collection
MENU ▼
Read by QxMD icon Read
search

Essential Surgical Knowledge

shared collection
1872 papers 1000+ followers Papers from the recent literature which are of interest to residents and practicing surgeons
https://www.readbyqxmd.com/read/28134673/tolerability-and-long-term-outcomes-of-dose-painted-neoadjuvant-chemoradiation-to-regions-of-vessel-involvement-in-borderline-or-locally-advanced-pancreatic-cancer
#1
Jennifer Y Wo, Andrzej Niemierko, David P Ryan, Lawrence S Blaszkowsky, Jeffrey W Clark, Eunice L Kwak, Keith D Lillemoe, Lorraine N Drapek, Andrew X Zhu, Jill N Allen, Jason E Faris, Janet E Murphy, Ryan Nipp, Carlos Fernandez-Del Castillo, Cristina R Ferrone, Theodore S Hong
PURPOSE: We reviewed our experience involving patients with borderline resectable or locally advanced pancreatic cancer, treated with the dose-painted (DP) boost technique to regions of vessel involvement which preclude upfront surgical resection. We evaluated patient outcomes with respect to tolerability and treatment outcomes. MATERIALS AND METHODS: We retrospectively reviewed 99 patients with borderline resectable (n=25) or locally advanced pancreatic cancer (n=74) treated with DP-neoadjuvant chemoradiation from 2010 to 2015...
January 27, 2017: American Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28218406/randomized-clinical-trial-of-mesh-fixation-with-glue-or-sutures-for-lichtenstein-hernia-repair
#2
C Hoyuela, M Juvany, F Carvajal, A Veres, D Troyano, M Trias, A Martrat, J Ardid, J Obiols, M López-Cano
BACKGROUND: Pain is the most likely reason for delay in resuming normal activities after groin hernia repair. The primary aim of this study was to determine whether the use of glue to fix the mesh instead of sutures reduced acute postoperative pain after inguinal hernia repair. Secondary objectives were to compare postoperative complications, chronic pain and early recurrence rates during 1-year follow-up. METHODS: Some 370 patients who underwent Lichtenstein hernia repair were randomized to receive either glue (Histoacryl®) or non-absorbable polypropylene sutures for fixation of lightweight polypropylene mesh...
February 20, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28194798/colorectal-cancer-global-burden-trends-and-geographical-variations
#3
Jeffrey Douaiher, Advaitaa Ravipati, Benjamin Grams, Sanjib Chowdhury, Olusegun Alatise, Chandrakanth Are
BACKGROUND: The aim of this study is to describe the trends and variations in the global burden of colorectal cancer (CRC). METHODS: Data (2012-2030) relating to CRC was extracted from GLOBOCAN 2012 database and analyzed. RESULTS: The results of our study demonstrate a rising global burden of colorectal cancer which persists until the year 2035 and likely beyond. The rise in the global burden is not uniform with significant variations influenced by geographic location, socio-economic status, age, and gender...
February 13, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28187868/no-clinical-benefit-from-routine-histologic-examination-of-stapler-doughnuts-at-low-anterior-resection-for-rectal-cancer
#4
Jeremy Sugrue, Francois Dagbert, John Park, Slawomir Marecik, Leela M Prasad, Vivek Chaudhry, Jennifer Blumetti, Rajyasree Emmadi, Anders Mellgren, Johan Nordenstam
BACKGROUND: The aim of this study was to evaluate the clinical utility and cost-effectiveness of routine histologic examination of the doughnuts from stapled anastomoses in patients undergoing a low anterior resection for rectal cancer. METHODS: We performed a retrospective review of 486 patients who underwent a low anterior resection with stapled anastomosis for rectal cancer between 2002 and 2015 at 3 institutions. Pathologic findings in the doughnuts and their impact on patient management were recorded...
February 7, 2017: Surgery
https://www.readbyqxmd.com/read/28170086/cancer-screening-in-the-united-states-2017-a-review-of-current-american-cancer-society-guidelines-and-current-issues-in-cancer-screening
#5
Robert A Smith, Kimberly S Andrews, Durado Brooks, Stacey A Fedewa, Deana Manassaram-Baptiste, Debbie Saslow, Otis W Brawley, Richard C Wender
Answer questions and earn CME/CNE Each year, the American Cancer Society publishes a summary of its guidelines for early cancer detection, data and trends in cancer screening rates, and select issues related to cancer screening. In this issue of the journal, the authors summarize current American Cancer Society cancer screening guidelines, describe an update of their guideline for using human papillomavirus vaccination for cancer prevention, describe updates in US Preventive Services Task Force recommendations for breast and colorectal cancer screening, discuss interim findings from the UK Collaborative Trial on Ovarian Cancer Screening, and provide the latest data on utilization of cancer screening from the National Health Interview Survey...
February 7, 2017: CA: a Cancer Journal for Clinicians
https://www.readbyqxmd.com/read/28181265/differences-in-the-multimodal-treatment-of-gastric-cancer-east-versus-west
#6
Ashley Russo, Ping Li, Vivian E Strong
There has been a great deal of interest about varying treatment paradigms of gastric cancer in Eastern and Western countries. Differences in tumor biology, screening initiatives, surgical approach, extent of lymphadenectomy, and neoadjuvant versus adjuvant chemotherapy regimens have been studied and documented in the literature. The purpose of this review is to give an updated report on the current status and management differences in the treatment of gastric cancer between Eastern and Western countries.
February 9, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28166328/comparative-effectiveness-of-vancomycin-and-metronidazole-for-the-prevention-of-recurrence-and-death-in-patients-with-clostridium-difficile-infection
#7
Vanessa W Stevens, Richard E Nelson, Elyse M Schwab-Daugherty, Karim Khader, Makoto M Jones, Kevin A Brown, Tom Greene, Lindsay D Croft, Melinda Neuhauser, Peter Glassman, Matthew Bidwell Goetz, Matthew H Samore, Michael A Rubin
Importance: Metronidazole hydrochloride has historically been considered first-line therapy for patients with mild to moderate Clostridium difficile infection (CDI) but is inferior to vancomycin hydrochloride for clinical cure. The choice of therapy may likewise have substantial consequences on other downstream outcomes, such as recurrence and mortality, although these secondary outcomes have been less studied. Objective: To evaluate the risk of recurrence and all-cause 30-day mortality among patients receiving metronidazole or vancomycin for the treatment of mild to moderate and severe CDI...
February 6, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28153383/non-hodgkin-lymphoma
#8
REVIEW
James O Armitage, Randy D Gascoyne, Matthew A Lunning, Franco Cavalli
Lymphomas can affect any organ in the body, present with a wide range of symptoms, and be seen by primary care physicians and physicians from most specialties. They are traditionally divided into Hodgkin's lymphoma (which accounts for about 10% of all lymphomas) and non-Hodgkin lymphoma, which is the topic of this Seminar. Non-Hodgkin lymphoma represents a wide spectrum of illnesses that vary from the most indolent to the most aggressive malignancies. They arise from lymphocytes that are at various stages of development, and the characteristics of the specific lymphoma subtype reflect those of the cell from which they originated...
January 30, 2017: Lancet
https://www.readbyqxmd.com/read/28160528/meta-analysis-of-individual-patient-data-from-evar-1-dream-over-and-ace-trials-comparing-outcomes-of-endovascular-or-open-repair-for-abdominal-aortic-aneurysm-over-5-years
#9
REVIEW
J T Powell, M J Sweeting, P Ulug, J D Blankensteijn, F A Lederle, J-P Becquemin, R M Greenhalgh
BACKGROUND: The erosion of the early mortality advantage of elective endovascular aneurysm repair (EVAR) compared with open repair of abdominal aortic aneurysm remains without a satisfactory explanation. METHODS: An individual-patient data meta-analysis of four multicentre randomized trials of EVAR versus open repair was conducted to a prespecified analysis plan, reporting on mortality, aneurysm-related mortality and reintervention. RESULTS: The analysis included 2783 patients, with 14 245 person-years of follow-up (median 5·5 years)...
February 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28135839/delivering-successful-randomized-controlled-trials-in-surgery-methods-to-optimize-collaboration-and-study-design
#10
Natalie S Blencowe, Jonathan A Cook, Thomas Pinkney, Chris Rogers, Barnaby C Reeves, Jane M Blazeby
Randomized controlled trials in surgery are notoriously difficult to design and conduct due to numerous methodological and cultural challenges. Over the last 5 years, several UK-based surgical trial-related initiatives have been funded to address these issues. These include the development of Surgical Trials Centers and Surgical Specialty Leads (individual surgeons responsible for championing randomized controlled trials in their specialist fields), both funded by the Royal College of Surgeons of England; networks of research-active surgeons in training; and investment in methodological research relating to surgical randomized controlled trials (to address issues such as recruitment, blinding, and the selection and standardization of interventions)...
January 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28114603/management-of-sepsis-and-septic-shock
#11
Michael D Howell, Andrew M Davis
No abstract text is available yet for this article.
January 19, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28146230/a-framework-to-improve-surgeon-communication-in-high-stakes-surgical-decisions-best-case-worst-case
#12
Lauren J Taylor, Michael J Nabozny, Nicole M Steffens, Jennifer L Tucholka, Karen J Brasel, Sara K Johnson, Amy Zelenski, Paul J Rathouz, Qianqian Zhao, Kristine L Kwekkeboom, Toby C Campbell, Margaret L Schwarze
Importance: Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including surgery, are common near the end of life. Shared decision making is critical to achieve value-concordant treatment decisions and minimize unwanted care. However, communication in the acute inpatient setting is challenging. Objective: To evaluate the proof of concept of an intervention to teach surgeons to use the Best Case/Worst Case framework as a strategy to change surgeon communication and promote shared decision making during high-stakes surgical decisions...
February 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28151799/survival-healthcare-utilization-and-end-of-life-care-among-older-adults-with-malignancy-associated-bowel-obstruction-comparative-study-of-surgery-venting-gastrostomy-or-medical-management
#13
Elizabeth J Lilley, John W Scott, Joel E Goldberg, Christy E Cauley, Jennifer S Temel, Andrew S Epstein, Stuart R Lipsitz, Brittany L Smalls, Adil H Haider, Angela M Bader, Joel S Weissman, Zara Cooper
OBJECTIVE: To compare survival, readmissions, and end-of-life care after palliative procedures compared with medical management for malignancy-associated bowel obstruction (MBO). BACKGROUND: MBO is a late complication of intra-abdominal malignancy for which surgeons are frequently consulted. Decisions about palliative treatments, which include medical management, surgery, or venting gastrostomy tube (VGT), are hampered by the paucity of outcomes data relevant to patients approaching the end of life...
February 1, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28139655/a-multidisciplinary-approach-to-pancreas-cancer-in-2016-a-review
#14
REVIEW
Evan L Fogel, Safi Shahda, Kumar Sandrasegaran, John DeWitt, Jeffrey J Easler, David M Agarwal, Mackenzie Eagleson, Nicholas J Zyromski, Michael G House, Susannah Ellsworth, Ihab El Hajj, Bert H O'Neil, Attila Nakeeb, Stuart Sherman
In this article, we review our multidisciplinary approach for patients with pancreatic cancer. Specifically, we review the epidemiology, diagnosis and staging, biliary drainage techniques, selection of patients for surgery, chemotherapy, radiation therapy, and discuss other palliative interventions. The areas of active research investigation and where our knowledge is limited are emphasized.Am J Gastroenterol advance online publication, 31 January 2017; doi:10.1038/ajg.2016.610.
January 31, 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28126545/temporary-removal-solid-tumors-of-the-spleen-evaluation-and-management
#15
David S Silver, David T Pointer, Douglas P Slakey
The publisher regrets that this article has been temporarily removed. An explanation will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
January 24, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28122661/venous-thromboembolic-events-how-low-can-you-go
#16
Caroline E Jones, Robert H Hollis, Allison A Gullick, Tyler Wahl, Joshua S Richman, Laura A Graham, Adam T Lucy, Daniel I Chu, Melanie S Morris
BACKGROUND: We evaluated postoperative venous thromboembolism (VTE) chemical prophylaxis adherence to assess the preventability of VTEs. METHODS: A case-control study was performed using the 2011-2015 ACS-NSQIP single institution database. Cases were identified as patients who experienced postoperative VTE within 30 days following surgery. Controls were matched 2:1 on procedure, age, and BMI. Association between inpatient chemical prophylaxis adherence and postoperative VTE was evaluated with conditional logistic regression...
January 13, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28121035/recent-developments-in-the-surgical-management-of-complex-intra-abdominal-infection
#17
REVIEW
M Soop, G L Carlson
BACKGROUND: Current guidance on the management of sepsis often applies to infection originating from abdominal or pelvic sources, which presents specific challenges and opportunities for efficient and rapid source control. Advances made in the past decade are presented in this article. METHODS: A qualitative systematic review was undertaken by searching standard literature databases for English-language studies presenting original data on the clinical management of abdominal and pelvic complex infection in adults over the past 10 years...
January 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28121636/perioperative-hyperglycemia-management-an-update
#18
Elizabeth W Duggan, Karen Carlson, Guillermo E Umpierrez
No abstract text is available yet for this article.
March 2017: Anesthesiology
https://www.readbyqxmd.com/read/26956904/high-probability-of-an-underlying-colorectal-cancer-among-patients-treated-for-acute-diverticulitis-a-population-based-cohort-follow-up-study
#19
Carl Johan Grahnat, Sebastian Hérard, Annicka Ackzell, Roland E Andersson
INTRODUCTION: Patients treated conservatively for acute diverticulitis (AD) are recommended colonic assessment to rule out an underlying Colorectal cancer (CRC). This has been questioned in patients with a CT diagnosis of uncomplicated AD. We analyzed the frequency of CRC and compared the characteristics of the CRC patients with controls. METHOD: A cohort of patients treated conservatively for AD during 2005-2011 was identified through an administrative database...
September 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/28110914/a-systematic-review-and-quantitative-analysis-of-different-therapies-for-pancreas-divisum
#20
REVIEW
Mohammadreza Hafezi, Bartosch Mayschak, Pascal Probst, Markus W Büchler, Thilo Hackert, Arianeb Mehrabi
BACKGROUND: Pancreas divisum is the most common anatomical variation of pancreatic ductal system affecting 5-10% of population. Therapy includes different endoscopic and surgical procedures. The aim of this article was to summarize actual evidence of different treatment. METHODS: A Medline search was performed to identify all studies, investigating endoscopic or surgical therapy of Pancreas divisum. An individual data simulation model was applied to compare endoscopic and surgical studies...
January 3, 2017: American Journal of Surgery
label_collection
label_collection
190
1
2
2017-01-25 11:21:01
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"