23 results match your criteria American Surgeon[Journal]

  • Page 1 of 1

The prevalence of anconeus epitrochlearis muscle and Osborne's ligament in cubital tunnel syndrome patients and healthy individuals: An anatomical study with meta-analysis.

Surgeon 2021 Feb 4. Epub 2021 Feb 4.

Department of Anatomy, Faculty of Science, Mahidol University, Bangkok, Thailand. Electronic address:

Background: Anconeus epitrochlaeris muscle and Osborne's ligament are anatomical variants that are occasionally found at the cubital tunnel of the elbow. In certain individuals, these two structures may compress the ulnar nerve resulting in a cubital tunnel syndrome. Although these variants have been reported extensively, its prevalence is still unclear and its contribution to cubital tunnel syndrome is debatable. Read More

View Article and Full-Text PDF
February 2021

Revision surgeries for failed hallux valgus correction: A systematic review.

Surgeon 2021 Jan 7. Epub 2021 Jan 7.

Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy; School of Pharmacy and Bioengineering, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent, UK; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, UK. Electronic address:

Background: Failure of hallux valgus (HV) correction is not uncommon, and its management can be challenging. The available literature is not exhaustive. Therefore, we conducted a systematic review to investigate the current evidence on the role of revision surgery for failed HV correction, including clinical presentation, indications, surgical strategies and outcomes. Read More

View Article and Full-Text PDF
January 2021

Current practices in the management of anterior glenohumeral instability in rugby union players.

Surgeon 2020 Sep 12. Epub 2020 Sep 12.

Sports Surgery Clinic, Northwood Avenue, Santry Demesne, Dublin 9, Ireland.

Background: Rugby has the highest incidence of traumatic injuries of any sport, and glenohumeral injuries result in the lengthy delay in return to play. The purpose of this study is to survey surgeons from the American Shoulder and Elbow Surgeons (ASES), and the British Elbow and Shoulder Society (BESS) to evaluate the current state of management of anterior glenohumeral instability, and compare the differences in practices.

Methods: A survey of surgeons from ASES and BESS was conducted. Read More

View Article and Full-Text PDF
September 2020

Factors affecting the number of lymph nodes retrieved after colo-rectal cancer surgery: A prospective single-centre study.

Surgeon 2020 Feb 16;18(1):31-36. Epub 2019 Jul 16.

Addenbrookes Hospital - University of Cambridge, UK. Electronic address:

Background: The number of harvested lymph nodes (LNs) in colorectal cancer surgery relates to oncologic radicality and accuracy of staging. In addition, it affects the choice of adjuvant therapy, as well as prognosis. The American Joint Committee on Cancer defines at least 12 LNs harvested as adequate in colorectal cancer resections. Read More

View Article and Full-Text PDF
February 2020

An assessment of the quality and content of information on diverticulitis on the internet.

Surgeon 2018 Dec 22;16(6):359-364. Epub 2018 May 22.

Department of Surgery, University Hospital Waterford, Waterford, Ireland. Electronic address:

Aim: Although commonly the first port of call for medical information, the internet provides unregulated information of variable quality. We aimed to evaluate commonly accessed web-based patient information on diverticulitis using validated and novel scoring systems.

Methods: The top internet search engines (Google/Bing/Yahoo) were queried using the keyword 'diverticulitis. Read More

View Article and Full-Text PDF
December 2018

Micro- and macro-metastasis in the axillary lymph node: A review.

Surgeon 2017 Apr 3;15(2):76-82. Epub 2016 Aug 3.

Cancer Studies, King's College London, Guy's Hospital, 3rd Floor, Bermondsey Wing, Great Maze Pond, London, SE1 9RT, UK. Electronic address:

Pathologists typically examine the sentinel lymph nodes excised from patients with invasive breast cancer more thoroughly than they have historically those from axillary lymph node clearance specimens. This, it is thought, increases the chances of detecting small metastatic foci (i.e. Read More

View Article and Full-Text PDF

Endovascular versus open repair of ruptured abdominal aortic aneurysm.

Surgeon 2016 Oct 30;14(5):274-7. Epub 2015 Jun 30.

Department of Vascular Surgery, Beaumont Hospital, Dublin 9, Ireland.

Introduction: Endovascular aneurysm repair (EVAR) is a comparatively less invasive technique than open repair (OR). Debate remains with regard to the benefit of EVAR for patients with ruptured abdominal aortic aneurysm (RAAA). We sought to evaluate and report outcomes of EVAR for RAAA in an Irish tertiary vascular referral centre. Read More

View Article and Full-Text PDF
October 2016

Treatment options for symptomatic carotid stenosis: timing and approach.

Surgeon 2015 Feb 17;13(1):44-51. Epub 2014 Nov 17.

Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:

Stroke is a major cause of morbidity and mortality and up to 15-20% of ischemic strokes can be attributed to atherosclerotic internal carotid artery disease. The treatment of carotid artery disease has been the subject of a wealth of literature in the past twenty years since the publication of the landmark randomized controlled trials, the North American Symptomatic Carotid Endarterectomy Trial and the European Carotid Surgery Trial, in the early 1990s. Although these landmark trials have helped establish the current guidelines for treatment of patients with symptomatic carotid artery disease, there have since been major advancements in the medical treatment of cardiovascular disease and there still remains a great deal of controversy regarding the timing and technical approach to carotid revascularization. Read More

View Article and Full-Text PDF
February 2015

The complexity of PSA interpretation in clinical practice.

Authors:
William P Tormey

Surgeon 2014 Dec 3;12(6):323-7. Epub 2014 Jul 3.

Department of Chemical Pathology, Beaumont Hospital, Dublin 9, Ireland; Biomedical Sciences, University of Ulster, Coleraine, BT52 1SA Northern Ireland, UK. Electronic address:

Prostate specific antigen (PSA) is central to the diagnosis of prostate cancer. Laboratories quote cut-off reference ranges for PSA but values within these boundaries do not equate with an absence of cancer nor do levels above the range equate with its presence. Convention places the cut-off value at 4 μg/L when calibrated to the Hybritech immunoassay technology and 3. Read More

View Article and Full-Text PDF
December 2014

Surgery for parapneumonic pleural empyema--What influence does the rising prevalence of multimorbidity and advanced age has on the current outcome?

Surgeon 2016 Apr 11;14(2):69-75. Epub 2014 Jun 11.

Department of General and Thoracic Surgery, Klinikum Nuremberg, Nuremberg, Germany.

Objective: Pleural empyema is a critical condition. In the western world the share of sufferers with multiple comorbidities and advanced age is rapidly increasing.

Methods: This retrospective study comprises all patients who underwent surgery for parapneumonic pleural empyema at a major center for thoracic surgery in Germany between January 2006 and April 2013. Read More

View Article and Full-Text PDF

Ireland's contribution to orthopaedic literature: a bibliometric analysis.

Surgeon 2013 Oct 1;11(5):267-71. Epub 2013 Feb 1.

Department of Trauma and Orthopaedics, Our Lady of Lourdes Hospital, Drogheda Co., Louth, Republic of Ireland. Electronic address:

Background: Bibliometric analysis of scientific performance within a country or speciality, facilitate the recognition of factors that may further enhance research activity and performance. Our aim was to illicit the current state of Irelands orthopaedic research output in terms of quantity and quality.

Methods: We performed a retrospective bibliometric analysis of all Irish orthopaedic publications over the past 5 years, in the top 20 peer-reviewed orthopaedic journals. Read More

View Article and Full-Text PDF
October 2013

The effect of the creation of a ring-fenced orthopaedic ward on length of stay for elective arthroplasty patients.

Surgeon 2013 Apr 18;11(2):82-6. Epub 2012 Jun 18.

Department of Orthopaedics, Ysbyty Gwynedd, Bangor LL57 2PW, UK.

Introduction: More than 150,000 hip and knee joint replacements are carried out in the United Kingdom yearly, and variations in length of stay [LOS] affects the overall costs of the procedures. This audit assesses the effect of the introduction of specialist ward on LOS following arthroplasty.

Method: A combination of prospective and retrospective data on length of stay, demographics, and surgical site infections [SSI] were collected for the six months before and six months after the specialist ward was opened. Read More

View Article and Full-Text PDF

Credentialing of surgical skills centers.

Authors:
Ajit K Sachdeva

Surgeon 2011 27;9 Suppl 1:S19-20. Epub 2010 Nov 27.

Division of Education, American College of Surgeons, Chicago, Illinois, USA.

Major imperatives regarding quality of patient care and patient safety are impacting surgical care and surgical education. Also, significant emphasis continues to be placed on education and training to achieve proficiency, expertise, and mastery in surgery. Simulation-based surgical education and training can be of immense help in acquiring and maintaining surgical skills in safe environments without exposing patients to risk. Read More

View Article and Full-Text PDF

National curricula, certification and credentialing.

Authors:
Richard H Bell

Surgeon 2011 22;9 Suppl 1:S10-1. Epub 2011 Feb 22.

American Board of Surgery, Philadelphia, PA, USA.

The education, certification, and credentialing of surgeons is undergoing change brought about by public expectations and by reform within the profession. In the United States, there is a clear trend towards standardization of education, as exemplified by the Surgical Council on Resident Education (SCORE) curriculum. There is an emerging effort to tie certification closely to the national curriculum. Read More

View Article and Full-Text PDF

Enhanced recovery in major colorectal surgery: safety and efficacy in an unselected surgical population at a UK district general hospital.

Surgeon 2011 Oct 9;9(5):259-64. Epub 2011 Feb 9.

Department of Colorectal Surgery, Torbay Hospital, Lawes Bridge, Torquay TQ2 7AA, UK.

Background: Enhanced Recovery Programmes (ERPs) have been shown to benefit recovery following major surgery in selected centres and patient groups, but their wider applicability requires continued evaluation. The aims of this study were to assess the outcomes of the first 400 consecutive, non-selected patients, undergoing major elective colorectal surgery within an Enhanced Recovery programme at a UK District General hospital and to examine the effects of patient risk factors and operative approach on outcomes.

Methods: Since September 2005 all patients undergoing major elective colon and rectal surgery at our hospital have been treated within an ERP and their data recorded prospectively on a database. Read More

View Article and Full-Text PDF
October 2011

Determinants of surgical delay for hip fracture.

Surgeon 2011 Jun 22;9(3):130-4. Epub 2010 Dec 22.

Department of Public Health, Alma Mater Studiorum, University of Bologna, Via San Giacomo 12, 40126 Bologna, Italy.

Background And Objective: Recent guidelines recommend early surgical treatment of hip fractures in the elderly. The aim of the present study is to analyse the factors delaying surgical treatment of hip fractures in elderly patients by more than 2 days and to investigate whether these factors are consistent between a teaching and a community hospital.

Methods:

Design: Retrospective cohort study using hospital discharge records and patients' charts. Read More

View Article and Full-Text PDF

Deprivation influences the functional outcome from total hip arthroplasty.

Surgeon 2009 Dec;7(6):351-6

Victoria Hospital, Hayfield Road, Kirkcaldy, KY2 5AH.

Unlabelled: Socioeconomic inequality through deprivation and access to healthcare is an aetiological factor in many disease processes. It is associated with the development of osteoarthritis, the need for joint arthroplasty and poorer access to secondary healthcare. Few studies have investigated the influence of deprivation on the function of patients undergoing total hip arthroplasty. Read More

View Article and Full-Text PDF
December 2009

Gastroprotection in trauma patients receiving non-steroidal anti-inflammatory drugs.

Surgeon 2010 Aug 10;8(4):206-10. Epub 2010 Feb 10.

Department of Trauma and Orthopaedics, Stoke Mandeville Hospital, Buckinghamshire NHS Trust, Aylesbury, Bucks, UK.

Background: NSAIDs are commonly used analgesic agents in the orthopaedic trauma setting. Evidence-based guidelines recommend that patients with one or more risk factors for NSAID-associated gastrointestinal (GI) ulcer complications should be prescribed gastroprotective agents to minimise the risk of serious ulcer complications, including gastrointestinal haemorrhage. The purpose of the present audit was to evaluate and improve the adherence to these guidelines in new-NSAID users in a trauma unit at a district general hospital. Read More

View Article and Full-Text PDF

The acute coagulopathy of trauma shock: clinical relevance.

Surgeon 2010 Jun 6;8(3):159-63. Epub 2010 Feb 6.

Trauma Clinical Academic Unit, Barts and the London School of Medicine & Dentistry, Queen Mary University of London, UK.

Recent observational studies have identified an acute coagulopathy in trauma victims that is present on arrival in the emergency room. It has been associated with a four-fold increase in mortality and increased incidence of organ failure. Conventional trauma resuscitation and transfusion protocols are designed for dilutional coagulopathy and appear inadequate in the management of acute traumatic coagulopathy and massive transfusion. Read More

View Article and Full-Text PDF

Carotid artery stenting: to be or not to be?

Surgeon 2008 Feb;6(1):14-8

Department of Vascular Surgery, University of Toronto and Toronto General Hospital, Toronto M5G 2C4, Ontario, Canada.

Carotid endarterectomy (CEA) has been the standard of care for suitable patients with symptomatic or asymptomatic high grade carotid stenosis since the landmark NASCET (North American Symptomatic Carotid Endarterectomy Trial), ECST (European Carotid Surgery Trial) and ACAS (Asymptomatic Carotid Artery Surgery) studies performed in the 1990s and more recently the ACST (Asymptomatic Carotid Surgery Trial). Carotid artery stenting (CAS) in the treatment of both symptomatic and asymptomatic patients with high grade carotid stenosis has recently been investigated as an alternative to CEA. We present a review of the most recent CAS trials and examine some of the controversies that surround them. Read More

View Article and Full-Text PDF
February 2008

Recent consensus on the classification of rhinosinusitis--a way forward for research and practice?

Surgeon 2007 Apr;5(2):67-8, 70-1

Department of Otorhinolaryngology, RCSI Education & Research Centre, Beaumont Hospital, Dublin, Ireland.

Prior classification of rhinitis was into three categories: acute, subacute and chronic rhinosinusitis. The advantages of this classification were obvious but they were offset by some disadvantages. For example, the previous classification did not take account of the mechanisms underlying the condition or the clinical outcome. Read More

View Article and Full-Text PDF

Adjuvant therapies in the treatment of stage II and III malignant melanoma.

Surgeon 2005 Aug;3(4):245-56

Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

Background: The incidence of cutaneous melanoma has increased during the past three decades. The development of sentinel lymph node biopsy has facilitated better staging. Despite these improvements, 5-year survival rates for American Joint Committee on Cancer stage II and III disease range from 50%-90%. Read More

View Article and Full-Text PDF

Pancreas transplantation in Ireland.

Surgeon 2005 Feb;3(1):17-20

Department of Urology and Transplantation Beaumont Hospital, Dublin 9, Ireland.

Background: We report on our experience of pancreatic transplants performed in Beaumont Hospital from 1992 to January 2003. During this period, 63 pancreatic transplants were carried out. Simultaneous pancreas and kidney transplantation is regarded as the treatment of choice for Type 1 diabetics with end stage renal failure (ESRF) by the American Diabetes Association. Read More

View Article and Full-Text PDF
February 2005
  • Page 1 of 1