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Surgery Journal

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https://www.readbyqxmd.com/read/30648159/urinary-n-telopeptide-the-new-diagnostic-test-for-osteoporosis
#1
Ganesan Ram Ganesan, Phagal Varthi Vijayaraghavan
Context  Osteoporosis is a silent disease until it is complicated by trivial fall fractures. There is an increasing interest within the orthopaedic community in the noninvasive cost-effective measurement of the bone mineral density. Aims  The aim of the study is to assess whether urinary N-telopeptide level can be a new diagnostic tool in diagnosing osteoporosis. Methods and Material  This prospective study was done at Sri Ramachandra Medical Centre (SRMC) hospital from October 2015 to October 2017. The study was conducted among patients who comes to SRMC as inpatient or outpatient with suspected osteoporosis and underwent dual-energy X-ray absorptiometry (DXA) scan and urinary N-telopeptide...
January 2019: Surgery Journal
https://www.readbyqxmd.com/read/30574556/oncological-outcomes-of-open-radical-retropubic-prostatectomy-in-ireland-a-single-surgeon-s-5-year-experience
#2
Stefanie M Croghan, Deep Mudit Matanhelia, Ann T Foran, David J Galvin
Objectives  There is a little published data on the outcomes of radical prostatectomy in the Irish context. We aimed to determine the 5-year oncological results of open radical retropubic prostatectomy (RRP) performed by a single surgeon following appointment. Methods  A retrospective review of RRPs performed between 2011 and 2016 was conducted. Patient demographics, preoperative parameters (clinical stage on digital rectal exam, prostate-specific antigen (PSA) levels, biopsy Gleason's score and MRI [magnetic resonance imaging] findings), pathological variables (T-stage, Gleason's score, nodal status, and surgical margin status), and treatment decisions (lymphadenectomy or adjuvant radiotherapy) were recorded...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30539942/response-to-letter-to-the-editor
#3
COMMENT
Christian Bonde
No abstract text is available yet for this article.
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30539148/no-value-of-routine-brain-computed-tomography-6-weeks-after-evacuation-of-chronic-subdural-hematoma
#4
Mehmet Turgut
No abstract text is available yet for this article.
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30474067/enterovesical-fistula-secondary-to-transitional-cell-carcinoma-of-the-bladder
#5
Mark Bugeja, Christine Mizzi, Ernest Ellul, Simon Bugeja, Stephen Mattocks
Although fistulae between the urinary bladder and the gastrointestinal tract are not uncommon, those caused by carcinoma of the urinary bladder are rare. This report describes the case of an 85 years old male who was diagnosed with a mass involving the small bowel and the urinary bladder during the course of investigation for recurrent urinary tract infections. At laparotomy, the presence of an enterovesical fistula involving the ileum and bladder was confirmed. Histopathological examination of the resected mass showed poorly differentiated urothelial carcinoma...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30474066/outcomes-of-biliointestinal-bypass-among-iranian-obese-patients
#6
Seyed Morteza Mousavi Naeini, Alireza Khalaj, Ali Abbaszadeh-Kasbi, Seyed Rouhollah Miri
Background  There are several surgical approaches to treat obesity not cured with medical approaches. Each method has its advantages and complications. In here, we have conducted a study to evaluate complications of biliointestinal bypass surgery (BIBP). Methods  A prospective study was conducted in a private hospital from 2002 to 2016. Those patients, not previously operated for morbid obesity, were eligible. Mean follow-up period was 89 months ( ± 54 months; range: 73-108 months). Main outcome measures were weight, BMI (body mass index), concentrations of blood lipids and glucose, liver transaminases, and obesity-related comorbidities and complications...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30474065/impact-of-graft-steatosis-on-postoperative-complications-after-liver-transplantation
#7
Emad Ali Ahmed, Ashraf Mohammad El-Badry, Federico Mocchegiani, Roberto Montalti, Asem Elsani Ali Hassan, Alaa Ahmed Redwan, Marco Vivarelli
Background  Steatotic grafts are more susceptible to ischemia-reperfusion injury than are normal grafts. Therefore, using steatotic grafts for liver transplantation (LT) is associated with high primary dysfunction and decreased survival rates. The aim of this study is to evaluate the impact of graft steatosis on post LT outcomes. Methods  A retrospective cohort analysis of 271 LT recipients from 2005 to 2016 was performed and patients were classified based on two types of steatosis, macrosteatosis (MaS), and microsteatosis (MiS)...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30474064/the-role-of-prophylactic-octreotide-following-pancreaticoduodenectomy-to-prevent-postoperative-pancreatic-fistula-a-meta-analysis-of-the-randomized-controlled-trials
#8
Pankaj Kumar Garg, Jyoti Sharma, Ashish Jakhetiya, Nilokali Chishi
Introduction  A postoperative pancreatic fistula (POPF) is a major cause of morbidity and mortality following pancreaticoduodenectomy (PD). A pharmacologic approach using perioperative octreotide, a long-acting somatostatin analog having an inhibitory action on pancreatic exocrine secretion, was proposed to reduce the incidence of the POPF. Despite contradictory results in various randomized controlled trials (RCTs), the prophylactic octreotide has been widely used in the last two decades to reduce the POPF...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30402546/case-series-about-the-changed-antiplatelet-protocol-for-carotid-endarterectomy-in-a-teaching-hospital-more-patients-with-complications
#9
Martijn S Marsman, Denise M D Özdemir-van Brunschot, Abdelkarime Kh Jahrome, Nic J G M Veeger, Wouter J Schuiling, Frank G van Rooij, Giel G Koning
Introduction  In the Netherlands, clopidogrel monotherapy increasingly replaces acetylsalicylic acid and extended release dipyridamole as the first-choice antiplatelet therapy after ischemic stroke. It is unknown whether the risk of peri- and postoperative hemorrhage in carotid artery surgery is higher in patients using clopidogrel monotherapy compared with acetylsalicylic acid and extended release dipyridamole. We therefore retrospectively compared occurrence of perioperative major and (clinical relevant) minor bleedings during and after carotid endarterectomy of two groups using different types of platelet aggregation inhibition after changing our daily practice protocol in our center...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30377656/the-first-dorsal-metacarpal-artery-flap-family-a-review
#10
REVIEW
Jose Couceiro, Marta de Prado, Guillermo Menendez, Zaira Manteiga
Deep soft tissue injuries around the thumb can severely hinder hand function if not treated correctly. Many different surgical options have been described for the treatment of these serious lesions, including microsurgical flaps, such as toe to hand flaps, local flaps, and distant pedicled flaps. The first dorsal metacarpal artery family of flaps belongs to this last category. These flaps can be performed in different ways, as a racquet, as an island flap, and as a bilobed flap including the second metacarpal artery, among others...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30377655/trust-the-capitonnage-in-the-giant-cyst-case-report
#11
Murat Oncel, Huseyin Yildiran, Guven Sadi Sunam
Cyst hydatid in the lung is still a health problem for many countries. It develops in the lung and can grow into the lung parenchyma. When it is diagnosed as a giant cyst, surgery should be performed. In the surgery, capitonnage is necessary to protect the lung parenchyma.
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30377654/laparoscopic-ventral-mesh-rectopexy-functional-outcomes-after-surgery
#12
Nasir Zaheer Ahmad, Samuel Stefan, Vidhi Adukia, Syed Abul Hassan Naqvi, Jim Khan
Aims  Rectal prolapse is a debilitating and unpleasant condition adversely affecting the quality of life. Laparoscopic ventral mesh rectopexy (LVMR) is recognized as one of the treatment options. The aim of this study was to evaluate the functional outcomes after a standardized LVMR. Methods  A cohort of patients who underwent LVMR from 2011 to 2015 were contacted and asked to fill questionnaires about their symptoms before and after the surgery. Three questionnaires based on measurement of Wexner fecal incontinence (WFI), obstructive defecation syndrome (ODS), and Birmingham Bowel and Urinary Symptom (BBUS) scores were used to assess the changes in postoperative functional outcomes...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30345368/two-decades-of-contemporary-surgery-of-primary-cardiac-tumors
#13
Khalil Jawad, Tamer Owais, Stefan Feder, Sven Lehmann, Martin Misfeld, Jens Garbade, Michael Borger
Objective  The decision to operate cardiac tumors is an issue of balancing surgical outcome and survival with quality of life (QOL). We report our single-center experience in managing primary cardiac tumors between 1994 and 2014. Methods and Results  In this study, 269 patients were subjected to our standardized operative protocols, preoperative preparations, postoperative follow-up, and consents of participation. Demographic and preoperative/intraoperative/postoperative variables were collected with focus on long-term follow-up and survival...
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30306137/atypical-carcinoid-neuroendocrine-tumor-of-the-ureter-a-case-report-and-literature-review
#14
Huay Shan Yuen, Gerald Henner Rix, Soumadri Sen, Venkata Ramana Murthy Kusuma
Neuroendocrine tumors (NETs) of the ureter are rare, with less than 40 cases described in the literature. A majority of tumors described are poorly differentiated tumors with a poor prognosis. We present the case of a moderately differentiated atypical carcinoid NET of the ureter with a good postoperative outcome. A literature review was also performed to identify similar cases to compare their management and postoperative outcomes.
October 2018: Surgery Journal
https://www.readbyqxmd.com/read/30271877/total-knee-arthroplasty-wrong-side-implant
#15
Hassan Alanazi, Mousa Alahmari, Musaab Abdullah Hashem, Muath Alqahtani, Abdulaziz Alanazi, Bashir Alenazi
We report a unique wrong implant error during bilateral total knee replacement procedure in 72-year-old woman with bilateral knee osteoarthritis that failed conservative treatment. Patient has severe bilateral knee pain. Examination showed full range of motion. X-ray showed severe bilateral tricompartmental osteoarthritis. Patient underwent surgery in 2013; postoperative radiographs showed well-fixed femoral, tibial, and patellar components but right femoral implant was placed in the left knee. Postoperative examination showed painless full range of motion...
July 2018: Surgery Journal
https://www.readbyqxmd.com/read/30206542/olfactory-nerve-schwannoma-a-case-report-and-review-of-the-literature
#16
Mahmoud M Taha, Amr AlBakry, Magdy ElSheikh, Tarek H AbdelBary
Schwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8 th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident...
July 2018: Surgery Journal
https://www.readbyqxmd.com/read/30206541/the-effect-of-medial-tibial-slope-on-anterior-tibial-translation-and-short-term-acl-reconstruction-outcome
#17
Steffen Sauer, Mark Clatworthy
Background  Increased tibial slope has been shown to be associated with higher anterior cruciate ligament (ACL) reconstruction failure rate. Little is known about the correlation of tibial slope and anterior tibial translation in ACL deficient and reconstructed knees as well as the correlation of tibial slope and ACL reconstruction outcome. Purpose/Hypothesis  The purpose of this study was to investigate the correlation of tibial slope with anterior tibial translation and ACL reconstruction outcome. It is hypothesized that increased medial tibial slope is associated with increased anterior tibial translation in the ACL deficient knee...
July 2018: The surgery journal
https://www.readbyqxmd.com/read/30131976/the-ratio-of-tibial-slope-and-meniscal-bone-angle-for-the-prediction-of-acl-reconstruction-failure-risk
#18
Steffen Sauer, Robert English, Mark Clatworthy
Background  A growing body of research is indicating that the tibial slope and the geometry of the tibiofemoral meniscal-cartilage interface may affect the risk of anterior cruciate ligament reconstruction (ACLR) failure. Increased lateral tibial posterior slope (LTPS) and reduced meniscal bone angle (MBA) are associated with increased risk of anterior cruciate ligament (ACL) injury. The significance of a LTPS-MBA ratio regarding the prediction of ACL failure risk remains unknown. As LTPS and MBA may eventually potentiate or neutralize each other, it is expected that a low LTPS-MBA ratio is associated with high chance of ACL graft survival while a high LTPS-MBA ratio is associated with high risk of ACL failure...
July 2018: Surgery Journal
https://www.readbyqxmd.com/read/30109273/the-role-of-high-fidelity-team-based-simulation-in-acute-care-settings-a-systematic-review
#19
REVIEW
Sarah Armenia, Loka Thangamathesvaran, Akia D Caine, Neil King, Anastasia Kunac, Aziz M Merchant
Introduction  High-fidelity team-based simulation has been identified as an effective way of teaching and evaluating both technical and nontechnical skills. Several studies have described the benefits of this modality in a variety of acute care settings, but a lack of standardized methodologies has resulted in heterogeneous findings. Few studies have characterized high fidelity simulation across a broad range of acute care settings and integrated the latest evidence on its educational and patient impact. Methods  The MEDLINE, EMBASE, Cochrane Library, and PsycINFO databases were searched for empirical studies from the last 10 years, investigating high fidelity team-based simulation in surgical, trauma, and critical care training curricula...
July 2018: Surgery Journal
https://www.readbyqxmd.com/read/30094336/necrotic-lesions-following-elective-urological-surgery-in-an-infant
#20
María Fernández-Ibieta
Case Report  An 11-month-old female infant presented on the first postoperative (PO) day following an elective pyeloplasty, a dark bluish erythema of her lumbotomy wound, plus a satellite lesion of the same characteristics. Fever and sepsis developed, and despite broad spectrum antibiotics (meropenem and vancomycin) were started, a diagnosis of necrotizing soft-tissue infection (NSTI or necrotizing fasciitis) was established. Surgical debridement of both lesions was performed on day 3 PO, and a surgical contamination (ring retractor blade) was suspected, due to the particular geography of the lesion...
July 2018: Surgery Journal
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