6,218 results match your criteria Acta chirurgica Belgica[Journal]


18F-FDG micro-PET/CT for intra-operative margin assessment during breast-conserving surgery.

Acta Chir Belg 2020 May 26:1-22. Epub 2020 May 26.

Department of Gynecology, Ghent University Hospital, C. Heymanslaan 10, 9000 Ghent, Belgium.

Positive surgical margins for invasive breast cancer (BC) treated with breast-conserving surgery (BCS) are defined as ink on tumor. The rate of positive margins are approximately 20%, since a time- and cost-effective method for margin assessment is lacking. In this study, we investigated margin status by intra-operative imaging using high-resolution F-fluoro-deoxyglucose (FDG) positron emission tomography (PET) and X-ray computed tomography (CT). Read More

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The discovery of the lymphatic system in the seventeenth century. Part VI: The microscopic discovery of the subtle anatomy.

Acta Chir Belg 2020 May 26:1-14. Epub 2020 May 26.

Department of Cardiovascular Sciences, Research group of Vascular Surgery, KU Leuven, Leuven, Belgium.

The discovery of chyle and lymph vessels had furthered the dream of understanding the body's structure and functions. Initially it was thought that chyle was sucked from the intestines through the open mouths of chyle vessels, and that lymph vessels were side branches of arterial end branches. In the second half of the 17 century, microscopy became an adjuvant for research into the subtle anatomy of the lymphatic system. Read More

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Suspicion of abdominal injuries in high-energy trauma patients: Which clinical factors influence decision making for diagnostic imaging?

Acta Chir Belg 2020 May 19:1-24. Epub 2020 May 19.

Department of Emergency Medicine, Máxima Medical Centre, Veldhoven, The Netherlands.

The choice of diagnostic imaging for high-energy trauma (HET) patients is highly debated. Currently, different diagnostic imaging is used in trauma centres to identify abdominal injuries. However, it remains unclear when physicians have a suspicion for abdominal injuries, and when diagnostic imaging is performed. Read More

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VATS approach for pulmonary sclerosing pneumocytoma: a case report.

Acta Chir Belg 2020 May 19:1-4. Epub 2020 May 19.

Department of Thoracic Surgery, CHU St Pierre, Brussels, Belgium.

Pulmonary Sclerosing Pneumocytoma (PSP) is a rare type of benign lung tumor usually encountered in middle-aged Asian women. The lesion is mostly found on routine chest x-rays. Though surgery is recognized as the recommended treatment, there is no consensus on the standard operative procedure for this tumor. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765671DOI Listing

Preoperative treatment of benign insulinoma: diazoxide or somatostatin analogues?

Acta Chir Belg 2020 May 18:1-4. Epub 2020 May 18.

Department of Endocrinology, CHU UCL Namur (Site Godinne), Université Catholique de Louvain, Yvoir, Belgium.

Surgery is the ideal treatment of insulinoma. However, systemic therapy may be required to prevent severe preoperative hypoglycaemia, when surgery is contraindicated, delayed or refused and in case of unresectable metastatic disease. Diazoxide is commonly used but is not always effective and can cause serious side effects. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765676DOI Listing

Misdiagnosis of sebaceous carcinoma.

Acta Chir Belg 2020 May 19:1-6. Epub 2020 May 19.

Department of Plastic Surgery, ZNA Middelheim Hospital, Antwerp, Belgium.

Sebaceous carcinoma is an aggressive malignant tumour. To prevent mutilating surgery and improve patient outcomes, early diagnosis and prompt treatment are necessary. When the tumour invades surrounding tissues, treatment may become complex. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765674DOI Listing

Long-term follow-up of the incisional hernia rate after single-incision laparoscopic cholecystectomy: a prospective observational study.

Acta Chir Belg 2020 May 13:1-7. Epub 2020 May 13.

Department of Surgery, Centre Hospitalier EpiCURA, Hainaut, Belgium.

To evaluate the long-term occurrence rate of incisional hernias following single-incision laparoscopic cholecystectomy (SILC). Since the 90 s, SILC has emerged as a less invasive alternative to standard laparoscopic cholecystectomy in selected patients. But concerns over port-incisional hernias have not been addressed. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765673DOI Listing

Glue embolization of a bleeding lingual artery pseudoaneurysm related to tongue surgery.

Acta Chir Belg 2020 May 19:1-3. Epub 2020 May 19.

Department of Radiology, University Hospitals Leuven, Leuven, Belgium.

Postoperative lingual artery pseudoaneurysm associated with hemorrhage is a rare entity mainly found after tonsillectomy or laryngectomy. In this report, a symptomatic, lingual artery pseudoaneurysm after repeated base of tongue surgery was identified on computed tomography and successfully managed with catheter-directed glue-embolization. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765675DOI Listing

Sigmoid perforation by broken nitinol memory frame after inguinal hernia repair.

Acta Chir Belg 2020 May 18:1-3. Epub 2020 May 18.

Department of Surgery, O. L. V. Van Lourdes Hospital, Waregem, Belgium.

For an inguinal hernia repair, meshes with a continuous memory frame made it more easy to position the mesh in the preperitoneal space by anterior approach. We present a case of a sigmoid perforation caused by a fractured nitinol ring of a Rebound HRD Shield mesh. A 29-years old sports instructor presented to the Emergency Department (ED) with a gnawing abdominal pain in the left lower quadrant. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765670DOI Listing

Lipomatous pancreas facilitates late onset of renal cell carcinoma metastases.

Acta Chir Belg 2020 May 18:1-6. Epub 2020 May 18.

Department of General and Visceral Surgery, St. Josef-Hospital, University Hospital, Ruhr-University Bochum, Bochum, Germany.

Late metastasizing into pancreatic tissue is a special hallmark of renal cell carcinomas (RCC). A very low prevalence leads to scarce data about therapy, prognosis and spreading pathways. The aim of the study was to analyze whether a high fat content in the pancreas facilitates RCC metastases formation. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765672DOI Listing

Andreas Vesalius of Brussels (1514-1564): his contribution to the field of functional neuroanatomy and the criticism to his predecessors.

Acta Chir Belg 2020 Apr 29:1-5. Epub 2020 Apr 29.

Department of Anatomy, Medical School, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.

Until the fifteenth century, the knowledge about anatomy and function of the nervous system had been significantly influenced by theological notions. Andreas Vesalius of Brussels (1514-1564), based on human cadavers' dissections, criticized his predecessors and contributed to the construction of the current knowledge about functional neuroanatomy. Although he did not avoid mistakes, he successfully demonstrated the high value of human cadavers' dissection in anatomical teaching. Read More

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http://dx.doi.org/10.1080/00015458.2020.1759887DOI Listing

Microsurgical techniques for achieving gross total resection of ependymomas of the fourth ventricle.

Acta Chir Belg 2020 Jun 14;120(3):149-166. Epub 2020 Apr 14.

Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

Ependymomas arising from the ventricular surface present a major challenge to achieving a complete operative extirpation when located in the fourth ventricle given the presence of significant adherence to the floor of the same. Overzealous dissection and removal of a tumor from this zone may precipitate potentially catastrophic neurological deficits attributable to cranial nucleopathies and cranial neuropathies. Consequently, the classic neurosurgical teaching has advised attempted gross total resection, leaving adherent residual in the floor of the fourth ventricle, in order to prevent the development of major cranial nucleopathies and cranial neuropathies. Read More

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http://dx.doi.org/10.1080/00015458.2020.1711593DOI Listing

Evaluation of factors affecting morbidity and mortality in pneumonectomy patients.

Acta Chir Belg 2020 Apr 16:1-7. Epub 2020 Apr 16.

Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.

The aim of this study was to evaluate risk factors associated with morbidity and mortality after pneumonectomy in non-small cell lung cancer patients. The study included 107 patients who underwent pneumonectomy for non-small cell lung cancer between January 2013 and December 2018. Prognostic factors affecting mortality and morbidity were investigated. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753147DOI Listing

Prophylactic ureteral catheterization in the intraoperative diagnosis of iatrogenic ureteral injury.

Acta Chir Belg 2020 Apr 16:1-6. Epub 2020 Apr 16.

Urology, Department of Development and Regeneration, University Hospitals Leuven, Leuven, Belgium.

Iatrogenic ureteral injury (IUI) is a rare but feared complication in pelvic surgery. Prophylactic ureteral catheterization (PUC) is inconsistently used to reduce this risk, however no strong evidence exists for this practice. The objective is to investigate whether prophylactic ureteral catheterization can enhance intraoperative detection of IUI and reduce associated patient morbidity. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753148DOI Listing

False aneurysm of the popliteal artery revealing a solitary osteochondroma of the distal femur in an 11-year-old boy.

Acta Chir Belg 2020 Apr 17:1-4. Epub 2020 Apr 17.

Service de chirurgie pédiatrique, CHU de Bordeaux, Place du Amélie Raba-Leon, Bordeaux, France.

An 11-year-old boy presented with pain in the right knee, intermittent reverse ischemia of the right foot and paraesthesia of the right toes. An angio-CT showed a false aneurysm of the right superior popliteal artery, and a solitary osteochondroma of the posterior aspect of the distal femur. Excision of the aneurysm and the osteochondroma was performed in two-stages. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753150DOI Listing

Fistulectomy and primary sphincteroplasty (FIPS) to prevent keyhole deformity in simple anal fistula: a single-center retrospective cohort study.

Acta Chir Belg 2020 Apr 15:1-6. Epub 2020 Apr 15.

Department of General Surgery, Heilig-Hartziekenhuis, Lier, Belgium.

Fistulotomy remains the gold standard for the surgical treatment of simple anal fistula, but may cause fecal incontinence and a characteristic anal 'keyhole' deformity. Although seemingly trivial, keyhole deformity may lead to bothersome symptoms such as anal pruritus and fecal soiling. This study aims to evaluate the efficacy of fistulectomy and primary sphincteroplasty (FIPS), a technique with immediate sphincter reconstruction, in the treatment of simple anal fistula and the prevention of keyhole deformity created by simple fistulotomy. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753151DOI Listing

Mycotic aortic and left iliac ruptured aneurysm due to : a case report and literature overview.

Acta Chir Belg 2020 Apr 21:1-7. Epub 2020 Apr 21.

Department of Vascular Surgery, University Hospital of Nice, Nice, France.

Mycotic aneurysm is a life-threatening disease often caused by and species. Interestingly, () is described as a rare causative agent. We report the case of a patient who developed a mycotic aortic and ruptured left iliac aneurysm due to The patient developed a secondary aortic graft infection due to a mesenteric ischemia with fecal peritonitis. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753146DOI Listing

Belgium and global surgery: quo vadis?

Acta Chir Belg 2020 Jun 16;120(3):202-203. Epub 2020 Apr 16.

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

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http://dx.doi.org/10.1080/00015458.2020.1753149DOI Listing

The pioneer ophthalmologist Johann Friedrich Horner (1831-1886) and the clinical anatomy of the homonymous syndrome.

Acta Chir Belg 2020 Apr 2:1-3. Epub 2020 Apr 2.

Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Johann Friedrich Horner is remembered in ophthalmology due to his brief report in the German scientific journal 'Klinische Monatsblatter fur Augenheilkunde', in which emphasized the clinical value of a cluster of external signs of damage to the cervical sympathetic nerve. Although J .F . Read More

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http://dx.doi.org/10.1080/00015458.2020.1746528DOI Listing

Total mesorectal excision - 40 years of standard of rectal cancer surgery.

Acta Chir Belg 2020 Mar 31:1-5. Epub 2020 Mar 31.

Department of Surgery, Second Faculty of Medicine, Charles University, Motol University Hospital, Prague, Czech Republic.

Total mesorectal excision (TME) was first described 40 years ago by Richard Heald. The purpose of this article is to point out importance of this surgical procedure. Starting from first attempts to surgically cure rectal carcinoma in the nineteenth century through Miles' operation at the beginning of the twentieth century results were not satisfactory due to high number of local recurrences after resections for rectal cancer. Read More

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http://dx.doi.org/10.1080/00015458.2020.1745529DOI Listing

Intussusception related to transverse colonic lipoma: a case report and review of the literature.

Acta Chir Belg 2020 Mar 17:1-5. Epub 2020 Mar 17.

Etterbeek-Ixelles Hospital, Bruxelles, Belgium.

Lipomas are rare and benign colonic soft tissue lesions derived from mature adipocytes. Their poor clinical expression usually leads to a coincidental discovery during procedures like colonoscopy, imagery, surgery or autopsy. Due to their small size, a simple observation would usually be recommended. Read More

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http://dx.doi.org/10.1080/00015458.2020.1739843DOI Listing

Surgical treatment of a primary malignant pericardial mesothelioma: case report.

Acta Chir Belg 2020 Mar 18:1-3. Epub 2020 Mar 18.

Department of Trent Cardiac Centre, Nottingham University Hospitals, Nottingham, UK.

Pericardial malignant mesothelioma (MM) is a rare tumour which accounts for about 1% of all mesotheliomas, 4% of the primary heart and pericardial tumours. It carries an extremely poor prognosis, with a reported overall survival of less than 6 months. Clinical symptoms and signs are frequently nonspecific, and the diagnosis is usually made after surgery or at autopsy. Read More

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http://dx.doi.org/10.1080/00015458.2020.1736869DOI Listing

Impending paradoxical embolism: about two cases. 3D echocardiographic imaging and discussion of treatment options.

Acta Chir Belg 2020 Feb 17:1-4. Epub 2020 Feb 17.

Department of Cardiology, CHU Marie Curie, Charleroi, Belgium.

Impending paradoxical embolism (IPDE) is a rare condition where a thrombus straddles the foramen ovale with a high risk of arterial embolism. We report two cases of impending paradoxical embolism, an uncommon condition with a high mortality rate. The first in a young woman with acute right heart failure operated emergently, the second, in an old and frail lady presenting an ischemia of the left arm, treated by anticoagulants. Read More

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http://dx.doi.org/10.1080/00015458.2020.1728910DOI Listing
February 2020

Paraplegia following transarterial chemoembolisation for hepatocellular carcinoma: a case report.

Acta Chir Belg 2020 Feb 13:1-4. Epub 2020 Feb 13.

Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Transarterial chemoembolisation (TACE) is considered standard treatment for intermediate-stage hepatocellular carcinoma (HCC). Although TACE is viewed as a safe and effective procedure, it may still present with various complications, including spinal cord injury, though very rarely. A 74-year-old male was diagnosed with non-B, non-C HCC, segment 4, cT2N0M0, AJCC stage II, BCLC stage B. Read More

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http://dx.doi.org/10.1080/00015458.2020.1726097DOI Listing
February 2020

Intrapericardial pneumonectomy for unicentric hilar castleman disease.

Acta Chir Belg 2020 Feb 13:1-4. Epub 2020 Feb 13.

Department of Pathology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.

The intrapulmonary involvement of Castleman disease is extremely rare with very few cases reported in the literature. We present a case of a 16-year-old male who underwent pulmonary resection for Castleman disease. The tumor was located at the right hilum and measured 10 cm in diameter. Read More

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http://dx.doi.org/10.1080/00015458.2020.1726098DOI Listing
February 2020

An analysis on the use of Warren's distal splenorenal shunt surgery for the treatment of portal hypertension at the University Hospitals Leuven.

Acta Chir Belg 2020 Feb 13:1-7. Epub 2020 Feb 13.

Department of Abdominal Transplant Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium.

Extrahepatic portal vein thrombosis (PVT) is the most common cause of portal hypertension (PH), particularly in children. PH-related manifestations include refractory variceal bleeding, splenomegaly and ascites. Albeit more rarely performed, the distal splenorenal shunt (Warren's shunt) has proven to be effective in selectively decompressing the collateral circulation. Read More

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http://dx.doi.org/10.1080/00015458.2020.1726099DOI Listing
February 2020

An uncommon presentation of a cutaneous angiosarcoma.

Acta Chir Belg 2020 Feb 4:1-3. Epub 2020 Feb 4.

Department of Plastic & Reconstructive Surgery, University Hospitals, KU Leuven, Leuven, Belgium.

Cutaneous angiosarcoma (cAS) is a rare and aggressive malignant vascular tumor, which mostly occurs in the head and neck region. The outcome of cAS is poor and timely diagnosis is paramount, but often delayed because of the slow onset and the variance in presentation. This paper reports on a case of an 88-year old woman who presented with a persisting "hematoma" in the left retro-auricular region. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722926DOI Listing
February 2020

Contributions of Avicenna to surgery and anesthesiology.

Acta Chir Belg 2020 Jun 11;120(3):204-211. Epub 2020 Feb 11.

Department of History of Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Avicenna, as the Persian physician has had a great contribution to the field of medical sciences, especially surgery in 10th and 11th centuries AD. In the present paper, a few translated quoted words of Avicenna were shared about his surgical practice. Indexing databases of PubMed and Google Scholar were searched using the keywords like Avicenna, surgery, and anesthesiology to find related papers and documents. Read More

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http://dx.doi.org/10.1080/00015458.2020.1726096DOI Listing

An uncommon presentation of a cutaneous angiosarcoma.

Acta Chir Belg 2020 Feb 3:1-9. Epub 2020 Feb 3.

Department of Plastic & Reconstructive Surgery, University Hospitals, KU Leuven, Leuven, Belgium.

Cutaneous angiosarcoma (cAS) is a rare and aggressive malignant vascular tumor, which mostly occurs in the head and neck region. The outcome of cAS is poor and timely diagnosis is paramount, but often delayed because of the slow onset and the variance in presentation.This paper reports on a case of an 88-year old woman who presented with a persisting "hematoma" in the left retro-auricular region. Read More

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February 2020

Solitary prostate cancer liver metastasis: an exceptional indication for liver resection.

Acta Chir Belg 2020 Feb 11:1-5. Epub 2020 Feb 11.

Starzl Unit of Abdominal Transplantation, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

Prostatic cancer metastases (PCM) are usually systemic. Isolated PCM liver metastases (PCLM) are very rare. The treatment of PCM consists of hormono- and chemotherapy eventually combined with stereotactic radiation. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722929DOI Listing
February 2020

Successful outcome following resection of metachronous pancreatic metastasis from a rhabdomyosarcoma.

Acta Chir Belg 2020 Feb 7:1-3. Epub 2020 Feb 7.

Department of Digestive Surgery, Rouen University Hospital-Charles Nicolle, Rouen, France.

Pancreatic metastases (PM) are rare, comprising 3% of pancreatic tumours removed in sizable series of operations. This report presents the first case of metachronous pancreatic metastases from rhabdomyosarcoma successfully treated by pancreaticoduodenectomy. A 19-year old man was admitted with a tumor in the head of the pancreas, 1 year after undergoing removal of an alveolar RMS from the right hand. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722927DOI Listing
February 2020

Mediastinal calcified hydatid cyst.

Acta Chir Belg 2020 Feb 4:1-2. Epub 2020 Feb 4.

Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.

Mediastinal hydatid cyst is a rare disease and should be considered in differential diagnosis of mediastinal cystic lesions especially in endemic regions. This localization is very serious because of the surrounding vital structures. Surgery must be indicated immediately using conservative techniques without extensive resection when progression of dissection is difficult or dangerous. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722932DOI Listing
February 2020

A rare vascular tumor of the spleen: Littoral cell angioma.

Acta Chir Belg 2020 Feb 2:1-3. Epub 2020 Feb 2.

Department of Pathology, Kanuni Training and Research Hospital, Trabzon, Turkey.

Being a rare benign vascular tumor of the spleen, Littoral cell angioma involves multiple focal nodules in the spleen and splenectomy is used for both definitive diagnosis and treatment. A 30-year-old male patient presented to our clinic with the complaints of intermittent abdominal pain and fever. In physical examination, splenomegaly was found and he was further evaluated with ultrasonography, tomography and magnetic resonance imaging that have revealed multiple solid mass lesions of various sizes in his spleen. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722928DOI Listing
February 2020

Intra-operative vagal neuromonitoring predicts non-recurrent laryngeal nerves: technical notes and review of the recent literature.

Acta Chir Belg 2020 Feb 2:1-6. Epub 2020 Feb 2.

Department of Head and Skin, University Hospital Ghent, Ghent, Belgium.

During thyroid surgery, extreme caution must be taken not to harm the recurrent laryngeal nerve to avoid vocal cord palsy. A non-recurrent laryngeal nerve (NRLN) is a rare anatomical variation that is extremely vulnerable during thyroid surgery. Description of two NRLN during thyroid surgery discovered early by using continuous intra-operative vagal nerve neuromonitoring and review of the literature. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722931DOI Listing
February 2020

Hemicorporectomy - the ultimate solution of terminal pelvic sepsis.

Acta Chir Belg 2020 Feb 4:1-5. Epub 2020 Feb 4.

Department of Anesthesia Resuscitation and Intensive Medicine, Second Faculty of Medicine, Charles University and Teaching Hospital Motol, Prague, Czech Republic.

Hemicorporectomy is the amputation of the lower body - pelvis and lower limbs. It requires transection of the spine and dural sac at the level of aortic bifurcation and inferior lower vein, and permanent urinary and stool derivation. Performance indications are tumour trauma and terminal pelvic osteomyelitis. Read More

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http://dx.doi.org/10.1080/00015458.2020.1722930DOI Listing
February 2020

Inferior pancreaticoduodenal artery aneurysms and Dunbar syndrome. Experience with the open surgery.

Acta Chir Belg 2020 Jan 28:1-5. Epub 2020 Jan 28.

Clinical Department of Vascular Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.

Median arcuate ligament or Dunbar syndrome is a rare vascular disorder causing celiac trunk stenosis or occlusion due to the extrinsic compression by the median arcuate ligament. A visceral aneurysm may develop as a complication. We experienced an inferior pancreaticoduodenal artery aneurysm presentation in two female patients with the median arcuate syndrome previously diagnosed. Read More

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http://dx.doi.org/10.1080/00015458.2020.1717796DOI Listing
January 2020
0.440 Impact Factor

Factors affecting organ donation rate during devastating brain injuries: a 6-year data analysis.

Acta Chir Belg 2020 Jan 10:1-6. Epub 2020 Jan 10.

Anesthesiology and Reanimation Clinic, Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.

The discrepancy between organ donation rate and the number of patients waiting transplantation has been a common problem in Turkey. Intracerebral hemorrhage (ICH), traumatic brain injury (TBI), anoxic encephalopathy, stroke, and brain tumors comprise the majority of the causes of brain death. This study thus aimed is to analyze potential brain deaths and factors associated with organ donation among such patients. Read More

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http://dx.doi.org/10.1080/00015458.2020.1711594DOI Listing
January 2020

Tipp the Lichtenstein and Shouldice techniques in the repair of inguinal hernias - short-term results.

Acta Chir Belg 2019 Dec 25:1-7. Epub 2019 Dec 25.

Clinic for Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.

The Lichtenstein mesh technique is recommended as the standard surgical procedure for inguinal hernias. Shouldice is the best non-mesh technique. However, there are reports that the transinguinal preperitoneal technique (TIPP), which uses a preperitoneal mesh, has potential advantages in relation to the Lichtenstein and the Shouldice techniques. Read More

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http://dx.doi.org/10.1080/00015458.2019.1706323DOI Listing
December 2019

Evaluation of acute kidney injury with oxidative stress biomarkers and Renal Resistive Index after cardiac surgery.

Acta Chir Belg 2019 Dec 13:1-9. Epub 2019 Dec 13.

Department of Anesthesiology and Reanimation, School of Medicine, Acibadem University, Istanbul, Turkey.

We investigated whether cardiopulmonary bypass (CPB) related oxidative stress mediated glycocalyx degradation can cause an increase in renal resistive index (RRI) or postoperative AKI. Additionally, to evaluate whether RRI and early postoperative serum cystatin C levels could improve the prediction sensitivity of acute kidney injury (AKI). Forty-two patients undergoing cardiac surgery were included in this prospective observational study. Read More

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http://dx.doi.org/10.1080/00015458.2019.1702371DOI Listing
December 2019

A large retroperitoneal Mullerian cyst: case report and review of the literature.

Acta Chir Belg 2019 Dec 4:1-22. Epub 2019 Dec 4.

Department of Pathology, ZNA, Antwerp, Belgium.

Mullerian duct cysts are considered to be part of the urogenital cysts. Mullerian cysts, anatomically distant to the genitourinary organs or the pelvis, are extremely rare entities. Case report and review of the literature using key word "Mullerian cyst", "retroperitoneal" and "mediastinal". Read More

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December 2019

A combined intrapleural administration of dornase alfa and tissue plasminogen activator is safe in children with empyema - A pilot study.

Acta Chir Belg 2019 Dec 3:1-5. Epub 2019 Dec 3.

Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Belgium.

There is still no consensus regarding the treatment of empyema in children. Intrapleural combination of tissue plasminogen activator and dornase alfa is a promising treatment for empyema in adults. The aim of this pilot study was to determine whether this combination is safe and successful in pediatric empyema. Read More

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http://dx.doi.org/10.1080/00015458.2019.1696516DOI Listing
December 2019

Surgical treatment of therapy-resistant reflux after Roux-en-Y gastric bypass. A case series of the modified Nissen fundoplication.

Acta Chir Belg 2019 Nov 29:1-6. Epub 2019 Nov 29.

Department of Surgery, AZ Sint-Jan Brugge, Bruges, Belgium.

Patients with intractable reflux after RYGB have limited treatment options. Here a modified Nissen fundoplication (MNF) as described by N. Kawahara might be the answer. Read More

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http://dx.doi.org/10.1080/00015458.2019.1696028DOI Listing
November 2019

Assessment of anal sphincter distensibility following the STARR procedure: a pilot study.

Acta Chir Belg 2020 Jun 21;120(3):198-201. Epub 2019 Nov 21.

Digestive Surgery Department, Rouen University Hospital, Rouen, France.

The STARR (Stapled Trans-Anal Rectal Resection) procedure consists of a surgical correction of symptomatic rectocele refractory to medical treatment, involving anal dilatation. The aim of the study was to determine the impact of the STARR procedure on anal distensibility using EndoFLIP device. All female patients with a minimal rectocele of 3 cm and with symptoms of obstructed defecation syndrome (ODS) refractory to medical treatment were included prospectively. Read More

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http://dx.doi.org/10.1080/00015458.2019.1693156DOI Listing

A case report of peritoneal tuberculosis diagnosed by laparoscopy in a low prevalence setting.

Acta Chir Belg 2019 Nov 24:1-5. Epub 2019 Nov 24.

Department of General Surgery, Academic Hospital Zeno, Knokke-Heist, Belgium.

Peritoneal tuberculosis is a rare extrapulmonary manifestation of tuberculosis. Considering the diagnosis of peritoneal tuberculosis in a low prevalence setting can be vital for further clinical management in selected patients. In a young male with migration background, presenting with generalised abdominal pain, computed tomography revealed ascites, omental and peritoneal thickening and enlarged mesentery lymph nodes. Read More

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http://dx.doi.org/10.1080/00015458.2019.1693152DOI Listing
November 2019

Robotic-assisted parathyroidectomy through lateral cervical approach: first results in Belgium.

Acta Chir Belg 2019 Nov 22:1-6. Epub 2019 Nov 22.

Department of Otorhinolaryngology, University Hospital Ghent, Ghent, Belgium.

A parathyroidectomy has been the treatment of choice for primary hyperparathyroidism. Especially the improved imaging techniques have led to minimally invasive techniques. Aim of this study was to evaluate our experience with robot-assisted parathyroidectomy through lateral cervical approach. Read More

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http://dx.doi.org/10.1080/00015458.2019.1693155DOI Listing
November 2019

Surgical treatment of the cancer of the optic nerve and orbit. An historical overview.

Acta Chir Belg 2020 Apr 22;120(2):141-145. Epub 2019 Nov 22.

1st Ophthalmological Clinic, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Aim of the present study is to present an historical overview of the surgical techniques introduced for the treatment of the cancer of the optic nerve and orbit. From the late 19th and early twentieth century there were introduced many novel surgical techniques for the treatment of the cancer of the optic nerve and orbit. The majority of these techniques concerned for the cure of orbital malignance, while optic nerve cancer many times was treated by enucleation of the eyeball. Read More

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http://dx.doi.org/10.1080/00015458.2019.1695356DOI Listing

Fluoroscopy-use during ureterorenoscopy: are urologists concerned about radiation exposure? A nationwide survey in Belgium and The Netherlands.

Acta Chir Belg 2019 Nov 21:1-8. Epub 2019 Nov 21.

Department of Urology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

To evaluate the use and awareness of radiation during URS among Belgian and Dutch urologists. An online questionnaire was send to all members of the Belgian and Dutch Association of Urology. 170 urologists finished the complete questionnaire. Read More

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http://dx.doi.org/10.1080/00015458.2019.1693150DOI Listing
November 2019

Surgical resection of voluminous epiphrenic diverticula.

Acta Chir Belg 2019 Nov 20:1-4. Epub 2019 Nov 20.

Department of Surgery, Erasmus MC, Rotterdam, The Netherlands.

A 52-year-old male and 55-year-old female underwent surgical resection of a voluminous symptomatic epiphrenic diverticulum a right thoracotomy. A formal myotomy of the distal esophagus was not performed. The first patient had an uncomplicated recovery whilst the other patient still suffers from an esophageal-cutaneous fistula and repetitive abscesses, treated by intravenous antibiotics and percutaneous drainage. Read More

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http://dx.doi.org/10.1080/00015458.2019.1693153DOI Listing
November 2019

Does transverse colon cancer spread to the extramesocolic lymph node stations?

Acta Chir Belg 2019 Nov 8:1-20. Epub 2019 Nov 8.

Department of Colon & Rectum Surgery, University of Health Science, Ankara Numune Hospital, Ankara, Turkey.

Transverse colon cancers show behavioral differences in terms of the involvement of extramesocolic lymph nodes since they are closely related to all three embryological planes. These tumors have also been observed in the gastroepiploic-omental (GEOM) region, outside their usual regional areas. We will evaluate this new metastatic route in our own cases. Read More

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November 2019

A low grade osteosarcoma of the colon.

Acta Chir Belg 2019 Nov 12:1-2. Epub 2019 Nov 12.

Department of Radiology, County Hospital Požega, Požega, Croatia.

: Soft-tissue osteosarcomas are very rare. Only three cases of extraskeletal osteosarcoma have been reported arising in colon and we report the first well differentiated one.: A 58-year-old woman was admitted to our hospital with a history of pain and swelling in lower right abdomen for the last 3 months. Read More

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http://dx.doi.org/10.1080/00015458.2019.1689647DOI Listing
November 2019