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Atenção integral ao portador de pé diabéticoemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
São apresentadas, nessa separata, as principais orientações sobre a atenção às complicações do pé diabético. A neuropatia, com suas diversas apresentações que acometem os membros inferiores dos diabéticos, as lesões da doença arterial obstrutiva periférica (DAOP), as múltiplas apresentações da infecção do pé diabético, e, principalmente, os cuidados preventivos que possam impedir o estabelecimento ou a evolução dessas complicações são tratados de forma sistemática e simplificada, visando a atenção integral desses doentes. Especial cuidado é dado às orientações diferenciadas para os divers...
Source: Jornal Vascular Brasileiro - February 6, 2012 Category: Surgery Source Type: research

Allergan Stops Lap-Band Sales to '1-800-Get-Thin' SurgeonsAllergan Stops Lap-Band Sales to '1-800-Get-Thin' Surgeonsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The weight-loss surgery centers in Southern California are under intense scrutiny for their safety record, advertising, and billing practices. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 4, 2012 Category: Consumer Health News Tags: General Surgery News Source Type: news

Comparison of Hybrid Natural Orifice Transluminal Endoscopic Surgery and Single-Port Laparoscopic Surgery for Sentinel Node Basin Dissection in a Porcine Modelemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 3, 2012 Category: Surgery Tags: article Source Type: research

Gastrointestinal stromal tumor arising in an ileal duplication: report of a caseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report presents the extremely rare case of an adult patient who presented with peritonitis caused by the perforation of an ileal duplication, associated with a gastrointestinal stromal tumor (GIST) arising within the duplication. A 70-year-old female was admitted to the hospital with lower abdominal pain. Abdominal computed tomography showed free air in the peritoneal cavity. An emergency laparotomy was performed, presuming diffuse peritonitis caused by a perforation of the gastrointestinal tract. The surgical findings showed that the peritonitis was caused by the perforation of an ileal duplication, 90 cm pr...
Source: Surgery Today - February 3, 2012 Category: Surgery Tags: Surgery Today Source Type: research

Spontaneous pneumothorax in a patient with dendriform pulmonary ossification: report of a caseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report herein the rare case of a patient with dendriform pulmonary ossification (DPO) who developed spontaneous pneumothorax. A 33-year-old male with a history of bronchial asthma presented with pneumothorax of the left lung. An intraoperative inspection revealed no findings of bullae in the entire left lung, but inflammatory pleural changes were identified on the interlobular surface of the left lower lobe. In addition, hard, twig-like configurations were clearly palpable in the subpleural parenchyma and were resected. A histological examination showed acicular bone formations containing myeloid tissue and marrow f...
Source: Surgery Today - February 3, 2012 Category: Surgery Tags: Surgery Today Source Type: research

Intestinal obstruction caused by colonic metastasis from intrahepatic cholangiocarcinoma 6 years after removal of the primary tumor: report of a caseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of intestinal obstruction caused by metastasis that manifested 6 years after surgery for intrahepatic cholangiocarcinoma (ICC). The patient, a 57-year-old man, had undergone resection of the hepatic left lobe, Spiegel lobe, and extrahepatic bile duct, following which histopathological examination had confirmed the diagnosis of ICC and that the resection margins were free from disease. There had been no signs of recurrence until an increase in the CA19-9 level was detected 6 years later. Colonoscopy revealed an ulcer-like lesion and stenosis at the level of the hepatic flexure. The patient was...
Source: Surgery Today - February 3, 2012 Category: Surgery Tags: Surgery Today Source Type: research

Totally Laparoscopic Management of Gallstone Ileus—Technical Report and Review of the Literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 3, 2012 Category: Surgery Tags: article Source Type: research

Intraoperative, postoperative and reoperative problems with ileoanal pouchesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion:A structured management plan will minimize the adverse consequences of the problems associated with pouches. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. (Source: British Journal of Surgery)
Source: British Journal of Surgery - February 3, 2012 Category: Surgery Authors: P. M. SagarJ. H. Pemberton Tags: Review Source Type: research

Enhancing Braden pressure ulcer risk assessment in acutely ill adult veteransemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study sought to determine if a parsimonious pressure ulcer (PU) predictive model could be identified specific to acute care to enhance the current PU risk assessment tool (Braden Scale) utilized within veteran facilities. Factors investigated include: diagnosis of gangrene, anemia, diabetes, malnutrition, osteomyelitis, pneumonia/pneumonitis, septicemia, candidiasis, bacterial skin infection, device/implant/graft complications, urinary tract infection, paralysis, senility, respiratory failure, acute renal failure, cerebrovascular accident, or congestive heart failure during hospitalization; patient's age, race, smokin...
Source: Wound Repair and Regeneration - February 3, 2012 Category: Surgery Authors: Linda J. CowanJoyce K. StechmillerMeredeth RoweJohn A. Kairalla Tags: Original Article Source Type: research

Study Finds Low Risk for LVAD Exchange (CME/CE)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
FT. LAUDERDALE (MedPage Today) -- Clinicians can be "aggressive" when deciding whether to replace a left ventricular assist device (LVAD) because the reoperation poses low risk, a small study showed. (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - February 2, 2012 Category: Surgery Source Type: news

Stents, Surgery Both Maintain Open Carotids (CME/CE)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
NEW ORLEANS (MedPage Today) -- For patients with carotid stenosis, both stenting and endarterectomy provided durable revascularization through two years, an analysis of the CREST trial showed. (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - February 2, 2012 Category: Surgery Source Type: news

Legal Problems Pile Up for '1-800-Get-Thin' SurgeonsLegal Problems Pile Up for '1-800-Get-Thin' Surgeonsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The California surgeons, who market gastric-banding surgery for weight loss through 1-800-Get-Thin ads, face FDA scrutiny, a state investigation into alleged billing fraud, a whistleblower suit, and more. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 2, 2012 Category: Consumer Health News Tags: General Surgery News Source Type: news

Lodox/Statscan facilitates the early detection of commonly overlooked extracranial injuries in patients with traumatic brain injuryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion    The Lodox/Statscan can provide benefits for surveying extracranial injuries in patients with diminished level of consciousness. The Lodox/Statscan also emits a notably low dose of radiation and appears to be a relatively inexpensive adjunct to screen torso or extremity injuries in TBI patients. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00068-012-0176-zAuthors H.-C. Huang, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCC.-Y. Fu, Trauma and Emergency Center, China Medical University Hospital, ...
Source: European Journal of Trauma and Emergency Surgery - February 2, 2012 Category: Surgery Tags: European Journal of Trauma and Emergency Surgery Source Type: research

Clinicopathological Profile, Airway Management, and Outcome in Huge Multinodular Goiters: An Institutional Experience from an Endemic Goiter Regionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Long-standing huge goiters are common in iodine-deficient endemic areas. The majority of patients have symptomatic or clinicoradiological evidence of airway involvement. The incidence of RSE, airway deformity, intubation difficulty, and tracheomalacia is high with huge goiters. The surgery is technically demanding with greater associated chances of injury to native structures. Malignancy influences the presentation and outcome in smaller goiters. In centers with experienced endocrine surgeons and dedicated anesthetists, huge goiters can be successfully managed with minimal short-term and long-ter...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

Video-Assisted Versus Conventional Total Thyroidectomy and Central Compartment Neck Dissection for Papillary Thyroid Carcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The results of VA-TT and CCD in selected cases of PTC appear to be comparable to those of conventional surgery. A longer follow-up and larger series are necessary to draw definitive conclusions concerning long-term outcomes. Content Type Journal ArticlePages 1-6DOI 10.1007/s00268-012-1439-xAuthors Celestino P. Lombardi, Division of General and Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore, Policlinico “A. Gemelli,” L.go A. Gemelli 8, 00168 Rome, ItalyMarco Raffaelli, Division of General and Endocrine Surgery, Department of Surgery, Università Cattoli...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

Outcome Following Management of Dysphagia after Laparoscopic Anti-reflux Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Approximately two thirds of patients with troublesome post-fundoplication dysphagia have a satisfactory outcome following either endoscopic dilatation or revisional surgery. However, approximately one third continue to be troubled by symptoms, despite further intervention. Content Type Journal ArticlePages 1-6DOI 10.1007/s00268-011-1416-9Authors Huiqi Yang, Flinders University Department of Surgery, Room 3D211, Flinders Medical Centre, Bedford Park, SA 5042, AustraliaCindy Meun, Flinders University Department of Surgery, Room 3D211, Flinders Medical Centre, Bedford Park, SA 5042, Austral...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

The burden of endoscopic retrograde cholangiopancreatography (ERCP) performed with the patient under conscious sedationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  One-third to one-half of patients experience pain and discomfort during and immediately after ERCP when it is performed with conscious sedation for the patient. Other sedation strategies, such as the use of general anesthesia or propofol, may well reduce the burden of ERCP, particularly for patients with a higher EQ-5D score, younger age, or therapeutic ERCP treatment. However, randomized trials are warranted. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-012-2162-2Authors S. M. Jeurnink, Department of Gastroenterology and Hepatology, University Medical Center, P.O. Box 85500, ...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

Endoscopic laser fragmentation and removal of a nonremovable metal esophageal stent for persistent dysphagia: a technical noteemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  We describe a successful technique for the removal of a nonretrievable stent using laser fracture and endoscopic retrieval. This method of stent removal has not been previously reported. Content Type Journal ArticleCategory TechniquePages 1-3DOI 10.1007/s00464-011-2111-5Authors Ross S. Coomber, Department of Upper GI Surgery, West Herts NHS Trust, Watford General Hospital, Vicarage Road, Watford, WD18 0HB UKPranav H. Patel, Department of Upper GI Surgery, West Herts NHS Trust, Watford General Hospital, Vicarage Road, Watford, WD18 0HB UKAnubhav Dhir, Department of Healths Clinical Advisor...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

Randomized controlled trial of laparoscopic gastric ischemic conditioning prior to minimally invasive esophagectomy, the LOGIC trialemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  LIC does not translate into an improved perfusion of the gastric conduit tip. The benefits reported from published clinical series suggest that the resistance of the conduit to ischemia occurs through alternative possibly microcellular mechanisms. Content Type Journal ArticlePages 1-8DOI 10.1007/s00464-011-2123-1Authors Darmarajah Veeramootoo, Department of Upper Gastro-Intestinal Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, EX2 5DW UKAngela C. Shore, Institute of Biomedical and Clinical Science, Peninsula College of Medicine and Dentistry, University of Exeter, Exeter, U...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

The use of novel hemostatic sealant (Tisseel®) in laparoscopic myomectomy: a case–control studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The use of Tisseel® during LM may represent a valid alternative solution for obtaining hemostasis, reducing intra- and postoperative bleeding. Furthermore, it may help the surgeon to obtain a rapid healing of the injured surfaces, probably reducing the use of electrocoagulation and traumatisms. Content Type Journal ArticlePages 1-8DOI 10.1007/s00464-012-2154-2Authors Roberto Angioli, Department of Obstetrics and Gynecology, “Campus Bio Medico” University of Rome, Via Álvaro del Portillo, 200-00128 Rome, ItalyFrancesco Plotti, Department of Obstetrics and Gynecology, “Campus Bio M...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

The optimal strategy for proximal mesh fixation during laparoscopic ventral rectopexy for rectal prolapse: an ex vivo studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  The new screw for proximal mesh fixation during LVR procedures offers similar fixation strength when compared to tacks. The use of one screw for proximal mesh fixation is therefore a reasonable alternative to the use of several tacks or sutures. Content Type Journal ArticlePages 1-5DOI 10.1007/s00464-012-2161-3Authors Hendrik A. Formijne Jonkers, Department of Surgery, Meander Medical Centre, Amersfoort, The NetherlandsHarm J. van de Haar, Department of Surgery, Meander Medical Centre, Amersfoort, The NetherlandsWerner A. Draaisma, Department of Surgery, Meander Medical Centre, Amersfoort,...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

Comparable early changes in gastrointestinal hormones after sleeve gastrectomy and Roux-En-Y gastric bypass surgery for morbidly obese type 2 diabetic subjectsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The data show that in a cohort of morbidly obese T2DM subjects, SG and RYGBP are associated with an early improvement in glucose tolerance, similar changes in insulin and glucagon secretion, and a similar GLP-1, GIP, and GLP-2 response to a standardized mixed liquid meal. Content Type Journal ArticlePages 1-9DOI 10.1007/s00464-012-2166-yAuthors Fabiola Romero, Endocrinology and Diabetes Department, Obesity Unit, Hospital Clinic Universitari, Villarroel 170, 08036 Barcelona, SpainJoana Nicolau, Endocrinology and Diabetes Department, Obesity Unit, Hospital Clinic Universitari, Villarroel 1...
Source: Surgical Endoscopy - February 2, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

Anti-Xa Levels 4 h After Subcutaneous Administration of 5,700 IU Nadroparin Strongly Correlate with Lean Body Weight in Morbidly Obese Patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract Background  Morbidly obese patients (BMI > 40 kg/m2) are at increased risk for venous thromboembolism, especially after surgery. Despite limited evidence, morbidly obese patients are often administered a double dose of nadroparin for thromboprophylaxis compared to non-obese patients. The aim of this study was to evaluate the influence of different body size descriptors on anti-Xa levels after a double dose of nadroparin (5,700 IU) in morbidly obese patients. Methods  In 27 morbidly obese patients with a mean total body weight of 148 kg (range 107–260 kg...
Source: Obesity Surgery - February 2, 2012 Category: Surgery Tags: Obesity Surgery Source Type: research

A systematic review of peer review for scientific manuscriptsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The criteria for submission will vary, but our systematic review provides a comprehensive overview of what reviewers expect from authors. Our systematic review also highlighted ethical considerations for both authors and reviewers during the peer-review process. Although the topic of peer review is expansive and its process may vary from journal to journal, the understanding of the themes outlined in this paper will help authors recognize how to write a more successful paper. Also, more research must be carried out to establish the efficacy of the different styles of peer review, and it would be ...
Source: Hand - February 2, 2012 Category: Surgery Tags: Hand Source Type: research

Current Strategies and Future Perspectives for Intraperitoneal Adhesion Preventionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion  Mesothelial cells play a crucial physiological role in frictionless gliding of the serosa and the maintenance of an antiadhesive surface. The formation of postoperative adhesions results from a cascade of events and is regulated by various cellular and humoral factors. Therefore, optimization or functionalization of barrier materials by developments interacting with this cascade on a structural or pharmacological level could give an innovative input for future strategies in peritoneal adhesion prevention. For this purpose, the proper understanding of the formal pathogenesis of adhesion formation i...
Source: Journal of Gastrointestinal Surgery - February 2, 2012 Category: Surgery Tags: Journal of Gastrointestinal Surgery Source Type: research

Short- and Long-Term Changes in Gastric Morphology and Histopathology Following Sleeve Gastrectomy in Diet-Induced Obese Ratsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  After SG gastric macro- and microscopic changes with functional implications in both the short and long term take place. Content Type Journal ArticleCategory Animal ResearchPages 1-7DOI 10.1007/s11695-012-0606-3Authors Marina Martín, Department of Histology & Pathology, University of Navarra, Pamplona, SpainMaría A. Burrell, Department of Histology & Pathology, University of Navarra, Pamplona, SpainJavier Gómez-Ambrosi, CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Pamplona, SpainVíctor Valentí, CIBER Fisiopatología de la Obesidad y Nutrici...
Source: Obesity Surgery - February 2, 2012 Category: Surgery Tags: Obesity Surgery Source Type: research

Visualization versus Neuromonitoring of Recurrent Laryngeal Nerves during Thyroidectomy: What About the Costs?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  The regional DRG tariff for thyroid surgery is barely sufficient to cover conventional surgery costs. Intraoperative neural monitoring accounts for 5–7% of the hospitalization costs for a thyroidectomy. Content Type Journal ArticlePages 1-7DOI 10.1007/s00268-012-1452-0Authors Gianlorenzo Dionigi, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria Varese-Como, Via Guicciardini, 21100 Varese, ItalyAlessandro Bacuzzi, Department of Anesthesia, University of Insubria, 21100 Varese, ItalyLuigi Boni, Department of Surgical Sciences, Endocrine Surgery Re...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

A Mathematical Model for Predicting Malignancy of Solitary Pulmonary Nodulesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Age, diameter, border, calcification, spiculation, and family history of tumor were independent predictors of malignancy in patients with SPN. Our prediction model was sufficient to estimate malignancy in patients with SPN and proved to be more accurate than the two existing models. Content Type Journal ArticlePages 1-6DOI 10.1007/s00268-012-1449-8Authors Yun Li, Department of Thoracic Surgery, People’s Hospital of Peking University, No. 11 Xizhimen South Street, Xicheng District, 100044 Beijing, People’s Republic of ChinaJun Wang, Department of Thoracic Surgery, People’s Hospital ...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

Comparison of Dexamethasone with Ondansetron or Haloperidol for Prevention of Patient-Controlled Analgesia-Related Postoperative Nausea and Vomiting: A Randomized Clinical Trialemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Dexamethasone 5 mg with either haloperidol 2 mg or ondansetron 4 mg provides a better antiemetic effect than dexamethasone 5 mg alone in patients receiving postoperative morphine PCA. Content Type Journal ArticlePages 1-7DOI 10.1007/s00268-012-1446-yAuthors Po-Kai Wang, Department of Anesthesiology, Buddhist Tzu-Chi General Hospital, 707, Section 3, Chung-Yang Road, 970, Hualien, Taiwan, R.O.CPei-Jiuan Tsay, Department of Anesthesiology, Buddhist Tzu-Chi General Hospital, 707, Section 3, Chung-Yang Road, 970, Hualien, Taiwan, R.O.CChia-Chun Huang, Department of Anest...
Source: World Journal of Surgery - February 2, 2012 Category: Surgery Tags: World Journal of Surgery Source Type: research

Effect of Roux‐en‐Y gastric bypass on testosterone and prostate‐specific antigenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion:RYGB normalizes the serum testosterone level. PSA levels increase with weight loss and may be inversely correlated with changes in plasma volume, indicating that PSA levels may be artificially low in obese men owing to haemodilution. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. (Source: British Journal of Surgery)
Source: British Journal of Surgery - February 2, 2012 Category: Surgery Authors: G. WoodardS. AhmedV. PodelskiT. Hernandez‐BoussardJ. PrestiJ. M. Morton Tags: Original Article Source Type: research

Development of an evidence‐based protocol for care of pilonidal sinus wounds healing by secondary intent using a modified Reactive Delphi procedure. Part 2: methodology, analysis and resultsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This is the second part of the article based on the thesis work for a Masters of Science in Wound Healing and Tissue Repair, Cardiff University, to develop an evidence‐based protocol for the care of pilonidal sinus wounds (PSWs) healing by secondary intent, using a modified Reactive Delphi process. The sample included surgeons, clinic physicians, nurses and enterostomal therapy nurses experienced in the care of these wounds. Item generation involved an extensive review of the literature to identify key aspects of evidence‐based wound care essential to wound healing, infected wounds and pilonidal wounds healing by secon...
Source: International Wound Journal - February 2, 2012 Category: Surgery Authors: Connie L HarrisSamantha Holloway Source Type: research

Effect of Normal Saline Irrigation on Attenuation of Shoulder Tip Pain and on β-Endorphin Levels After Laparoscopic Cholecystectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 1, 2012 Category: Surgery Tags: article Source Type: research

Minimally invasive intrathoracic anastomosis after Ivor Lewis esophagectomy for cancer: a review of transoral or transthoracic use of staplersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  This review has found no important differences between the two most frequently used stapled anastomoses: the transoral introduction of the anvil and the transthoracic. Clinical trials are needed to compare different methods to improve the quality of the intrathoracic anastomosis after esophagectomy. Content Type Journal ArticleCategory ReviewPages 1-8DOI 10.1007/s00464-012-2149-zAuthors K. W. Maas, Department of Surgery, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsS. S. A. Y. Biere, Department of Surgery, VU University Medical Center, De Boelelaan 1...
Source: Surgical Endoscopy - February 1, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research

Toluidine blue for the intraoperative staining of the ureters. Studies on the safe administration in ratsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  In rats, intravenous injection of 0.4 mg TB/kg was sufficient for the intraoperative staining of the urinary tract without the risk of severe cardiovascular and hemodynamic side effects. Provided our results are transferable to humans, the administration of low TB doses could allow its safer clinical use for the intraoperative visualization of the ureters. Content Type Journal ArticleCategory Original ArticlePages 1-11DOI 10.1007/s00423-012-0907-yAuthors Frank Petrat, Institut für Physiologische Chemie, Universitätsklinikum, Universität Duisburg-Essen, Hufelandstr. 55, 45122...
Source: Langenbeck's Archives of Surgery - February 1, 2012 Category: Surgery Tags: Langenbeck's Archives of Surgery Source Type: research

A review of patch options in the repair of congenital diaphragm defectsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Repair of congenital diaphragmatic hernia (CDH) continues to pose a dilemma for the pediatric surgeon. While the management of CDH has evolved from surgical urgency to delayed repair after medical optimization with substantial improvements in mortality, morbidity continues to perplex clinicians. Significant morbidity occurs with recurrence, re-recurrence and complications such as obstructions, principally with mesh repair. When primary closure is not possible, mesh repair is indicated. While there are several non-absorbable prosthetic, absorbable biosynthetic and composite mesh types available, the ...
Source: Pediatric Surgery International - February 1, 2012 Category: Surgery Tags: Pediatric Surgery International Source Type: research

Pediatric surgical site infection in the developing world: a Kenyan experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  Our rate of SSI among pediatric patients in sub-Saharan Africa is the lowest reported in the literature to date. More work is needed to identify modifiable risk factors for pediatric SSI in low- and middle-income countries. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00383-012-3058-xAuthors James H. Wood, Department of Surgery, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, Box C302, Aurora, CO 80045, USAPeter M. Nthumba, BethanyKids at Kijabe Hospital, Kijabe, KenyaEdita Stepita-Poenaru, BethanyKids at Kijabe Hospital, Kijabe, Ken...
Source: Pediatric Surgery International - February 1, 2012 Category: Surgery Tags: Pediatric Surgery International Source Type: research

The calcitonin levels can sometimes mislead parathyroid surgeons in patients with chronic kidney disease and renal hyperparathyroidism: report of a caseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report presents a case of a patient with CKD and mild rHPT scheduled for thyroidectomy for a suspected medullary thyroid carcinoma (MTC) within a mononodular goiter. A hemithyroidectomy with resection of both adjacent parathyroid glands and unilateral central lymph node dissection was performed. Histopathology revealed no evidence of MTC. The rHPT, calcitonin and pentagastrin test subsequently normalized and follow-up revealed no evidence for MTC within the remaining right thyroid lobe. Elevated calcitonin levels in patients with CKD may reflect a physiological response to rHPT than rather represent MTC. The thre...
Source: Surgery Today - February 1, 2012 Category: Surgery Tags: Surgery Today Source Type: research

Commentary on “Are Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Surgery Viable Techniques for Cholecystectomy?”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques Jan 2012, Vol. 22, No. 1: 15-16. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 1, 2012 Category: Surgery Tags: article Source Type: research

Laparoscopic Choledochoduodenostomy for Biliary Stone Disease: A Single-Center 10-Year Experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques Jan 2012, Vol. 22, No. 1: 81-84. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 1, 2012 Category: Surgery Tags: article Source Type: research

Single-Center Experience with Pediatric Laparoscopic Extravesical Reimplantation: Safe and Effective in Simple and Complex Anatomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques Jan 2012, Vol. 22, No. 1: 102-106. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 1, 2012 Category: Surgery Tags: article Source Type: research

A Case with Unilateral Hypoglossal nerve injury in Branchial cyst surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An 11 years old boy came, with complain of mild dysarthria. Examination revealed marked hemiatrophy of left side of the tongue. Five months back he underwent ipsilateral branchial cyst operation. To our knowledge, no case was reported. After branchial cyst operation if there is any residual remnant chance of recurrence is very high. (Source: Journal of Brachial Plexus and Peripheral Nerve Injury)
Source: Journal of Brachial Plexus and Peripheral Nerve Injury - February 1, 2012 Category: Surgery Authors: Sudipta MukherjeeBidhan GowshamiAbdus SalamRuhul KuddusMohsin FaraziJahid Baksh Source Type: research

Real‐time deformation of colon and endoscope for colonoscopy simulationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
ConclusionsThe proposed method allows real‐time simulation of colon and endoscope deformation while maintaining a visually plausible result and realistic haptic sensation. Copyright © 2012 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)
Source: The International Journal of Medical Robotics and Computer Assisted Surgery - February 1, 2012 Category: Surgery Authors: Hoeryong JungDoo Yong Lee Tags: Original Article Source Type: research

Successful Treatment for Infected Aortic Aneurysm Using Endovascular Aneurysm Repairs as a Bridge to Delayed Open Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Management of infected aortic aneurysms, which can be life-threatening, remains challenging. Open surgical treatments, including debridement of the infected aorta and the surrounding tissue and either in situ reconstruction or extra-anatomic bypass covering with omentum or muscle flap, are the mainstay of therapy. However, increasing advances in technology have made endovascular treatment of infected aneurysms feasible. The present study describes the first clinical report of successful treatment of an infected aneurysm using endovascular techniques in the acute phase, followed by delayed open surgery. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Naoto Fukunaga, Takashi Hashimoto, Yasuhisa Ozu, Mitsuru Yuzaki, Yu Shomura, Hiroshi Fujiwara, Michihiro Nasu, Yukikatsu Okada Tags: Case Report Abstracts Source Type: research

Clostridium septicum Aortitis With Associated Sigmoid Colon Adenocarcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report an unusual case of Clostridium septicum aortitis with associated adenocarcinoma of the sigmoid colon. An 87-year-old man with multiple medical comorbidities presented with a 1-week history of severe abdominal pain in the left lower quadrant of his abdomen. Abdominal computed tomography showed, in addition to a mass in the sigmoid colon, a gas density within the wall of the abdominal aorta with extensive periaortic fat stranding and some additional gas densities in the proximal left common iliac artery. The patient refused surgery, and was treated with intravenous antibiotics. He died 5 weeks later. The developmen...
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Phillip S. Ge, Christian de Virgilio Tags: Case Report Abstracts Source Type: research

Giant, Metachronous Bilateral Dorsalis Pedis Artery True Aneurysmsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This report is the first to describe the clinical, radiographic, operative, and pathologic findings associated with large, bilateral dorsalis pedis artery true aneurysms in a single patient. A 61-year-old African American woman complained of difficulty in wearing shoes. She had a moderately firm, nontender, pulsatile mass on the dorsum of her right foot. Computed tomography and angiography confirmed dorsalis pedis artery aneurysm with sufficient collateralization. She underwent resection without reconstruction. Pathologic analysis revealed a true aneurysm (8 × 5.3 × 4.1 cm3) containing intralumenal thrombus. Treatment f...
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: James G. Bittner, David Hardy, Paul W. Biddinger, Gautam Agarwal Tags: Case Report Abstracts Source Type: research

Delayed Axillary Artery Pseudoaneurysm as an Isolated Consequence to Anterior Dislocation of the Shoulderemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a case of delayed axillary artery pseudoaneurysm, presenting as single complication after anterior shoulder dislocation reduction, which was successfully managed by surgical intervention—resection–anastomosis. Although uncommon, pseudoaneurysms should not be forgotten after trivial trauma. The early diagnosis of upper-limb pseudoaneurysms should prevent the risk of vascular and neurological compromises with potential serious long-term sequelae. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Laura Palcau, Djelloul Gouicem, Julie Dufranc, Elise Mackowiak, Ludovic Berger Tags: Case Report Abstracts Source Type: research

Infected Abdominal Aneurysm due to Salmonella Sepsis: Report of a Unique Case Treated Using the Superficial Femoral Veinemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe a 61-year-old patient with an infected aneurysm of the abdominal aorta due to Salmonella sepsis. Treatment was successful and included aneurysm resection, extensive debridement, and reconstruction of the abdominal aorta using the superficial femoral vein, combined with long-term antibiotic therapy. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Priscilla D.M. Aerts, Moniek van Zitteren, Angela M.M. Kotsopoulos, Dennis P. van Berge Henegouwen, Patrick W.H.E. Vriens, Jan M.M. Heyligers Tags: Case Report Abstracts Source Type: research

Bilateral Femoral Artery Aneurysm Mimicking Soft Tissue Sarcomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Despite the rarity of femoral aneurysm and the plethora of other causes of swelling in and around its anatomic location, the possibility of its existence must always be borne in mind. A rare case of metachronously bilateral femoral aneurysms mimicking soft tissue sarcoma in a young Nigerian man is presented. Caution in the diagnosis of groin masses is hereby re-emphasized. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Peter Oladapo Adeoye, Stephen O. Adebola, Olusola A.M. Adesiyun, Kolawole T. Braimoh Tags: Case Report Abstracts Source Type: research

Anatomic Bifurcated Reconstruction of Chronic Bilateral Innominate–Superior Vena Cava Occlusion Using the Y-Stenting Techniqueemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article presents the case of a 42-year-old man who presented with superior vena cava (SVC) syndrome due to fibrosing mediastinitis with multiple failed attempts at recanalization. We initially treated him with unilateral sharp needle recanalization of the right innominate vein into the SVC stump followed by stenting. Although his symptoms improved immediately, they did not completely resolve. Six months later, he returned with worsening symptoms, and venography revealed in-stent restenosis. The patient requested simultaneous treatment on the left side. The right stent was dilated, and a 3-cm-long occlusion of the left...
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Parth Amin Tags: Case Report Abstracts Source Type: research

Aortic Endograft Infection With Aortoduodenal Fistula Associated With Adjacent Vertebral Body Mycobacterial Osteomyelitis (Pott's Disease)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Aortoenteric fistulas (AEFs) are a rare complication of infrarenal abdominal aortic aneurysm repair. They occur in (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 1, 2012 Category: Surgery Authors: Brian Solomon, Billy Kim, Caron Rockman, Frank J. Veith, Glenn Jacobowitz Tags: Case Report Abstracts Source Type: research