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Abbreviated emergency laparotomy in the non-trauma settingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Although the application of damage control surgery for trauma has been widely reported and defined, similar approach in non-trauma patients has not been well detailed. Methods: A retrospective analysis of data from non-trauma patients who underwent emergency laparotomy between May 2006 and December 2008. Demographics, indications for surgery and outcome of patients who had definitive laparotomies (DL) and patients who had abbreviated laparotomies (AL) were compared. Appendectomies were excluded.Results and discussionTwo-hundred ninety-one patients (55% males) were included. Thirty-one (10.7%) underwent AL (58% ...
Source: World Journal of Emergency Surgery - November 19, 2009 Category: Emergency Medicine Authors: Benjamin PersonTatiana DorfmanHany BahouthAmira OsmanAhmad AssaliaYoram Kluger Source Type: journals

A stump appendicitis in a child: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Stump appendicitis is rare and should be considered in any patient with right lower quadrant pain even if there is a history of appendectomy. Complete removal of the appendix is the only mean to prevent the occurrence of this complication. (Source: Italian Journal of Pediatrics)
Source: Italian Journal of Pediatrics - November 17, 2009 Category: Pediatrics Authors: Manef GasmiFatma FitouriSondes SahliRadhia JemaiMourad Hamzaoui Source Type: journals

Epidemiology of Appendectomy and Appendicitis in the Valencian Community (Spain), 1998--2007Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dig Surg 2009;26:406-412 (DOI:10.1159/000235956) (Source: Digestive Surgery)
Source: Digestive Surgery - November 12, 2009 Category: Surgery Source Type: journals

Original article Open or laparoscopic appendectomy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Laparoscopic appendectomy is a safe procedure associated with shorter hospital stay and decreased complication rates as compared to the open procedure. (Source: Articles of Videosurgery and Other Miniinvasive Techniques - TERMEDIA publishing house)
Source: Articles of Videosurgery and Other Miniinvasive Techniques - TERMEDIA publishing house - November 12, 2009 Category: Surgery Source Type: journals

Abdominal Wound Dehiscence in Adults: Development and Validation of a Risk ModelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The validated risk model shows high predictive value for abdominal wound dehiscence and may help to identify patients at increased risk. Content Type Journal ArticleDOI 10.1007/s00268-009-0277-yAuthors Gabriëlle H. van Ramshorst, Erasmus University Medical Center Department of Surgery Room Z-836 P.O. Box 2040 3000 CA Rotterdam NetherlandsJeroen Nieuwenhuizen, Erasmus University Medical Center Department of Surgery Room Z-836 P.O. Box 2040 3000 CA Rotterdam NetherlandsWim C. J. Hop, Erasmus University Medical Center Department of Biostatistics P.O. Box 2040 3000 CA Rotterdam NetherlandsPaul...
Source: World Journal of Surgery - November 7, 2009 Category: Surgery Tags: World Journal of Surgery Source Type: journals

A protective role for early oral exposures in the etiology of young adult Hodgkin lymphomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The pattern of adolescent/young adult Hodgkin lymphoma (YAHL) suggests causation by a relatively late infection with a common childhood virus, but no causal virus has been found. Susceptibility is heritable and linked to lower interleukin 12 (IL12) levels, which can also result from fewer fecal-oral microbial exposures early in life. We studied twin pairs discordant for YAHL to examine exposures capable of altering the IL12 response and T-helper type 1 (Th1)–Th2 balance. One hundred eighty-eight YAHL-discordant twin pairs from the International Twin Study returned questionnaires (70% response). Exposure history of YA...
Source: Blood - November 5, 2009 Category: Hematology Authors: Cozen, W., Hamilton, A. S., Zhao, P., Salam, M. T., Deapen, D. M., Nathwani, B. N., Weiss, L. M., Mack, T. M. Tags: Free Research Articles, Lymphoid Neoplasia, Clinical Trials and Observations Source Type: journals

An Interdisciplinary Initiative to Reduce Radiation Exposure: Evaluation of Appendicitis in a Pediatric Emergency Department With Clinical Assessment Supported by a Staged Ultrasound and Computed Tomography PathwayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an interdisciplinary initiative to use a staged US and CT pathway to maximize diagnostic accuracy while minimizing radiation exposure.Methods: This was a retrospective outcomes analysis of patients presenting after hours for suspected appendicitis at an academic children's hospital ED over a 6-year period. The pathway established US as the initial imaging modality. CT was recommended only if US was equivocal. Clinical and pathologic outcomes from ED diagnosis and disposition, histopathology and return visits, were correlated with the US and CT. ED diagnosis and disposition, pathology, and return visits were use...
Source: Academic Emergency Medicine - November 4, 2009 Category: Emergency Medicine Authors: Naresh Ramarajan, Rajesh Krishnamoorthi, Richard Barth, Pejman Ghanouni, Claudia Mueller, Bernard Dannenburg, N. Ewen Wang Tags: Original Contributions Source Type: journals

A case of malignant abdominal pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The differential diagnosis of atypical abdominal pain in young men should include testicular tumors. A thorough testicular exam should be part of the routine physical exam in such situations. PMID: 19887871 [PubMed - in process] (Source: Onkologie)
Source: Onkologie - November 1, 2009 Category: Cancer & Oncology Authors: Sah RP, Anaparthy R, Sugumar A Tags: Onkologie Source Type: journals

C-Reactive protein is an independent surgical indication marker for appendicitis: a retrospective studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Only the CRP level is consistent with the severity of appendicitis, and considered to be a surgical indication marker for acute appendicitis. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - October 31, 2009 Category: Emergency Medicine Authors: Shozo YokoyamaKatsunari TakifujiTsukasa HottaKenji MatsudaToru NasuMikihito NakamoriNaoki HirabayashiHiroyuki KinoshitaHiroki Yamaue Source Type: journals

The Quality of Randomized Clinical Trials in the Field of Surgery: Studies on Laparoscopic versus Open Appendectomy as an ExampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dig Surg 2009;26:351-357 (DOI:10.1159/000229992) (Source: Digestive Surgery)
Source: Digestive Surgery - October 29, 2009 Category: Surgery Source Type: journals

Evaluation of a Possible Inflammatory Response after Appendectomy for Non-Perforated Appendicitis in ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eur J Pediatr SurgDOI: 10.1055/s-0029-1241875Abstract The inflammatory process in the post-appendectomy period is not well characterized. In a pilot study, we prospectively followed the kinetics of different inflammatory mediators before and after appendectomy in children, and compared the results of the groups open appendectomy (OA) and laparoscopic appendectomy (LA).[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - October 29, 2009 Category: Surgery Tags: Original Article Source Type: journals

Transient neurological symptoms after spinal anaesthesia with levobupivacaine 5 mg/ml or lidocaine 20 mg/mlEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Transient neurological symptoms (TNS) after spinal anaesthesia have been reported most commonly in association with lidocaine, but have been observed with other local anaesthetics. The aim of this prospective, randomized, double-blind study was to investigate the incidence of TNS after spinal anaesthesia with either levobupivacaine or lidocaine. Patients undergoing inguinal hernia, appendectomy, varicose vein or minor orthopaedic operations were included in the study (60 patients; 47 male, 13 female, overall mean age 30 years). All patients had an American Society of Anesthesiologists score of I or II. The patients were ra...
Source: Acta Anaesthesiologica Scandinavica - October 27, 2009 Category: Anesthesiology Authors: M. GOZDEMIR, B. MUSLU, H. SERT, B. USTA, R. I. DEMIRCIOGLU, O. F. KARATAS, O. SURGIT Source Type: journals

Is C-reactive protein a reliable test for suspected appendicitis in extremely obese children?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion CRP is not a reliable marker of inflammation in extremely obese children presenting with suspected appendicitis. Our data highlight the importance of obesity when interpreting the significance of an elevated CRP level in children with suspected diagnosis of appendicitis. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-009-2511-yAuthors Balazs Kutasy, The National Children’s Hospital, Dublin Dublin 24 IrelandGanapathy Laxamanadass, The National Children’s Hospital, Dublin Dublin 24 IrelandPrem Puri, The National Children’s Hospital, Dublin Dublin 24 Ireland ...
Source: Pediatric Surgery International - October 23, 2009 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Familial Mediterranean fever gene mutations in the inner northern region of Turkey and genotype–phenotype correlation in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In addition to clinical criteria, molecular studies for detecting disease-causing mutations are needed to establish the diagnosis of FMF. FMF patients who were homozygous for MEFV gene mutations had a higher symptom severity score and higher incidence of appendectomy. The broad spectrum of mutations may reflect intercultural interactions of ethnic groups in Anatolia. Nation-wide studies may help to determine the relationships among demographic, clinical and genetic features of FMF. (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - October 18, 2009 Category: Pediatrics Authors: Resul Yilmaz, Samet Ozer, Huseyin Ozyurt, Unal Erkorkmaz, Semsettin Sahin Source Type: journals

The Incidence of Bowel Obstruction Following AppendectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Commentary on a study on the frequency of small bowel obstruction after appendectomy, published July 2009 in the Annals of Surgery. Medscape General Surgery (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 1, 2009 Category: Consumer Health News Tags: General Surgery Source Type: news

A surgical review of the priority claims attributed to Abraham Groves (1847-1935).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Although Groves' impact was reduced by his location and the limited circulation of the journals in which he wrote, he demonstrated a systematic understanding of modern surgery well ahead of his contemporaries. PMID: 19865541 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - October 1, 2009 Category: Surgery Authors: Geddes CR, McAlister VC Tags: Can J Surg Source Type: journals

How often does computed tomography change the management of acute appendicitis?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Computed tomography (CT) diagnoses appendicitis accurately, but few studies evaluate how often CT changes the management of appendicitis. Consultations for appendicitis were evaluated by surgeons and assigned to groups: high, indeterminate, and low suspicion. After assignment, CT was reviewed if completed or ordered if desired by the surgeon and changes in plans were noted. One hundred patients were evaluated for appendicitis, 70 received appendectomy. Our negative appendectomy rate was 4 of 70 (5.7%). In the high suspicion group, 63 patients had 23 CT scans performed and 2 CT scans were negative, avoiding unnecessary ...
Source: The American Surgeon - October 1, 2009 Category: Surgery Authors: Santos DA, Manunga J, Hohman D, Avik E, Taylor EW Tags: Am Surg Source Type: journals

Complicated appendicitis in children: is laparoscopic appendectomy appropriate? A comparative study with the open appendectomy—our experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The minimally invasive laparoscopic technique is feasible, safe, and efficacious for children with complicated appendicitis. Laparoscopic appendectomy should be the initial procedure of choice for most cases of complicated appendicitis in children. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - September 30, 2009 Category: Surgery Authors: Xiaolin Wang, Wen Zhang, Xiaojin Yang, Jinfan Shao, Xuefeng Zhou, Jiyan Yuan Tags: Original Articles Source Type: journals

SAGES guideline for laparoscopic appendectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory GuidelinesDOI 10.1007/s00464-009-0632-yAuthors James R. Korndorffer, Tulane University School of Medicine Department of Surgery New Orleans LA USAErika Fellinger, Cambridge Health Alliance Department of Surgery Cambridge MA USAWilliam Reed, Winthrop University Hospital Department of Surgery Mineola NY USA Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 29, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Perforated appendicitis: Is early laparoscopic appendectomy appropriate?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Successful laparoscopic appendectomy reduces LOS, antibiotic therapy, and wound infections compared with open appendectomy in perforated appendicitis without increasing the incidence of postoperative abscess. We conclude that perforated appendicitis can be managed effectively by laparoscopic appendectomy in a high percentage of patients with improved outcomes compared with open appendectomy. (Source: Surgery)
Source: Surgery - September 28, 2009 Category: Surgery Authors: Rami Sleem, Sabrina Fisher, Mark Gestring, Julius Cheng, Ayodele Sangosanya, Nicole Stassen, Paul Bankey Tags: Central Surgical Association Source Type: journals

Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy: A Randomized Prospective Trial [Poster Session]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Use of a wound-protection system reduces the incidence of surgical wound infection in open appendectomy. Trial Registration clinicaltrials.gov Identifier: NCT00323453 (Source: Archives of Surgery)
Source: Archives of Surgery - September 21, 2009 Category: Surgery Authors: Lee, P., Waxman, K., Taylor, B., Yim, S. Tags: Surgery, Surgical Interventions, Gastrointestinal/ Upper Foregut, Surgical Physiology, Surgical Infections Poster Session Source Type: journals

POSTER SESSION: Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy: A Randomized Prospective TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Use of a wound-protection system reduces the incidence of surgical wound infection in open appendectomy. Trial Registration clinicaltrials.gov Identifier: NCT00323453 (Source: Archives of Surgery)
Source: Archives of Surgery - September 20, 2009 Category: Surgery Authors: Lee, P., Waxman, K., Taylor, B., Yim, S. Tags: Surgery, Surgical Interventions, Gastrointestinal/ Upper Foregut, Surgical Physiology, Surgical Infections Poster Session Source Type: journals

Laparoscopic appendectomy by residents: evaluating outcomes and learning curveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Operative duration and complications can be reduced with increasing experience of a resident. Content Type Journal ArticleDOI 10.1007/s00464-009-0691-0Authors Yap Yan Lin, National University Hospital Department of Surgery 5 Lower Kent Ridge Road Singapore 119074 SingaporeAsim Shabbir, National University Hospital Department of Surgery 5 Lower Kent Ridge Road Singapore 119074 SingaporeJimmy B. Y. So, National University Hospital Department of Surgery 5 Lower Kent Ridge Road Singapore 119074 Singapore Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - September 17, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Laparoscopic appendectomy is the preferred approach for appendicitis: a retrospective review of two practice patternsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The findings show that LA is associated with fewer complications and similar total costs compared with OA. Therefore, LA can be recommended as a preferred approach to appendectomy. Content Type Journal ArticleDOI 10.1007/s00464-009-0678-xAuthors Vadim Nakhamiyayev, New York Methodist Hospital Department of Surgery 506 Sixth Street Brooklyn NY 11215 USALars Galldin, New York Methodist Hospital Department of Surgery 506 Sixth Street Brooklyn NY 11215 USAMario Chiarello, New York Methodist Hospital Department of Surgery 506 Sixth Street Brooklyn NY 11215 USAAngela Lumba, New York Methodist Hosp...
Source: Surgical Endoscopy - September 15, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Comparison of the clinical and economic outcomes between open and minimally invasive appendectomy and colectomy: evidence from a large commercial payer databaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Minimally invasive appendectomy and colectomy were associated with lower infection rates, fewer complications, shorter hospital stays, and lower expenditures than open surgery. Content Type Journal ArticleDOI 10.1007/s00464-009-0675-0Authors Terrence M. Fullum, Howard University College of Medicine Washington DC USAJoseph A. Ladapo, Beth Israel Deaconess Medical Center and Harvard Medical School Boston MA USABijan J. Borah, i3 Innovus Eden Prairie MN USACandace L. Gunnarsson, S2 Statistical Solutions, Inc 3276 East Sharon Road Cincinnati OH 45241 USA Journal Surgical EndoscopyOnline ...
Source: Surgical Endoscopy - September 15, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

Epidemiologic Characteristics of 500 Patients with Inflammatory Bowel Disease in Iran Studied from 2004 through 2007.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Demographic and clinical characteristics of inflammatory bowel disease patients are similar to that of other developing countries, in this study, more inflammatory bowel disease cases have been assessed in comparison with previous studies, which may be due to different time scales of socioeconomic evolution and environmental factors in Iran. PMID: 19722766 [PubMed - in process] (Source: Archives of Iranian Medicine)
Source: Archives of Iranian Medicine - August 31, 2009 Category: Middle East Health Authors: Vahedi H, Merat S, Momtahen S, Olfati G, Kazzazi AS, Tabrizian T, Rashtak S, Khaleghnejad R, Khademi H, Malekzadeh F, Nasseri-Moghaddam S, Malekzadeh R Tags: Arch Iran Med Source Type: journals

Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Single incision laparoscopic surgery is feasible for a variety of pediatric general surgical conditions, allowing for scarless abdominal operations. This early experience suggests that outcomes are comparable to standard laparoscopic surgery but with improved cosmesis, however, a larger series is necessary to confirm these findings and to determine if there are any benefits in pain or recovery. Surgeons performing SILS should have a firm foundation of advanced minimal access surgical skills and a cautious, gradated approach to attempting the various procedures. Technological refinements will further enable SILS...
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Sanjeev Dutta Tags: Original Articles Source Type: journals

Small intestinal volvulus caused by loose surgical staplesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Small intestinal volvulus beyond infancy is rare and usually has an iatrogenic cause. The authors describe an adolescent boy with small bowel volvulus secondary to the presence of free intraperitoneal surgical staples after a laparoscopic appendectomy. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Matthew P. Page, Heung Bae Kim, Steven J. Fishman Tags: Case Reports Source Type: journals

Unusual right upper quadrant Stump Appendicitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an unusual case of right upper quadrant stump appendicitis after previous operation for intussusception with incidental appendectomy. Abdominal computed tomographic scan is more efficient to make an early diagnosis of stump appendicitis to prevent further complications and prolonged hospitalization. PMID: 19750429 [PubMed - in process] (Source: Zeitschrift fur Gastroenterologie)
Source: Zeitschrift fur Gastroenterologie - August 31, 2009 Category: Gastroenterology Authors: Lin CT, Kuo SM, Wu CC, Jao SW Tags: Z Gastroenterol Source Type: journals

Acute radial nerve injury associated with an automatic blood pressure monitor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Perioperative radial nerve injury is a rare anesthetic complication, and is rarely seen in association with the use of an automatic blood pressure monitor. As far as we know, only one case has been reported. Here, we report a 26-year-old healthy, lean female who sustained acute radial nerve palsy after appendectomy. A dropped wrist improved 5 days later. The cause of the radial neuropathy is discussed. We recommend that when an automatically cycling blood pressure monitor is used on a lean patient, caution should be taken against such a complication. PMID: 19762307 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Swei SC, Liou CC, Liu HH, Hung PC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Suture granuloma of the abdominal wall with intra-abdominal extension 12 years after open appendectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Most complications after appendectomy occur within ten days; however, we report the unusual case of a suture granuloma 12 years after open appendectomy. The afebrile 75-year-old woman presented with a slightly painful palpable mass in the right lower abdomen. There was no nausea or vomiting and bowel movements were normal. She lost 10 kg during the 3 mo before presentation. The patient had undergone an appendectomy 12 years previously. Physical examination revealed a tender mass, 10 cm in diameter, under the appendectomy scar. The preoperative laboratory findings, tumor markers and plain abdominal radiographs were norm...
Source: World Journal of Gastroenterology : WJG - August 27, 2009 Category: Gastroenterology Authors: Augustin G, Korolija D, Skegro M, Jakic-Razumovic J Tags: World J Gastroenterol Source Type: journals

Initial Implementation of an Acute Care Surgery Model: Implications for Timeliness of CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Implementation of an acute care surgery service has been positive in terms of facilitating the ability to provide more timely care by increasingly using the daytime operating room and providing a breadth of consultative and operative experience to the participating academic surgeons and trainees. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - August 19, 2009 Category: Surgery Authors: Rebecca C. Britt, Leonard J. Weireter, L.D. Britt Tags: Original Scientific Articles Source Type: journals

Laparoendoscopic single-site surgery appendectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In this study, LESS appendectomy was technically feasible and safe, representing a reproducible alternative to standard laparoscopic appendectomy. Content Type Journal ArticleDOI 10.1007/s00464-009-0661-6Authors Óscar Vidal, Digestive Diseases and Metabolism Institute, Hospital Clínic i Provincial, Universitat de Barcelona General Surgery and Emergency Unit, Department of Digestive Surgery Villarroel 170, 9th Stair, 4th Floor 08036 Barcelona SpainMauro Valentini, Digestive Diseases and Metabolism Institute, Hospital Clínic i Provincial, Universitat de Barcelona General Surgery and Emerge...
Source: Surgical Endoscopy - August 19, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

OBSERVATION: Interferon Beta-Induced Panniculitis Mimicking Acute AppendicitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Panniculitides encompass various clinical syndromes characterized by inflammation of the fibrous septae, fatty lobules, or both components of the subcutaneous tissue. Interferon beta-1b should be considered among the list of putative agents. (Source: Archives of Dermatology)
Source: Archives of Dermatology - August 16, 2009 Category: Dermatology Authors: Poulin, F., Rico, P., Cote, J., Begin, L. R. Tags: Bacterial Infections, Neurology, Multiple Sclerosis/ Demyelinating Disease, Critical Care/ Intensive Care Medicine, Adult Critical Care, Dermatology, Dermatologic Disorders, Dermatologic Disorders, Other, Drug Therapy, Adverse Effects, Gastroenterology, G Source Type: journals

Intra-abdominal needle: Medical malpractice?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report discusses issues relating to this case that were raised during the criminal proceedings relating to the medical negligence claim. (Source: Forensic Science International)
Source: Forensic Science International - August 16, 2009 Category: Forensic Medicine Authors: Lorenzo Varetto, Claudio Gargallo Tags: Case Reports Source Type: journals

Appendicitis, not appendectomy, is protective against ulcerative colitis, both in the general population and first-degree relatives of patients with IBDEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract. (Source: Inflammatory Bowel Diseases)
Source: Inflammatory Bowel Diseases - August 13, 2009 Category: Gastroenterology Authors: Laurent Beaugerie, Harry Sokol Source Type: journals

Mucinous adenocarcinoma as heterologous element in intermediately differentiated Sertoli-Leydig cell tumor of the ovary.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sertoli-Leydig cell tumor (SLCT) is a rare tumor involving the ovary. Approximately 20% of SLCT are associated with heterologous elements that are either of endodermal or mesodermal origin. The gastrointestinal-type epithelium is the most commonly described endodermal heterologous element. SLCT with benign and borderline mucinous neoplasm has been reported in the literature. However, SLCT with mucinous adenocarcinoma as heterologous element has been rarely documented. Herein, we describe a rare case of intermediately differentiated Sertoli-Leydig cell tumor with mucinous adenocarcinoma as the heterologous element in a ...
Source: Pathology, Research and Practice - August 9, 2009 Category: Pathology Authors: Virk R, Lu D Tags: Pathol Res Pract Source Type: journals

Value of Routine Histopathologic Examination of Three Common Surgical Specimens: Appendix, Gallbladder, and HemorrhoidEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The routine histopathology examination of the appendix and gallbladder, particularly in cases of empyema and patient’s age over 60 years, is of value for identifying unsuspected conditions requiring further postoperative management. However, routine histopathologic evaluation of the hemorrhoid seems unnecessary. Content Type Journal ArticleDOI 10.1007/s00268-009-0164-6Authors Varut Lohsiriwat, Mahidol University Department of Surgery, Faculty of Medicine Siriraj Hospital Prannok Road Bangkok 10700 ThailandAkkarash Vongjirad, Mahidol University Department of Surgery, Faculty of Medic...
Source: World Journal of Surgery - August 9, 2009 Category: Surgery Tags: World Journal of Surgery Source Type: journals

Transgastric and Transperineal Natural Orifice Translumenal Endoscopic Surgery (NOTES) in an Appendectomy Test Bed.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The transgastric as compared with transperineal approach to NOTES appendectomy resulted in improved operative time in this model. The transperineal approach demonstrated a significant learning curve with operative times between techniques converging over time. This NOTES appendectomy test bed is suitable for evaluating NOTES innovations. PMID: 19666934 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - August 8, 2009 Category: Surgery Authors: Jayaraman S, Schlachta CM Tags: Surg Innov Source Type: journals

CorrectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
NOVEMBER 2008 (vol. 199, no. 5, page 491) In a research article published in the November 2008 issue of the Journal (Pearce C, Torres C, Stallings S, et al. Effective appendectomy at the time of cesarean delivery: a randomized controlled trial. Am J Obstet Gynecol 2008;199:491.e1-491.e5), the first 6 authors' institutional affiliation was incomplete. A corrected version reads: (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 31, 2009 Category: OBGYN Tags: Corrections Source Type: journals

Acute appendicitis: Is removal of a normal appendix still existing and can we reduce its rate?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion:</b> In spite of the advances in the diagnostic and imaging techniques, the rates of negative findings on appendicectomy have not decreased much. Clinical judgment is still the most important factor in the management of patients with suspected acute appendicitis. The routine use of CT scan or diagnostic laparoscopy for all patients who are suspected to have appendicitis is neither cost-effective nor safe. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 30, 2009 Category: Gastroenterology Authors: Gamal Khairy Source Type: journals

Amyand's hernia in infancy: why laparoscopy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We read with a great deal of interest the article recently published in your journal by Tycast JF et al (J Pediatr Surg 2008;43:2112-14). The authors present a case of infantile Amyand's hernia (AH) treated with a combined approach of laparoscopic appendectomy and open repair of the hernia. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - July 28, 2009 Category: Surgery Authors: Emanuele Baldassarre, Claudia Ferrero, Denise Da Costa Duarte, Marco Barone, Ilaria Prosperi Porta Tags: Correspondence Source Type: journals

Postoperative bowel obstruction after laparoscopic and open appendectomy in children: a 15-year experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Laparoscopic appendectomy diminishes the potential of PBO development. The overall incidence of PBO is not related to the severity of the disease but only to the initial operative approach. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - July 28, 2009 Category: Surgery Authors: Christos Kaselas, Francesco Molinaro, Isabelle Lacreuse, François Becmeur Tags: Original Articles Source Type: journals

Ascending retrocecal appendicitis presenting with right upper abdominal pain: Utility of computed tomography.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a series of four patients with retrocecal appendicitis who presented with acute right upper abdominal pain. The clinical diagnoses at presentation were acute cholecystitis in two patients, pyelonephritis in one, and ureteric colic in one. Ultrasound examination of the abdomen at presentation showed subhepatic collections in two patients and normal findings in the other two. Computed tomography (CT) identified correctly retrocecal appendicitis and inflammation in the retroperitoneum in all cases. In addition, abscesses in the retrocecal space (n = 2) and subhepatic collections (n = 2) were also demonstrated. Emerg...
Source: World Journal of Gastroenterology : WJG - July 25, 2009 Category: Gastroenterology Authors: Ong EM, Venkatesh SK Tags: World J Gastroenterol Source Type: journals

Acute appendicitis: Is removal of a normal appendix still existing and can we reduce its rate?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion:</b> In spite of the advances in the diagnostic and imaging techniques, the rates of negative findings on appendicectomy have not decreased much. Clinical judgment is still the most important factor in the management of patients with suspected acute appendicitis. The routine use of CT scan or diagnostic laparoscopy for all patients who are suspected to have appendicitis is neither cost-effective nor safe. (Source: The Saudi Journal of Gastroenterology)
Source: The Saudi Journal of Gastroenterology - July 25, 2009 Category: Gastroenterology Authors: Khairy Gamal Source Type: journals

First single-incision type 7 total laparoscopic hysterectomy, adnexectomy, and appendectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is a retrospective chart review and discussion of two patients who underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy (Canadian Task Force Level III). Both patients underwent a type 7 total laparoscopic hysterectomy for benign indications in July 2007 and sustained no complications. The evidence from these two cases suggests that advanced laparoscopic procedures are possible using a single skin incision for multiple ports. Technological advances, including those in port structure, are needed to enable surgeons to employ strategies that effectively enhance instrume...
Source: Gynecological Surgery - July 25, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Amyand’s hernia: a series of 30 cases in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we report a retrospective analysis of 30 patients aged between 19 days and 8 years with an Amyand’s hernia operated in our institution from 1998 to 2009, and we reviewed the literature on the topic. Hernia repair without an appendectomy was performed in patients with normal appendix. Emergency appendectomy through herniotomy was performed in cases of inflamed and perforated appendices. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10029-009-0528-8Authors A. Kaymakci, Umraniye Educational and Research Hospital Department of Pediatric Surgery Istanbul TurkeyI. Akillioglu...
Source: Hernia - July 24, 2009 Category: Sports Medicine Tags: Hernia Source Type: journals

Risk factors for morbidities in laparoscopic appendectomy for acute appendicitis of paediatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Late presentation and perforated appendicitis were associated with high complication rates in emergency laparoscopic appendectomy. Parents of the patients should be informed about this before operation. The possibility of using alternative management in these situations can be considered. (Source: Surgical Practice)
Source: Surgical Practice - July 22, 2009 Category: Surgery Authors: Patrick Ho-Yu Chung, Kwong-Leung Chan, Paul Kwong-Hang Tam Tags: ORIGINAL ARTICLES Source Type: journals

Malign mural nodules associated with serous ovarian tumor of borderline malignancy: a case report and literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The existence of sarcomatous nodules combined with the SLMN necessitates a careful histologic analysis for treatment and the determination of prognosis. However, too few cases of mixed type mural nodules have been published to warrant a conclusion regarding their prognosis. Content Type Journal ArticleCategory Gynecologic OncologyDOI 10.1007/s00404-009-1180-3Authors Tayfun Gungor, Zekai Tahir Burak Women’s Health Care Education and Research Hospital Gynecologic Oncology Department Ankara TurkeyS. Ozlem Altınkaya, Zekai Tahir Burak Women’s Health Care Education and Research Hospital Gyn...
Source: Archives of Gynecology and Obstetrics - July 14, 2009 Category: OBGYN Tags: Archives of Gynecology and Obstetrics Source Type: journals

ARTICLE: Variations Between Hospitals in Antireflux Procedures in ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The number of ARPs being performed in 36 free-standing children's hospitals is decreasing each year relative to several operations commonly performed at these institutions. Despite this overall annual decrease, there is tremendous variation between individual hospitals in how frequently ARPs are being performed relative to these procedures. (Source: Archives of Pediatrics)
Source: Archives of Pediatrics - July 5, 2009 Category: Pediatrics Authors: Goldin, A. B., Garrison, M., Christakis, D. Tags: Pediatrics, Neonatology and Infant Care, Pediatrics, Other, Quality of Care, Quality of Care, Other, Surgery, Surgical Interventions, Gastrointestinal/ Upper Foregut, Pediatric Surgery, Gastroenterology, Gastrointestinal Diseases Article Source Type: journals