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Surgical Interns

Nageswary Appalanaidu, Roozbeh Shafafy, Christopher Gee, Kit Brogan, Shuaib Karmani, Giuseppe Morassi, Sherief Elsayed
PURPOSE: Spondylodiscitis represents a condition with significant heterogeneity. A significant proportion of patients are managed without surgical intervention, but there remains a group where surgery is mandated. The aim of our study was to create a scoring system to guide clinicians as to which patients with spondylodiscitis may require surgery. METHODS: A retrospective analysis of patients presenting to our institution with a diagnosis of spondylodiscitis between 2005 and 2014 was performed...
October 13, 2018: European Spine Journal
Ambreen Askar Bangash, Zubair Durrani
OBJECTIVE: To reduce postoperative pain by using additional analgesic agent in between the usual parenteral analgesia that is used in the postoperative period in surgical patients. METHODS: The double-blind, randomised control intervention was conducted from June to November 2015 at Rehman Medical Institute, Peshawar, Pakistan, and comprised postoperative surgical patients of either gender aged 18 or more who had undergone uneventful elective surgery The subjects were divided into test and placebo groups...
July 2018: JPMA. the Journal of the Pakistan Medical Association
Thiago Freire Pinto Bezerra, Aldo Stamm, Wilma Teresinha Anselmo-Lima, Marco Aurélio Fornazieri, Nelson D'Ávila Melo, Leonardo Balsalobre, Geraldo Pereira Jotz, Henrique Zaquia Leão, André Alencar Araripe Nunes, Alexandre Felippu, Antonio Carlos Cedin, Carlos D Pinheiro-Neto, Diego Lima Oliveira, Eulalia Sakano, Eduardo Macoto Kosugi, Elizabeth Araújo, Fabiana Cardoso Pereira Valera, Fábio de Rezende Pinna, Fabrizio Ricci Romano, Francine Grecco de Melo Pádua, Henrique Faria Ramos, João Telles, Leonardo Conrado Barbosa de Sá, Leopoldo Marques D'Assunção Filho, Luiz Ubirajara Sennes, Luis Carlos Gregório Gregório, Marcelo H Sampaio, Marco César Jorge Dos Santos, Marco Franca, Marcos Mocellin, Marcus Miranda Lessa, Melissa Ameloti G Avelino, Miguel Tepedino, Nilvano Alves de Andrade, Otavio B Piltcher, Renato Roithmann, Renata Mendonça Pilan, Roberto Campos Meireles, Roberto Eustáquio Guimarães, Rodrigo de Paula Santos, Rogério Pezato, Shirley Pignatari, Tatiana Telles Abdo, Victor Nakajima, Washington Almeida, Richard L Voegels
INTRODUCTION: Functional endonasal endoscopic surgery is a frequent surgical procedure among otorhinolaryngologists. In 2014, the European Society of Rhinology published the "European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses", aiming to unify the terms in the English language. We do not yet have a unified terminology in the Portuguese language. OBJECTIVE: Transcultural adaptation of the anatomical terms of the nose and paranasal cavities of the "European Anatomical Terminology of the Internal Nose and Paranasal Sinuses" to Portuguese...
September 18, 2018: Brazilian Journal of Otorhinolaryngology
Ashika D Maharaj, Liane Ioannou, Daniel Croagh, John Zalcberg, Rachel E Neale, David Goldstein, Neil Merrett, James G Kench, Kate White, Charles H C Pilgrim, Lorraine Chantrill, Peter Cosman, Andrew Kneebone, Lara Lipton, Mehrdad Nikfarjam, Jennifer Philip, Charbel Sandroussi, Peter Tagkalidis, Richard Chye, Koroush S Haghighi, Jaswinder Samra, Sue M Evans
BACKGROUND: Best practise care optimises survival and quality of life in patients with pancreatic cancer (PC), but there is evidence of variability in management and suboptimal care for some patients. Monitoring practise is necessary to underpin improvement initiatives. We aimed to develop a core set of quality indicators that measure quality of care across the disease trajectory. METHODS: A modified, three-round Delphi survey was performed among experts with wide experience in PC care across three states in Australia...
October 10, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
Jonathan S Abelson, Alanna Chait, Megan Johnson Shen, Mary Charlson, Anna Dickerman, Heather Yeo
BACKGROUND: Distress is common among cancer patients and leads to worse postoperative outcomes. Surgeons are often the first physicians to have in-depth conversations with patients about a new colorectal cancer diagnosis; therefore, it is important that these surgeons understand how patients cope with the distress of a diagnosis and how they can help patients manage this distress. METHODS: Patients with colorectal cancer were recruited from an outpatient surgery clinic...
October 10, 2018: Surgery
Christina W Cheng, Amy M Cizik, Armagan H C Dagal, Larissa Lewis, John Lynch, Carlo Bellabarba, Richard J Bransford, Haitao Zhou
BACKGROUND: Surgical site infection (SSI) following spine surgery is associated with increased morbidity, reoperation rates, hospital readmissions and cost. The incidence of SSI following posterior cervical spine surgery is higher than anterior cervical spine surgery, with rates from 4.5-18%. It is well documented that higher body mass index (BMI) is associated with increased risk of SSI after spine surgery. There are only a few studies that examine the correlation of BMI and SSI after posterior cervical instrumented fusion (PCIF) using national databases, however, none that compare trauma and non-traumatic patients...
October 10, 2018: Spine Journal: Official Journal of the North American Spine Society
Mario Zanaty, Edgar A Samaniego, Nahom Teferi, David K Kung, Daichi Nakagawa, Joseph Hudson, Santiago Ortega-Gutierrez, Lauren Allan, Pascal Jabbour, David M Hasan
OBJECTIVE: The management of chronic complete occlusion of ICA (COICA) has been challenging. Endovascular procedures have been performed with variable success and risks, depending on the type of occlusion and distal revascularization. We present a novel hybrid procedure to recanalize the ICA when previous endovascular interventions have failed or is deemed too risky. METHODS: Two patients presented with symptomatic COICA after maximal medical management. They were deemed high-risk for endovascular intervention and/or previous endovascular attempts have failed...
October 9, 2018: World Neurosurgery
Curtis G Tribble
There are three major transitions in the educational trajectory of those heading into a career in surgery. The first transition is from the first year or two of medical school to the clerkships of the third year.  The second is the transition from medical school into the first postgraduate year of residency training. The third, which is widely held to be the toughest transition of all, is from residency into independent practice.  This review, which could be called 'a rookie's survival guide,' will address the second of those 'lurches,' that of the transition from medical school into a surgical internship...
October 3, 2018: Heart Surgery Forum
Saleh Abdel-Kader, Massimo Sartelli, Fikri M Abu-Zidan
INTRODUCTION: The World Society of Emergency Surgery (WSES) has recently developed and validated a sepsis severity score for complicated intra-abdominal infections (cIAIs). We aimed to prospectively study the validity of this score in our local setting and compare it with global findings. METHODS: In a prospective study of 100 consecutive adult patients with cIAIs treated at Al-Ain Hospital, United Arab Emirates, from October 2014 to January 2016, we studied the demography of patients, disease, risk factors, WSES Sepsis Severity Score, management, hospital stay and mortality...
October 10, 2018: Singapore Medical Journal
R N Brueton, K S Javid
A 49 year old professional fitness instructor sustained a high velocity rotational injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon. A trimalleolar fracture in association with a rupture of the Achilles tendon has not been previously reported. This combination of injuries posed a dilemma in treatment options and postoperative management. The authors felt that ensuring that the Achilles tendon healed with no shortening was the priority for future function in this professional athlete...
October 2018: Trauma Case Reports
Ashraf Youssef Nasr, Mohammad El Tahlawi
This study was carried out to investigate the morphometric parameters and variations of coronary ostia in the hearts of adult human cadavers and coronary angiographs. The hearts of 60 adult human cadavers and 400 coronary angiographs were used in this study. The root of the aorta was carefully dissected to clear aortic sinuses, coronary ostia, and sinutubular junction (STJ). Number, locations, internal diameter distance between coronary ostia and their corresponding STJ, sinus bottom, and valve commissures were investigated...
September 2018: Anatomy & Cell Biology
Dong Seop Jeong, Woosik Han, Young Tak Lee, Wook Sung Kim, Jinyoung Song, I-Seok Kang, Pyo Won Park
Background: This study aimed to review the long-term clinical outcomes and graft patency of coronary artery bypass grafting (CABG) using arterial grafts in patients with Kawasaki disease (KD) affecting the coronary artery. Methods: Twenty patients with KD who underwent CABG from January 2002 to June 2014 were enrolled. There were 4 male (20%) and 16 female (80%) patients with ages at operation ranging from 2 to 42 years (median, 17.5 years). Our routine operative strategy was off-pump CABG with arterial grafts...
October 15, 2018: Journal of Korean Medical Science
Axel Öhlin, Olufemi R Ayeni, Leif Swärd, Jón Karlsson, Mikael Sansone
Purpose: The purpose of this case report is to present the successful management of symptomatic bilateral femoroacetabular impingement (FAI) syndrome in a patient who underwent surgical treatment on one side and non-surgical treatment on the other side. Methods: We evaluated the treatment outcome of a young female presenting with bilateral FAI syndrome of cam morphology. A follow-up was performed at 5 years following surgical treatment on the right hip and 2 years following non-surgical treatment on the left hip...
2018: Open Access Journal of Sports Medicine
Ehab Abdelbaki Hussin, Asim Aldaheri, Hatem Alharbi, Hazem A Farouk
Purpose: This study compared the accessory anteromedial portal (AAMP) and the modified transtibial technique (MTTT)" for single-bundle anterior cruciate ligament (ACL) reconstruction. Patients and methods: Sixty active adult patients with ACL tear were randomly assigned into two equal groups who were treated surgically. One group was operated on using AAMP and the other group through MTTT. Both the groups had the same postoperative course and were followed for 1 year after surgery...
2018: Open Access Journal of Sports Medicine
Suguru Ohira, Hiroaki Miyata, Sachiko Yamazaki, Satoshi Numata, Noboru Motomura, Shinichi Takamoto, Hitoshi Yaku
OBJECTIVES: Despite its survival benefits, bilateral internal thoracic artery (BITA) grafting is not commonly utilized due to concerns over deep sternal wound infection (DSWI). The present study investigated the early outcome of BITA grafting and analyzed the risk of DSWI using a Japanese national database (the Japan Adult Cardiovascular Surgery Database). METHODS: Data from 560 hospitals were used. Between April 2012 and December 2015, BITA was harvested in 14,249 patients, corresponding to 32...
September 7, 2018: Journal of Thoracic and Cardiovascular Surgery
Joana Moreira-Barros, Kuan-Gen Huang, Tsung-Hsun Tsai
OBJECTIVE:  To describe a case of radiation-induced uterine carcinosarcoma 6 years after a cervical squamous cell carcinoma treatment, which imposed some diagnostic and management challenges. CASE REPORT:  A 57-year-old woman with a history of pelvic chemoradiotherapy ∼ 6.5 years before the event described in this study, following an International Federation of Gynecology and Obstetrics (FIGO) stage IIB cervical cancer, presented with a cervical mass, involving the uterine cavity, the cervical canal and the upper two thirds of the vagina...
October 11, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Rebecca Luckett, Kitenge Kalenga, Fong Liu, Katharine Esselen, Chris Awtrey, Mompati Mmalane, Thabo Moloi, Hope Ricciotti, Surbhi Grover
OBJECTIVES: Gynecologic malignancies are the leading cause of cancer death among women in Botswana. Twenty-five percent of cervical cancers present at a stage that could be surgically cured; however, there are no gynecologic oncologists to provide radical surgeries. A sustainable model for delivery of advanced surgery is essential to advance treatment for gynecologic malignancies. METHODS/MATERIALS: A model was developed to provide gynecologic oncology surgery in Botswana, delivered by US-based gynecologic oncologists in four 2-week blocks per year...
October 10, 2018: International Journal of Gynecological Cancer
George J Manayath, Arvind Jain, Ratnesh Ranjan, Adarsh S Naik, Vekatapathy Narendran
PURPOSE: To report a case of idiopathic full-thickness macular hole in a young boy, which was managed surgically with good visual and anatomical outcomes. METHOD: Single case report. RESULTS: An 8-year-old boy presented for defective vision in the left eye noticed for the past 2 weeks with best-corrected visual acuity of 6/24. A large full-thickness macular hole was diagnosed clinically and was confirmed on optical coherence tomography. There was no clinical or tomographic findings suggestive of trauma or retinal degeneration...
October 9, 2018: Retinal Cases & Brief Reports
Carlos Barrios, Joaquín Alfonso, José Miguel Lloris, Eduardo Hevia, Jesús Burgos
BACKGROUND: Conflicts of interest (COI) between industry and surgeons frequently introduce biases into surgical research. The abstracts submitted for presentation in scientific congresses are usually vetted for any indication of commercial bias. Members of review program committees regularly have recognized qualifications, and therefore certain COI are unavoidable. This study aims to determine the prevalence and magnitude of possible COI among those responsible for the selection of presentations at two important international conferences on spine surgery during a five-year period...
2018: PloS One
Vasanth Seker, Lisa Hackett, Patrick H Lam, George A C Murrell
BACKGROUND: Massive and irreparable rotator cuff tears are difficult to manage surgically. One technique is to use a synthetic polytetrafluoroethylene (PTFE) patch to bridge the tear. However, there is little information regarding the outcomes of this procedure. PURPOSE: To determine the ≥2-year outcomes of patients for whom synthetic patches were used as tendon substitutes to bridge irreparable rotator cuff defects. STUDY DESIGN: Case series; Level of evidence, 4...
October 11, 2018: American Journal of Sports Medicine
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