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https://www.readbyqxmd.com/read/29532343/the-new-american-joint-commission-on-cancer-staging-system-for-soft-tissue-sarcomas-splitting-versus-lumping
#1
EDITORIAL
Sam S Yoon
No abstract text is available yet for this article.
March 12, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29569006/contemporary-management-of-sigmoid-volvulus
#2
Scott C Dolejs, Michael J Guzman, Alyssa D Fajardo, Bryan K Holcomb, Bruce W Robb, Joshua A Waters
BACKGROUND: Sigmoid volvulus is an uncommon cause of bowel obstruction that is historically associated with high morbidity and mortality. The objective of this study was to evaluate contemporary management of sigmoid volvulus and the safety of primary anastomosis in patients with sigmoid volvulus. METHODS: The National Surgical Quality Improvement Project from 2012 to 2015 was queried for patients with colonic volvulus who underwent left-sided colonic resection...
March 22, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29520987/effect-of-mesalazine-on-recurrence-of-diverticulitis-in-patients-with-symptomatic-uncomplicated-diverticular-disease-a-meta-analysis-with-trial-sequential-analysis-of-randomised-controlled-trials
#3
REVIEW
Rao Muhammad Asaf Khan, Baqar Ali, Shahin Hajibandeh, Shahab Hajibandeh
OBJECTIVES: To investigate the effect of mesalazine on recurrence of diverticulitis in patients with symptomatic uncomplicated diverticular disease (SUDD). METHODS: We performed a systematic review and conducted a search of electronic information sources to identify all randomised controlled trials (RCTs) investigating the effect of mesalazine on the recurrence of diverticulitis in patients with SUDD. We used the Cochrane tool to assess the quality of included studies...
March 9, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28650537/predictors-of-false-negative-sentinel-lymph-node-biopsy-in-trunk-and-extremity-melanoma
#4
Andrew J Sinnamon, Madalyn G Neuwirth, Edmund K Bartlett, Salman Zaheer, Mark S Etherington, Xiaowei Xu, David E Elder, Brian J Czerniecki, Douglas L Fraker, Giorgos C Karakousis
BACKGROUND: Nodal recurrence following negative sentinel lymph node biopsy (SLNB) for melanoma is known as false-negative (FN) SLNB. Risk factors for FN SLNB among patients with trunk and extremity melanoma have not been well-defined. METHODS: After retrospective review, SLNB procedures were classified FN, true positive (TP; positive SLNB), or true negative (TN; negative SLNB without recurrence). Factors associated with high false negative rate (FNR) and low negative predictive value (NPV) were identified by comparing FNs to TPs and TNs, respectively...
December 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29445300/gastric-cancer-epidemiology-prevention-classification-and-treatment
#5
REVIEW
Robert Sitarz, Małgorzata Skierucha, Jerzy Mielko, G Johan A Offerhaus, Ryszard Maciejewski, Wojciech P Polkowski
Gastric cancer is the second most common cause of cancer-related deaths in the world, the epidemiology of which has changed within last decades. A trend of steady decline in gastric cancer incidence rates is the effect of the increased standards of hygiene, conscious nutrition, and Helicobacter pylori eradication, which together constitute primary prevention. Avoidance of gastric cancer remains a priority. However, patients with higher risk should be screened for early detection and chemoprevention. Surgical resection enhanced by standardized lymphadenectomy remains the gold standard in gastric cancer therapy...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/29512048/the-clinical-value-of-magnetic-resonance-defecography-in-males-with-obstructed-defecation-syndrome
#6
V Piloni, M Bergamasco, G Melara, P Garavello
BACKGROUND: The aim of the present study was to assess the relationship between symptoms of obstructed defecation and findings on magnetic resonance (MR) defecography in males with obstructed defecation syndrome (ODS). METHODS: Thirty-six males with ODS who underwent MR defecography at our institution between March 2013 and February 2016 were asked in a telephone interview about their symptoms and subsequent treatment, either medical or surgical. Patients were divided into 2 groups, one with anismus (Group 1) and one with prolapse without anismus (Group 2)...
March 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29508023/anoplasty-for-post-hemorrhoidectomy-low-anal-stenosis-a-new-technique
#7
Sami Asfar
BACKGROUND: Post-hemorrhoidectomy anal stenosis though rare is very disturbing and devastating complication. Many surgical procedures have been described, but despite good results, many complications can ensue like flap necrosis, mucosal ectropion, and restenosis. OBJECTIVE: We report a new simple technique for repair of severe/moderate anal stenosis which requires no extensive flap mobilization or many sutures. PATIENTS AND INTERVENTIONS: This is a personal series of 65 patients treated over a period of 20 years...
March 5, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29509871/the-diagnosis-and-management-of-thyroid-nodules-a-review
#8
REVIEW
Cosimo Durante, Giorgio Grani, Livia Lamartina, Sebastiano Filetti, Susan J Mandel, David S Cooper
Importance: Thyroid nodules are common, being detected in up to 65% of the general population. This is likely due to the increased use of diagnostic imaging for purposes unrelated to the thyroid. Most thyroid nodules are benign, clinically insignificant, and safely managed with a surveillance program. The main goal of initial and long-term follow-up is identification of the small subgroup of nodules that harbor a clinically significant cancer (≈10%), cause compressive symptoms (≈5%), or progress to functional disease (≈5%)...
March 6, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29509330/comment-on-botulinum-toxin-injection-vs-topical-nitrates-for-chronic-anal-fissure-an-updated-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#9
LETTER
S Granger, D Glancy
We thank the authors for their update on botulinum toxin (BT) versus nitrates as treatment for fissure in ano. However, in the discussion they only mention the effect of BT on acetylcholine release and therefore question its precise effect on the internal anal sphincter (IAS). The resting tone of the IAS is a combination of intrinsic myogenic activity and extrinsic adrenergic innervation via noradrenaline causing contraction of smooth muscle1 . This article is protected by copyright. All rights reserved.
March 6, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28333829/acute-traumatic-coagulopathy-the-elephant-in-a-room-of-blind-scientists
#10
REVIEW
Michael A Meledeo, Maryanne C Herzig, James A Bynum, Xiaowu Wu, Anand K Ramasubramanian, Daniel N Darlington, Kristin M Reddoch, Andrew P Cap
Acute traumatic coagulopathy (ATC) is the failure of coagulation homeostasis that can rapidly arise following traumatic injury, hemorrhage, and shock; it is associated with higher injury severity, coagulation abnormalities, and increased blood transfusions. Acute traumatic coagulopathy has historically been defined by a prolonged prothrombin time, although newer, more informative measurements of hemostatic function have been used to improve diagnosis and support clinical decision making. The underlying biochemical mechanisms of and best practice therapeutics for ATC remain under active investigation because of its significant correlation to poor outcomes...
June 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29399531/deep-vein-thrombosis-pathogenesis-diagnosis-and-medical-management
#11
REVIEW
Jonathan Stone, Patrick Hangge, Hassan Albadawi, Alex Wallace, Fadi Shamoun, M Grace Knuttien, Sailendra Naidu, Rahmi Oklu
Deep vein thrombosis (DVT) is a major preventable cause of morbidity and mortality worldwide. Venous thromboembolism (VTE), which includes DVT and pulmonary embolism (PE), affects an estimated 1 per 1,000 people and contributes to 60,000-100,000 deaths annually. Normal blood physiology hinges on a delicate balance between pro- and anti-coagulant factors. Virchow's Triad distills the multitude of risk factors for DVT into three basic elements favoring thrombus formation: venous stasis, vascular injury, and hypercoagulability...
December 2017: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/20054046/chlorhexidine-alcohol-versus-povidone-iodine-for-surgical-site-antisepsis
#12
RANDOMIZED CONTROLLED TRIAL
Rabih O Darouiche, Matthew J Wall, Kamal M F Itani, Mary F Otterson, Alexandra L Webb, Matthew M Carrick, Harold J Miller, Samir S Awad, Cynthia T Crosby, Michael C Mosier, Atef Alsharif, David H Berger
BACKGROUND: Since the patient's skin is a major source of pathogens that cause surgical-site infection, optimization of preoperative skin antisepsis may decrease postoperative infections. We hypothesized that preoperative skin cleansing with chlorhexidine-alcohol is more protective against infection than is povidone-iodine. METHODS: We randomly assigned adults undergoing clean-contaminated surgery in six hospitals to preoperative skin preparation with either chlorhexidine-alcohol scrub or povidone-iodine scrub and paint...
January 7, 2010: New England Journal of Medicine
https://www.readbyqxmd.com/read/29505824/porcelain-gallbladder-is-observation-a-safe-option-in-select-populations
#13
Haley DesJardins, Lindsay Duy, Christopher Scheirey, Thomas Schnelldorfer
BACKGROUND: Management of gallbladder wall calcifications has been controversial for many decades. While the traditionally perceived strong association with gallbladder cancer mandated prophylactic cholecystectomy, newer evidence suggests a much lesser association and may indicate an observational approach. STUDY DESIGN: A retrospective cohort study of 113 patients with gallbladder wall calcifications diagnosed between 2004 and 2016 at a single institution was conducted...
March 2, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29502314/trends-in-the-treatment-of-rectal-prolapse-a-population-analysis
#14
A C Rogers, N McCawley, A M Hanly, J Deasy, D A McNamara, J P Burke
PURPOSE: Rectal prolapse is a common condition, with conflicting opinions on optimal surgical management. Existing literature is predominantly composed of case series, with a dearth of evidence demonstrating current, real-world practice. This study investigated recent national trends in management of rectal prolapse in the Republic of Ireland (ROI). METHODS: This population analysis used a national database to identify patients admitted in the ROI primarily for the management of rectal prolapse, as defined by the International Classification of Diseases, 10th Revision (ICD-10)...
March 3, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29502333/positional-complications-of-minimal-access-surgery-mis-laparoscopic-robotic-transanal-surgery
#15
LETTER
Ahmed Waqas, Tan Arulampalam, Syed Naqvi, Jim Khan
Colorectal surgeons have seen a decade of real advancements in the use of newer techniques and technology to treat diseases of the colon and rectum. Development of better tools, laparoscopic and robotic technologies has enabled surgeons to minimize the incisions, reduce surgical trauma, improved access and articulation with minimal collateral damage. However, all of this does require expertise in advanced minimal access techniques which, in turn requires better training and team work. This article is protected by copyright...
March 4, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29502857/stratifying-sln-incidence-in-intermediate-thickness-melanoma-patients
#16
James M Chang, Heidi E Kosiorek, Amylou C Dueck, Stanley P L Leong, John T Vetto, Richard L White, Eli Avisar, Vernon K Sondak, Jane L Messina, Jonathan S Zager, Carlos Garberoglio, Mohammed Kashani-Sabet, Barbara A Pockaj
BACKGROUND: Guidelines for melanoma recommend sentinel lymph node biopsy (SLNB) in patients with melanomas ≥1 mm thickness. Recent single institution studies have found tumors <1.5 mm a low-risk group for positive SLNB. METHODS: A retrospective review of the Sentinel Lymph Node Working Group multicenter database identified patients with intermediate thickness melanoma (1.01-4.00 mm) who had SLNB, and assessed predictors for positive SLNB. RESULTS: 3460 patients were analyzed, 584 (17%) had a positive SLNB...
April 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29503095/plastic-surgery-in-bariatric-patients-a-nationwide-study-of-17-000-patients-on-the-national-administrative-database
#17
Andrea Lazzati, Sandrine Katsahian, David Maladry, Emma Gerard, Sonia Gaucher
BACKGROUND: Bariatric patients are often candidates for plastic surgery. However, the rate of postbariatric procedures is not known. OBJECTIVES: The aim of this study was to analyze the rate of plastic surgery, and factors related to surgery, in bariatric patients. SETTING: University hospital, France. METHODS: This was a cohort study based on administrative data. All adult patients who received bariatric surgery in France between 2007 and 2013 were included to estimate the rate of plastic surgery and related predictive factors...
January 12, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29503096/which-postoperative-complications-matter-most-after-bariatric-surgery-prioritizing-quality-improvement-efforts-to-improve-national-outcomes
#18
Christopher R Daigle, Stacy A Brethauer, Chao Tu, Anthony T Petrick, John M Morton, Philip R Schauer, Ali Aminian
BACKGROUND: National quality programs have been implemented to decrease the burden of adverse events on key outcomes in bariatric surgery. However, it is not well understood which complications have the most impact on patient health. OBJECTIVE: To quantify the impact of specific bariatric surgery complications on key clinical outcomes. SETTING: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database...
January 12, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29503097/comment-on-repeat-sleeve-gastrectomy-optimization-of-outcomes-by-modifying-the-indications-and-technique
#19
EDITORIAL
Philippe A Topart
No abstract text is available yet for this article.
February 1, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29492709/modified-endoscopic-gastroplasty-for-the-treatment-of-obesity
#20
Javier Graus Morales, Laura Crespo Pérez, Andrea Marques, Belén Marín Arribas, Rubén Bravo Arribas, Estefanía Ramo, Carmen Escalada, Carmen Arribas, Jacques Himpens
BACKGROUND: Endoscopic sleeve gastroplasty is a safe and feasible treatment for obesity. This study is focused on our technique modification which suggests a different suturing pattern in order to distribute suture tension more evenly. METHODS: A retrospective study of 148 patients (121 women) who underwent this procedure and were monitored for 12 months was conducted. The average age was 41.53 ± 10 years. The average BMI was 35.11 ± 5.5 kg/m2 with the average initial weight being 98...
February 28, 2018: Surgical Endoscopy
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