, Thanos Athanasiou, Ioannis Dimitropoulos, Korina Theodoraki, Francois Sousa Dos Santos, Georgios Paparoidamis, Nikolaos Staikoglou, Dimitrios Pissas, Peter C Whitfield, Alexandros Rampotas, Savvas Papagrigoriadis, Vassilios Papalois, Georgios Zografos, Georgios Tsoulfas
BACKGROUND: Essential Skills in the management of Surgical Cases - ESMSC is an International Combined Applied Surgical Science and Wet Lab course aimed at the undergraduate level. ESMSC combines interactive basic science workshops and case-based learning, with basic surgical training modules (BST) on Ex Vivo and In Vivo swine model. In Vivo Dissections include more advanced modules i.e. Abdominal Anatomy Dissections and Cardiac Transplant. AIM: To evaluate the educational environment of a novel course, as well as to compare Medical students' perceptions across various groups...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27822368/primary-surgical-treatment-of-locally-advanced-breast-cancer-in-low-resource-settings
#11
Elroy Patrick Weledji, Felix Adolphe Elong
•Optimum management of locally advanced breast cancer is multidisciplinary.•Neoadjuvant chemotherapy is mainstay of management.•Primary surgical treatment may be acceptable in selected patients.
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27790371/total-or-partial-vertebrectomy-for-lung-cancer-invading-the-spine
#12
Soichi Oka, Hiroki Matsumiya, Shuichi Shinohara, Taiji Kuwata, Masaru Takenaka, Yasuhiro Chikaishi, Ayako Hirai, Naoko Imanishi, Koji Kuroda, Sohsuke Yamada, Hidetaka Uramoto, Eiichiro Nakamura, Fumihiro Tanaka
BACKGROUND: Surgery for lung cancer invading the spine remains challenging associated with high morbidity and mortality. However, recent advances in surgical techniques as well as in perioperative care may improve outcomes of lung cancer surgery with vertebrectomy. We describe our surgical approach and assess the outcome lung cancer invading the spine. METHODS: We retrospectively reviewed our recent experiences of lung cancer with vertebral invasion, in which we have performed total or partial vertebrectomy from January 2011 through April 2015...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27761237/the-effectiveness-of-conservative-management-for-retropharyngeal-abscesses-greater-than-2%C3%A2-cm
#13
A Khudan, G Jugmohansingh, S Islam, S Medford, V Naraynsingh
OBJECTIVES: Conservative management for retropharyngeal abscesses <2 cm is now a first line option. It is unclear if conservative management can be used to manage larger abscesses without increased morbidity and mortality. STUDY DESIGN: A prospective case series was performed from 2012 to 2015 by the Otolaryngology department of the San Fernando General Hospital involving pediatric patients who presented with retropharyngeal abscesses. All patients were initially treated with antibiotics alone...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27721976/clinical-strategies-to-aim-an-adequate-safety-profile-for-patients-and-effective-training-for-surgical-residents-the-laparoscopic-cholecystectomy-model
#14
Vittorio Bresadola, Riccardo Pravisani, Marina Pighin, Luca Seriau, Vittorio Cherchi, Sergio Giuseppe, Andrea Risaliti
BACKGROUND: Training programs for resident surgeons represent a challenge for the mentoring activity. The aim of the present study is to investigate the impact of our training program for laparoscopic cholecystectomy on patient's safety and on the modulation of the residents' exposure to clinical scenario with different grades of complexity. MATERIAL AND METHODS: This is a retrospective study based on a clinical series of laparoscopic cholecystectomy performed in a teaching hospital...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27699003/using-electronic-health-record-collected-clinical-variables-to-predict-medical-intensive-care-unit-mortality
#15
Jacob Calvert, Qingqing Mao, Jana L Hoffman, Melissa Jay, Thomas Desautels, Hamid Mohamadlou, Uli Chettipally, Ritankar Das
BACKGROUND: Clinical decision support systems are used to help predict patient stability and mortality in the Intensive Care Unit (ICU). Accurate patient information can assist clinicians with patient management and in allocating finite resources. However, systems currently in common use have limited predictive value in the clinical setting. The increasing availability of Electronic Health Records (EHR) provides an opportunity to use medical information for more accurate patient stability and mortality prediction in the ICU...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27699002/the-impact-of-temporal-artery-biopsy-on-surgical-practice
#16
Adam Thomas Cristaudo, Ryo Mizumoto, Rasika Hendahewa
BACKGROUND: Giant cell arteritis (GCA) has the potential to cause irreversible blindness and stroke in affected patients [1-4]. Temporal artery biopsy (TAB) remains the gold standard test for GCA [6-8]. Recent literature suggests that TAB does not change management of patients with suspected GCA and that ultrasound scan (USS) may be sufficient enough alone to confirm the diagnosis [9-11,13]. The aim of this study is to therefore determine the impact of TAB on current surgical practice and emergency theatre services...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27699001/a-study-assessing-postoperative-corrugate-rubber-drain-of-perianal-abscess
#17
Riyadh Mohamad Hasan
BACKGROUND: Perianal abscess which can lead to a devastating complications. The management of perianal abscess involves incision and drainage by different methods one of them is packing the cavity. AIM OF THE STUDY: The aim is using Corrugate Rubber drain as an alternative to other methods. PATIENTS AND METHODS: This study was an observational retrospective review of 137 'case series' of patients with perianal abscess over a fifteen-year period from January 2000 to December 2015...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27672438/treatment-of-postoperative-sciatic-nerve-palsy-after-total-hip-arthroplasty-for-postoperative-acetabular-fracture-a-case-report
#18
Akio Kanda, Kazuo Kaneko, Osamu Obayashi, Atsuhiko Mogami, Itaru Morohashi
Acetabular fracture is usually treated with osteosynthesis. However, in the case of an intra-articular fracture, osteosynthesis can result in arthropathy of the hip joint and poor long-term results, hence, total hip arthroplasty is required. However, in total hip arthroplasty for postoperative acetabular fracture, sciatic nerve palsy tends to develop more commonly than after primary total hip arthroplasty. This is a case report of a 57-year-old Japanese male who had internal skeletal fixation for a left acetabular fracture that had occurred 2 years earlier...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27668079/postoperative-washing-of-sutured-wounds
#19
Conrad Harrison, Cian Wade, Sinclair Gore
A best evidence topic was written according to the structured protocol. The three part question addressed was: [In patients undergoing closure of surgical wounds with sutures] does [keeping the wound dry for the first 48 h after closure] [reduce the incidence of surgical site infections (SSIs)]? 4 relevant papers were culled from the literature and appraised. The authors, date, country, population, study type, main outcomes, key results and study weaknesses were tabulated. Current NICE guidelines recommend cleaning surgical wounds with sterile saline only for the first 48 h following skin closure...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27668078/local-repair-of-stoma-prolapse-case-report-of-an-in%C3%A2-vivo-application-of-linear-stapler-devices
#20
Margaret M Monette, Rodney T Harney, Melanie S Morris, Daniel I Chu
INTRODUCTION: One of the most common late complications following stoma construction is prolapse. Although the majority of prolapse can be managed conservatively, surgical revision is required with incarceration/strangulation and in certain cases laparotomy and/or stoma reversal are not appropriate. This report will inform surgeons on safe and effective approaches to revising prolapsed stomas using local techniques. PRESENTATION OF CASE: A 58 year old female with an obstructing rectal cancer previously received a diverting transverse loop colostomy...
November 2016: Annals of Medicine and Surgery
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