Search our Database of Scientific Publications and Authors

I’m looking for a

    5982 results match your criteria Acta chirurgica Belgica[Journal]

    1 OF 120

    Transmesenteric hernia: a rare case of acute abdominal pain in children: a case report and review of the literature.
    Acta Chir Belg 2017 Nov 8:1-4. Epub 2017 Nov 8.
    a Department of General and Abdominal Surgery , OLV Hospital Aalst , Aalst , Belgium.
    In this report, we discuss the case of an 11-year old girl presenting with acute abdominal pain caused by gangrene of a large part of the small bowel. During urgent surgical exploration, the cause of gangrene appeared to be herniation of the small bowel through a congenital defect in the mesentery with subsequent strangulation. A resection was performed leaving the patient with only 130 cm of small bowel remaining. Read More

    5-Year survival after splenectomy in a patient with recurrent cutaneous melanoma: a case report.
    Acta Chir Belg 2017 Nov 8:1-4. Epub 2017 Nov 8.
    a Department of Surgery , University Hospital Antwerp , Edegem , Belgium.
    Objective: Splenic metastases of melanoma are uncommon and generally part of a disseminated disease with a poor prognosis. In case of solitary visceral metastasis, surgical resection often remains an effective treatment. This case describes a long-term survival after splenectomy for a recurrent melanoma. Read More

    Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis.
    Acta Chir Belg 2017 Nov 6:1-9. Epub 2017 Nov 6.
    a Department of Colorectal Surgery , Chelsea and Westminster Hospital NHS Foundation Trust , London , UK.
    Background: Anorectal manometry (ARM) is conventionally used to assess patients with fecal incontinence (FI). This review aims to establish the diagnostic accuracy of ARM for FI.

    Method: A search of MEDLINE, EMBASE, Science Citation Index Expanded and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library was performed. Read More

    Treatment of a mycotic abdominal aortic aneurysm with the jailing technique.
    Acta Chir Belg 2017 Oct 31:1-4. Epub 2017 Oct 31.
    a Department of Vascular surgery , UZ Brussel , Brussels , Belgium.
    Purpose: We explored an innovative technique in treating mycotic aortic aneurysms.

    Case Report: A patient presenting with severe back pain, vague abdominal pain, weight loss and decline in general health, was diagnosed with a contained-rupture of a suprarenal mycotic aortic aneurysm, as a complication of spondylodiscitis. Since the patient's health condition was too poor to perform an open aortic repair, we choose an alternative treatment option by coiling the aneurysm with the jailing technique. Read More

    Protective effects of gallic acid against methotrexate-induced toxicity in rats.
    Acta Chir Belg 2017 Oct 25:1-9. Epub 2017 Oct 25.
    g Department of Toxicology, School of Pharmacy , Ahvaz Jundishapur University of Medical Sciences , Ahvaz , Iran.
    Background: Methotrexate, as a chemotherapy drug, can cause chronic liver damage and oxidative stress. Aim of this study was to evaluate the preventive effect of gallic acid (GA) on methotrexate (MTX)-induced oxidative stress in rat liver.

    Methods: Twenty-eight male rats were randomly divided into four groups as control, MTX (20 mg/kg, i. Read More

    Efficacy of emergency exploratory laparotomy in incarcerated obturator hernia.
    Acta Chir Belg 2017 Oct 25:1-5. Epub 2017 Oct 25.
    b Department of Gastrointestinal Surgery , Huizhou Municipal Central Hospital, Affiliated Huizhou Hospital of Sun Yat-sun University , Huizhou , Guangdong Province , China.
    Background: Incarcerated obturator hernia (IOH) is a scarce type of acute surgical disease, but the mortality rate is the highest in abdominal hernias. The aim of this study was to evaluate the efficacy of emergency exploratory laparotomy (EEL) in treating incarcerated obturator hernia (IOH).

    Methods: We conducted a retrospective study of 12 female patients with IOH underwent EEL between January 2014 and March 2016. Read More

    Upregulation of VEGFR1 in a rat model of esophagogastric anastomotic healing.
    Acta Chir Belg 2017 Oct 25:1-6. Epub 2017 Oct 25.
    a Department of General , Visceral and Transplantation Surgery, University Medical Center of Mainz , Mainz , Germany.
    Introduction: Anastomotic leakage after gastrointestinal surgery is a significant cause of morbidity and mortality. Esophagogastric and colorectal anastomoses are vulnerable to leakage. Extended knowledge of growth factors and their receptors is needed to understand anatomic healing. Read More

    Laparoscopic liver resection for hemorrhagic hepatocellular adenoma in a pregnant patient.
    Acta Chir Belg 2017 Oct 5:1-4. Epub 2017 Oct 5.
    a Department of Abdominal Surgery , UZ Leuven , Leuven , Belgium.
    Introduction: Hepatocellular adenoma (HCA) is a benign neoplasm of the liver, however, with a potential for life-threatening hemorrhage. The unpredictable course during pregnancy poses a clinical dilemma in the pregnant patient. Intra-peritoneal rupture may lead to life-threatening situations with adverse outcome for mother and unborn child. Read More

    Hypovolemic shock caused by delayed-onset superior gluteal artery rupture, successfully treated with arteriographic embolization.
    Acta Chir Belg 2017 Oct 4:1-4. Epub 2017 Oct 4.
    b Department of Thoracic and Cardiovascular Surgery, School of Medicine , Konkuk University, Konkuk University Chungju Hospital , Chungju-si Republic of Korea.
    Introduction: Rupture of the superior gluteal artery (SGA) is usually associated with pelvic bone fractures and acetabular fractures secondary to blunt trauma. However, despite recent advances in technologies and tools, rupture of the SGA remains a challenging problem because it is difficult to manage and is frequently associated with significantly high mortality and morbidity.

    Patients And Methods: We present a case of an 82-year-old man, who presented to our emergency department after a cultivator turnover accident and who showed stable initial vital signs and manifested only as blunt buttock traumatic contusion without any pelvic bone or acetabular fracture, which resulted in delayed massive bleeding from the SGA on eight days after trauma. Read More

    Juan Valverde de Amusco (1525-1588): an eminent anatomist of the renaissance or a plagiarist of Vesalius? His work and its impact in renaissance anatomy.
    Acta Chir Belg 2017 Sep 28:1-5. Epub 2017 Sep 28.
    a Biomedical Research Foundation of the Academy of Athens , Athens , Greece.
    Introduction: The purpose of this study is to review and summarize the life and work of Juan Valverde de Amusco (1525-1588), his impact on the anatomy of the sixteenth century and focus on his controversy with Andreas Vesalius.

    Methods: A thorough search of the literature was undertaken in PubMed and Google Scholar as well as in history books through the internet and in History and Medical University libraries.

    Results: Valverde took almost directly from Andreas Vesalius 38 pictures. Read More

    A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients.
    Acta Chir Belg 2017 Sep 25:1-6. Epub 2017 Sep 25.
    b Department of Cardiovascular Surgery , Uludag University Faculty of Medicine , Bursa , Turkey.
    Background: The reply of question of "which coronary artery bypass grafting (CABG) technique is superior in elderly patients, off-pump or on-pump CABG surgery?" is controversial. We aimed to compare the early clinical outcomes in elderly patients undergoing off-pump and on-pump CABG.

    Methods: From January 2009 to January 2015, 344 elderly patients (aged 70 or older) underwent off-pump (n = 137) or on-pump (n = 207) CABG. Read More

    Pseudoaneurysm of the superior lateral genicular artery following anterior cruciate ligament repair.
    Acta Chir Belg 2017 Sep 25:1-6. Epub 2017 Sep 25.
    b Department of Surgery , VieCuri Medical Centre , Venlo , The Netherlands.
    Background: Pseudoaneurysm is a rare complication of surgery of the knee. The pathogenesis of false aneurysm involves partial arterial laceration, which allows hemorrhage into surrounding soft tissues that confine it. Although most cases in literature described pseudoaneurysms after total knee arthroplasty, it can be associated with arthroscopic knee surgery too. Read More

    Lynch syndrome and sextuple primary malignancies.
    Acta Chir Belg 2017 Sep 22:1-5. Epub 2017 Sep 22.
    a Center of Abdominal Surgery , Vilnius University Hospital Santariskiu Clinics , Vilnius , Lithuania.
    Lynch syndrome or hereditary nonpolyposis colorectal cancer is the most common of hereditary colorectal cancer and accounts for 1-3%. Lynch and Chapelle estimated that it accounts 5-8% for all colorectal cancers. It is an autosomal dominant syndrome characterized by predisposition of various cancers (colorectal, stomach, endometrial, ovarian, renal, small bowel, and hepatobiliary tract) at earlier age than in general population and occurs as a result of mutation in DNA mismatch repair genes. Read More

    Single-incision versus multiport video-assisted thoracoscopic surgery in the treatment of lung cancer: a systematic review and meta-analysis.
    Acta Chir Belg 2017 Sep 21:1-9. Epub 2017 Sep 21.
    a Department of Thoracic Surgery I , The Third Affiliated Hospital of Kunming Medical University (Yunnan Tumor Hospital) , Kunming , PR China.
    Objectives: Recent studies compared single-incision thoracoscopic surgery (SITS) with more widely used conventional multiport video-assisted thoracoscopic surgery in the treatment of lung cancer. To establish the safety and feasible of SITS in the treatment of lung cancer, we conducted this systematic review and meta-analysis.

    Methods: Eleven studies were identified from the databases of PubMed, Cochrane Library, SpringerLink, and ScienceDirect. Read More

    Subhepatic mass occurrence after using oxidized and regenerated cellulose polymer in laparoscopic cholecystectomy: a case series.
    Acta Chir Belg 2017 Sep 20:1-4. Epub 2017 Sep 20.
    c Department of Surgery , "P. Colombo" Hospital , Velletri , Rome , Italy.
    Background: Oxidized regenerated cellulose (ORC) is a bioabsorbable surgical hemostatic. We present the first prospective case series of circumscribed mass occurrence after using ORC in laparoscopic cholecystectomy.

    Methods: Tabotamp (Ethicon, Inc. Read More

    An acute presentation of pediatric mesenteric lymphangioma: a case report and literature overview.
    Acta Chir Belg 2017 Sep 19:1-5. Epub 2017 Sep 19.
    a Departments of General Surgery , Mariaziekenhuis , Overpelt , Belgium.
    Introduction: Lymphangioma accounts for 5% of benign pediatric tumors and less than 1% is located in the abdomen. While mesenteric lymphatic malformation or mesenteric lymphangioma (ML), mostly appears asymptomatic in adults, an acute clinical presentation is seen more often in children. Symptoms can mimic obstruction or peritonitis and diagnosis can therefore be challenging. Read More

    Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.
    Acta Chir Belg 2017 Sep 19:1-5. Epub 2017 Sep 19.
    a Erasmus Hospital, Free University of Brussels , Brussels , Belgium.
    Objectives: Postoperative complications after Laparoscopic sleeve gastrectomy (LSG) can dramatically compromise patient's outcome. The aim of this study is to analyze the per- and postoperative short-term outcomes after LSG and to assess predictive risk factors of complications.

    Methods: The study group consisted of 790 patients (610 women and 180 men) who underwent LSG In 2014. Read More

    Chronic ileitis with transmural migration of ingested foreign body treated by laparoscopy.
    Acta Chir Belg 2017 Sep 17:1-5. Epub 2017 Sep 17.
    a Department of General and Upper Gastrointestinal Surgery , Broomfield Hospital, Mid Essex Hospital Services NHS Trust , Chelmsford , UK.
    Background: Ingestion of foreign bodies such as fish bone or chicken bone is relatively common in adults; however, resultant transmural migration is extremely rare.

    Methods: We present a case of a 79-year-old woman with chronic low-grade abdominal pain, worsening over the last 4 days. Computed tomography revealed segmental small bowel wall thickening with chronic inflammation suggestive of Crohn's ileitis and oral steroids were commenced; only later, ingestion of a foreign body was suspected. Read More

    Robotic lymphadenectomy of an internal mammary lymph node metastasis.
    Acta Chir Belg 2017 Sep 15:1-2. Epub 2017 Sep 15.
    a Department of Cardiac, Vascular and Thoracic Surgery , CHU UCL Namur , Yvoir , Belgium.
    A 58-year-old woman was diagnosed with a left-sided lone internal mammary swollen lymph node on a routine follow-up computer tomography, 42 months after a left mastectomy in the context of a ductal carcinoma grade III. The suspected metastasis was successfully removed in toto using a 3-port-da Vinci robotic procedure and the patient was discharged home without any complication on the third postoperative day. Robotically assisted oncological lymph node removal is safe, easily performed and economically affordable. Read More

    Endovascular stenting of mid-aortic syndrome due to Takayasu arteritis.
    Acta Chir Belg 2017 Sep 13:1-5. Epub 2017 Sep 13.
    a Faculty of Medicine, Gaziosmanpasa Hospital Cardiology Department , Istanbul Yeni Yuzyil University , Istanbul , Turkey.
    Introduction-patients: Takayasu arteritis may involve various parts of the aorta and its major branches. It leads to occlusive or aneurysmal disease of the vessel. It can be treated either with surgery or percutaneous intervention. Read More

    Revascularization of the superficial femoral artery with paclitaxel-coated balloon for claudication.
    Acta Chir Belg 2017 Sep 11:1-6. Epub 2017 Sep 11.
    a Dpt Cardiovascular Surgery , University Hospital Sart Tilman , Liège , Belgium.
    Background: Percutaneous angioplasty of the superficial femoral artery (SFA) with paclitaxel-coated balloon, intended to reduce restenosis, has been proven safe and effective in recent randomized controlled trials.

    Objective: To assess outcome results of angioplasty of the SFA with paclitaxel-coated balloon in claudicants in real-world practice of a single center.

    Material & Methods: A continuous prospective cohort study of 53 claudicants (62 lower limbs) from January 2015 to December 2016. Read More

    Intraoperative measurement of pressure gradient in median arcuate ligament syndrome as a rationale for radical surgical approach.
    Acta Chir Belg 2017 Aug 31:1-6. Epub 2017 Aug 31.
    a Department of Cardiovascular Surgery , General University Hospital in Prague and First Faculty of Medicine, Charles University , Prague , Czech Republic.
    Background: Median arcuate ligament syndrome (MALS) describes clinical symptoms in patients with stenosis of the celiac artery due to external compression by the ligament. There is an ongoing debate, whether sole release of the median arcuate ligament warrants long-term relief of the symptoms.

    Materials And Methods: Eight patients diagnosed with MALS underwent open surgical treatment beginning with the release of the ligament. Read More

    Colorectal cancer in the young: a possible role for immune surveillance?
    Acta Chir Belg 2017 Jul 26:1-8. Epub 2017 Jul 26.
    a Department of Surgery, IV Unit of Surgery , Regional Hospital "Cà Foncello" , Treviso , Italy.
    Background: Younger patients with colorectal cancer (CRC) generally have better survival in spite of worse clinical and pathological features.

    Methods: Twenty-six patients under 50 years operated for primary CRC were enrolled and matched 1:2:2 according to stage, tumor site and gender with 52 patients from 50 to 70 years and 52 patients over 70 years old.

    Results: Patients under 50 years had a significantly longer overall, cancer specific and disease free survival (p = . Read More

    Laparoscopic treated neuralgia after inguinal hernia repair: case report and literature review.
    Acta Chir Belg 2017 Oct 25;117(5):283-289. Epub 2017 Jul 25.
    b Kliniek voor Urologie , Sint-Franciscusziekenhuis , Heusden-Zolder , Belgium.
    Background: Neuralgia after inguinal hernia repair is a known but potential invalidating complication with a reported incidence of 10-12%. Diagnosis and treatment can be challenging. Based on a case report and literature review, disease aspects and treatment options including laparoscopic (triple) neurectomy are discussed. Read More

    Seeding nerve sutures with minced nerve-graft (MINE-G): a simple method to improve nerve regeneration in rats.
    Acta Chir Belg 2017 Jul 25:1-9. Epub 2017 Jul 25.
    b Division of Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences , University of Palermo , Palermo , Italy.
    Background: The aim of this study was to assess the effect of seeding the distal nerve suture with nerve fragments in rats.

    Methods: On 20 rats, a 15 mm sciatic nerve defect was reconstructed with a nerve autograft. In the Study Group (10 rats), a minced 1 mm nerve segment was seeded around the nerve suture. Read More

    In- and out-hospital mortality rate in surgical patients.
    Acta Chir Belg 2017 Jul 20:1-6. Epub 2017 Jul 20.
    a Department of Anaesthesia , University Hospital Centre of Charleroi , Lodelinsart , Belgium.
    Background: Death rates after surgery are increasingly analysed for clinical audit and quality assessment. Many studies commonly provide information only on deaths that occur during hospital stay, known as in-hospital death rates. By using hospital data set linked to death certificate registry, we recorded in- and out-hospital deaths within 30 and 60 post-operative days. Read More

    A rare cause of severe epigastric pain, emesis and increased lipase.
    Acta Chir Belg 2017 Jul 20:1-4. Epub 2017 Jul 20.
    b Department of Emergency Medicine and Traumatology , AZ Dimpna , Geel , Belgium.
    Introduction: Gastric volvulus is an uncommon, but severe pathology requiring early diagnosis and urgent treatment. Its atypical symptoms and rarity make it difficult to diagnose, possibly leading to delayed treatment and fatal complications.

    Patients And Methods: We present a case of a 73-year-old patient with Parkinson's disease with complaints of severe epigastric pain, emesis and an increased lipase. Read More

    Localized prostate cancer and robot-assisted laparoscopic radical prostatectomy: a retrospective, comparative study between pre- and post-operative Gleason scores.
    Acta Chir Belg 2017 Jul 18:1-6. Epub 2017 Jul 18.
    a Department of Urology , GZA Sint-Augustinus , Wilrijk , Belgium.
    Introduction: To compare the pre- and post-operative Gleason scores (GS) in patients with localized prostate cancer treated with robot-assisted laparoscopic radical prostatectomy.

    Materials And Methods: A single center, retrospective comparison between pre- and post-operative GS. Age, prostate volume, PSA, number of biopsies, number of positive cores, biopsy GS, cTNM, final pathology GS and pTNM of 286 patients were retrieved. Read More

    A combined technique using a muscular flap and endobronchial stent to repair complex broncho-oesophageal fistulae supported by ECMO.
    Acta Chir Belg 2017 Jul 7:1-4. Epub 2017 Jul 7.
    a Department of General and Thoracic Surgery , Rouen University Hospital , Rouen , France.
    Introduction: Certain broncho-oesophageal fistulae require surgical repair. Herein, we describe an innovative surgical technique combining intercostal flap and endobronchial stenting.

    Case Reports: Two patients, each with a with complex broncho-oesophageal fistula 2 years after radio-chemotherapy, were hospitalised for severe respiratory infection and extension of the fistula despite previous endoscopic treatment. Read More

    Case report: an unwanted leftover after laparoscopic cholecystectomy.
    Acta Chir Belg 2017 Jul 6:1-3. Epub 2017 Jul 6.
    b Department of Emergency and Traumatology , Geel , Belgium.
    Background: A 72-year-old female patient with a history of laparoscopic cholecystectomy presented at the gastroenterology consultation with intermittent complaints of abdominal pain since two months in the right hemi abdomen.

    Methods: Imaging discovered a subhepatic abscess. Explorative surgery showed multiple gallstones as the cause of the abscess. Read More

    A rare case of non-traumatic acute intraabdominal hemorrhage: ruptured superior mesenteric artery aneurysm.
    Acta Chir Belg 2017 Jul 6:1-4. Epub 2017 Jul 6.
    d Department of Radiology , Gaziantep Universitesi Tip Fakultesi , Gaziantep , Turkey.
    Introduction: Rupture of superior mesenteric artery aneurysm (SMAA) is a very rare and life-threatening condition, presenting with acute intraabdominal hemorrhage.

    Case: The patient was hospitalized upon complaint of nonspecific severe abdominal pain. Diagnosis of SMAA was established by abdominal Doppler ultrasound that showed a pseudo-aneurysmal lesion with size of 76 × 47 mm at the superior mesenteric main branch. Read More

    Multidisciplinary management of testicular cancer complicated by thrombosis of the inferior vena cava: a case report.
    Acta Chir Belg 2017 Jul 5:1-4. Epub 2017 Jul 5.
    a CHR Val de Sambre , Sambreville , Belgium.
    Introduction: Testicular cancer is a rare disease, most commonly seen in young adults. It represents 1% of solid cancers in men. Inferior vena cava (IVC) thrombosis remains a rare complication of testicular cancer and is often associated with a high risk of pulmonary embolism (PE). Read More

    Dose-dependent role of novel agents emodin and BTB14431 in colonic cancer treatment in rats.
    Acta Chir Belg 2017 Jul 3:1-9. Epub 2017 Jul 3.
    g Department of Pediatrics , Molecular Imaging Program at Stanford (MIPS), James H. Clark Center , Stanford , CA , USA.
    Background: BTB14431 is an in silico homolog to emodin. Both were found to possess anti-tumor effects in vitro. The aim of this work was to analyze the tumor suppressing effects of both molecules in an intraperitoneal (ip) and intravenous (iv) treated rat model (WAG-Rij). Read More

    The relationship between Vesalius and the Borgarucci family.
    Acta Chir Belg 2017 Oct 3;117(5):329-343. Epub 2017 Jul 3.
    a Universiteit Antwerpen , Antwerpen , Belgium.
    Two of the four brothers Borgarucci were medical doctors and in one way or another, be it distantly, connected with the great master Vesalius. Giulio Borgarucci was a physician, who became a Calvinist and emigrated to England where he treated many noblemen and friends of Queen Elisabeth I. He was present at a conversation between the Italian writer and traveler Pietro Bizzari and the Venetian jeweler who witnessed Vesalius' death in Zakynthos. Read More

    The prognostic value of different node staging systems in patients with ≤15 lymph nodes following surgery for gastric adenocarcinoma.
    Acta Chir Belg 2017 Jul 3:1-6. Epub 2017 Jul 3.
    a Department of General Surgery , Numune Training and Research Hospital , Ankara , Turkey.
    Aim: Lymph node (LN) status is an important prognostic indicator in patients with gastric cancer (GC). Although American Joint Committee on Cancer/International Union against Cancer (AJCC/UICC) is the most widely used staging system, there is a challenge in predicting survival of patients when the number of total harvested LNs is ≤15. Our aim was to investigate the prognostic performances of seventh edition AJCC/UICC, lymph-node ratio (LNR), and log odds of metastatic lymph nodes (LODDS) on the overall survival (OS) of GC patients with ≤15 examined LNs after gastric resection. Read More

    Intraoperative left atrium inversion after implantation of HeartMate III ventricular assist device.
    Acta Chir Belg 2017 Jun 27:1-3. Epub 2017 Jun 27.
    b Cardiac Surgery , Turkey Yuksek Ihtisas Hospital , Ankara , Turkey.
    We report here a case of left atrium inversion after implanting HeartMate III LVAD, which is known to be the first in literature. LVAD can be functional only if there is adequate inflow to the device. Parameters and filling of left ventricle can be assessed by TEE. Read More

    Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report.
    Acta Chir Belg 2017 Jun 22:1-4. Epub 2017 Jun 22.
    a Department of General and Abdominal Surgery , ZNA Middelheim , Antwerp , Belgium.
    Introduction: Desmoid tumors are benign tumors, yet can lead to significant morbidity due to aggressive local expansions. Treatment starts with a wait-and-see policy, however, more aggressive treatments like broad margin resection surgery might be necessary in case of tumor progression.

    Patients And Methods: We report the case of a 26-year-old female with a symptomatic desmoid tumor in the left rectus muscle. Read More

    Prehospital identification of trauma patients requiring transfusion: results of a retrospective study evaluating the use of the trauma induced coagulopathy clinical score (TICCS) in 33,385 patients from the TraumaRegister DGU(®).
    Acta Chir Belg 2017 Jun 22:1-6. Epub 2017 Jun 22.
    d Department of Orthopedic Trauma , RWTH Aachen University Hospital , Aachen , Germany.
    Background: Identifying trauma patients that need emergent blood product transfusion is crucial. The Trauma Induced Coagulopathy Clinical Score (TICCS) is an easy-to-measure score developed to meet this medical need. We hypothesized that TICCS would assist in identifying patients that need a transfusion in a large cohort of severe trauma patients from the TraumaRegister DGU(®) (TR-DGU). Read More

    An intradural, subpial lipoma.
    Acta Chir Belg 2017 Aug 1;117(4):267-269. Epub 2017 Mar 1.
    b Department of Orthopaedics , Antwerp University Hospital , Edegem , Antwerp , Belgium.
    Introduction - patients: Intradural lipomas are rare congenital tumors. A case of intradural lipoma in the absence of any congenital spinal anomalies is reported. Patient presented with spinal cord compression syndrome. Read More

    Surgical aortic valve replacement for stenosis of TAVI device.
    Acta Chir Belg 2017 Mar 1:1-3. Epub 2017 Mar 1.
    a Department of Cardiovascular and Thoracic Surgery , University of Liège , Liège , Belgium.
    We here report the case of a stenosis of the CoreValve(®) system due to reduced mobility of prosthesis cusps for which a surgical replacement of the aortic valve was proposed. The exact mechanism leading to this impaired mobility of the leaflets is yet to be determined. We also underline the fact a transcatheter aortic valve implantation (TAVI) device can be replaced by a surgical replacement without excessive operative risks despite the patient being initially considered as high-risk. Read More

    Lumbar artery perforators: an anatomical study based on computed tomographic angiography imaging.
    Acta Chir Belg 2017 Aug 28;117(4):223-226. Epub 2017 Feb 28.
    a Department of Plastic & Reconstructive Surgery , Ghent University Hospital , Ghent , Belgium.
    Background: The free lumbar artery perforator flap has recently been introduced as a potentially valuable option for autologous breast reconstruction in a subset of patients. Up to date, few anatomical studies, exploring the lumbar region as a donor site for perforator- based flaps, have been conducted.

    Methods: An anatomical study of the position of the dominant lumbar artery perforator was performed, using the preoperative computed tomographic angiography images of 24 autologous breast reconstruction patients. Read More

    The preventive effect of ambroxol hydrochloride chitosan on postoperative intraperitoneal adhesion formation in a rat model.
    Acta Chir Belg 2017 Aug 13;117(4):232-237. Epub 2017 Feb 13.
    b Department of Emergency , Affiliated First Hospital, China Medical University , Shenyang , China.
    Background: This study aimed to investigate the effects of ambroxol hydrochloride chitosan reduced the degree of peritoneal adhesion.

    Methods: A total of 120 Sprague-Dawley (SD) rats were experimented, group A: the damaged peritoneal was covered with ambroxol hydrochloride chitosan, group B: chitosan membrane only, group C: nothing. Enzyme-linked immunosorbent assay (ELISA), western blotting, and immunohistochemistry (IHC) were used to observe the expression of TNF-α and NF-κB p65. Read More

    Benign tumors of the parotid gland: a retrospective study of 339 patients.
    Acta Chir Belg 2017 Aug 10;117(4):227-231. Epub 2017 Feb 10.
    a Department of Surgery, Jules Bordet Institute , Université Libre de Bruxelles, Rue Héger-Bordet , Brussels , Belgium.
    Aim: Among 339 patients operated for benign tumor of the parotid gland: the recurrences and the postoperative complications rates were compared WITH those published in literature.

    Materials And Methods: About 339 patients operated: 274 primarily and 65 for recurrence or residual tumor.

    Variables: sex, age, surgical techniques, pre- or postoperative radiotherapy, histology, size and localization of the tumors, disease free intervals, recurrences and postoperative complications. Read More

    Laparoscopic colectomy in a district hospital: the single surgeon can be safe.
    Acta Chir Belg 2017 Aug 7;117(4):216-222. Epub 2017 Feb 7.
    c Centre for Professional Practice, University of Kent , Canterbury , Kent , UK.
    Background: Several outcome measures have been identified for colorectal surgery and published in the literature. This study sought to compare outcomes of high volume laparoscopic colectomy by a single surgeon in a district hospital with outcomes from tertiary referral centres.

    Methods: This was a retrospective review of elective laparoscopic colectomy by a single laparoscopic general surgeon in a district hospital over a 51-month period using a prospectively maintained database. Read More

    Incidental breast carcinoma in reduction mammoplasty.
    Acta Chir Belg 2017 Oct 13;117(5):308-311. Epub 2017 Jun 13.
    a Department of General Surgery , AZ Turnhout , Turnhout , Belgium.
    Aim: The objective of this study was to analyze the incidence and treatment options of occult cancer or atypical lesions found in the histopathological examination of reduction mammoplasty (RM) specimens. The role of preoperative mammography and systematic histopathological examination are discussed.

    Methods: We performed a retrospective single-center database review of all patients who underwent a RM between January 2005 and December 2014. Read More

    Frailty as a predictor of mortality in the elderly emergency general surgery patient.
    Acta Chir Belg 2017 Jun 10:1-6. Epub 2017 Jun 10.
    a Department of GI Surgery , University Hospital , Ghent , Belgium.
    Background: The number of surgical procedures performed in elderly and frail patients has greatly increased in the last decades. However, there is little research in the elderly emergency general surgery patient. The aim of this study was to assess the prevalence of frailty in the emergency general surgery population in Belgium. Read More

    Improvement of nonalcoholic fatty liver disease in morbidly obese patients after sleeve gastrectomy: association of ultrasonographic findings with lipid profile and liver enzymes.
    Acta Chir Belg 2017 Jun 6:1-7. Epub 2017 Jun 6.
    c Obesity Unit , General University Hospital Elche , Alicante , Spain.
    Background: After bariatric surgery an improvement or even complete resolution of nonalcoholic fatty liver disease (NAFLD) in morbidly obese patients is achieved, but little is known about the effect of laparoscopic sleeve gastrectomy (LSG).

    Patients And Methods: A prospective observational study of patients undergoing LSG was performed. An abdominal ultrasonography and blood sample extraction (investigating liver enzymes and lipid profile) were performed preoperatively and 12 months after surgery. Read More

    1 OF 120