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Surgery Journal

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https://www.readbyqxmd.com/read/29740616/anastomotic-strictures-after-esophageal-atresia-repair-timing-of-dilatation-during-the-first-two-postoperative-years
#1
Martin Salö, Pernilla Stenström, Magnus Anderberg, Einar Arnbjörnsson
Background  We determined time frames for dilatation of anastomotic strictures (ASs) occurring during the first 2 years after esophageal atresia (EA) repair. Methods  A retrospective study was conducted on children with EA (Gross type C) who underwent direct repair between January 2008 and March 2015 at a single tertiary center of pediatric surgery. Endoscopic signs of stricture were indications for dilatation because the endoscopy provides more reliable information than X-ray imagining methods. Results  Among our cohort of 49 children with EA, 19 (39%) required at least one esophageal dilatation...
April 2018: Surgery Journal
https://www.readbyqxmd.com/read/29675473/comprehensive-algorithm-for-nasal-ala-reconstruction-utility-of-the-auricular-composite-graft
#2
REVIEW
Collin Chen, Ruchin Patel, John Chi
Defects of the nasal ala are challenging to reconstruct, given its complex three-dimensional structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function. A wide variety of reconstructive options have been described for nasal ala defects, ranging from skin grafts to locoregional flaps, and also includes the auricular composite graft. However, there are currently no comprehensive guidelines for nasal ala repair, and the versatile role of the auricular composite graft has not been well defined...
April 2018: Surgery Journal
https://www.readbyqxmd.com/read/29600277/malign-differentiation-of-a-large-buschke-loewenstein-tumor-in-penis
#3
Osman Akdag, Gokce Yildiran
Buschke-Loewenstein tumor (BLT) is a giant condyloma acuminatum which is very rare and commonly affects the anogenital region. The malignant transformation and localization in penis is very rare. This article aims to present a case with BLT with malignant transformation in penis. A 59-year-old male patient was referred, who has have been suffering from a cauliflower-like lesion in the penis for 8 years. Biopsies revealed a BLT with malignant transformation. The lesion was excised largely and reconstructed with local flaps and skin grafts...
April 2018: Surgery Journal
https://www.readbyqxmd.com/read/29588915/recurrent-8-year-ongoing-unilateral-breast-seroma-formation-after-pip-implant-removal-a-case-report-and-review-of-the-literature
#4
Sonja Kästner, Felix Julian Paprottka, Phillipp Gonser, Manuel De Villegas López, Kai Oliver Kaye
Late seroma formation is a rare complication after implant-based breast enlargement surgery and even less frequent after implant removal. This case report presents a case of painful recurrent seroma formation after the removal of a ruptured Poly Implants Prothèse implant. A 52-year-old patient presented herself in our clinic with a clinical history of recurrent unilateral seroma of the right breast over a period of 8 years after the initial unilateral implant removal. Removal of the remaining implant and complete bilateral capsulectomy was performed...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29588914/association-of-acl-laxity-tests-with-arthroscopic-findings-in-chronic-acl-and-pcl-deficient-knees
#5
S Sazali, A Rusdi, H T Siti
An anterior cruciate ligament (ACL) injury may be diagnosed by clinical examination and radiological investigation using magnetic resonance imaging or by arthroscopy. 1,2 Based on our experience, the ACL tear in concomitant chronic ACL and posterior cruciate ligament (PCL) deficient knees may produce knee laxity, which is more difficult to assess on clinical examination, which in turn may affect the management algorithm of the patient. Our hypothesis is that, in a concomitant chronic ACL and PCL injury, posterior capsular contracture and abnormal reattachment of torn ACL will result in less clinical and subjective laxity, preoperatively...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29582020/the-effect-of-preoperative-biliary-and-pancreatic-drainage-on-postoperative-pancreatic-fistula-a-retrospective-cohort-study
#6
John Mathew Manipadam, Mahesh S, Jacob Mathew Kadamapuzha, Ramesh H
Background  Surgeons and endoscopists welcome routine preoperative biliary drainage prior to pancreaticoduodenectomy despite evidence that it increases complications. Its effect on postoperative pancreatic fistula is variably reported in literature. Simultaneous biliary and pancreatic drainage is rarely performed for very selected indications and its effects on postoperative pancreatic fistula are largely unknown. Our aim was to analyze the same while eliminating confounding factors. Methods  Retrospective single center cohort study of patients who underwent pancreaticoduodenectomy over the past 10 years for carcinoma obstructing the lower common bile duct...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29532037/comminuted-fracture-of-the-body-of-the-trapezium-and-thumb-carpometacarpal-dislocation-a-particular-pattern
#7
Laura Alonso, José Couceiro
Trapezium fractures are uncommon injuries. Our case is that of a thumb carpometacarpal joint dislocation associated to a partly comminuted fracture of the body of the trapezium. To the best of the authors' knowledge, this particular variation has not been previously reported in the indexed literature.
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29532036/intramedullary-screws-versus-kirschner-wires-for-metacarpal-fixation-functional-and-patient-related-outcomes
#8
Jose Couceiro, Higinio Ayala, Manuel Sanchez, Maria de Los Angeles De la Red, Olga Velez, Fernando Del Canto
Purpose  The purpose of our study is to compare the intramedullary fixation of metacarpal fractures with cannulated headless screws and antegrade Kirschner wires in terms of final total active motion, grip strength, patient-related outcomes, need for casting, and return to work times. Methods  The authors performed a retrospective review of the hospital records. Thirty fractures were included in the study, 19 in the screw fixation group, and 11 in the Kirschner wire group. Grip strength, and total active motion, was measured at the latest follow-up for both the injured and contralateral hand...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29527573/continuous-electronic-fetal-monitoring-during-labor-a-critique-and-a-reply-to-contemporary-proponents
#9
REVIEW
Thomas P Sartwelle, James C Johnston
A half century after continuous electronic fetal monitoring (EFM) became the omnipresent standard of care for the vast majority of labors in the developed countries, and the cornerstone for cerebral palsy litigation, EFM advocates still do not have any scientific evidence justifying EFM use in most labors or courtrooms. Yet, these EFM proponents continue rationalizing the procedure with a rhetorical fog of meaningless words, misleading statistics, archaic concepts, and a complete disregard for medical ethics...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29497706/plexiform-neurofibroma-of-the-posterior-tibial-nerve-misdiagnosed-as-proximal-tarsal-tunnel-syndrome-a-case-report
#10
Sang Hyun Nam, Jung Yeon Kim, Jaeki Ahn, Yongbum Park
Plexiform neurofibromas of the foot are rare, benign tumors of the peripheral nerves. Diagnosis can be challenging if they present with symptoms mimicking other peripheral nerve pathologies. Tarsal tunnel syndrome is an entrapment syndrome of the entire tibial nerve behind the medial malleolus and under the flexor retinaculum. The clinical presentation typically includes posteromedial pain, positive Tinel's sign, and neurogenic signs, including both the sensation of numbness and the actual hypoesthesia and clawing of the toes...
January 2018: The surgery journal
https://www.readbyqxmd.com/read/29492461/secondary-lingular-sleeve-resection-to-avoid-pneumonectomy-following-bronchial-anastomotic-dehiscence-after-left-lower-lobe-sleeve-resection-for-destroyed-lung-syndrome
#11
Servet Bölükbas, Robert Zanner, Michael Eberlein, Christian Biancosino, Bassam Redwan
Bronchial sleeve resections are technically demanding procedures compared with lobectomies. In case of bronchial anastomotic dehiscence, secondary pneumonectomy is the treatment of choice. However, a secondary pneumonectomy is usually associated with high morbidity and mortality. Here, we first report, to the best of our knowledge, a secondary lingular sleeve resection following bronchial anastomotic dehiscence after left lower lobe sleeve resection in a patient with a destroyed lobe syndrome due to a pseudotumor...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29479562/anatomical-and-radiological-considerations-when-colonic-perforation-leads-to-subcutaneous-emphysema-pneumothoraces-pneumomediastinum-and-mediastinal-shift
#12
REVIEW
Sala Abdalla, Rupinder Gill, Gibran Timothy Yusuf, Rosaria Scarpinata
While colonoscopy is generally regarded as a safe procedure, colonic perforation can occur and the risk of this is higher when interventional procedures are undertaken. The presentation may be acute or delayed depending on the extent of the perforation. Extracolonic gas following colonic perforation can migrate to several body compartments that are embryologically related and it has previously been reported in the thorax, mediastinum, neck, scrotum, and lower limbs. This review discusses in detail the anatomical pathways that led to a rare case of widespread subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and mediastinal shift from colonic perforation during a diagnostic colonoscopy...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29435489/the-use-of-ultrasound-as-a-potential-adjunct-to-cell-free-fetal-dna-screening-for-aneuploidy-at-weill-cornell-medical-college-new-york-usa
#13
Jessica Scholl, Stephen Chasen
Objective  To evaluate the utility of ultrasound in identifying fetuses with uncommon chromosomal abnormalities that would be considered not detectable by cell-free fetal deoxyribonucleic acid (cfDNA). Study Design  We performed a retrospective study of fetuses with chromosomal abnormalities that would be undetectable by cfDNA, who underwent an 11- to 14-week ultrasound from 2006 to 2016. Results  There were 43 pregnancies included. First-trimester ultrasound revealed a fetal abnormality in 19 (44.2%) cases, of which 13 (30...
January 2018: Surgery Journal
https://www.readbyqxmd.com/read/29302621/a-systematic-review-on-the-use-of-aspirin-in-the-prevention-of-deep-vein-thrombosis-in-major-elective-lower-limb-orthopedic-surgery-an-update-from-the-past-3-years
#14
REVIEW
Dylan A Mistry, Amit Chandratreya, Paul Y F Lee
Introduction  Currently there are no consensuses in the national guidance on thromboprophylaxis following major elective lower limb surgery. Emerging clinical evidence suggests that aspirin could be just as effective as anticoagulants with a lower cost. The aim of this study was to provide an update based on literature of the past 3 years for the use of aspirin as thromboprophylaxis after knee and hip arthroplasty. Materials and Methods  MEDLINE/EMBASE search was performed with appropriate terms for original articles from 2014 to 2017...
October 2017: The surgery journal
https://www.readbyqxmd.com/read/29276772/subcutaneous-injection-of-oxyfluorfen-herbicide-to-the-forearm-case-report
#15
José Couceiro, Gonzalo Garcia-Portal, Olga Garcia
Background  Oxyfluorfen, a commercially available pesticide, commonly used for weed control in crop production, has been studied in terms of its toxicity, its carcinogenic properties, and its teratogenicity. We have found no reports, however, of the effects produced by an oxyfluorfen injection to the upper limb. Methods  We present the case of a 40 years old psychiatric patient, who reportedly injected her forearm accidentally while fumigating her garden. She was treated with irrigation and open forearm fasciectomy...
October 2017: Surgery Journal
https://www.readbyqxmd.com/read/29264401/bright-s-disease-malaria-and-machine-politics-the-story-of-the-illness-of-president-chester-a-arthur
#16
Theodore N Pappas
In July of 1881, President James A. Garfield was shot in the back at the Sixth Street Train Station in Washington, D.C. Garfield died after an extended illness and Chester A. Arthur assumed the presidency on September 20, 1881. He served the remaining three and a half years but was ill for most of his term. Arthur died of the complications of Bright's disease less than two years after leaving office. In the 1880s, Bright's disease was the syndrome that described renal failure associated with proteinuria, but the etiology of Arthur's kidney failure has never been determined...
October 2017: Surgery Journal
https://www.readbyqxmd.com/read/29184917/surgical-approach-to-anorectal-melanoma-with-pet-ct-staging-a-case-report
#17
Nilufer Bulut, Sevinc Dagıstanlı, Burcak Yılmaz, O Faruk Atay
Rectal hemorrhage should be evaluated within a wide spectrum ranging from benign diseases to a malignant process. Especially, the melanomas of rectum are detected at an advanced stage when diagnosed since the present symptoms of rectal melanomas are similar. The question of what will be the surgical approach with MR, CT, and PET-CT imaging methods performed after histopathological diagnosis still conserves its topicality. PET-CT is a good imaging method for determination of distant metastasis and lymphatic involvement...
October 2017: Surgery Journal
https://www.readbyqxmd.com/read/29184916/no-value-of-routine-brain-computed-tomography-6-weeks-after-evacuation-of-chronic-subdural-hematoma
#18
Christian Bonde Pedersen, Filippa Sundbye, Frantz Rom Poulsen
Background  The aim of this study was to evaluate the value of planned control postoperative brain computed tomography (CT) scan performed 4 to 6 weeks after the evacuation of chronic subdural hematoma. Materials and Methods  This retrospective study examined 202 patients who during a 2-year period from 2011 and 2012 underwent surgical treatment for chronic subdural hematoma (CSDH). Information on patient age, sex, alcohol consumption, anticoagulant/antiplatelet treatment, history of head trauma, Glasgow coma scale (GCS), neurological symptoms, laterality of CSDH, and surgical technique was retrieved from patient charts...
October 2017: The surgery journal
https://www.readbyqxmd.com/read/29184915/laparoscopic-ureteral-reimplantation-in-endometriosis-a-severe-case
#19
Garri Tchartchian, Paul G Fabricius, Bernd Bojahr, Rudy L De Wilde
In aggressive cases, endometriosis can perturb the urogenital tract, in particular the ureter, which can potentially result in ureteral compression or stenosis. Even though this is rare, consequences are dramatic, such as hydronephrosis or organ failure. The present standard intervention comprises the resection of affected tissues and endometriosis foci combined with adjuvant hormonal therapy. When the ureter does not recover, ureteral reimplantation is required. The present case describes the successful laparoscopic approach of the reimplantation of the ureter with simultaneous cystoscopy...
October 2017: Surgery Journal
https://www.readbyqxmd.com/read/29134202/a-new-era-of-minimally-invasive-surgery-progress-and-development-of-major-technical-innovations-in-general-surgery-over-the-last-decade
#20
REVIEW
Manjunath Siddaiah-Subramanya, Kor Woi Tiang, Masimba Nyandowe
Minimally invasive surgery (MIS) continues to play an important role in general surgery as an alternative to traditional open surgery as well as traditional laparoscopic techniques. Since the 1980s, technological advancement and innovation have seen surgical techniques in MIS rapidly grow as it is viewed as more desirable. MIS, which includes natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS), is less invasive and has better cosmetic results. The technological growth and adoption of NOTES and SILS by clinicians in the last decade has however not been uniform...
October 2017: Surgery Journal
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