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https://www.readbyqxmd.com/read/29682712/-incidence-and-risk-factors-for-anastomotic-leakage-after-anterior-resection-for-rectal-cancer
#1
Jun Li, Yongbo An, Guocong Wu, Xiaomu Zhao, Yingchi Yang, Jin Wang, Lan Jin, Hongwei Wu, Na Zeng, Fuxiao Xie, Jie Dong, Anlong Yuan, Wuqing Sun, Ruiqing Zhou, Hongwei Yao, Zhongtao Zhang
OBJECTIVE: To assess the incidence and independent risk factors for clinical anastomotic leakage (AL) in patients undergoing anterior resection(AR) or low anterior resection, (LAR) for rectal cancer. METHODS: This was a retrospective case-control study of 550 patients with rectal cancer who underwent AR or LAR from April 2007 to March 2017 in Beijing Friendship Hospital, Capital Medical University. The relationship between the incidence of AL and clinicopathological manifestations was analyzed by Chi-squared test and Fisher exact test, and the independent risk factors of AL were analyzed using logistic regression analysis...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29681553/the-radicalization-of-breast-cancer-surgery-joseph-colt-bloodgood-s-role-in-william-stewart-halsted-s-legacy
#2
James R Wright
Johns Hopkins's surgeon William Stewart Halsted is renowned for popularizing the radical mastectomy, a disfiguring procedure that was overutilized during the 1900s. Cancer historians have questioned why Halsted, a meticulous surgical investigator, became more aggressive in his approach to breast cancer surgery when his own data failed to show prolonged patient survival. Joseph Colt Bloodgood, one of Halsted's early surgical residents, Hopkins's head of surgical pathology, and Halsted's primary outcome data analyst, played previously unrecognized roles...
2018: Bulletin of the History of Medicine
https://www.readbyqxmd.com/read/29675898/implementation-of-the-who-surgical-safety-checklist-at-a-teaching-hospital-in-india-and-evaluation-of-the-effects-on-perioperative-complications
#3
Raghavendra Shankar
BACKGROUND: The WHO Surgical Safety Checklist was developed to help operating teams reduce the occurrence of patient harm. The Checklist is a simple, practical tool that any surgical team in the world can use to ensure that the preoperative, intraoperative, and postoperative steps that have been shown to benefit patients are undertaken in a timely and efficient way. METHODS: This study was carried out at Rajarajeswari Medical College Hospital, Bangalore, India, to study the effects of the WHO Surgical Safety Checklist on mortality and morbidity in surgical patients, to identify the potential problems in the long-term implementation of the same, and to document the complications in patients undergoing a major surgery during the study period...
April 20, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29658872/reoperative-cardiac-surgery-part-ii
#4
Curtis G Tribble
The preparation for a reoperative cardiac surgical case was covered in Part I of this two part review [Tribble 2018]. Part II will cover primarily intraoperative strategies and techniques.  As noted in Part I, there has been surprisingly little written about the strategies and techniques of reoperative cardiac surgery. Thus, the goal of this two-part review is to collect and collate some of the lessons, abjurations, and tenets related to reoperative cardiac surgery that may be valuable to cardiac surgeons, especially those in training or early in their careers...
April 10, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/29657947/modifiable-risk-factors-for-early-mortality-in-low-risk-penn-class-aa-acute-type-a-aortic-dissection-patients-a-descriptive-study
#5
Christian Olsson
Background: Acute Type A aortic dissection (ATAAD) without end-organ or generalized ischemia is Penn class Aa and considered low-risk. Nevertheless, surgical mortality can be considerable in this subgroup and may be related to modifiable factors. The objective of this study was to analyze 30-day mortality among ATAAD Penn class Aa patients with special reference to modifiable perioperative factors. Methods: Among all patients operated for ATAAD from 1990 to 2010, all Penn class Aa patients dying within 30 days were included in a retrospective descriptive study...
August 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29649648/ultra-early-treatment-for-poor-grade-aneurysmal-subarachnoid-hemorrhage-a-systematic-review-and-meta-analysis
#6
Yangyun Han, Feng Ye, Xiaodong Long, Aiguo Li, Hong Xu, Linbo Zou, Yumin Yang, Md Chao You
OBJECTIVE: It remains unknown if ultra-early (within 24 hours after SAH onset) treatment could improve prognosis in poor-grade aneurysmal subarachnoid hemorrhage (aSAH). We aimed to evaluate the effect of ultra-early treatment on the functional outcome and mortality in poor-grade aSAH patients via systematic review and meta-analysis. METHODS: We performed a literature search in PubMed, MEDLINE and Web of Science databases. Primary outcomes were death and functional outcome assessed at any time period...
April 9, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29644884/prospective-analysis-of-surgical-bone-margins-after-partial-foot-amputation-in-diabetic-patients-admitted-with-moderate-to-severe-foot-infections
#7
Brian M Schmidt, Jonathan B McHugh, Rajiv M Patel, James S Wrobel
BACKGROUND: Osteomyelitis is common in diabetic foot infections and medical management can lead to poor outcomes. Surgical management involves sending histopathologic and microbiologic specimens which guides future intervention. We examined the effect of obtainment of surgical margins in patients undergoing forefoot amputations to identify patient characteristics associated with outcomes. Secondary aims included evaluating interobserver reliability of histopathologic data at both the distal-to and proximal-to surgical bone margin...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29626685/discrepancy-between-neurosurgery-morbidity-and-mortality-conference-discussions-and-hospital-quality-metric-standards
#8
Lauren E Rotman, Matthew C Davis, Arsalaan A Salehani, Devin R Broadwater, Nathaniel H Reeve, Kristen O Riley
OBJECTIVE: Medical institutions use quality metrics to track complications seen in hospital admissions. Similarly, morbidity and mortality (M&M) conferences are held to peer review complications. The purpose of this study was to compare the complications identified in a cohort of patients within 30 days of neurosurgical intervention with those captured in a cohort of M&M conferences. METHODS: All complications that occurred within 30 days of surgery were obtained for patients admitted to the neurosurgical service between May and September 2013...
April 4, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29624524/blood-pressure-coefficient-of-variation-and-its-association-with-cardiac-surgical-outcomes
#9
Sayuri P Jinadasa, Ariel Mueller, Varesh Prasad, Kathirvel Subramaniam, Thomas Heldt, Victor Novack, Balachundhar Subramaniam
BACKGROUND: Multiple studies completed in the ambulatory nonsurgical setting show a significant association between short- and long-term blood pressure variability and poor outcomes. However, perioperative blood pressure variability outcomes have not been well studied, especially in the cardiac surgical setting. In this study, we sought to assess whether systolic and mean arterial blood pressure variability were associated with 30-day mortality and in-hospital renal failure in patients undergoing cardiac surgery requiring cardiopulmonary bypass...
April 5, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29608432/treatment-of-achalasia-with-per-oral-endoscopic-myotomy-analysis-of-50-consecutive-patients
#10
Erica D Kane, David J Desilets, Donna Wilson, Marc Leduc, Vikram Budhraja, John R Romanelli
BACKGROUND: Peroral endoscopic myotomy (POEM) has become an acceptable incisionless treatment for achalasia based on encouraging outcomes in multiple series worldwide. This report reflects our early experience. METHODS: Data were collected prospectively on all patients undergoing POEM between June 2011 and April 2016 under IRB approval. Diagnosis of achalasia was confirmed by standard preoperative work-up. Primary outcome was symptom relief, measured by Eckardt score...
April 2, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29587966/total-intracorporeal-anastomosis-for-right-hemicolectomy-experience-from-a-canadian-center
#11
Radoslav Krouchev, Shane Tamana, Nam Nguyen, Ekua Yorke, David Harris, Sharadh Sampath
BACKGROUND: Laparoscopic right hemicolectomy (LRHC) techniques have varied in the approach to anastomosis. We compared outcomes of laparoscopic right hemicolectomy with extracorporeal anastomosis (ECA) versus intracorporeal anastomosis (ICA). METHODS: We retrospectively reviewed all LRHCs conducted at Richmond Hospital between January 2015 and October 2017. We compared the demographic, pathologic, intraoperative, and postoperative data. RESULTS: 74 LRHCs were included during the study period: 56 ECA and 18 ICA...
February 27, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29587916/-surgical-treatment-of-bronchial-stricture-due-to-endobronchial-tuberculosis-results-in-36-consecutive-cases
#12
Junzhong Ruan, Tianhui Zhang, Fugen Li, Yong Duan, Ming Han, Zitong Wang
BACKGROUND: Bronchial tuberculosis is a common complication of pulmonary tuberculosis. The present report is to investigate and analyze the indication and efficacy of surgical treatment of bronchial stricture due to severe endobronchial tuberculosis, when the drug and endoscopic treatment were no effect. METHODS: Reviewed the clinical-pathological records documenting the surgical outcomes in 36 bronchial stricture due to severe endobronchial tuberculosis who underwent lobectomy or pneumonectomy enrolled in our hospital between January 2000 and February 2016...
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29581684/robotic-pancreaticoduodenectomy-single-surgeon-initial-experience
#13
Mingjun Wang, Yunqiang Cai, Yongbin Li, Bing Peng
Minimally invasive surgery has gained increasing acceptance over the last few years, which has expanded to pancreaticoduodenectomy. Laparoscopic pancreaticoduodenectomy has been determined to be a feasible, safe, and effective procedure in an experienced surgeon's hands, but the adaptations to the clumsy instruments are needed. The improved dexterity of the Da Vinci robotic system provides a good opportunity to perform this challenging procedure in the minimally invasive context. The aim of this study was to share our preliminary experience of totally robotic pancreaticoduodenectomy...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29577780/random-placenta-margin-incision-for-control-hemorrhage-during-cesarean-delivery-complicated-by-complete-placenta-previa-a-prospective-cohort-study
#14
Dazhi Fan, Shuzhen Wu, Shaoxin Ye, Wen Wang, Lijuan Wang, Yao Fu, Meng Zeng, Yan Liu, Xiaoling Guo, Zhengping Liu
INTRODUCTION: Complete placenta previa (CPP) is one of the most problematic types of abnormal placenta, which is further complicated by placenta accreta or percreta that can unexpectedly lead to catastrophic blood loss, infection, multiple complications, emergency hysterectomy, and even death. The present study aimed to assess the efficacy of random placenta margin incision in controlling intraoperative and total blood loss during cesarean section for CPP women. METHODS: A prospective cohort study, including a total of 100 consecutive pregnant women with CPP, was performed at a tertiary university-affiliated medical center between March 2016 and July 2017...
April 3, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29577219/-curative-resection-with-minilaparotomy-approach-in-the-treatment-of-rectal-cancer
#15
Wei Wang, Zhengchun Kang, Chenglong Wang, Junjie Xing, Xiaodong Xu, Enda Yu
OBJECTIVE: To compare the surgical safety and short-term efficacy of minilaparotomy and laparoscopic approach for curative resection of rectal cancer. METHODS: The retrospective cohort study was adopted. A review of patients scheduled to undergo a curative resection of rectal cancer via minilaparotomy or laparoscopic approach at Department of Colorectal Surgery of Changhai Hospital from June 2016 to May 2017 was carried out. All the patients were confirmed as rectal cancer by postoperative pathology...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29574126/stent-placement-by-eus-or-ercp-for-primary-biliary-decompression-in-pancreatic-cancer-a-randomized-trial-with-videos
#16
Ji Young Bang, Udayakumar Navaneethan, Muhammad Hasan, Robert Hawes, Shyam Varadarajulu
BACKGROUND AND AIMS: Studies on EUS-guided transmural biliary drainage (EUS-BD) have evaluated its efficacy as a rescue technique after failed ERCP. We performed a single-center, single-blind, randomized trial to compare EUS-BD and ERCP as primary treatment for distal biliary obstruction in pancreatic cancer. METHODS: Patients underwent EUS-BD (n=33) or ERCP (n=34). The primary endpoint was the rate of adverse events. Secondary endpoints were technical success, treatment success (defined as decline in serum bilirubin by 50% at 2-week follow-up), reinterventions and intraoperative technical outcome, when applicable...
March 21, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29571727/intracardiac-tromboembolism-during-liver-transplantation
#17
S Longo, M Palacios, M E Tinti, J Siri, J I de Brahi, M C Cabrera Shulmeyer
We describe a case of intraoperative cardiac trombosis during orthotopic liver transplant surgery that resulted in intraoperative death. By using transesophageal echocardiography, the cause of the descompensation of the patient could be determined and the mechanism of trombus migration from thrombi from the venous circulation to the left heart was accurately observed.
March 20, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29559261/incidence-and-clinical-implications-of-intraoperative-bilateral-internal-thoracic-artery-graft-conversion-insights-from-the-arterial-revascularization-trial
#18
Umberto Benedetto, Douglas G Altman, Marcus Flather, Stephen Gerry, Alastair Gray, Belinda Lees, David P Taggart
BACKGROUND: The Arterial Revascularization Trial has been designed to answer the question whether the use of bilateral internal thoracic arteries can improve 10-year outcomes when compared with single internal thoracic arteries. In the Arterial Revascularization Trial, a significant proportion of patients initially allocated to bilateral internal thoracic arteries received other conduit strategies. We sought to investigate the incidence and clinical implication of bilateral internal thoracic artery graft conversion in the Arterial Revascularization Trial...
February 13, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29551538/sutureless-aortic-valve-replacement-with-concomitant-valvular-surgery
#19
Cagdas Baran, Mustafa Serkan Durdu, Fatih Gumus, Mehmet Cakici, Mustafa Bahadir Inan, Mustafa Sirlak, Ahmet Ruchan Akar
OBJECTIVES: Sutureless aortic valve replacement (SU-AVR) is an alternative technique to standard aortic valve replacement. We evaluated our experience with the Perceval SU-AVR with concomitant mitral valve surgery, with or without tricuspid valve surgery, and aimed to discuss the technical considerations. METHODS: From January 2013 through June 2016, 30 patients with concomitant severe mitral valve disease, with or without tricuspid valve disease, underwent SU-AVR with the Perceval prosthesis in a single center...
February 21, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29537724/outcomes-of-outpatient-breast-cancer-surgery-at-a-private-breast-clinic
#20
Ryungsa Kim, Ami Kawai, Megumi Wakisaka, Yuri Funaoka, Yui Nishida, Naomi Yasuda, Koji Arihiro
Advances in surgical and anesthetic techniques have allowed for outpatient treatment of breast cancer. We evaluated the feasibility, safety, efficacy, and surgical outcomes of outpatient surgery in 370 patients with breast cancer who underwent breast-conserving surgery (BCS)/axillar lymph node (ALN) management. There were no deaths or severe intraoperative complications, but 41 complications were observed and disease recurrence occurred in 18 patients. The cumulative overall survival rate was 95.2%. Outpatient surgery was well tolerated, feasible, and safe in patients receiving BCS/ALN management...
March 14, 2018: Breast Journal
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