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    5968 results match your criteria Acta chirurgica Belgica[Journal]

    1 OF 120

    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 Jul 25:1-7. 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 Jul 3:1-15. 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 Jun 13:1-4. 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

    The discovery of the lymphatic system in the seventeenth century. Part IV: the controversy.
    Acta Chir Belg 2017 Aug 19;117(4):270-278. Epub 2017 May 19.
    a Department of Vascular Surgery , KU Leuven, University of Leuven , Leuven , Belgium.
    A controversy over the transport of chyle and lymph started a few weeks after the publication of Pecquet's Experimenta Nova Anatomica. There are records of nearly seventy people who had an active interest in this matter. Three issues were discussed: the purpose of the liver and especially its haematopoietic function, the capacity of the thoracic duct to transport all chyle, and the purpose of the lymph vessels. Read More

    A comparative study of short-term outcomes of colorectal cancer surgery in the elderly population.
    Acta Chir Belg 2017 May 11:1-5. Epub 2017 May 11.
    a Department of Surgery and Cancer , Chelsea and Westminster Hospital, Imperial College London NHS Trust , London , UK.
    Background: Colorectal Cancer (CRC) is a disease of the elderly, and with an ageing population, oncological surgical procedures for CRC in the elderly is expected to increase. However, the balance between surgical benefits and risks associated with age and comorbidities in elderly patients is obscure.

    Materials And Methods: A retrospective database of consecutive patients who received CRC surgery was used to compare short-term surgical and oncological outcomes between patients aged ≥75 and <75 years old undergoing CRC resection. Read More

    Colorectal cancer in patients under the age of 40 years: experience from a tertiary care centre in the Czech Republic.
    Acta Chir Belg 2017 May 4:1-7. Epub 2017 May 4.
    a Department of Surgery, 2nd Faculty of Medicine , Charles University and Motol University Hospital , Prague , Czech Republic.
    Introduction: Colorectal cancer (CRC) in young patients is not an uncommon disease. Reports on its behaviour in young patients are conflicting. The aim of this study was to investigate patient and tumour characteristics, treatment and prognosis of this disease. Read More

    Chronic refractory constipation due to neurogenic bowel dysfunction can be successfully treated by sacral neurostimulation.
    Acta Chir Belg 2017 May 3:1-4. Epub 2017 May 3.
    a Department of Digestive and Hepatobiliary/Pancreatic Surgery , AZ Groeninge Hospital , Kortrijk , Belgium.
    Introduction: In the last few decades, sacral neurostimulation (SNS) has proven to be an effective treatment option for functional bowel disorders. Experience concerning the role of SNS in the treatment of chronic constipation due to neurogenic bowel dysfunction (NBD) however is limited.

    Methods: In this report, we present the case of a 44-year old patient, with chronic refractory neurogenic constipation after a spontaneous cerebral hemorrhage, who was treated with SNS. Read More

    Early simultaneous esophagopleural and bronchopleural fistula after right pneumonectomy.
    Acta Chir Belg 2017 May 2:1-3. Epub 2017 May 2.
    a Department of Surgery I , Palacky University in Olomouc, Faculty of Medicine and Dentistry, University Hospital Olomouc , Olomouc , Czech Republic.
    Background: Esophagopleural and bronchopleural fistulas represent a rare, but life-threatening complication after lung resections, most often after a right pneumonectomy.

    Case Study: A 64 years old woman was indicated for right pulmectomy for local recurrence of initially stage IIB lung cancer treated by lower lobectomy. On the postoperative day 34, an esophagopleurobronchial fistula occurred. Read More

    Venous malformation as source of a tarsal tunnel syndrome: treat the source or the cause of the complaints? A case report.
    Acta Chir Belg 2017 Apr 28:1-4. Epub 2017 Apr 28.
    a Department of Vascular Surgery , University Hospitals Leuven , Leuven , Belgium.
    Painful tarsal tunnel syndrome is a compression neuropathy with a variety of possible sources. As it presents a challenging differential diagnostic problem, it is often under-diagnosed. Among the intrinsic and extrinsic factors, varicose veins are the main source in case of a venous etiology. Read More

    Laparoscopic ventral hernia repair using a composite mesh with polypropylene and expanded polytetrafluoroethylene: a prospective, multicentre registry.
    Acta Chir Belg 2017 Apr 25:1-8. Epub 2017 Apr 25.
    a Hospital East Limburg , Genk , Belgium.
    Background: Abdominal wall hernias are a common problem. Composite meshes placed intraperitoneally for abdominal wall hernia repair are widely used. This registry evaluated the safety and efficacy of one specific composite mesh with polypropylene and expanded polytetrafluoroethylene (Intramesh(®) T1) in laparoscopic ventral hernia repair. Read More

    Ten-year follow-up of a case of necrotizing fasciitis successfully treated with negative-pressure wound therapy, dermal regeneration template application, and split- thickness skin autograft.
    Acta Chir Belg 2017 Apr 25:1-5. Epub 2017 Apr 25.
    a Department of Plastic and Reconstructive Surgery , Brugmann University Hospital, Free University of Brussels , Brussels , Belgium.
    Introduction: Necrotizing fasciitis is a rapidly progressive and often fatal infection of the fasciae and subcutaneous tissues.

    Patient And Methods: In this case report, we present the treatment of a 63-year-old patient suffering from diabetes mellitus, who was admitted to the emergency unit for severe right gluteal pain, which had begun 24 hours before admission. Cutaneous symptoms, oliguria, metabolic acidosis, acute renal failure, severe hypotension, and tachycardia occurred, and the patient was admitted to Intensive Care a few hours after initial admission. Read More

    A primary extraskeletal osteosarcoma of the mesentery: a case report.
    Acta Chir Belg 2017 Apr 24:1-4. Epub 2017 Apr 24.
    b Department of Histopathology , ZNA Middelheim , Antwerp , Belgium.
    Extraskeletal osteosarcoma is a rare and invasive malignancy, typically located in the soft tissue without attachment to the skeleton. The present study reports a case of a primary mesenteric extraskeletal osteosarcoma of a 71-year-old woman. The patient complained of an incomplete defecation. Read More

    Acute gastric outlet obstruction secondary to exclusive paraoesophageal small bowel herniation: a case report.
    Acta Chir Belg 2017 Apr 19:1-3. Epub 2017 Apr 19.
    a Department of Upper Gastro-Intestinal Surgery , Royal Devon and Exeter Hospital , Exeter , UK.
    Introduction: Herniation of abdominal viscera into the thorax may occur as a consequence of abnormal defects in the diaphragm. In adults, the most common condition relates to herniations through a weakened crural orifice via which the oesophagus normally traverses. These hiatus hernias are classified as types I-IV depending on the extent of visceral involvement. Read More

    Triclosan-coated sutures for the prevention of surgical-site infections: a meta-analysis.
    Acta Chir Belg 2017 Jun 9;117(3):137-148. Epub 2017 Feb 9.
    a Department of Neurosurgery , Agios Savvas Cancer Hospital , Athens , Greece.
    Background: The scope of this article is to perform a meta-analysis of the studies that compare the use of triclosan-coated sutures (TCS) to uncoated sutures in prevention of surgical-site infections (SSIs).

    Methods: A systematic search of randomized and non-randomized studies was carried out on Pubmed and Scopus databases until July 2016.

    Results: The meta-analysis of 30 studies (19 randomized, 11 non-randomized; 15,385 procedures) gave evidence that TCS were associated with a lower risk of SSIs (risk ratio [RR] = 0. Read More

    Malignant pleural mesothelioma: single-institution experience of 101 patients over a 15-year period.
    Acta Chir Belg 2017 Jun;117(3):157-163
    a Department of Thoracic and Vascular surgery , Antwerp University Hospital , Antwerp , Belgium.
    Background: Malignant pleural mesothelioma (MPM) is a rare but aggressive neoplasm that typically originates from the mesothelial surfaces of the pleural cavity. Exposure to asbestos is the principal etiological agent of MPM. The disease is characterized by difficult stage classification and limited consensus on therapeutic approach. Read More

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