MedWorm: Surgery

Forthcoming Events

European Journal of Vascular and Endovascular Surgery — Sun, 16 Jun 2013 23:18:27 +0100

(Source: European Journal of Vascular and Endovascular Surgery)

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Selected Abstracts from the July Issue of the Journal of Vascular Surgery

European Journal of Vascular and Endovascular Surgery — Sun, 16 Jun 2013 23:18:26 +0100

This study assessed preliminary results of the Ventana Fenestrated System (Endologix, Irvine, Calif) as an off-the-shelf integrated device for juxtarenal aortic aneurysm (JAA) or pararenal aortic aneurysm (PAA) endovascular repair. (Source: European Journal of Vascular and Endovascular Surgery)

In brief

Current Problems in Surgery — Sun, 16 Jun 2013 23:18:19 +0100

Clostridium difficile (C. difficile) is a gram-positive, spore-forming anaerobic bacillus that was identified in the 1970s as the causative agent for antibiotic-associated pseudomembranous colitis. Since then, the prevalence and severity of C. difficile infections (CDI) have increased dramatically because of changing patterns of antibiotic use, an aging and more susceptible population, and the emergence of hypervirulent strains. Not only do surgeons encounter CDI in their own postoperative patients, but with the increase in severe cases of CDI, they are more often called upon to provide surgical intervention in cases of fulminant CDI. It is, therefore, imperative that surgeons be familiar with the epidemiology, diagnosis, and treatment of patients with CDI. (Source: Current Problems in Sur...

Clostridium difficile infection

Current Problems in Surgery — Sun, 16 Jun 2013 23:18:19 +0100

Clostridium difficile was reported as the cause of antibiotic-associated colitis by criteria of Koch postulates in 1978. Prior work that contributed to this observation included 3 lines of investigation: (1) studies of the bacterium, (2) studies of pseudomembranous colitis (PMC) as the most characteristic anatomical lesion, and (3) studies of antibiotic-associated colitis in rodent models. (Source: Current Problems in Surgery)

Editorial Board

European Journal of Vascular and Endovascular Surgery — Sun, 16 Jun 2013 23:18:19 +0100

(Source: European Journal of Vascular and Endovascular Surgery)

Current Problems in Surgery — Sun, 16 Jun 2013 23:18:18 +0100

(Source: Current Problems in Surgery)

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Foreword

Current Problems in Surgery — Sun, 16 Jun 2013 23:18:18 +0100

Clostridium difficile was first reported as the cause of antibiotic-associated colitis in 1978. Over the subsequent 3 decades, we have witnessed a dramatic increase in the incidence and severity of infections with this organism. Today, not only do surgeons encounter pseudomembranous colitis in their own postoperative patients but they are frequently called upon to intervene in patients with the most severe disease. In this issue of Current Problems in Surgery, Drs J. Daniel Stanley, John Bartlett, Benjamin Dart, and John Ashcraft have written a masterful overview on this topic entitled, “Clostridium difficile Infection.” They begin with a discussion of the history of this often hospital-acquired infection, including its association with clindamycin therapy and the development of more v...

Visualization of the leakage of pancreatic juice using a chymotrypsin‐activated fluorescent probe

British Journal of Surgery — Sun, 16 Jun 2013 23:17:50 +0100

ConclusionThe chymotrypsin probe enabled determination of the protease activity in drained pancreatic fluid samples and allowed real‐time visualization of pancreatic juice leakage during surgery. (Source: British Journal of Surgery)

Advances in Infections and Wound Healing for the Diabetic Foot: The Die Is Cast

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

(Source: The International Journal of Lower Extremity Wounds)

Tissue and Swab Culture in Diabetic Foot Infections: Neuropathic Versus Neuroischemic Ulcers

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

In conclusion, swab cultures are highly sensitive but less specific and have an excellent NPV both in diabetic patients with neuropathic and in those with neuroischemic foot ulcer. There are no differences between the groups in microbial load. (Source: The International Journal of Lower Extremity Wounds)

The Performance of Serum Inflammatory Markers for the Diagnosis and Follow-up of Patients With Osteomyelitis

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Serum inflammatory markers, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), white blood cells (WBC), and procalcitonin (PCT), have been used for the diagnosis of foot infections in patients with diabetes. However, little is known about their changes during treatment of patients with foot infections. The aim of this prospective study was to examine the performance of serum inflammatory markers for the diagnosis and follow-up of patients with osteomyelitis. A total of 61 patients (age 63.1 ± 7.0 years, 45 men and 16 women, 7 with type 1 and 54 with type 2 diabetes) with untreated foot infection (34 with soft-tissue infection and 27 with osteomyelitis) were recruited. Diagnosis of osteomyelitis was based on clinical examination and was confirmed by imaging studies (X-ra...

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Effect of Daptomycin on Local Interleukin-6, Matrix Metalloproteinase-9, and Metallopeptidase Inhibitor 1 in Patients With MRSA-Infected Diabetic Foot

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Infection is a major cause of the diabetic foot syndrome being aggravating by the increased burden of multiresistant germs like methicillin-resistant Staphylococcus aureus (MRSA). Maximizing positive outcome for serious MRSA infections requires an aggressive treatment approach and a careful monitoring of the healing process. Therefore, we examined 8 patients with MRSA-infected diabetic foot syndrome Wagner classification grades 2 or 3 (corresponding to the Texas classification stage 2 and 3) during antibiotic treatment with daptomycin. We documented the wound size and obtained samples of wound secretion for analyses of pro-inflammatory interleukin-6 (IL-6), protease (matrix metalloproteinase-9 [MMP-9]), and antiprotease activity (metallopeptidase inhibitor 1 [TIMP-1]). During the course of...

Risk Factors and Gene Type for Infections of MRSA in Diabetic Foot Patients in Tianjin, China

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

The objective was to study risk factors and gene type of DF patients infected with MRSA. A total of 429 DF patients were recruited. The patients with S aureus infections were divided into MRSA and MSSA groups. MRSA were genotyped by SCCmec. pvl and lukE-lukD were detected. A total of 559 pathogens were isolated from them, with G+ bacteria firstly(59.0%), followed G- bacilli (37.7%) and true fungi (3.3%). The 3 most frequently isolated pathogens were S aureus (35.2%), S epidermidis (12.3%), and Pseudomonas aeruginosa (11.2%). SCCmec III MRSA and SCCmec IVa MRSA had the same antibacterial spectrum. mecA positive rate was 100%. lukE-lukD and pvl positive rates were 100% and 0%, respectively. 28 strains belonged to SCCmec III and the others belonged to SCCmec IVa. The G+ cocci were the main pa...

Wound Fluid in Diabetic Foot Ulceration: More Than Just an Undefined Soup?

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Valid and reproducible sampling techniques as well as processing protocols are required for the assessment of biomarkers and mediators contained in wound exudate. Moreover, the ideal technique should be easy to use even in daily clinical routine. This is challenging since wound fluid represents an inhomogeneous mixture of different exogenous and endogenous sources. Analyzing wound fluid, however, may facilitate clinical decision making. Many techniques for obtaining wound fluid have been described. There is very little validation data, and the array of different techniques appears confusing. Structuring and new standards are needed to avoid wound fluid sampling yielding an "undefined soup." A lot of wound fluid parameters have been analyzed, although none of them have made its way into cli...

Super-Oxidized Solution (Dermacyn Wound Care) as Adjuvant Treatment in the Postoperative Management of Complicated Diabetic Foot Osteomyelitis: Preliminary Experience in a Specialized Department

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Surgery is usually used to treat diabetic foot osteomyelitis (DFO), whether primarily or in cases in which antibiotics are not able to control infection. In many cases, the bone is only partially removed, which means that residual infection remains in the bone margins, and the wound is left open to heal by secondary intent. The use of culture-guided postoperative antibiotic treatment and adequate management of the wound must be addressed. No trials exist dealing with local treatment in the postoperative management of these cases of complicated DFO. We decided to test a super-oxidized solution, Dermacyn Wound Care (DWC; Oculus Innovative Sciences Netherlands BV, Sittard, Netherlands) to obtain preliminary experience in patients in whom infected bone remained in the surgical wounds. Our hypo...

Current Achievements With Topical Negative Pressure to Improve Wound Healing in Dehiscent Ischemic Stumps of Diabetic Patients: A Case Series

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Negative pressure wound therapy has been increasingly used either as a primary or as an adjunctive therapeutic measure to treat a variety of recalcitrant wounds during the past years. It is thought to act by creating a local environment that promotes cell proliferation, angiogenesis, and granulation tissue formation, leading to accelerated wound healing to the point of spontaneous closure or reducing the wound size to facilitate significantly further surgical reconstruction. This case series presents our preliminary experience with the use of a Topical Negative Pressure system in the treatment of challenging ischemic wounds of diabetic patients. It aims to underscore its beneficial effects and explore its potential role in the management of ischemic amputated stumps to avoid ipsilateral re...

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Revision Surgery for Diabetic Foot Infections: Giving Another Chance to the Patient

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Revision surgery (RS) is frequently needed to control diabetic foot infections. It is the aim of this retrospective observational study to analyze the variables associated with undergoing RS and the variables associated with undergoing a major amputation when RS was required. We conducted a retrospective study of patients with diabetes treated in our department during 10 years (January 1, 2000 to January 1, 2010) who had foot infections identifying those who required RS. In all, 167 out of 417 patients (40%) with diabetes who underwent surgery for foot infections underwent RS for persistent infection. The predictive variables related to undergoing revision surgery were erythrocyte sedimentation rate >70 mm/h (odds ratio [OR] = 1.6, 95% confidence interval [CI] = 1.1-2.6), leukocytosis (...

Hyperbaric Oxygen Therapy as Adjunctive Treatment for Diabetic Foot Ulcers

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

Hyperbaric oxygen therapy (HBOT) has been suggested to improve healing of hard-to-heal diabetic foot ulcers. Although the wide use of HBOT as a treatment for diabetic foot ulcers has been founded on weak scientific ground, 2 well-designed randomized, double-blind, placebo-controlled studies have in recent years put HBOT on firmer ground as treatment for diabetic patients with chronic foot ulcers. The recognition of inclusion criteria in these studies may help identify a select group of diabetic patients with hard-to-heal ulcers who might benefit from HBOT. In this review, we discuss the rationale behind the use of HBOT, its clinical application, and possible treatment complications. (Source: The International Journal of Lower Extremity Wounds)

Managing Diabetic Foot Infection in India

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

The burden of diabetic foot complications, in terms of both physical and socioeconomical constraints, poses a heavy challenge both to the patient and the physician, especially in developing countries, where the number of people living with diabetes is increasing at an alarming rate compared with the developed world. In developing countries like India, there are specific causes and risk factors that increase the burden of diabetic foot infections (DFIs), for example, sociocultural risk factors such as barefoot walking, using improper footwear, poor knowledge of foot care practices, lack of adequate and timely access to podiatry services, and poor health care resources. Management of DFI in light of these limitations is quite a challenge to health care professionals. Several techniques and s...

Training to Measure Ankle-Brachial Index at the Undergraduate Level: Can It Be Successful?

The International Journal of Lower Extremity Wounds — Fri, 14 Jun 2013 04:00:00 +0100

In conclusion, training of medical students in ABI measurement can be helpful toward accurate estimation of PAD and merits further practice. (Source: The International Journal of Lower Extremity Wounds)

Hand Surg; +199 new citations

Hand Surgery — Fri, 14 Jun 2013 02:44:52 +0100

199 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: Hand Surg These pubmed results were generated on 2013/06/13PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources. (Source: Hand Surgery)

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[Parathyroidectomy for unclear localization : Minimally invasive or open.]

Der Chirurg — Thu, 13 Jun 2013 04:00:00 +0100

Authors: Dralle H, Hein J Abstract PMID: 23756613 [PubMed - as supplied by publisher] (Source: Der Chirurg)

Video-assisted radiofrequency ablation for pleural disseminated non-small cell lung cancer

BMC Surgery — Thu, 13 Jun 2013 04:00:00 +0100

Conclusions: The introduction of RFA to TP offered survival benefits to pleural disseminated NSCLC patients, making it a potential alternative palliative treatment for local tumor. However, multicenter randomized controlled trials are required to confirm these findings. (Source: BMC Surgery)

Evaluation of a Video Telescopic Operating Microscope (VITOM) for Pediatric Surgery and Urology: A Preliminary Report

Journal of Laparoendoscopic — Thu, 13 Jun 2013 03:05:22 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Less Invasive Hernia Repair Safer for Obese (CME/CE)

MedPage Today Surgery — Wed, 12 Jun 2013 21:35:13 +0100

(MedPage Today) -- Laparoscopic repair of ventral hernias cuts complications and hospital stay for obese patients, a national study showed. (Source: MedPage Today Surgery)

Laparoscopic Ventral Hernia Repair Safe in Obese PatientsLaparoscopic Ventral Hernia Repair Safe in Obese Patients

Medscape Today Headlines — Wed, 12 Jun 2013 20:23:23 +0100

The use of laparoscopic ventral hernia repair in obese patients may be safe and linked to a shorter hospital stay and lower cost of care compared with open surgery. Medscape Medical News (Source: Medscape Today Headlines)

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A New Magnetic Sphincter Device for the Treatment of GERDA New Magnetic Sphincter Device for the Treatment of GERD

Medscape Today Headlines — Wed, 12 Jun 2013 14:28:47 +0100

Commentary on a study on the safety and effectiveness of a new magnetic device for the treatment of gastroesophageal reflux disease, published in February 2013 in the New England Journal of Medicine. Medscape General Surgery (Source: Medscape Today Headlines)

Current Patterns of Practice and Technique in the Repair of Esophageal Atresia and Tracheoesophageal Fistua: An IPEG Survey

Journal of Laparoendoscopic — Wed, 12 Jun 2013 14:03:18 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Editorial Board

International Journal of Surgery — Wed, 12 Jun 2013 11:18:55 +0100

(Source: International Journal of Surgery)

[Laparoscopic vs open colectomy for acute colitis refractive to medicinal therapy.]

Der Chirurg — Wed, 12 Jun 2013 04:00:00 +0100

Authors: Reibetanz J, Germer CT Abstract PMID: 23754520 [PubMed - as supplied by publisher] (Source: Der Chirurg)

[Rotating physician in CHIR-Net : Evaluation of the curriculum.]

Der Chirurg — Wed, 12 Jun 2013 04:00:00 +0100

CONCLUSION: With the rotating physician model of CHIR-Net a working concept for the training of surgeons in clinical research and the realization of randomized surgical trials was established as a viable solution for the difficult situation of clinical research in the surgical disciplines with the double burden of research and clinical practice. PMID: 23754519 [PubMed - as supplied by publisher] (Source: Der Chirurg)

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Systematic Review of Studies Investigating Sentinel Node Navigation Surgery and Lymphatic Mapping for Gastric Cancer

Journal of Laparoendoscopic — Wed, 12 Jun 2013 03:03:47 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Development of a Needle Driver with Multiple Degrees of Freedom for Neonatal Laparoscopic Surgery

Journal of Laparoendoscopic — Tue, 11 Jun 2013 18:14:06 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Laparoscopic Management of Pyloric Atresia in a Neonate with Epidermolysis Bullosa

Journal of Laparoendoscopic — Tue, 11 Jun 2013 18:14:02 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Pure NOTES Rectosigmoid Resection: Transgastric Endoscopic IMA Dissection and Transanal Rectal Mobilization in Animal Models

Journal of Laparoendoscopic — Tue, 11 Jun 2013 18:14:01 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

Perpendicular Blood Vessel Seals Are Stronger Than Those Made at an Angle

Journal of Laparoendoscopic — Tue, 11 Jun 2013 18:14:01 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0. (Source: Journal of Laparoendoscopic)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Penile strangulation and necrosis due to condom catheter

International Wound Journal — Tue, 11 Jun 2013 04:00:00 +0100

We present a case of penile necrosis due to condom catheter. We will also discuss proper catheter care and treatment of possible complications. (Source: International Wound Journal)

Erle E. Peacock

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

(Source: Wound Repair and Regeneration)

Wound care certification: The grin without a cat

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

(Source: Wound Repair and Regeneration)

Role of salivary vascular endothelial growth factor (VEGF) in palatal mucosal wound healing

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract The mucosa of alimentary tract heals more rapidly than cutaneous wounds. The underlying mechanisms of this enhanced healing have not been completely elucidated. Constant exposure to salivary growth factors has been shown to play a critical role in mucosal homeostasis and tissue repair. Angiogenesis also has an essential role in successful wound repair. One of the main angiogenic growth factors, vascular endothelial growth factor (VEGF), has a pleiotropic role in tissue repair via neovascularization, reepithelialization, and regulation of extracellular matrix. We have previously reported a critical role for salivary VEGF in bowel adaptation after small bowel resection. We hypothesize that salivary VEGF is an essential stimulus for oral mucosal tissue repair, and use the murine pala...

Detection of lymphangiogenesis by near‐infrared fluorescence imaging and responses to VEGF‐C during healing in a mouse full‐dermis thickness wound model

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract Noninvasive, longitudinal near‐infrared fluorescence (NIRF) imaging was used to detect and quantify lymphangiogenesis following a full‐dermis thickness incision in the presence and absence of locally administered vascular endothelial growth factor‐C (VEGF‐C), a well‐known regulator of lymphangiogenesis. Peripheral cytokines/chemokines were also measured in treated and sham‐injected animals. Lymphangiogenesis was detected via NIRF imaging by day 7–8 and confirmed by intravital microscopy, while angiogenesis was observed by day 2–3 postincision (PI). All lymph vessel parameters quantified were significantly greater on wounded vs. nonwounded sides of mice. Lymph vessel parameters appeared larger on wounded sides of VEGF‐C– relative to NaCl‐treated mice, although...

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Toll‐like receptor 4 signaling regulates the acute local inflammatory response to injury and the fibrosis/neovascularization of sterile wounds

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract The role of Toll‐like receptor 4 (TLR4) in the regulation of inflammation and fibrosis in sterile wounds was investigated in TLR4 signal‐deficient (C3H/HeJ or TLR4−/−) and control mice using the subcutaneously implanted polyvinyl alcohol sponge wound model. Total and differential wound cell counts 1, 3, and 7 days after injury did not differ between C3H/HeJ and C3H/HeOuJ animals. Blood monocytes from both strains expressed CCR2 equally. Day one wounds in C3H/HeJ mice contained fewer Gr‐1high wound macrophages, CCL3, and CCL5, and more CCL17 than those in controls. The accumulation of CCL2, CX3CL1, tumor necrosis factor‐α, interleukin (IL)‐6, IL‐10, IL‐12, and interferon‐γ in wound fluids was not TLR4 dependent. Wound macrophages from C3H/HeJ and C3H/HeOuJ mic...

Direct contact of fibroblasts with neuronal processes promotes differentiation to myofibroblasts and induces contraction of collagen matrix in vitro

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

In conclusion, direct contact of fibroblasts with neuronal processes is important for differentiation into myofibroblasts and induction of collagen gel contraction, leading to promotion of wound healing. (Source: Wound Repair and Regeneration)

A systematic review of the psychometric properties of self‐reported scales assessing burn contractures reveals the need for a new tool to measure contracture outcomes

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract Approximately 40% of burn patients develop scar contractures. It is unknown which scar contracture therapy best optimizes activities of daily living (ADL).The appropriateness of self‐reported outcome tools in measuring anti‐scar contracture therapies has not been assessed. We conducted a systematic review to determine the quality of existing self‐reported scales in measuring ADL among burn patients by analyzing and comparing psychometric properties—factor analysis, validity, reliability, and responsiveness. EMBASE, LILACS, American Psychological Association PsycNET databases were searched for relevant articles. Forty‐one articles discussing 10 burn and non‐burn–specific scales met eligibility criteria of ADL assessment, and available psychometric analyses. A common s...

Undermining incision and healing of deep pressure ulcers: A prospective cohort study of pressure ulcers by the Japanese National Hospital Organization

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

This study may provide the first considerable evidence to support that surgical incision of undermining may promote healing of deep pressure ulcers. (Source: Wound Repair and Regeneration)

Wound healing potential of topical bacteriophage therapy on diabetic cutaneous wounds

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract Chronic wounds that fail to heal are a common complication of diabetes mellitus and the most common precipitating reason for nontraumatic lower limb amputation. Unfortunately, the bacterial species that cause these infections are becoming more resistant to antibiotics, making them increasingly difficult to treat. We assessed the feasibility of combating chronic bacterial infections with a topically delivered bacteriophage cocktail in two animal models of diabetes mellitus. Microbiological, planimetric, and histological parameters were compared in debrided infected wounds with or without topical bacteriophage treatment. We determined that bacteriophage treatment effectively decreased bacterial colony counts and improved wound healing, as indicated by smaller epithelial and dermal g...

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Molecular angiogenic events of a two‐herb wound healing formula involving MAPK and Akt signaling pathways in human vascular endothelial cells

Wound Repair and Regeneration — Tue, 11 Jun 2013 04:00:00 +0100

Abstract The emergence of electric cell‐substrate impedance sensing (ECIS) technology has provided new insight in advanced cell behavioral study by its nanometer sensitivity, precise electrical wounds generation, and high reproducibility that can be monitored in real time in a noninvasive way. However, little is known regarding pro‐angiogenic agents in wound healing studies using endothelial cells evaluated with ECIS technology. Our previous studies showed a prominent wound healing effect of a two‐herb formula (NF3) comprising of Astragali Radix and Rehmanniae Radix in a rat chronic wound model through actions including angiogenesis. Here we further investigated the angiogenic effect and its underlying molecular mechanism through proliferation, motility, and tubule formation of human...

Venous thromboembolism

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

Extended treatment (Source: British Journal of Surgery)

Systematic review and meta‐analysis of hypothermic machine perfusion versus static cold storage of kidney allografts on transplant outcomes

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionData from the included studies suggest that hypothermic machine perfusion reduces delayed graft function compared with static cold storage. There was no difference in primary non‐function, acute rejection, long‐term renal function or patient survival. A difference in renal graft survival is uncertain. (Source: British Journal of Surgery)

Raised haematocrit concentration and the risk of death and vascular complications after major surgery

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionA raised haematocrit concentration was associated with an increased risk of 30‐day mortality and venous thrombosis following major surgery. (Source: British Journal of Surgery)

Surgical delay is a critical determinant of survival in perforated peptic ulcer

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionLimiting surgical delay in patients with PPU seems of paramount importance. (Source: British Journal of Surgery)

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Snapshot Quiz

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

(Source: British Journal of Surgery)

Proximal margin length with transhiatal gastrectomy for Siewert type II and III adenocarcinomas of the oesophagogastric junction

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionGross proximal margin lengths of more than 20 mm in resected specimens seem satisfactory for patients with type II and III adenocarcinoma of the oesophagogastric junction treated by transhiatal gastrectomy. (Source: British Journal of Surgery)

Partial hepatectomy for ruptured hepatocellular carcinoma

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionSpontaneous rupture predicted poor long‐term survival after hepatectomy for HCC, but surgical treatment seems possible, safe and appropriate in selected patients. (Source: British Journal of Surgery)

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionThe proposed error rating tool allows an objective and reliable assessment of operative performance in laparoscopic gastric bypass procedures. (Source: British Journal of Surgery)

Cost‐effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

ConclusionEnhanced recovery is cost‐effective, with savings evident even in the initial implementation period. (Source: British Journal of Surgery)

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Prophylactic central neck dissection for papillary thyroid cancer (Br J Surg 2013; 100: 410–418)

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

The Editors welcome topical correspondence from readers relating to articles published in the Journal. Responses should be sent electronically via the BJS website (www.bjs.co.uk). All letters will be reviewed and, if approved, appear on the website. A selection of these will be edited and published in the Journal. Letters must be no more than 250 words in length (Source: British Journal of Surgery)

Author's reply: Prophylactic central neck dissection for papillary thyroid cancer (Br J Surg 2013; 100: 410–418)

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

(Source: British Journal of Surgery)

Scientific Surgery

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

(Source: British Journal of Surgery)

Contemporary management and outcomes for infants born with oesophageal atresia

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

(Source: British Journal of Surgery)

Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes

British Journal of Surgery — Mon, 10 Jun 2013 04:00:00 +0100

To assist decision‐making (Source: British Journal of Surgery)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

A possible explanation for the high frequency of contact sensitisation in chronic venous ulcers

International Wound Journal — Sun, 09 Jun 2013 04:00:00 +0100

(Source: International Wound Journal)

Spine Injections May Set Stage for Fractures (CME/CE)

MedPage Today Surgery — Fri, 07 Jun 2013 23:13:18 +0100

(MedPage Today) -- Spinal injections of steroids, intended to relieve back pain, increased bone fragility in the vertebrae of older patients, a retrospective analysis found. (Source: MedPage Today Surgery)

The INCH-Trial: a multicentre randomized controlled trial comparing the efficacy of conventional open surgery and laparoscopic surgery for incisional hernia repair

BMC Surgery — Fri, 07 Jun 2013 04:00:00 +0100

This study, the 'INCH-trial', comparing cost-effectiveness of open and laparoscopic incisional hernia repair, is therefore needed. Methods: A randomized multi-center clinical trial comparing cost-effectiveness of open and laparoscopic repair of incisional hernias. Patients with a symptomatic incisional hernia, eligible for laparoscopic and open incisional hernia repair. Only surgeons, experienced in both open and laparoscopic incisional hernia repair, will participate in the INCH trial. During incisional hernia repair, a mesh is placed under or on top of the fascia, with a minimal overlap of 5 cm. Primary endpoint is length of hospital stay after an incisional hernia repair. Secondary endpoints are time to full recovery within three months after index surgery, post-operative complications,...

Open‐label clinical trial comparing the clinical and economic effectiveness of using a polyurethane film surgical dressing with gauze surgical dressings in the care of postoperative surgical wounds

International Wound Journal — Fri, 07 Jun 2013 04:00:00 +0100

This study compared the use of a new polyurethane film surgical dressing (Opsite Post‐Op Visible, Smith & Nephew, Hull, UK) with gauze and tape in the management of postoperative wounds. The results show that the polyurethane film dressing results in a significant reduction in SSI (1·4% versus 6·6%, P = 0·006) as well as a reduction in other postoperative wound complications (e.g. blistering and erythema). Economic analysis conducted alongside the study suggests that these improved outcomes can be achieved at a lower total treatment cost than gauze and tape dressings. The modest incremental cost of the polyurethane film surgical dressing is easily offset by the reduction in the costs associated with treating SSI and other wound complications associated with gauze and tape dres...

A prospective randomised comparative parallel study of amniotic membrane wound graft in the management of diabetic foot ulcers

International Wound Journal — Fri, 07 Jun 2013 04:00:00 +0100

Abstract Our purpose was to compare healing characteristics of diabetic foot ulcers treated with dehydrated human amniotic membrane allografts (EpiFix®, MiMedx, Kennesaw, GA) versus standard of care. An IRB‐approved, prospective, randomised, single‐centre clinical trial was performed. Included were patients with a diabetic foot ulcer of at least 4‐week duration without infection having adequate arterial perfusion. Patients were randomised to receive standard care alone or standard care with the addition of EpiFix. Wound size reduction and rates of complete healing after 4 and 6 weeks were evaluated. In the standard care group (n = 12) and the EpiFix group (n = 13) wounds reduced in size by a mean of 32·0% ± 47·3% versus 97·1% ± 7·0% (P < 0·001) after ...

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

MR compatible positioning device for guiding a focused ultrasound system for the treatment of brain deseases

The International Journal of Medical Robotics and Computer Assisted Surgery — Fri, 07 Jun 2013 04:00:00 +0100

ConclusionA simple, cost effective, portable positioning device has been developed which can be used in virtually any clinical MRI scanner since it can be placed on the table of the MRI scanner. This system can be used to treat in the future patients with brain cancer and ischemic stroke. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

Which Wound Dressing Is Best After Split-Skin Grafting?Which Wound Dressing Is Best After Split-Skin Grafting?

Medscape Today Headlines — Thu, 06 Jun 2013 18:48:12 +0100

Commentary on a study comparing 6 types of wound dressings for donor-site wounds after split-skin grafting, published in April 2013 in the British Journal of Surgery. Medscape General Surgery (Source: Medscape Today Headlines)

Projecting Surgeon Supply Using a Dynamic ModelProjecting Surgeon Supply Using a Dynamic Model

Medscape Today Headlines — Thu, 06 Jun 2013 13:05:22 +0100

This study forecasts the imminent nature of reductions in surgical workforce supply. Annals of Surgery (Source: Medscape Today Headlines)

Failed Primary Abdominal Closure in the Trauma PatientFailed Primary Abdominal Closure in the Trauma Patient

Medscape Today Headlines — Thu, 06 Jun 2013 13:05:21 +0100

Failed abdominal closure results in increased patient morbidity and complications. Are there specific risk factors which might help predict failed closure after damage-control laparotomy? Southern Medical Journal (Source: Medscape Today Headlines)

Effects of glutamine on wound healing

International Wound Journal — Thu, 06 Jun 2013 04:00:00 +0100

This study was conducted on 30 female Sprague Dawley rats with a mean weight of 230 ± 20 g. Secondary wounds were formed by excising 2 × 1 cm skin subcutaneous tissue on the back of the rats. The rats were divided into three equal groups. Group C (Control): the group received 1 ml/day isotonic solution by gastric gavage after secondary wound was formed. Group A (Abound): the group received 0·3 g/kg/day/ml Gln, 0·052 g/kg/day/ml HMB and 0·3 g/kg/day/ml Arg by gastric gavage after secondary wound was formed. Group R (Resource): the group received 0·3 g/kg/day/ml Gln by gastric gavage after secondary wound was formed. The OHP levels of the tissues obtained from the upper half region on the 8th day and the lower half region on the 21st day from the same rats in the grou...

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Combining Flexi‐Seal and negative pressure wound therapy for wound management in Fournier's gangrene

International Wound Journal — Thu, 06 Jun 2013 04:00:00 +0100

(Source: International Wound Journal)

Decrease in Major Amputations in Germany

International Wound Journal — Thu, 06 Jun 2013 04:00:00 +0100

This study aims to study the trends in amputation rates in Germany. On the basis of DRG‐system, detailed lists of all amputations coded as minor amputations (OPS 5–864) and major amputations (OPS 5–865) performed between 2005 and 2010 were provided by the Federal Statistical Office. There was a significant decrease in age‐adjusted major amputation rates per 100 000 population in Germany from 27·0 in 2005 to 22·9 in 2010 (15·2%, P ≪ 0·001) in males and from 19·7 in 2005 to 14·4 in 2010 (26·9%, P ≪ 0·001) in females. Overall, minor amputation rates did not show such a decrease but increased in males (from 47·4 in 2005 to 57·8 in 2010, 21·9%, P ≪ 0·001) and remained almost unchanged in females (23·1 in 2005 and 23·9 in 2010, not significant). Reduction...

[Liver transplantation as effective treatment for non-resectable liver metastases of neuroendocrine tumors.]

Der Chirurg — Thu, 06 Jun 2013 04:00:00 +0100

Authors: Strobel O, Büchler MW Abstract PMID: 23743994 [PubMed - as supplied by publisher] (Source: Der Chirurg)

[Regional treatment of malignant pleural mesothelioma : Results from the tumor centre Regensburg.]

Der Chirurg — Thu, 06 Jun 2013 04:00:00 +0100

CONCLUSIONS: The distribution of MPM varies according to regional and industrial asbestos exposure. Screening and diagnostics should concentrate on locations with higher incidence of MPM to facilitate surgical therapy in a multimodal treatment regime. PMID: 23743993 [PubMed - as supplied by publisher] (Source: Der Chirurg)

[From historical all-rounder to modern specialists : Surgical further education in Germany from 1994 to 2012.]

Der Chirurg — Thu, 06 Jun 2013 04:00:00 +0100

Authors: Lindlohr C, Rose M, Scheuerlein H, Settmacher U, Heiss M, Pape-Koehler C Abstract PMID: 23743992 [PubMed - as supplied by publisher] (Source: Der Chirurg)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Double peptic perforation: Report of a rare case.

Asian Journal of Surgery — Thu, 06 Jun 2013 04:00:00 +0100

Authors: Sharma AK, Sharma RK, Sharma SK, Soni D, Singh TP Abstract Perforation peritonitis is the most common surgery performed in an emergency. Upper gastrointestinal tract perforation is more common than lower gastrointestinal perforation. Multiple peptic perforations in an individual are a relatively rare entity, with fewer than 10 cases reported in the literature. The factor that contributes the most for the occurrence of multiple peptic perforations is analgesic and steroid abuse. Herein, we report a rare case of double peptic perforation in a middle-aged man with history of analgesic use for 18 months. PMID: 23746944 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)

Simple Actions May Reduce Postop Pulmonary ComplicationsSimple Actions May Reduce Postop Pulmonary Complications

Medscape Today Headlines — Wed, 05 Jun 2013 20:23:19 +0100

A postoperative program including incentive spirometry, coughing and deep breathing, oral care, patient education, getting out of bed often, and head-of-bed elevation may reduce common complications. Medscape Medical News (Source: Medscape Today Headlines)

Femoral Vein Revascularization in Groin Infectious BleedingFemoral Vein Revascularization in Groin Infectious Bleeding

Medscape Today Headlines — Wed, 05 Jun 2013 13:05:22 +0100

Groin infections resulting in arterial bleeding due to bacterial vessel destruction are a severe challenge in vascular surgery. What's the best approach? Journal of Medical Case Reports (Source: Medscape Today Headlines)

Surgical training and assessment: 2013

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

Assessment of surgical trainees in the workplace

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

The future of surgical education

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

In‐training assessment at the Royal Australasian College of Surgeons

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

Medicine in small doses

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

25, 50 & 75 years ago

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

In‐training assessments used in the United States surgical residency programmes

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

DiscussionThe process by which competence is assessed in the US surgical training programmes is multifactorial and heavily linked to the structure and function of several national organizations in surgery and medicine. (Source: ANZ Journal of Surgery)

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An extremely rare case of giant mesocolonic haemangioma

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

Case report of bowel perforation after metallic ‘Buckyball’ ingestion

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

Endovascular repair of popliteal artery pseudoaneurysm with covered stent following total knee joint replacement

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

A limb threatening complication of intravenous fluid resuscitation

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

A rare differential diagnosis of a common clinical presentation

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Aortocaval fistula: patting the ‘purring tiger’

ANZ Journal of Surgery — Wed, 05 Jun 2013 04:00:00 +0100

(Source: ANZ Journal of Surgery)

Thyroid Surgery: Guidelines for Improving Voice Outcomes Thyroid Surgery: Guidelines for Improving Voice Outcomes

Medscape Today Headlines — Tue, 04 Jun 2013 21:54:57 +0100

Approximately 10% of patients undergoing thyroidectomy experience temporary laryngeal nerve injury after surgery. Medscape Medical News (Source: Medscape Today Headlines)

Sildenafil in the treatment of pressure ulcer: a randomised clinical trial

International Wound Journal — Tue, 04 Jun 2013 04:00:00 +0100

Abstract Pressure ulcer (PrU)‐related hospitalisation and mortality are critical issues in medical and surgical patients. Although animal studies have suggested the beneficial effects of sildenafil on wound healing, related clinical data are lacking. This is the first clinical study that has evaluated the effects of topical sildenafil on PrU healing in human subjects. Enrolled patients were randomly allocated to receive topical sildenafil (10%) ointment or placebo daily. Wound healing was assessed visually and photographically by the change in wound score according to two‐digit Stirling scale. Decreases in grades of the PrUs were significantly higher in sildenafil group compared with placebo group (P < 0·001). In addition, surface areas of ulcers in sildenafil group were signif...

A novel remote center of motion mechanism for the force‐reflective master robot of haptic tele‐surgery systems

The International Journal of Medical Robotics and Computer Assisted Surgery — Tue, 04 Jun 2013 04:00:00 +0100

ConclusionsThe proposed mechanism meets the basic requirements of an effective master robot for haptic tele‐surgery applications. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

Thoracoscopic Thymectomy in Children: Our Preliminary Experience

Journal of Laparoendoscopic — Mon, 03 Jun 2013 15:11:16 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques Jun 2013, Vol. 23, No. 6: 556-559. (Source: Journal of Laparoendoscopic)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Robot-Assisted Surgery: Current Status Evaluation in Abdominal and Urological Pediatric Surgery

Journal of Laparoendoscopic — Mon, 03 Jun 2013 15:10:12 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques Jun 2013, Vol. 23, No. 6: 530-538. (Source: Journal of Laparoendoscopic)

Comment on Advances in Urologic Surgery Special Edition

Journal of Laparoendoscopic — Mon, 03 Jun 2013 15:09:48 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques Jun 2013, Vol. 23, No. 6: 487-488. (Source: Journal of Laparoendoscopic)

Patient Scar Assessment After Single-Incision Versus Four-Port Laparoscopic Cholecystectomy: Long-Term Follow-Up from a Prospective Randomized Trial

Journal of Laparoendoscopic — Mon, 03 Jun 2013 15:09:41 +0100

Journal of Laparoendoscopic & Advanced Surgical Techniques Jun 2013, Vol. 23, No. 6: 553-555. (Source: Journal of Laparoendoscopic)

The Orthopaedic In-Training Examination: Perspectives of Program Directors and Residents from the United States and Canada

Journal of Surgical Education — Mon, 03 Jun 2013 11:19:28 +0100

Conclusions: The OITE is more important to PDs and residents in the United States than it is in Canada, and the reported OITE scores reflect these attitudes. PDs in Canada also employ a greater diversity of evaluative tools, a practice in keeping with recent advances toward competency-based medical education. The findings of this report may help PDs be aware of alternative methods of formative resident evaluation and ultimately improve the training of future independent surgeons. (Source: Journal of Surgical Education)

Using the Mind as a Simulator: A Randomized Controlled Trial of Mental Training

Journal of Surgical Education — Mon, 03 Jun 2013 11:19:28 +0100

Conclusion: The addition of mental training led to improved laparoscopic skills development. It is a flexible technique and has the potential to challenge VRS as a more cost-effective training method associated with lower capital investment. Given the benefits of mental training with further research, it could be considered for inclusion in training curricula. (Source: Journal of Surgical Education)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Masthead

Journal of Surgical Education — Mon, 03 Jun 2013 11:19:28 +0100

(Source: Journal of Surgical Education)

Journal of Surgical Education — Mon, 03 Jun 2013 11:19:28 +0100

(Source: Journal of Surgical Education)

Quantifying Factors Influencing Operating Theater Teaching, Participation, and Learning Opportunities for Medical Students in Surgery

Journal of Surgical Education — Mon, 03 Jun 2013 11:19:27 +0100

Conclusions: Although operating theater attendance is recognized as an important component of the medical school curriculum, overall attendance at sessions was low. Attendance could be increased by ensuring students knowing what is expected of them, making them feel welcome, setting learning objectives, and allowed them to actively participate. These results highlight the need to ensure that the time spent by medical students in the operating room is positive and maximized to its full potential through structured learning involving all members of the theater team. (Source: Journal of Surgical Education)

Anatomical landmarks for point‐matching registration in image‐guided neurosurgery

The International Journal of Medical Robotics and Computer Assisted Surgery — Mon, 03 Jun 2013 04:00:00 +0100

ConclusionsThe AL configurations proposed in this investigation provide sufficient registration accuracy and can help to avoid the disadvantages of SMs if used clinically. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

En bloc resection of epiglottic tumors with transoral robotic approach – preliminary results

The International Journal of Medical Robotics and Computer Assisted Surgery — Mon, 03 Jun 2013 04:00:00 +0100

ConclusionThese preliminary results indicate that application of the da Vinci robotic surgical system for en bloc resection of supraglottic partial cancers is technically feasible and safe, with satisfactory oncological outcome and postoperative laryngeal function. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Prior experience in micro‐surgery may improve the surgeon's performance in robotic surgical training

The International Journal of Medical Robotics and Computer Assisted Surgery — Mon, 03 Jun 2013 04:00:00 +0100

ConclusionsThese results show that experience in micro‐surgery could significantly improve surgeons' abilities and their performance in robotic training. So, as micro‐surgery practice is relatively cheap, it could be easily included in basic robotic surgery training. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

Benefits and Risks of Preventing Thromboembolism With Enoxaparin in Patients With General Surgery in Real World--The CLEVER Study

Clinical and Applied Thrombosis/Hemostasis — Mon, 03 Jun 2013 04:00:00 +0100

Conclusions: Enoxaparin is effective and safe in surgical patients to prevent venous thromboembolism. (Source: Clinical and Applied Thrombosis/Hemostasis)

Comments on Margolis et al. Lack of effectiveness of Hyperbaric Oxygen Therapy for the Treatment of Diabetic Foot Ulcer and the Prevention of Amputation

International Wound Journal — Mon, 03 Jun 2013 04:00:00 +0100

(Source: International Wound Journal)

Preliminary investigation of topical nitroglycerin formulations containing natural wound healing agent in diabetes‐induced foot ulcer

International Wound Journal — Mon, 03 Jun 2013 04:00:00 +0100

This study showed that the gel formed with carbopol 974p (1%) and aloe vera promotes significant wound healing and closure in diabetic rats compared with the commercial product and provides a promising product to be used in diabetes‐induced foot ulcer. (Source: International Wound Journal)

[Rectal Cancer Surgery in Germany - a 10-Year-Analysis Based on the Data of the "Institute of Quality Assurance in Operative Medicine" at the Otto-von-Guericke University Magdeburg.]

Zentralblatt fur Chirurgie — Mon, 03 Jun 2013 04:00:00 +0100

Conclusion: While an increase in the use of neo-adjuvant treatment for rectal cancer and the establishment of TME in routine patient-centred care have led to a significant improvement in local tumour control with a constant total morbidity and lethality, there is no detectable influence on the patients' total survival. PMID: 23733243 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Chirurgie)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

The second "time-out": a surgical safety checklist for lengthy robotic surgeries.

Patient Safety in Surgery — Mon, 03 Jun 2013 04:00:00 +0100

The second "time-out": a surgical safety checklist for lengthy robotic surgeries. Patient Saf Surg. 2013 Jun 3;7(1):19 Authors: Song JB, Vemana G, Mobley JM, Bhayani SB Abstract Robotic surgeries of long duration are associated with both increased risks to patients as well as distinct challenges for care providers. We propose a surgical checklist, to be completed during a second "time-out", aimed at reducing peri-operative complications and addressing obstacles presented by lengthy robotic surgeries. A review of the literature was performed to identify the most common complications of robotic surgeries with extended operative times. A surgical checklist was developed with the goal of addressing these issues and maximizing patient safety. Extended operative times during robo...

Left Renal Vein Division During Open Surgery of Abdominal Aortic Disease: A Propensity Score-Matched Case-Control Study.

PubMed: Eur J Vasc Endovasc ... — Mon, 03 Jun 2013 04:00:00 +0100

CONCLUSION: LRVD may be a safe maneuver during abdominal aortic surgery as it did not increase the risks of early or late mortality and morbidity. PMID: 23743276 [PubMed - as supplied by publisher] (Source: PubMed: Eur J Vasc Endovasc ...)

[Correspondence] Speculation overinflates long-term efficacy of vaccine for anal dysplasia

The Lancet Oncology — Sat, 01 Jun 2013 04:00:00 +0100

Patients with severe anal warts and anal intraepithelial neoplasia can need general surgery, which might still result in a high recurrence rate of disease. are increasingly necessary to guide appropriate treatments. The conclusion offered by Ulrike Wieland and colleagues—that prophylactic HPV vaccination of boys might reduce anal intraepithelial neoplasia and anal cancer—is misleading to researchers, clinicians, and patients. Although mathematical models show that vaccination of males with prophylactic HPV vaccines increases the disruption of HPV transmission and infection among the entire population, little evidence exists of the quadrivalent vaccine's long-term efficacy for treatment of anal disease. (Source: The Lancet Oncology)

Preventable frostbite due to cold pack

International Wound Journal — Sat, 01 Jun 2013 04:00:00 +0100

(Source: International Wound Journal)

“I Found It on the Internet:” How Reliable and Readable is Patient Information?

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

The Internet has truly put information at our finger-tips, but can we trust all the information that is out there? The old saying, “Let the buyer beware” can easily be adapted to the Internet and now we say “Let the Internet surfer beware.” This concern has even been satirized in several TV commercials about not believing everything you read on the Internet, as in, “I found it on the Internet so it has to be true!” (Source: Arthroscopy)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

A Biological Approach to Orthopaedic Surgery: Are They Lost in Translation?

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Despite the care and seriousness with which Ruiz-Moneo et al. conducted their study “Plasma Rich in Growth Factors in Arthroscopic Rotator Cuff Repair: A Randomized, Double-Blind, Controlled Clinical Trial,” there are methodologic and conclusive issues that we believe would affect the outcomes in this recently published study. (Source: Arthroscopy)

Authors' Reply

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

We read with interest the letter from Anitua et al. in response to our randomized, blinded, controlled, clinical trial evaluating the use of plasma rich in growth factors (PRGF) in the repair of the rotator cuff, recently published in Arthroscopy (January 2013). We are grateful for their contribution to improve the discussion on the topic, because we acknowledge that for the design of our randomized controlled trial (RCT), we took into consideration their previous results on the application of PRGF in maxillofacial surgery and orthopaedics and, thereafter, we strictly followed their guidance to prepare the PRGF and their advice for its use in the surgery. (Source: Arthroscopy)

Addition of a Suture Anchor for Coracoclavicular Fixation to a Superior Locking Plate Improves Stability of Type IIB Distal Clavicle Fractures

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Conclusions: During cyclic loading, type IIB distal clavicle fractures with and without CC fixation remain stable. CC fixation adds stability to type IIB distal clavicle fractures fixed with plate and screws when loaded to failure.Clinical Relevance: CC fixation for distal clavicle fractures is a useful adjunct to plate-and-screw fixation to augment stability of the fracture. (Source: Arthroscopy)

Footprint Contact Restoration Between the Biceps-Labrum Complex and the Glenoid Rim in SLAP Repair: A Comparative Cadaveric Study Using Pressure-Sensitive Film

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Conclusions: The methods using 2 single-loaded suture anchors and using 1 double-loaded suture anchor with a simple suture configuration showed significantly larger pressurized contact areas than the method using 1 double-loaded suture anchor with both a simple and mattress suture configuration. The interface pressure was not significantly different among groups.Clinical Relevance: Although there have been several kinds of repair techniques and biomechanical studies for the type II SLAP lesion, there has been no study about footprint restoration on the superior glenoid rim. This study analyzed and compared the footprint contact restoration after type II SLAP repair among 3 different techniques. (Source: Arthroscopy)

Arthroscopic Excision of Dorsal Wrist Ganglion: Factors Related to Recurrence and Postoperative Residual Pain

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Conclusions: Dominant side, female sex, and age of 24 years or younger are considered to be the most influential risk factors for recurrence after arthroscopic excision of dorsal wrist ganglia. However, the presence or absence of the cyst stalk was not a significant factor for recurrence. Female patients who have preoperative pain around the dorsal wrist ganglia were most likely to experience residual pain after surgery.Level of Evidence: Level IV, therapeutic case series. (Source: Arthroscopy)

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Synovial Membrane–Derived Mesenchymal Stem Cells Supported by Platelet-Rich Plasma Can Repair Osteochondral Defects in a Rabbit Model

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Conclusions: Our results indicate that SDSC-embedded PRP gel could successfully resurface the defect with cartilage and restore the subchondral bone in the rabbit model.Clinical Relevance: This study indicates that in an animal model, the application of PRP and SDSC in combination for the treatment of local cartilage defects appears promising; however, PRP-SDSC products might be more or less appropriate to treat different types of tissues and pathologies. The clinical efficacy of PRP remains under debate. Therefore further research is needed at both the basic science and clinical levels. (Source: Arthroscopy)

Biological and Biomechanical Evaluation of the Ligament Advanced Reinforcement System (LARS AC) in a Sheep Model of Anterior Cruciate Ligament Replacement: A 3-Month and 12-Month Study

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Conclusions: This study provides evidence that the LARS AC has a satisfactory biointegration but that it is not suitable for ACL replacement if uniform tissue ingrowth is contemplated. Despite good clinical performance up to 1 year after implantation, none of the reconstructions approached the mechanical performance of the normal ACL in the ovine model. Partial tearing of the artificial ligament, which led to a significant decrease in ultimate tensile strength, was observed in 40% of cases in the ovine model.Clinical Relevance: The LARS is not a suitable scaffold for ACL replacement. Further animal studies are needed to evaluate its potential for augmentation of ligament repair. (Source: Arthroscopy)

Readability of Arthroscopy-Related Patient Education Materials From the American Academy of Orthopaedic Surgeons and Arthroscopy Association of North America Web Sites

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: We sought to assess the readability levels of arthroscopy-related patient education materials available on the Web sites of the American Academy of Orthopaedic Surgeons (AAOS) and the Arthroscopy Association of North America (AANA). We identified all articles related to arthroscopy available in 2012 from the online patient education libraries of AAOS and AANA. After performing follow-up editing, we assessed each article with the Flesch-Kincaid (FK) readability test. Mean readability levels of the articles from the AAOS Web site and the AANA Web site were compared. We also determined the number of articles with readability levels at or below the eighth-grade level (the average reading ability of the US adult population) and sixth-grade level (the widely recommended level for patie...

Announcements

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

The Arthroscopy Association of North America 2013 Master's Experience Courses will be held at the Orthopaedic Learning Center, Rosemont, Illinois: June 7-9 (knee ligament), June 28-30 (hip), July 19-21 (hip), August 23-25 (SOMOS knee), September 20-22 (shoulder), September 28-29 (foot/ankle), October 18-20 (knee cartilage), October 24-27 (resident). For more information, visit www.aana.org (Source: Arthroscopy)

Masthead

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

The Journal of Arthroscopic and Related Surgery (ISSN 0749-8063) is published monthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. (For Post Office use only: Volume 29 issue 6 of 12.) Periodicals postage paid at New York, NY and additional mailing offices. (Source: Arthroscopy)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Editorial Board

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

(Source: Arthroscopy)

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

(Source: Arthroscopy)

Cover Image

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

On the Cover: Os trigonum and posterior facet calcaneus subtalar bipolar arthritis. Photographs taken during subtalar joint arthroscopy. The patient was a 39-year-old woman who had experienced right foot and ankle pain for over a year. She was no longer able to run or wear high heels and she complained of constant pain. A preoperative MRI of her hindfoot was notable for chronic moderategrade sprains of the lateral ligaments, some sinus tarsi fluid collection, edema in the os trigonum, and synovitis. Given her chronic ankle pain and advanced imaging findings, she was scheduled for ankle/subtalar arthroscopy. These images show the os trigonum while viewing from the central portal and instrumenting from the posterolateral portal. We were impressed to find a loose, arthritic os trigonum that a...

Instructions for Authors

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

Arthroscopy: The Journal of Arthroscopic and Related Surgery provides readers with current information by publishing the best papers on clinical and basic research, review articles, technical notes, case reports, and editorials about the latest developments in arthroscopic surgery and orthopaedic sports surgery. All articles are subject to peer review. Letters to the Editor and comments on the Journal's content or policies are always welcome. (Source: Arthroscopy)

Suggested Guidelines for the Practice of Arthroscopic Surgery

Arthroscopy — Sat, 01 Jun 2013 04:00:00 +0100

This statement was prepared by the Committee on Ethics and Standards and the Board of Directors of the Arthroscopy Association of North America. The decision to grant and renew privileges in diagnostic arthroscopy and or arthroscopic surgery is typically made by individual hospitals with input from medical staff committees and appropriate department chairpersons, in accordance with individual hospital and medical staff bylaws, rules and regulations. In situations where arthroscopic surgical privileges are requested, a Board Certified orthopedic surgeon or equivalent specialist, with considerable experience in the field of arthroscopic surgery should be involved in the decision making process to grant these privileges. (Source: Arthroscopy)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Editorial Board/Aims and Scope

Surgical Oncology — Sat, 01 Jun 2013 04:00:00 +0100

(Source: Surgical Oncology)

Role of fibronectin in normal wound healing

International Wound Journal — Sat, 01 Jun 2013 04:00:00 +0100

Abstract Fibronectin is an adhesive molecule that plays a crucial role in wound healing, particularly in extracellular matrix (ECM) formation and also in reepithelialisation. Fibronectin plays many different roles in the wound healing process because of the presence of specific function domains and binding sites in its structure. Fibronectin interacts with different cell types, cytokines and the ECM. The main role of fibronectin is ECM formation. First, plasma fibronectin forms a provisional fibrin–fibronectin matrix, which will later be replaced by the mature ECM‐containing tissue fibronectin. (Source: International Wound Journal)

Influence of local recurrence on survival in patients with rectal cancer

ANZ Journal of Surgery — Sat, 01 Jun 2013 04:00:00 +0100

ConclusionsWithin this cohort of rectal cancer patients, the early development of local recurrence was the single most important indicator of a reduced survival, and carried a worse prognosis than the development of distant metastases alone. (Source: ANZ Journal of Surgery)

Abstracts of the 100th Annual Congress of the Swiss Society of Surgery. June 12-14, 2013. Bern, Switzerland.

The British Journal of Surgery — Sat, 01 Jun 2013 04:00:00 +0100

Authors: PMID: 23716418 [PubMed - indexed for MEDLINE] (Source: The British Journal of Surgery)

Local treatment of non healing leg ulcers in a patient with hepatitis C virus infection

International Wound Journal — Sat, 01 Jun 2013 04:00:00 +0100

(Source: International Wound Journal)

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Robotic‐assisted hepatic resection: a systematic review

The International Journal of Medical Robotics and Computer Assisted Surgery — Sat, 01 Jun 2013 04:00:00 +0100

ConclusionsOur systematic review suggests robotic‐assisted hepatic resection is safe and feasible, with low mortality and morbidity rates. Further research is needed to determine if oncological outcomes are similar. Copyright © 2013 John Wiley & Sons, Ltd. (Source: The International Journal of Medical Robotics and Computer Assisted Surgery)

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

(Source: Surgery (Medicine Publishing))

Editorial Board

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

(Source: Surgery (Medicine Publishing))

Anatomy of the pancreas and the spleen

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: The pancreas comprises a head, uncinate process, neck, body and tail. It lies retroperitoneally, roughly at the transpyloric plane, separated from the stomach in front by the lesser sac. Its tail abuts onto the spleen. It has a rich blood supply, from the superior and inferior pancreatico-duodenal arteries and, particularly, from the tortuous splenic artery, which lies along its superior border. Its corresponding veins drain into the portal system. It has both exocrine (digestive enzymes), and endocrine secretory functions, the latter, most importantly, being the secretion of insulin from the islet cells. It also secretes glucagon, somatostatin and gastrin.The spleen fits comfortably into the palm of the hand. It is just palpable when it is enlarged to three times normal size. It...

Lipid metabolism

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: Lipids are body fats that are either synthesized within cells (endogenous lipids) or derived from dietary fat (exogenous lipids). They are typically characterized by their insolubility in water, and have a diverse range of biological functions in cell membranes as phospholipids, and as a major source of stored energy in adipose tissue as triacylglycerols (TAGs). Serum lipids, including TAGs, phospholipids, cholesterol and their component fatty acids, are transported between sites of synthesis in the liver and intestine to peripheral tissues, for utilization and storage in macromolecular complexes of lipid and protein called lipoproteins. The physiology of circulating serum lipoproteins is described in terms of the transport of exogenous and endogenous chylomicrons and very low-de...

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Carbohydrate metabolism

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: Carbohydrate normally accounts for about 50% of total dietary energy intake, but the general recommendation is for an increased consumption of complex carbohydrates. After digestion and absorption, carbohydrate is metabolized to provide energy (4 kcal/g) or is stored in muscle and liver as glycogen. The body’s carbohydrate stores are normally about 400–500 g in the fed state. Six-carbon glucose molecules are degraded by a series of chemical reactions to three-carbon pyruvate by the reactions of glycolysis; pyruvate can be further metabolized to lactate. These reactions occur in the cell cytoplasm without the involvement of molecular oxygen, so are described as anaerobic. Pyruvate (and lactate) can be further oxidized to CO2 and water by the reactions of the Krebs’ (tricarbo...

Understanding pancreatic pathology

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: A diverse range of pathologies can be observed in the pancreas with pancreatic ductal adenocarcinoma taking centre stage. It is not only the commonest pancreatic neoplasm but carries a dismal prognosis with mortality equalling incidence and up to 85% of cases presenting at an advanced stage where curative surgery is no longer possible. Pathological tissue diagnoses allow distinction of pancreatic ductal adenocarcinoma from non-neoplastic disorders such as chronic pancreatitis but also facilitate the identification of rarer, less aggressive pancreatic neoplasms and radiologically detectable precursor lesions of pancreatic carcinoma, in particular mucinous cystic neoplasms and intraductal papillary mucinous neoplasms. In addition, pathological examination provides information on hi...

Pancreatic cancer

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: Pancreatic cancer accounts for 3% of all cancers in the UK; 7000 new cases are diagnosed annually and a similar number die from the disease each year. It has an insidious onset and, as a result, presentation is usually late, with only about 10–20% of patients having disease amenable to surgical resection. Following resection, the median survival is 11–20 months and the 5-year survival is 7–25%. Patients with unresectable locally advanced disease have a median survival of 6–11 months, and those with metastatic disease have a median survival of 2–6 months. Accurate staging has a vital role in the management of pancreatic tumours now that non-surgical palliative options are available. Computed tomography is currently the imaging modality of choice for diagnosis and staging...

Acute pancreatitis

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

This article reviews the definition, aetiology, pathophysiology, outcome and complications of acute pancreatitis. Therapeutic strategies are discussed in light of recent advances. (Source: Surgery (Medicine Publishing))

Chronic pancreatitis

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: Chronic pancreatitis is distinguished by structural and functional criteria. Alcohol is the major aetiological factor, but about 20% of patients have another cause such as hereditary pancreatitis. Abdominal pain is the usual presenting feature, often as recurrent attacks of acute pancreatitis but chronic pancreatitis may be clinically silent. The pathogenesis of chronic pancreatitis is incompletely understood. Diagnosis is usually made on imaging (CT, magnetic resonance cholangiopancreatography – MRCP, endoscopic ultrasound). Complications include exocrine and endocrine insufficiency, obstructive jaundice, duodenal obstruction, left-sided portal hypertension, and the development of pancreatic cancer. Overall management is difficult and depends upon symptoms, morphological chara...

MedWorm Sponsor Message: Have a look at these iconic medical scrubs which are handmade and come in a variety of colors to accommodate your surgical uniform.

Surgery of the spleen

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

Abstract: Enshrouded in history as the organ associated with short temper and of little physiological importance, a normally functioning spleen is critical in providing adequate immune protection and regulating blood homeostasis. Whereas primary disorders of the spleen can attenuate these important attributes, the absence of splenic function, most commonly as a result of surgical resection, carries the grave and lifetime risk of devastating systemic sepsis. With some historical exceptions, splenic surgery has classically involved removal of the entire organ at open surgery, either following traumatic injury or to supplement the medical management of haematological disease. Performed primarily for this latter indication, laparoscopy has emerged over the last two decades as the strongly favo...

Test yourself: MCQ and extended matching

Surgery (Medicine Publishing) — Sat, 01 Jun 2013 04:00:00 +0100

For questions 1–4, select the statements which are true and which are false. The correct answers are given below. When considering the anatomy of the pancreas and spleen (Source: Surgery (Medicine Publishing))

A MRSA Liver Abscess in a Patient With Crohn's DiseaseA MRSA Liver Abscess in a Patient With Crohn's Disease

Medscape Today Headlines — Fri, 31 May 2013 13:05:22 +0100

A liver abscess in Crohn's disease is a rare but important entity that is associated with a poor prognosis and high mortality without prompt treatment. What's the best course of action? Journal of Medical Case Reports (Source: Medscape Today Headlines)

Primary rectal adenocarcinoma presenting as a giant perianal mass mimicking giant condyloma of buschke-lowenstein.

The American Surgeon — Fri, 31 May 2013 10:15:10 +0100

Authors: Long CA, Lewis JM, Orucevic A PMID: 23711255 [PubMed - in process] (Source: The American Surgeon)

MedWorm: Surgery

Forthcoming Events

Selected Abstracts from the July Issue of the Journal of Vascular Surgery

In brief

Clostridium difficile infection

Editorial Board

Table of Contents

Foreword

Visualization of the leakage of pancreatic juice using a chymotrypsin‐activated fluorescent probe

Advances in Infections and Wound Healing for the Diabetic Foot: The Die Is Cast

Tissue and Swab Culture in Diabetic Foot Infections: Neuropathic Versus Neuroischemic Ulcers

The Performance of Serum Inflammatory Markers for the Diagnosis and Follow-up of Patients With Osteomyelitis

Effect of Daptomycin on Local Interleukin-6, Matrix Metalloproteinase-9, and Metallopeptidase Inhibitor 1 in Patients With MRSA-Infected Diabetic Foot

Risk Factors and Gene Type for Infections of MRSA in Diabetic Foot Patients in Tianjin, China

Wound Fluid in Diabetic Foot Ulceration: More Than Just an Undefined Soup?

Super-Oxidized Solution (Dermacyn Wound Care) as Adjuvant Treatment in the Postoperative Management of Complicated Diabetic Foot Osteomyelitis: Preliminary Experience in a Specialized Department

Current Achievements With Topical Negative Pressure to Improve Wound Healing in Dehiscent Ischemic Stumps of Diabetic Patients: A Case Series

Revision Surgery for Diabetic Foot Infections: Giving Another Chance to the Patient

Hyperbaric Oxygen Therapy as Adjunctive Treatment for Diabetic Foot Ulcers

Managing Diabetic Foot Infection in India

Training to Measure Ankle-Brachial Index at the Undergraduate Level: Can It Be Successful?

Hand Surg; +199 new citations

[Parathyroidectomy for unclear localization : Minimally invasive or open.]

Video-assisted radiofrequency ablation for pleural disseminated non-small cell lung cancer

Evaluation of a Video Telescopic Operating Microscope (VITOM) for Pediatric Surgery and Urology: A Preliminary Report

Less Invasive Hernia Repair Safer for Obese (CME/CE)

Laparoscopic Ventral Hernia Repair Safe in Obese PatientsLaparoscopic Ventral Hernia Repair Safe in Obese Patients

A New Magnetic Sphincter Device for the Treatment of GERDA New Magnetic Sphincter Device for the Treatment of GERD

Current Patterns of Practice and Technique in the Repair of Esophageal Atresia and Tracheoesophageal Fistua: An IPEG Survey

Editorial Board

[Laparoscopic vs open colectomy for acute colitis refractive to medicinal therapy.]

[Rotating physician in CHIR-Net : Evaluation of the curriculum.]

Systematic Review of Studies Investigating Sentinel Node Navigation Surgery and Lymphatic Mapping for Gastric Cancer

Development of a Needle Driver with Multiple Degrees of Freedom for Neonatal Laparoscopic Surgery

Laparoscopic Management of Pyloric Atresia in a Neonate with Epidermolysis Bullosa

Pure NOTES Rectosigmoid Resection: Transgastric Endoscopic IMA Dissection and Transanal Rectal Mobilization in Animal Models

Perpendicular Blood Vessel Seals Are Stronger Than Those Made at an Angle

Penile strangulation and necrosis due to condom catheter

Erle E. Peacock

Wound care certification: The grin without a cat

Role of salivary vascular endothelial growth factor (VEGF) in palatal mucosal wound healing

Detection of lymphangiogenesis by near‐infrared fluorescence imaging and responses to VEGF‐C during healing in a mouse full‐dermis thickness wound model

Toll‐like receptor 4 signaling regulates the acute local inflammatory response to injury and the fibrosis/neovascularization of sterile wounds

Direct contact of fibroblasts with neuronal processes promotes differentiation to myofibroblasts and induces contraction of collagen matrix in vitro

A systematic review of the psychometric properties of self‐reported scales assessing burn contractures reveals the need for a new tool to measure contracture outcomes

Undermining incision and healing of deep pressure ulcers: A prospective cohort study of pressure ulcers by the Japanese National Hospital Organization

Wound healing potential of topical bacteriophage therapy on diabetic cutaneous wounds

Molecular angiogenic events of a two‐herb wound healing formula involving MAPK and Akt signaling pathways in human vascular endothelial cells

Venous thromboembolism

Systematic review and meta‐analysis of hypothermic machine perfusion versus static cold storage of kidney allografts on transplant outcomes

Raised haematocrit concentration and the risk of death and vascular complications after major surgery

Surgical delay is a critical determinant of survival in perforated peptic ulcer

Snapshot Quiz

Proximal margin length with transhiatal gastrectomy for Siewert type II and III adenocarcinomas of the oesophagogastric junction

Partial hepatectomy for ruptured hepatocellular carcinoma

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery

Cost‐effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery

Prophylactic central neck dissection for papillary thyroid cancer (Br J Surg 2013; 100: 410–418)

Author's reply: Prophylactic central neck dissection for papillary thyroid cancer (Br J Surg 2013; 100: 410–418)

Scientific Surgery

Contemporary management and outcomes for infants born with oesophageal atresia

Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes

A possible explanation for the high frequency of contact sensitisation in chronic venous ulcers

Spine Injections May Set Stage for Fractures (CME/CE)

The INCH-Trial: a multicentre randomized controlled trial comparing the efficacy of conventional open surgery and laparoscopic surgery for incisional hernia repair

Open‐label clinical trial comparing the clinical and economic effectiveness of using a polyurethane film surgical dressing with gauze surgical dressings in the care of postoperative surgical wounds

A prospective randomised comparative parallel study of amniotic membrane wound graft in the management of diabetic foot ulcers

MR compatible positioning device for guiding a focused ultrasound system for the treatment of brain deseases

Which Wound Dressing Is Best After Split-Skin Grafting?Which Wound Dressing Is Best After Split-Skin Grafting?

Projecting Surgeon Supply Using a Dynamic ModelProjecting Surgeon Supply Using a Dynamic Model

Failed Primary Abdominal Closure in the Trauma PatientFailed Primary Abdominal Closure in the Trauma Patient

Effects of glutamine on wound healing

Combining Flexi‐Seal and negative pressure wound therapy for wound management in Fournier's gangrene

Decrease in Major Amputations in Germany

[Liver transplantation as effective treatment for non-resectable liver metastases of neuroendocrine tumors.]

[Regional treatment of malignant pleural mesothelioma : Results from the tumor centre Regensburg.]

[From historical all-rounder to modern specialists : Surgical further education in Germany from 1994 to 2012.]

Double peptic perforation: Report of a rare case.

Simple Actions May Reduce Postop Pulmonary ComplicationsSimple Actions May Reduce Postop Pulmonary Complications

Femoral Vein Revascularization in Groin Infectious BleedingFemoral Vein Revascularization in Groin Infectious Bleeding