Showing papers in "International Journal of Surgery in 2010"

TL;DR: A structured summary is provided including, as applicable, background, objectives, data sources, study eligibility criteria, participants, interventions, study appraisal and synthesis methods, results, limitations, conclusions and implications of key findings.

TL;DR: The average age at presentation of breast cancer in Arab countries appears to be a decade earlier than in western countries, including the ideal age at which to begin screening, according to a comprehensive literature review.

TL;DR: This review on gastric volvulus focuses on the diagnostic and management challenges encountered, together with strategies for dealing with them, and lessons have emerged which may assist in dealing with such a rare presentation in future.

TL;DR: Many surgeons will experience pain while operating due to positioning or the instruments they use, however there are no guidelines from occupational health departments or training courses to help minimise these symptoms.

TL;DR: The term postcholecystectomy syndrome (PCS) comprises a heterogeneous group of symptoms and findings in patients who have previously undergone cholecyStectomy, and its main aetiological theories are briefly explored.

TL;DR: Laroscopic hernia repair offers less postoperative pain and faster recovery on the expense of longer operative time and TEP and TAPP laparoscopic techniques gave similar results.

TL;DR: It is thought that it is important to use IONM to decrease the identification time of RLN in the course of thyroidectomy, because the shorter the nerve is identified the lower is the surgeon's level of stress.

TL;DR: In the last two decades, more elaborative use of intensive care units for serious medical disorders, advancements in transplant procedures and concomitant use of immunosuppressive therapies as well as the pandemic spread of HIV, etc have increased the incidence of systemic fungal infections.

TL;DR: Neurocysticercosis (NCC) is caused by the larval form of the pork tapeworm Taenia solium and is the commonest parasitic infestation of the central nervous system.

TL;DR: A combined medical therapy (metronidazole with prednisolone) appears to be the most effective treatment and the surgical approach should be reserved for non-responding cases.

TL;DR: An update on the myriad of options for managing esophageal cancer is provided and the surgical technique for minimally invasive esophagectomy used at the center is outlined.

TL;DR: Lower ASA grade, use of epidurals and avoidance of regular oral opiates are associated with an earlier discharge in an ERAS programme, suggesting a shorter hospital stay within an enhanced recovery programme.

TL;DR: Although this educational intervention study achieved improvements in indications, choice, and dosing of surgical antimicrobial prophylaxis, it failed to improve prolonged use and total compliance rate, and to lower the costs sufficiently.

TL;DR: The various tumor suppressor genes that are frequently hypermethylated in different cancers are described and how these and other methylated loci may be employed as clinically useful biomarkers for diagnosing cancer noninvasively using readily available body fluids are described.

TL;DR: RSH should be considered in the differential diagnosis of the elderly patients under anticoagulation therapy presenting with acute abdominal pain and a palpable mass, and trocar insertion under direct vision during laparoscopic surgery and careful attention in the abdominal administration of LMWH are essential.

TL;DR: It is highlighted that the symptoms of appendicitis can be due to Enterobius vermicularis infestation without any histological evidence of acute inflammation and Surgeons need to be aware of this possibility during laparoscopic appendicectomy and simple techniques can minimise the risk of contamination.

TL;DR: Acute necrotizing oesophagitis is a serious clinical condition and is more common than previously thought and should be suspected in those with upper GI bleed and particularly the elderly with comorbid illness.

TL;DR: Dynamic magnetic resonance imaging represents a convenient diagnostic procedure in females and to a lesser extent in males, especially in terms of dynamic imaging of pelvic floor organs during defecation.

TL;DR: The synchronous occurrence of GISTs and other primary neoplasm is not an uncommon entity and usually they are discovery incidentally, but the molecular and genetic mechanisms of carcinogenesis and progression associating GIST and synchronous tumors are still unclear.

TL;DR: This statement is intended to encourage dissemination of the PRISMA statement, and has also been previously published in PLoS Medicine, Annals of Internal Medicine, Journal of Clinical Epidemiology, and Open Medicine.

TL;DR: The molecular pathogenesis of thyroid tumours is highlighted, which involves activation of either various growth factors or the proto-oncogenes like ras, met or ret and loss or inactivation of tumour suppressor genes like p53.

TL;DR: Laroscopic sleeve gastrectomy can be performed safely with a low rate of complications and effective short to medium term weight loss, and more long term follow up is required.

TL;DR: The best means of bringing surgical care to rural dwellers is yet to be clearly determined, however, modern surgical techniques integrated with the strategy as outlined by the World Health Organization can be brought to rural areas through specially organized camps.

TL;DR: The operational processes of the university operating room facility are characterized as well as suggestions for operational improvements that can be applied to all hospitals, with a recommendation that veers from process modification to a disruptive innovation of the hierarchical organization.

TL;DR: The technique for single incision laparoscopic transumbilical appendectomy is safe feasible, and reproducible, and prospective randomized studies are necessary to confirm the conclusions of the early experience.

TL;DR: Partial thickness advancement flap is better than mucosal advancement flap in the treatment of high transphincteric perianal fistula in a randomized study in patients with anal fistula.

TL;DR: Surgical resection of primary tumour for stage IV colorectal cancers is associated with prolonged survival for selected patients and age at presentation, extent of liver involvement, tumour fixity and ASA grade can help to decide the patients who will benefit from surgery.

TL;DR: A prospective, randomized, double-blind, trial comparing wound infection rates in 450 patients undergoing primary inguinal hernia repair electively using polypropylene mesh found that antibiotic prophylaxis was associated with decreased incidence of wound infection when compared to control group, but the difference was not statistically significant.

TL;DR: Glyceryl Trinitrate ointment used post-haemorrhoidectomy has a significant analgesic effect in the intermediate time period (ie. Days 3-7), and it also significantly improved wound healing at 3 weeks.