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X Alakailly, D Schwartz, N Alwanni, C Demko, M A Altay, Y Kilinc, D A Baur, F Quereshy
The purpose of this study was to evaluate patient-reported outcome measures of quality of life (QoL) for patients with end-stage temporomandibular joint (TMJ) disease who have undergone TMJ prosthetic replacement. The records of 36 patients who had undergone alloplastic total joint replacement procedures were analyzed. Patients were treated using either TMJ Concepts or Biomet/Lorenz prosthetics. Patients were asked to complete a 12-item TMJ-S-QoL survey, which encompassed questions pertaining to pain, speech, chewing function, and various aspects of social life and mental health...
November 19, 2016: International Journal of Oral and Maxillofacial Surgery
Matthew Da Silva, Michelle C Cleghorn, Ahmad Elnahas, Timothy D Jackson, Allan Okrainec, Fayez A Quereshy
BACKGROUND: The neutrophil-to-lymphocyte ratio (NLR) is a marker that reflects systemic inflammation and organ dysfunction. Its use as a prognostic marker to predict complications following surgery has been recently described in the literature. OBJECTIVES: The objective of our study was to evaluate the use of postoperative day one (POD1) NLR as a predictor of 30-day outcomes in patients undergoing bariatric surgery. SETTING: University Hospital...
October 14, 2016: Surgical Endoscopy
Sergio A Acuna, Maryam Elmi, Prakesh S Shah, Natalie G Coburn, Fayez A Quereshy
BACKGROUND: Preoperative colorectal tumor localization is crucial for appropriate resection and treatment planning. As the localization accuracy of conventional colonoscopy is considered to be low, several localization techniques have been developed. We systematically reviewed the tumor localization error rates of several preoperative endoscopic techniques and synthesized information on risk factors for localization errors and procedure-related adverse events. METHODS: MEDLINE, EMBASE, the Cochrane Library, and the grey literature were searched...
October 3, 2016: Surgical Endoscopy
Woo Jin Choi, Michelle C Cleghorn, Fayez A Quereshy
Many surgeons consider repeat endoscopy to be the standard of care for colorectal cancer; however, its utility in the preoperative setting is not well understood, especially given the lack of standardized guidelines on appropriate tumour localization and colonoscopic reporting. This often results in patients undergoing an unnecessary medical procedure during their preoperative evaluation. We discuss some of the issues surrounding the practice of preoperative repeat endoscopy as well as patient perspectives on the procedure...
October 1, 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Faisal A Quereshy
No abstract text is available yet for this article.
September 2016: Atlas of the Oral and Maxillofacial Surgery Clinics of North America
Sean Pack, Faisal A Quereshy, Mehmet Ali Altay, Dale A Baur
There is no secret to achieving successful results with lower belpharoplasties; as is the case with any surgical procedure, proper patient evaluation and development of a comprehensive, anatomic-based treatment plan are prerequisites for success. For situations in which a patient has little lid laxity and pseudoherniated periorbital fat, transconjunctival lower blepharoplasty is the treatment of choice. Transconjunctival lower blepharoplasty enables the surgeon to reposition fat, effectively blending the lid-cheek junction and filling the tear trough deformity...
September 2016: Atlas of the Oral and Maxillofacial Surgery Clinics of North America
Imad Elimairi, Mehmet Ali Altay, Omer Abdoun, Amr Elimairi, Sinan Tozoglu, Dale A Baur, Faisal Quereshy
OBJECTIVES: The aim of this study is to assess the clinical relevance of the utilization of vital Lugol's iodine staining in detection of oral cancer and dysplastic lesions as well as demarcation of the extent of these lesions. MATERIALS AND METHODS: A prospective, cross-sectional, hospital-based study was performed in Khartoum Teaching Dental Hospital, Sudan. Suspicious oral epithelial lesions indicating incisional biopsy were stained with 10 % Lugol's iodine solution and were clinically designated as "negative" for dysplasia or neoplasia when no unstained lesion (USL) area was observed, or as "positive" when a USL area is observed...
August 5, 2016: Clinical Oral Investigations
Arash Azin, Fady Saleh, Michelle Cleghorn, Andrew Yuen, Timothy Jackson, Allan Okrainec, Fayez A Quereshy
BACKGROUND: Colonoscopy for colorectal cancer (CRC) has a localization error rate as high as 21 %. Such errors can have substantial clinical consequences, particularly in laparoscopic surgery. The primary objective of this study was to compare accuracy of tumor localization at initial endoscopy performed by either the operating surgeon or non-operating referring endoscopist. METHODS: All patients who underwent surgical resection for CRC at a large tertiary academic hospital between January 2006 and August 2014 were identified...
July 22, 2016: Surgical Endoscopy
Sean E Pack, Ahmad A Al Share, Faisal A Quereshy, Dale A Baur
Fibrous dysplasia (FD) is a benign fibro-osseous lesion that typically behaves as a painless, slowly expanding tumor. On rare occasion, FD will undergo malignant transformation. When sarcomatous change occurs, osteosarcoma is the typical variant, followed by chondrosarcoma and fibrosarcoma. The incidence of malignant change varies from 1 to 4% depending on whether the disease is mono-ostotic or polyostotic and syndromic (McCune-Albright or Jaffe-Lichtenstein syndrome). Despite the low incidence of malignant change, the potential lethality of this disease behooves treating surgeons to be keenly aware of the signs and symptoms indicative of malignancy...
June 21, 2016: Journal of Oral and Maxillofacial Surgery
S Munir, S B Hussain, H Manzoor, M K Quereshi, M Zubair, W Nouman, A N Shehzad, S Rasul, S A Manzoor
Interspecific and intraspecific hybrids show varying degrees of heterosis for yield and yield components. Yield-component traits have complex genetic relationships with each other. To determine the relationship of yield-component traits and fiber traits with seed cotton yield, six lines (Bt. CIM-599, CIM-573, MNH-786, CIM-554, BH-167, and GIZA-7) and three test lines (MNH-886, V4, and CIM-557) were crossed in a line x tester mating design. Heterosis was observed for seed cotton yield, fiber traits, and for other yield-component traits...
2016: Genetics and Molecular Research: GMR
Adina E Feinberg, Ahmad Elnahas, Shaheena Bashir, Michelle C Cleghorn, Fayez A Quereshy
BACKGROUND: Robotic surgery has emerged as a minimally invasive alternative to traditional laparoscopy. Robotic surgery addresses many of the technical and ergonomic limitations of laparoscopic surgery, but the literature regarding clinical outcomes in colorectal surgery is limited. We sought to compare robotic and laparoscopic colorectal resections with respect to 30-day perioperative outcomes. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify all patients who underwent robotic or laparoscopic colorectal surgery in 2013...
August 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
J M Josse, M C Cleghorn, K M Ramji, H Jiang, A Elnahas, T D Jackson, A Okrainec, F A Quereshy
AIM: The objective of the study was to evaluate the association between the neutrophil-to-lymphocyte ratio (NLR) and the occurrence of perioperative complications in patients undergoing colorectal surgery. METHOD: A retrospective cohort study was conducted of patients who underwent resection for suspected or confirmed colorectal cancer from 2004 to 2012. Patient cohorts with a high vs low NLR were defined by receiver operating characteristic curve analysis. Univariate and multivariate logistic regression was used to determine whether patients with elevated NLR were more likely to suffer perioperative complications...
July 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Dhruvin H Hirpara, Michelle C Cleghorn, Sanjeev Sockalingam, Fayez A Quereshy
BACKGROUND: Decisions leading up to surgery are fraught with uncertainty owing to trade-offs between treatment effectiveness and quality of life. Past studies on shared decision-making (SDM) have focused on the physician-patient encounter, with little emphasis on familial and cultural factors. The literature is scarce in surgical oncology, with few studies using qualitative interviews. Our objective was to explore the complexities of SDM within the setting of colorectal cancer (CRC) surgery...
June 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Ruaidhri McVey, Mitchell G Goldenberg, Marcus Q Bernardini, Kazuhiro Yasufuku, Fayez A Quereshy, Antonio Finelli, Kenneth T Pace, Jason Y Lee
INTRODUCTION: Robotic surgery is associated with a learning curve unique to each trainee. Knowledge about a trainee's baseline skill and learning curve would facilitate the development of a more individualized training curriculum. The aim of our study was to determine whether baseline laparoscopic skill is predictive of one's baseline robotic skill and short-term learning curve. METHODS: Trainees from four different surgical specialties were included in the study...
May 2016: Journal of Endourology
Arash Azin, M Carolina Jimenez, Michelle C Cleghorn, Timothy D Jackson, Allan Okrainec, Peter G Rossos, Fayez A Quereshy
BACKGROUND: A myriad of localization options are available to endoscopists for colorectal cancer (CRC); however, little is known about the use of such techniques and their relation to repeat endoscopy before CRC surgery. We examined the localization practices of gastroenterologists and compared their perceptions toward repeat endoscopy to those of general surgeons. METHODS: We distributed a survey to practising gastroenterologists through a provincial repository...
February 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Mark Auspitz, Michelle C Cleghorn, Arash Azin, Sanjeev Sockalingam, Fayez A Quereshy, Allan Okrainec, Timothy D Jackson
PURPOSE: The primary objective of this study was to identify Ontario family physicians' knowledge and perceptions of bariatric surgery. METHODS: The study population included all physicians practicing family medicine in Ontario who were listed in the Canadian Medical Directory. A self-administered questionnaire consisting of 28 questions was developed and validated using a focus group of seven primary care physicians. The questionnaire was distributed to 1328 physicians...
September 2016: Obesity Surgery
Andrew Yuen, Ahmad Elnahas, Arash Azin, Allan Okrainec, Timothy D Jackson, Fayez A Quereshy
BACKGROUND: Enhanced recovery pathways have become standard practice after elective colorectal surgery to improve postoperative care while reducing length of stay in hospital. However, there is concern that early discharge may result in increased rates of adverse events including readmission. This study aims to determine whether it is safe to discharge patients on postoperative day 1 or 2 if they have undergone an elective colorectal operation for cancer. METHODS: The 2012 American College of Surgeons National Surgical Quality Improvement Program dataset was used...
September 2016: Surgical Endoscopy
Dhruvin H Hirpara, Michelle C Cleghorn, Josephine Kwong, Fady Saleh, Sanjeev Sockalingam, Fayez A Quereshy, Allan Okrainec, Timothy D Jackson
BACKGROUND: The objective of this study was to assess Canadian general surgeons' knowledge of bariatric surgery and perceived availability of resources to manage bariatric surgery patients. METHODS: A self-administered questionnaire was developed using a focus group of general surgeons. The questionnaire was distributed at two large general surgery conferences in September and November 2012. The survey was also disseminated via membership association electronic newsletters in November and December 2012...
August 2016: Obesity Surgery
Ahmad Elnahas, Song Hon H Kim, Allan Okrainec, Fayez Quereshy, Timothy D Jackson
BACKGROUND: There is a paucity of literature surrounding the safety and feasibility of laparoscopic repair for acutely incarcerated abdominal hernias. The objective of this study was to compare the 30-day morbidity and mortality between laparoscopic and open repairs of incarcerated abdominal hernias. METHODS: A retrospective cohort study was conducted using data from the National Surgery Quality Improvement Program from 2005 to 2012. The study population was selected using ICD-9 diagnostic codes describing abdominal hernias with obstruction, but without gangrene...
August 2016: Surgical Endoscopy
Adam Diamant, Michelle C Cleghorn, Joseph Milner, Sanjeev Sockalingam, Allan Okrainec, Timothy D Jackson, Fayez A Quereshy
BACKGROUND: Increasing rates of obesity have led to growing demand for bariatric surgery. This has implications for wait times, particularly in publicly funded programs. This study examined the impact of patient and operational factors on wait times in a multidisciplinary bariatric surgery program. METHODS: A retrospective study was conducted involving patients who were referred to a tertiary care centre (University Health Network, Toronto Western Hospital, Toronto) for bariatric surgery between June 2008 and July 2011...
July 2015: CMAJ Open
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