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Surgery

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55 papers 100 to 500 followers
https://www.readbyqxmd.com/read/27763898/the-critical-view-of-safety-why-it-is-not-the-only-method-of-ductal-identification-within-the-standard-of-care-in-laparoscopic-cholecystectomy
#1
Steven M Strasberg, L Michael Brunt
No abstract text is available yet for this article.
October 14, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/22392354/desarda-versus-lichtenstein-technique-for-primary-inguinal-hernia-treatment-3-year-results-of-a-randomized-clinical-trial
#2
RANDOMIZED CONTROLLED TRIAL
Jacek Szopinski, Stanislaw Dabrowiecki, Stanislaw Pierscinski, Marek Jackowski, Maciej Jaworski, Zbigniew Szuflet
BACKGROUND: The Shouldice method and other tissue-based techniques are still acknowledged to be acceptable for primary inguinal hernia repair according to the European Hernia Society guidelines. Desarda's technique, presented in 2001, is an original hernia repair method using an undetached strip of external oblique aponeurosis. This randomized trial compared outcomes after hernia repair with Desarda (D) and mesh-based Lichtenstein (L) techniques. METHODS: A total of 208 male patients were randomly assigned to the D or L group (105 vs...
May 2012: World Journal of Surgery
https://www.readbyqxmd.com/read/27741006/early-versus-delayed-cholecystectomy-for-acute-cholecystitis-are-the-72-hours-still-the-rule-a-randomized-trial
#3
Didier Roulin, Alend Saadi, Luca Di Mare, Nicolas Demartines, Nermin Halkic
OBJECTIVE: The aim of this study was to compare clinical outcomes of early versus delayed laparoscopic cholecystectomy (LC) in acute cholecystitis with more than 72 hours of symptoms. BACKGROUND: LC is the treatment of acute cholecystitis, with consensus recommendation that patients should be operated within 72 hours of evolution. Data however remain weak with no prospective study focusing on patients beyond 72 hours of symptoms. METHODS: Patients with acute cholecystitis and more than 72 hours of symptoms were randomly assigned to early LC (ELC) or delayed LC (DLC)...
November 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27769547/predictive-factors-and-outcomes-of-negative-appendectomy
#4
Byeong Geon Jeon
BACKGROUND: The aim of this study was to assess predictive factors for negative appendectomy and to evaluate the outcomes of negative appendectomy. METHODS: A retrospective chart review of 4,878 patients who underwent appendectomy at our institution from January 2008 to December 2014 was performed. RESULTS: Younger age (≤15 years), normal white blood cell count, appendix diameter of less than 6 mm on computed tomography (CT), and CT grade less than 3 were found to be independent predictive factors for negative appendectomy...
July 28, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27780559/routine-intraoperative-cholangiography-is-unnecessary-in-patients-with-mild-gallstone-pancreatitis-and-normalizing-bilirubin-levels
#5
Xuan-Binh D Pham, Christian de Virgilio, Lutfi Al-Khouja, Michael C Bermudez, Alexander C Schwed, Amy H Kaji, David S Plurad, Steven L Lee, Robert S Bennion, Darin J Saltzman, Dennis Y Kim
BACKGROUND: The benefit of intraoperative cholangiography (IOC) is controversial in patients with gallstone pancreatitis whose bilirubin levels are normalizing. IOC with subsequent endoscopic retrograde cholangiopancreatography may lengthen duration of surgery and length of stay, whereas failure to clear the common bile duct may result in recurrent pancreatitis. METHODS: We performed a 6-year retrospective cohort analysis of consecutive adult patients with mild gallstone pancreatitis undergoing same-admission cholecystectomy at 2 university-affiliated medical centers...
September 28, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27802358/risk-of-second-primary-cancer-in-patients-treated-with-radiotherapy-for-rectal-cancer
#6
A Martling, K E Smedby, H Birgisson, H Olsson, F Granath, A Ekbom, B Glimelius
BACKGROUND: Many patients with rectal cancer receive radiotherapy (RT) to reduce the risk of local recurrence. Radiation may give rise to adverse effects, including second primary cancers. In view of the divergent results of previous studies, the present study evaluated the risk of second primary cancer following RT in all randomized RT rectal cancer trials conducted in Sweden and in the Swedish ColoRectal Cancer Registry (SCRCR). METHODS: Patients included in five randomized trials and the SCRCR were linked to the Swedish Cancer Registry...
November 1, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27699563/randomized-comparison-of-subcuticular-sutures-versus-staples-for-skin-closure-after-open-abdominal-surgery-a-multicenter-open-label-randomized-controlled-trial
#7
Kazuhiro Imamura, Kensuke Adachi, Ritsuko Sasaki, Satoko Monma, Sadaaki Shioiri, Yasuji Seyama, Masaru Miura, Yoshihiko Morikawa, Tetsuji Kaneko
BACKGROUND: The incisional surgical site infection (SSI) is an extremely common complication following open abdominal surgery and imposes a considerable treatment and cost burden. METHOD: We conducted a multicenter open-label randomized controlled trial at three Tokyo Metropolitan medical institutions. We enrolled adult patients who underwent either an elective or an emergency open laparotomy. Eligible patients were allocated preoperatively to undergo wound closure with either subcuticular sutures or staples...
October 3, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27471840/prophylactic-mesh-placement-during-formation-of-an-end-colostomy-reduces-the-rate-of-parastomal-hernia-short-term-results-of-the-dutch-prevent-trial
#8
Henk-Thijs Brandsma, Birgitta M E Hansson, Theo J Aufenacker, Dick van Geldere, Felix M V Lammeren, Chander Mahabier, Peter Makai, Pascal Steenvoorde, Tammo S de Vries Reilingh, Marinus J Wiezer, Johannes H W de Wilt, Robert P Bleichrodt, Camiel Rosman
OBJECTIVE: The aim of this study was to investigate the incidence of parastomal hernias (PSHs) after end-colostomy formation using a polypropylene mesh in a randomized controlled trial versus conventional colostomy formation. BACKGROUND: A PSH is the most frequent complication after stoma formation. Symptoms may range from mild abdominal pain to life-threatening obstruction and strangulation. The treatment of a PSH is notoriously difficult and recurrences up to 20% have been reported despite the use of mesh...
July 29, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27611729/meta-analysis-of-sentinel-lymph-node-biopsy-in-breast-cancer-using-the-magnetic-technique
#9
REVIEW
A Zada, M C L Peek, M Ahmed, B Anninga, R Baker, M Kusakabe, M Sekino, J M Klaase, B Ten Haken, M Douek
BACKGROUND: The standard for sentinel lymph node biopsy (SLNB), the dual technique (radiolabelled tracer and blue dye), has several drawbacks. A novel magnetic technique without these drawbacks has been evaluated in a number of clinical trials. It uses a magnetic tracer and a handheld magnetometer to identify and excise sentinel lymph nodes. A systematic review and meta-analysis was performed to assess the performance and utility of the magnetic in comparison to the standard technique...
October 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27567926/laparoscopic-lavage-is-superior-to-colon-resection-for-perforated-purulent-diverticulitis-a-meta-analysis
#10
Eva Angenete, David Bock, Jacob Rosenberg, Eva Haglind
PURPOSE: Perforated diverticulitis often requires surgery with a colon resection such as Hartmann's procedure, with inherent morbidity. Recent studies suggest that laparoscopic lavage may be an alternative surgical treatment. The aim of this study was to compare re-operations, morbidity, and mortality as well as health economic outcomes between laparoscopic lavage and colon resection for perforated purulent diverticulitis. METHODS: PubMed, Cochrane, Centre for Reviews and Dissemination, and Embase were searched...
August 27, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27262754/is-there-value-in-alvimopan-in-minimally-invasive-colorectal-surgery
#11
Deborah S Keller, Juan-Ramon Flores-Gonzalez, Sergio Ibarra, Ali Mahmood, Eric M Haas
BACKGROUND: Alvimopan's goal is to minimize postoperative ileus and optimize outcomes; however, evidence in laparoscopic surgery is lacking. Our goal was to evaluate the benefit of alvimopan in laparoscopic colorectal surgery with an enhanced recovery pathway (ERP). METHODS: Laparoscopic colorectal cases were stratified into alvimopan and control cohorts, then case-matched for comparability. All followed an identical ERP. The main outcomes were length of stay, complications, readmissions, and costs in the alvimopan and control groups...
May 10, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27287835/colonoscopy-after-hinchey-i-and-ii-left-sided-diverticulitis-utility-or-futility
#12
Avery S Walker, Jason R Bingham, Karmon M Janssen, Eric K Johnson, Justin A Maykel, Omar Ocampo, John P Gonzalez, Scott R Steele
BACKGROUND: Modern 64- to 128-slice computed tomography (CT) scanners have questioned the need for routine colonoscopy after hospital admission for presumed uncomplicated diverticulitis. METHODS: This is a retrospective review of all patients (>18 years) who underwent planned colonoscopy after admission for Hinchey I or II acute diverticulitis (January 2009 to January 2014). The findings on the final radiologist report were then correlated with the colonoscopy results...
May 7, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27021395/pancreatic-neuroendocrine-tumors-challenges-in-an-underestimated-disease
#13
REVIEW
A Viúdez, A De Jesus-Acosta, F L Carvalho, R Vera, S Martín-Algarra, N Ramírez
Pancreatic neuroendocrine tumours (PanNETs) are considered a relatively unusual oncologic entity. Due to its relative good prognosis, surgery remains the goal standard therapy not only in localized disease but also in the setting of locally or metastatic disease. Most of the patients are diagnosed in metastatic scenario, where multidisciplinary approach based on surgery, chemotherapies, liver-directed and/or molecular targeted therapies are commonly used. Owing to a deeper molecular knowledge of this disease, these targeted therapies are nowadays widely implemented, being the likely discovery of predictive biomarkers that would allow its use in other settings...
May 2016: Critical Reviews in Oncology/hematology
https://www.readbyqxmd.com/read/27182049/non-vitamin-k-antagonist-oral-anticoagulant-reversal-hope-is-on-the-horizon
#14
REVIEW
Brian K Yorkgitis
BACKGROUND: Non-vitamin K oral anticoagulants have become an attractive alternative to warfarin when patients require anticoagulation. Until recently, one of the biggest challenges to these agents was the lack of specific reversal of their anticoagulation when bleeding occurs or urgent/emergent procedures are required. DATA SOURCES: This article is a narrative review of peer-reviewed publications with particular attention to authors that are experts in the field, society guidelines, and government publications...
July 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26994715/meta-analysis-of-negative-pressure-wound-therapy-for-closed-surgical-incisions
#15
REVIEW
N Hyldig, H Birke-Sorensen, M Kruse, C Vinter, J S Joergensen, J A Sorensen, O Mogensen, R F Lamont, C Bille
BACKGROUND: Postoperative wound complications are common following surgical procedures. Negative-pressure wound therapy (NPWT) is well recognized for the management of open wounds and has been applied recently to closed surgical incisions. The evidence base to support this intervention is limited. The aim of this study was to assess whether NPWT reduces postoperative wound complications when applied to closed surgical incisions. METHODS: This was a systematic review and meta-analysis of randomized clinical trials of NPWT compared with standard postoperative dressings on closed surgical incisions...
April 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/26990957/meta-analysis-of-antibiotics-versus-appendicectomy-for-non-perforated-acute-appendicitis
#16
V Sallinen, E A Akl, J J You, A Agarwal, S Shoucair, P O Vandvik, T Agoritsas, D Heels-Ansdell, G H Guyatt, K A O Tikkinen
BACKGROUND: For more than a century, appendicectomy has been the treatment of choice for appendicitis. Recent trials have challenged this view. This study assessed the benefits and harms of antibiotic therapy compared with appendicectomy in patients with non-perforated appendicitis. METHODS: A comprehensive search was conducted for randomized trials comparing antibiotic therapy with appendicectomy in patients with non-perforated appendicitis. Key outcomes were analysed using random-effects meta-analysis, and the quality of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach...
March 17, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27156370/diverticulosis-and-diverticulitis
#17
REVIEW
Joseph D Feuerstein, Kenneth R Falchuk
Diverticular disease is a common condition that is associated with variable presentations. For this review article, we performed a review of articles in PubMed through February 1, 2016, by using the following MeSH terms: colon diverticula, colonic diverticulitis, colonic diverticulosis, colonic diverticulum, colonic diverticula, and diverticula. Diverticula are structural alterations within the colonic wall that classically form "pockets" referred to as diverticula. Diverticula form from herniation of the colonic mucosa and submucosa through defects in the circular muscle layers within the colonic wall...
August 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27103740/end-of-the-road-for-heparin-thromboprophylaxis
#18
COMMENT
Lori-Ann Linkins
No abstract text is available yet for this article.
April 21, 2016: Blood
https://www.readbyqxmd.com/read/26408108/how-we-diagnose-and-treat-iron-deficiency-anemia
#19
REVIEW
Michael Auerbach, John W Adamson
It is estimated that one-third of the world's population is anemic, the majority being due to iron deficiency (ID). In adults, ID is associated with fatigue in the absence of anemia, restless legs syndrome, pica and, in neonates, delayed growth and development. In adolescents, ID is associated with decrements in learning and behavioral abnormalities. In the absence of a clear cause, search for a source of bleeding is indicated. No single test is diagnostic of ID unless the serum ferritin is low or the percent transferrin saturation is low with an elevated total iron binding capacity...
January 2016: American Journal of Hematology
https://www.readbyqxmd.com/read/25822672/prospective-validation-of-a-low-rectal-cancer-magnetic-resonance-imaging-staging-system-and-development-of-a-local-recurrence-risk-stratification-model-the-mercury-ii-study
#20
MULTICENTER STUDY
Nicholas J Battersby, Peter How, Brendan Moran, Sigmar Stelzner, Nicholas P West, Graham Branagan, Joachim Strassburg, Philip Quirke, Paris Tekkis, Bodil Ginnerup Pedersen, Mark Gudgeon, Bill Heald, Gina Brown
OBJECTIVE: This study aimed to validate a magnetic resonance imaging (MRI) staging classification that preoperatively assessed the relationship between tumor and the low rectal cancer surgical resection plane (mrLRP). BACKGROUND: Low rectal cancer oncological outcomes remain a global challenge, evidenced by high pathological circumferential resection margin (pCRM) rates and unacceptable variations in permanent colostomies. METHODS: Between 2008 and 2012, a prospective, observational, multicenter study (MERCURY II) recruited 279 patients with adenocarcinoma 6 cm or less from the anal verge...
April 2016: Annals of Surgery
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