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109 papers 25 to 100 followers
https://www.readbyqxmd.com/read/29459021/mesh-versus-suture-repair-of-umbilical-hernia-in-adults-a-randomised-double-blind-controlled-multicentre-trial
#1
Ruth Kaufmann, Jens A Halm, Hasan H Eker, Pieter J Klitsie, Jeroen Nieuwenhuizen, Dick van Geldere, Maarten P Simons, Erwin van der Harst, Martijne van 't Riet, Bronno van der Holt, Gert Jan Kleinrensink, Johannes Jeekel, Johan F Lange
BACKGROUND: Both mesh and suture repair are used for the treatment of umbilical hernias, but for smaller umbilical hernias (diameter 1-4 cm) there is little evidence whether mesh repair would be beneficial. In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller umbilical hernias. METHODS: We did a randomised, double-blind, controlled multicentre trial in 12 hospitals (nine in the Netherlands, two in Germany, and one in Italy)...
February 16, 2018: Lancet
https://www.readbyqxmd.com/read/29469195/postoperative-ileus-following-major-colorectal-surgery
#2
REVIEW
S J Chapman, A Pericleous, C Downey, D G Jayne
BACKGROUND: Postoperative ileus (POI) is characterized by delayed gastrointestinal recovery following surgery. Current knowledge of pathophysiology, clinical interventions and methodological challenges was reviewed to inform modern practice and future research. METHODS: A systematic search of MEDLINE and Embase databases was performed using search terms related to ileus and colorectal surgery. All RCTs involving an intervention to prevent or reduce POI published between 1990 and 2016 were identified...
February 22, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29469927/cost-effectiveness-analysis-of-stent-type-in-endoscopic-treatment-of-gastric-leak-after-laparoscopic-sleeve-gastrectomy
#3
C Cosse, L Rebibo, F Brazier, S Hakim, R Delcenserie, J M Regimbeau
BACKGROUND: Gastric leak is the most feared surgical postoperative complication after sleeve gastrectomy. An endoscopic procedure is usually required to treat the leak. No data are available on the cost-effectiveness of different stent types in this procedure. METHODS: Between April 2005 and July 2016, patients with a confirmed gastric leak undergoing endoscopic treatment using a covered stent (CS) or double-pigtail stent (DPS) were included. The primary objective of the study was to assess overall costs of the stent types after primary sleeve gastrectomy...
February 22, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29392914/all-complex-abdominal-incisional-hernia-repairs-using-mesh-must-be-drained-it-s-the-law
#4
EDITORIAL
Philip G Truskett
No abstract text is available yet for this article.
January 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27706525/endoscopic-treatment-of-post-laparoscopic-sleeve-gastrectomy-leaks-using-a-specifically-designed-metal-stent
#5
Andrea Tringali, Vincenzo Bove, Vincenzo Perri, Rosario Landi, Pietro Familiari, Ivo Boškoski, Guido Costamagna
Background and study aim Leakage of the surgical suture is the main complication of laparoscopic sleeve gastrectomy (LSG) and is amenable to endoscopic therapy. The aim of this study was to evaluate the efficacy of a specifically designed self-expandable metal stent (SEMS) to seal the leakage. Patients and methods Over a 2-year period, patients referred for the treatment of post-LSG fistulas underwent placement of a fully covered esophagogastric SEMS with a specific design. Results A total of 10 patients were treated after a mean time of 50...
January 2017: Endoscopy
https://www.readbyqxmd.com/read/26111361/endoscopic-treatment-of-fistula-after-sleeve-gastrectomy-results-of-a-multicenter-retrospective-study
#6
MULTICENTER STUDY
Dimitri Christophorou, Jean-Christophe Valats, Natalie Funakoshi, Claire Duflos, Marie-Chistine Picot, Bruno Vedrenne, Frédéric Prat, Phillipe Bulois, Julien Branche, Sébastien Decoster, Emmanuel Coron, Antoine Charachon, Guillaume Pineton De Chambrun, David Nocca, Paul Bauret, Pierre Blanc
BACKGROUND AND STUDY AIMS: Fistula is the main complication of laparoscopic sleeve gastrectomy (LSG), for which healing is difficult to achieve. The aims of the study were to evaluate the efficacy of interventional endoscopy for post-LSG fistula treatment, to evaluate various endoscopic techniques used and identify their complications, and to identify predictive factors of healing following endoscopic treatment. PATIENTS AND METHODS: This retrospective multicenter study included patients with post-LSG fistula...
November 2015: Endoscopy
https://www.readbyqxmd.com/read/29453125/positive-sentinel-lymph-nodes-in-melanoma-which-patients-need-completion-lymph-node-dissection
#7
John K Macfarlane
No abstract text is available yet for this article.
January 31, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29447109/sepsis-2018-definitions-and-guideline-changes
#8
Lena M Napolitano
BACKGROUND: Sepsis is a global healthcare issue and continues to be the leading cause of death from infection. Early recognition and diagnosis of sepsis is required to prevent the transition into septic shock, which is associated with a mortality rate of 40% or more. DISCUSSION: New definitions for sepsis and septic shock (Third International Consensus Definitions for Sepsis and Septic Shock [Sepsis-3]) have been developed. A new screening tool for sepsis (quick Sequential Organ Failure Assessment [qSOFA]) has been proposed to predict the likelihood of poor outcome in out-of-intensive care unit (ICU) patients with clinical suspicion of sepsis...
February 2018: Surgical Infections
https://www.readbyqxmd.com/read/28750839/endoscopic-treatment-of-fistulas-after-sleeve-gastrectomy-a-comparison-of-internal-drainage-versus-closure
#9
Diane Lorenzo, Théophile Guilbaud, Jean Michel Gonzalez, Alban Benezech, Anne Dutour, Sandrine Boullu, Stéphane Berdah, Thierry Bège, Marc Barthet
BACKGROUND AND AIMS: Fistulas after sleeve gastrectomy are major adverse events of bariatric surgery. The endoscopic management strategy evolved from closure to internal drainage after 2013. The main objective of our study was to evaluate and compare these different approaches. METHODS: This retrospective study included all patients treated for fistulas after sleeve gastrectomy in a referral center. Closure management was defined as initial treatment that used a covered metal stent and/or endoclips...
February 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29408838/drain-after-pancreatoduodenectomy-methodological-issues
#10
Kristoffer Lassen
No abstract text is available yet for this article.
March 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29446287/adjuvant-therapy-in-resected-melanoma
#11
LETTER
Ana Rita J Maria, Catarina Viegas Dias, Bruno Heleno
No abstract text is available yet for this article.
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29446285/adjuvant-therapy-in-resected-melanoma
#12
LETTER
Nick Thomson, Rachel Doerr, Michael G Martin
No abstract text is available yet for this article.
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29446283/adjuvant-therapy-in-resected-melanoma
#13
LETTER
Michael Sladden, Samuel Zagarella, Michael Bigby
No abstract text is available yet for this article.
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29446288/adjuvant-therapy-in-resected-melanoma
#14
LETTER
Jeffrey Weber, Anila Qureshi, Paolo A Ascierto
No abstract text is available yet for this article.
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29441534/beyond-country-specific-incidence-and-mortality-the-global-burden-of-melanoma
#15
EDITORIAL
K J L Bell, A E Cust
No abstract text is available yet for this article.
February 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29441559/prognostic-features-for-acral-lentiginous-melanoma
#16
EDITORIAL
A E Cust
No abstract text is available yet for this article.
February 2018: British Journal of Dermatology
https://www.readbyqxmd.com/read/29406201/proton-pump-inhibitors-review-of-emerging-concerns
#17
REVIEW
Avinash K Nehra, Jeffrey A Alexander, Conor G Loftus, Vandana Nehra
First introduced in 1989, proton pump inhibitors (PPIs) are among the most widely utilized medications worldwide, both in the ambulatory and inpatient clinical settings. The PPIs are currently approved by the US Food and Drug Administration for the management of a variety of gastrointestinal disorders including symptomatic peptic ulcer disease, gastroesophageal reflux disease, and nonulcer dyspepsia as well as for prevention of gastrointestinal bleeding in patients receiving antiplatelet therapy. PPIs inhibit gastric acid secretion, and the most commonly associated adverse effects include abdominal pain, diarrhea, and headache...
February 2018: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29416554/2017-wses-guidelines-for-the-management-of-iatrogenic-colonoscopy-perforation
#18
REVIEW
Nicola de'Angelis, Salomone Di Saverio, Osvaldo Chiara, Massimo Sartelli, Aleix Martínez-Pérez, Franca Patrizi, Dieter G Weber, Luca Ansaloni, Walter Biffl, Offir Ben-Ishay, Miklosh Bala, Francesco Brunetti, Federica Gaiani, Solafah Abdalla, Aurelien Amiot, Hany Bahouth, Giorgio Bianchi, Daniel Casanova, Federico Coccolini, Raul Coimbra, Gian Luigi de'Angelis, Belinda De Simone, Gustavo P Fraga, Pietro Genova, Rao Ivatury, Jeffry L Kashuk, Andrew W Kirkpatrick, Yann Le Baleur, Fernando Machado, Gustavo M Machain, Ronald V Maier, Alain Chichom-Mefire, Riccardo Memeo, Carlos Mesquita, Juan Carlos Salamea Molina, Massimiliano Mutignani, Ramiro Manzano-Núñez, Carlos Ordoñez, Andrew B Peitzman, Bruno M Pereira, Edoardo Picetti, Michele Pisano, Juan Carlos Puyana, Sandro Rizoli, Mohammed Siddiqui, Iradj Sobhani, Richard P Ten Broek, Luigi Zorcolo, Maria Clotilde Carra, Yoram Kluger, Fausto Catena
Iatrogenic colonoscopy perforation (ICP) is a severe complication that can occur during both diagnostic and therapeutic procedures. Although 45-60% of ICPs are diagnosed by the endoscopist while performing the colonoscopy, many ICPs are not immediately recognized but are instead suspected on the basis of clinical signs and symptoms that occur after the endoscopic procedure. There are three main therapeutic options for ICPs: endoscopic repair, conservative therapy, and surgery. The therapeutic approach must vary based on the setting of the diagnosis (intra- or post-colonoscopy), the type of ICP, the characteristics and general status of the patient, the operator's level of experience, and surgical device availability...
2018: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/29421693/enhanced-recovery-after-colorectal-surgery-can-we-afford-not-to-use-it
#19
Andrew D Jung, Vikrom K Dhar, Richard S Hoehn, Sarah J Atkinson, Bobby L Johnson, Teresa Rice, Jonathan R Snyder, Janice F Rafferty, Michael J Edwards, Ian M Paquette
BACKGROUND: Enhanced recovery pathways (ERPs) aim to reduce length of stay without adversely affecting short-term outcomes. High pharmaceutical costs associated with ERP regimens, however, remain a significant barrier to widespread implementation. We hypothesized that ERP would reduce hospital costs following elective colorectal resections despite the use of more expensive pharmaceutical agents. STUDY DESIGN: An ERP was implemented in January 2016 at our institution...
January 4, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29427227/neoadjuvant-radiation-therapy-in-locally-advanced-colon-cancer-a-cohort-analysis
#20
Devi Mukkai Krishnamurty, Alexander T Hawkins, Katerina O Wells, Matthew G Mutch, Mathew L Silviera, Sean C Glasgow, Steven R Hunt, Sekhar Dharmarajan
BACKGROUND: A paucity of data exists in the use of neoadjuvant chemoradiation therapy (NRT) for T4, non-metastatic colon cancer. This study was conducted to determine the effect of NRT on outcomes after resection for T4 colon cancer. METHODS: All patients with non-metastatic resected clinical T4 colon cancer from 2000 to 2012 at a tertiary care center were included. The cohort was divided into two groups-those that received NRT and those that did not (non-NRT). The primary outcomes were margin-negative resection and overall survival (OS)...
February 9, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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