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Surgery Research and Practice

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https://www.readbyqxmd.com/read/29850648/increased-rate-of-incidental-colorectal-malignant-polyps-a-single-center-experience
#1
T Buchbjerg, R Kroijer, I Al-Najami, K Urth Hansen, G Baatrup
Background and Aims: To investigate the incidence and treatment of colorectal malignant polyps before and after colorectal cancer screening initiation in March 2014 in a single Danish center. Materials and Methods: 71 patients with colorectal malignant polyps in a single center from 2012 to 2015 were reported retrospectively. Results: There was a significant increase ( P < 0.01) in the incidence of colorectal malignant polyps from 2012 to 2013 and 2014 to 2015 (8 versus 63) relative to the increase in colonoscopies with polypectomy (1029 versus 2706)...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29808170/is-a-technically-challenging-procedure-more-likely-to-fail-a-prospective-single-center-study-on-the-short-and-long-term-outcomes-of-inguinal-hernia-repair
#2
M R Berndsen, Tomas Gudbjartsson, Fritz Hendrik Berndsen
Background and Aims: The aim of this prospective single-center study was to evaluate the outcome of inguinal hernia repair. Materials and Methods: A total of 485 inguinal hernias (452 patients and 33 patients with bilateral hernias) were operated between January 2004 and December 2010. Mean age was 56 years, and 93% were male. Patient demographics and operative data were collected, and the operating surgeon assessed the technical difficulty of the operation. Five years after surgery, a questionnaire evaluated recurrence and chronic discomfort according to the Cunningham scale...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29756005/peripheral-lymph-node-excisional-biopsy-yield-relevance-and-outcomes-in-a-remote-surgical-setup
#3
Ashish Lal Shrestha, Pradita Shrestha
Objective: To study the patient profile for symptomatic peripheral lymphadenopathy in terms of histopathological findings and demography and evaluate the yield, relevance, and outcomes of peripheral lymph node biopsy (PLNB) as a diagnostic step in a remote setup in the absence of less invasive options like fine-needle aspiration cytology (FNAC) or ultrasonogram- (USG-) guided FNAC. Methods: A retrospective review of patients undergoing PLNB between 1 May 2011 and 30 April 2013 was done...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29687077/efficacy-and-outcomes-of-intrathecal-analgesia-as-part-of-an-enhanced-recovery-pathway-in-colon-and-rectal-surgical-patients
#4
Amit Merchea, Jenna K Lovely, Adam K Jacob, Dorin T Colibaseanu, Scott R Kelley, Kellie L Mathis, Grant M Spears, Marianne Huebner, David W Larson
Purpose: Multimodal analgesia is an essential component of an enhanced recovery pathway (ERP). An ERP that includes the use of single-injection intrathecal analgesia (IA) has been shown to decrease morbidity and cost and shorten length of stay (LOS). Limited data exist on safety, feasibility, and the optimal IA regimen. Our objective was to characterize the efficacy, safety, and feasibility of IA within an ERP in a cohort of colorectal surgical patients. Methods: We performed a retrospective review of all consecutive patients aged ≥ 18 years who underwent open or minimally invasive colorectal surgery from October 2012 to December 2013...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29682602/acute-perioperative-comparison-of-patient-specific-instrumentation-versus-conventional-instrumentation-utilization-during-bilateral-total-knee-arthroplasty
#5
Jerrod A Steimle, Michael T Groover, Brad A Webb, Brian J Ceccarelli
Utilizing patient-specific instrumentation during total knee arthroplasty has gained popularity in recent years with theoretical advantages in blood loss, intraoperative time, length of stay, postoperative alignment, and functional outcome, amongst others. No study has compared acute perioperative measures between patient-specific instrumentation and conventional instrumentation in the bilateral total knee arthroplasty setting. We compared patient-specific instrumentation versus conventional instrumentation in the setting of bilateral total knee arthroplasty to determine any benefits in the immediate perioperative period including surgical time, blood loss, pain medication use, length of stay, and discharge disposition...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29594190/complex-pulmonary-aspergilloma-surgical-challenges-in-a-third-world-setting
#6
Bernadette Ngo Nonga, Guy Aristide Bang, Bonaventure Jemea, Eric Savom, Perfura Yone, Ngahane Mbatchou, Jean Jacques Ze
Background: Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon. We report our experience of surgical management of PA in this environment. Method: We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes...
2018: Surgery Research and Practice
https://www.readbyqxmd.com/read/29410978/prediction-of-severity-of-acute-pancreatitis-using-total-serum-calcium-and-albumin-corrected-calcium-a-prospective-study-in-tertiary-center-hospital-in-nepal
#7
Ashik Pokharel, Prem Raj Sigdel, Suman Phuyal, Prasan Bir Singh Kansakar, Pradeep Vaidya
Introduction: Total calcium (TC) and albumin-corrected calcium (ACC) are easily accessible AP severity tests in the Primary Health Care Center of Nepal. The aim of the study was to evaluate TC and ACC as prognostic severity markers in acute pancreatitis (AP). Methods: All patients admitted in Tribhuvan University Teaching Hospital with the diagnosis of AP were studied prospectively over a period of one year from January 2015 to January 2016. TC and ACC were measured in the first 24 hours of admission in each patient...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/29204515/parastomal-hernia-repair-with-intraperitoneal-mesh
#8
Pia Näsvall, Jörgen Rutegård, Michael Dahlberg, Ulf Gunnarsson, Karin Strigård
Purpose: Parastomal hernia is a common complication following a stoma and may cause leakage or incarceration. No optimal treatment has been established, and existing methods using mesh repair are associated with high recurrence rates and a considerable risk for short- and long-term complications including death. A double-layer intraperitoneal on-lay mesh (IPOM), the Parastomal Hernia Patch (BARD™), consisting of ePTFE and polypropylene, has been developed and tailored to avoid recurrence...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/29201998/treatment-and-outcome-for-children-with-esophageal-atresia-from-a-gender-perspective
#9
Julia Ekselius, Martin Salö, Einar Arnbjörnsson, Pernilla Stenström
Background: Besides the incidence of esophageal atresia (EA) being higher in males, no other gender-specific differences in EA have been reported. The aim of this study was to search for gender-specific differences in EA. Methods: A retrospective study was conducted at a tertiary center for pediatric surgery. The medical charts of infants born with EA were reviewed. 20 girls were identified, and 20 boys were selected as matched controls with respect to concomitant malformations...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/29094063/a-single-centre-experience-of-day-case-laparoscopic-cholecystectomy-outcomes-by-body-mass-index-group
#10
Kirk Bowling, Samantha Leong, Sarah El-Badawy, Erfan Massri, Jaideep Rait, Jay Atkinson, Gandrapu Srinivas, Stuart Andrews
Aim: The purpose of this study was to evaluate whether patients with a high BMI can undergo safe day case LC for cholecystitis compared to groups of patients with a lower BMI. Setting: NHS District General Hospital, UK. Methods: A retrospective review of 2391 patients who underwent an attempted day case LC between 1 January 2009 and 15 August 2015 was performed. Patients were divided into five groups depending on their BMI. Inclusion criteria were patients undergoing elective day case laparoscopic cholecystectomy with cholecystitis on histology...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/29085880/vacuum-assisted-abdominal-closure-is-safe-and-effective-a-cohort-study-in-74-consecutive-patients
#11
R O Jensen, T Buchbjerg, R M Simonsen, R Eckardt, N Qvist
BACKGROUND: Vacuum-assisted closure (VAC) has, in many instances, become the treatment of choice in patients with abdominal catastrophes. This study describes the use and outcome of ABThera KCI® VAC in the Region Southern Denmark covering a population of approximately 1.202 mill inhabitants. METHOD: A prospective multicenter study including all patients treated with VAC during an eleven-month period. RESULTS: A total of 74 consecutive patients were included...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28776001/improved-biochemical-parameters-in-patients-who-undergo-early-resection-in-isolated-ileocaecal-crohn-s-disease
#12
Mirzafaraz Saeed, Hari Hullur, Amro Salem, Abbas Ali, Yousif Sahib, Mobeen Ashfaq
INTRODUCTION: The aim of this study is to evaluate the outcome of introduction of early surgery in the course of isolated ileocecal Crohn's disease, where there is no absolute indication of surgery. METHODS: Observational study involving patients with isolated ileocecal Crohn's disease who underwent early surgical resection (within one year of the presentation of the hospital). A complete blood count, ESR, and CRP were done and compared between the preoperative value, 1st postoperative visit (3-4 weeks), and last follow-up visit...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28695192/diagnosis-and-management-of-intraoperative-colorectal-anastomotic-leaks-a-global-retrospective-patient-chart-review-study
#13
A Schiff, S Roy, M Pignot, S K Ghosh, E J Fegelman
BACKGROUND: This targeted chart review study reports the first ever detailed global account of clinical approaches adopted to detect and manage anastomotic leaks identified during surgery in routine clinical practice. METHOD: 156 surgeons from eight countries retrospectively extracted data from surgical records of 458 patients who underwent colorectal surgery with an identified intraoperative leak at the circular anastomosis. Demographic details, procedures, and outcomes were analyzed descriptively, by country...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28573170/laparoscopic-cholecystectomy-in-the-elderly-an-experience-at-a-tertiary-care-hospital-in-western-nepal
#14
Tika Ram Bhandari, Sudha Shahi, Rajeev Bhandari, Rajesh Poudel
BACKGROUND: The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old). METHODS: From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28492062/intraoperative-injection-of-technetium-99m-sulfur-colloid-for-sentinel-lymph-node-biopsy-in-breast-cancer-patients-a-single-institution-experience
#15
Julian Berrocal, Lawrence Saperstein, Baiba Grube, Nina R Horowitz, Anees B Chagpar, Brigid K Killelea, Donald R Lannin
Background . Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope. Methods . Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28492061/viability-of-airborne-tumor-cells-during-excision-by-ultrasonic-device
#16
Masakazu Hashimoto, Tsuyoshi Kobayashi, Hirotaka Tashiro, Shintaro Kuroda, Yoshihiro Mikuriya, Tomoyuki Abe, Yuka Tanaka, Hideki Ohdan
Background. Laparoscopic surgery has become more widely used, but peritoneal dissemination and port-site metastasis have been reported to occur in these surgeries. One reason for these problems is the ultrasonically activated scalpel (UAS) used for laparoscopic surgery. This study aimed to investigate the viability of airborne cells released during cancer dissection using a UAS. Methods. Flank tumors measuring about 2 cm were induced in male NOD-Cg-Rag1(tm1Mom)IL2rg(tm1wjl/SzJ) mice by subcutaneous injection of 1 × 10(6) HepG2 cells...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28386584/clinical-study-on-the-etiology-of-postthyroidectomy-skin-sinus-formation
#17
Shan Jin, Wuyuntu Bao, Oyungerel Borkhuu, Yun-Tian Yang
Background. Thyroidectomy is one of the most frequently performed surgical procedures worldwide. Despite technical advances and high experience of thyroidectomy of specialized centers, it is still burdened by a significant rate of postoperative complications. Among them, the skin sinus formation is an extremely rare postthyroidectomy complication. Here, we first report the incidence of the skin sinus formation after thyroidectomy to identify the causes for skin sinus formation after thyroidectomy and to discuss its prevention and treatment options...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28367493/diagnosis-symptoms-and-outcomes-of-hirschsprung-s-disease-from-the-perspective-of-gender
#18
Christina Granéli, Eero Dahlin, Anna Börjesson, Einar Arnbjörnsson, Pernilla Stenström
Background/Aim. Hirschsprung's disease (HD) has a skewed gender distribution, with a female to male ratio of 1 : 4. This study aims to examine differences between boys and girls with HD regarding preoperative features and postoperative treatment and outcome. Method. The first part of the study was conducted as a retrospective review of all HD patients who underwent transanal endorectal pull-through (TERPT). Pre-, peri-, immediate post-, and first-year postoperative data were collected. The second part was conducted as an observational cross-sectional study by comparing bowel function scores (BFS) determined by structured interviews of patients 4 years old and older...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28194430/mesh-inguinal-hernia-repair-and-appendectomy-in-the-treatment-of-amyand-s-hernia-with-non-inflamed-appendices
#19
Emin Kose, Abdullah Sisik, Mustafa Hasbahceci
Amyand's hernia is defined as protrusion of the vermiform appendix in an inguinal hernia sac. It is a rare entity with variable clinical presentation from normal vermiform appendix to abscess formation due to perforation of acute appendicitis. Although surgical treatment includes appendectomy and hernia repair, appendectomy in the absence of an inflamed appendix and use of a mesh in cases of appendectomy remain to be controversial. The aim of this study was to review the experience of mesh inguinal hernia repair plus appendectomy performed for Amyand's hernia with noninflamed appendices...
2017: Surgery Research and Practice
https://www.readbyqxmd.com/read/28168215/incidence-and-etiology-of-surgical-site-infections-among-emergency-postoperative-patients-in-mbarara-regional-referral-hospital-south-western-uganda
#20
Abubaker Lubega, Bazira Joel, Najjuka Justina Lucy
Background. This prospective hospital based study was conducted to determine the incidence, risk factors, and causative agents of surgical site infection their susceptibility to among 114 emergency postoperative patients at the Mbarara Regional Referral Hospital between September 2014 and January 2015. Methods. Consented patients were consecutively enrolled and their preoperative, intraoperative, and postoperative data were collected. Follow-ups were done in the surgical outpatient clinics. Wound specimens were collected and processed as per Sops; susceptibility testing was done using the Kirby-Bauer disc diffusion technique...
2017: Surgery Research and Practice
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