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    868 results match your criteria BMC Surgery[Journal]

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    Perioperative dynamics and significance of plasma-free amino acid profiles in colorectal cancer.
    BMC Surg 2018 Feb 21;18(1):11. Epub 2018 Feb 21.
    Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
    Background: For early detection of cancer, we have previously developed the AminoIndex Cancer Screening (AICS) system, which quantifies 6 plasma-free amino acids (PFAAs) in blood samples. Herein, we examined the usefulness of the AICS in patients with colorectal cancer (CRC) by comparing the preoperative and postoperative PFAA profiles.

    Methods: Our study cohort consisted of 62 patients who had undergone curative resection for CRC at our cancer center, with no recurrence at the time of the study. Read More

    A prediction study of warfarin individual stable dose after mechanical heart valve replacement: adaptive neural-fuzzy inference system prediction.
    BMC Surg 2018 Feb 15;18(1):10. Epub 2018 Feb 15.
    Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China.
    Background: It's difficult but urgent to achieve the individualized rational medication of the warfarin, we aim to predict the individualized warfarin stable dose though the artificial intelligent Adaptive neural-fuzzy inference system (ANFIS).

    Methods: Our retrospective analysis based on a clinical database, involving 21,863 patients from 15 Chinese provinces who receive oral warfarin after the heart valve replacement. They were allocated into four groups: the external validation group (A group), the internal validation group (B group), training group (C group) and stratified training group (D group). Read More

    Parathyroid cysts: experience of a rare phenomenon at a single institution.
    BMC Surg 2018 Feb 6;18(1). Epub 2018 Feb 6.
    Department of General Surgery, Sixth People's Hospital Affiliated Shanghai Jiao Tong University, 600 Yi-Shan Road, Shanghai, 200233, China.
    Background: Parathyroid cysts are relatively uncommon lesions and are often misdiagnosed. We evaluate our experience in the diagnosis of and therapy to correct parathyroid cystic lesions.

    Methods: We retrospectively reviewed a series of 32 patients with parathyroid cysts who were admitted to our department between July 2011 and November 2016. Read More

    Permissive weight bearing in trauma patients with fracture of the lower extremities: prospective multicenter comparative cohort study.
    BMC Surg 2018 Feb 2;18(1). Epub 2018 Feb 2.
    Department of Traumatology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
    Background: The standard aftercare treatment in surgically treated trauma patients with fractures around or in a joint, known as (peri)- or intra-articular fractures of the lower extremities, is either non-weight bearing or partial weight bearing. We have developed an early permissive weight bearing post-surgery rehabilitation protocol in surgically treated patients with fractures of the lower extremities. In this proposal we want to compare our early permissive weight bearing protocol to the existing current non-weight bearing guidelines in a prospective comparative cohort study. Read More

    Extended left hepatectomy for intrahepatic cholangiocarcinoma: hepatic vein reconstruction with in-situ hypothermic perfusion and extracorporeal membrane oxygenation.
    BMC Surg 2018 Jan 31;18(1). Epub 2018 Jan 31.
    Department of Cardiovascular Surgery, Ankara University School of Medicine, Ankara, Turkey.
    Background: Liver resection for intrahepatic cholangiocarcinoma (ICC) with invasion of the inferior vena cava (IVC) and hepatic veins (HV) is a challenging procedure.

    Case Presentation: We report a case of a 63-year-old woman with a 6-cm, centrally located liver mass. Her biochemistry results were normal except for a Ca19-9 level of 1199 U/ml. Read More

    Penetrating aortic injury left untreated for 20 days: a case report.
    BMC Surg 2018 Jan 27;18(1). Epub 2018 Jan 27.
    Vascular Surgery and Organ Transplant Unit, Department of Surgery, University Hospital of Catania, Via Santa Sofia, 84 95123, Catania, Italy.
    Background: Penetrating aortic trauma remains one of the most challenging injuries with a high mortality rate if left untreated, or if the surgical treatment is delayed. We present an uncommon case of a late diagnosed abdominal firearm injury, in which the bullet partially penetrated the wall of the aorta, creating a plug that prevented immediate death due to massive bleeding.

    Case Presentation: A 26-year-old Libyan man was a victim of a firearm wound, with a bullet penetrating his abdominal wall from the left to right side. Read More

    Oncological and functional results after surgical treatment of bone metastases at the proximal femur.
    BMC Surg 2018 Jan 25;18(1). Epub 2018 Jan 25.
    Department of Orthopaedic Oncology, Specialist Hospital in Brzozów- Podkarpacie Oncology Centre, Bielawskiego 18, 36-200, Brzozów, Poland.
    Background: Metastatic lesions to the proximal femur occur frequently (about 10% of patients with cancer) and require surgical treatment. There are many surgical methods of treatment, however, use of the tumor modular endoprostheses seems to be particularly promising. The aim of study was to evaluate oncological and functional results of treatment in patients with proximal femur metastases. Read More

    Percutaneous therapy of a mediastinal lymphangioma with fibrin glue: case report with clinical success after 4 years.
    BMC Surg 2018 Jan 24;18(1). Epub 2018 Jan 24.
    Department of Thoracic Surgery, First Hospital of China Medical University, NO.155 of north Nanjing street, Shenyang, Liaoning, China.
    Background: Lymphangioma of the mediastinum is a rare benign tumor, and most of the cases are treated by a surgical approach.

    Case Presentation: This work reports the case of a 62-year-old female with a large lymphangioma extending from her neck to her abdomen with dysphagia, dyspnea, and cough for 2 months. Because of the location of the mass, only bilateral excision could remove the multiloculated cyst completely. Read More

    Single center experience with laparoscopic adrenalectomy on a large clinical series.
    BMC Surg 2018 Jan 11;18(1). Epub 2018 Jan 11.
    Endocrine Surgery Unit, University of Perugia, Piazza dell'Università, 06123, Perugia, Italy.
    Background: Laparoscopic adrenalectomy is considered the gold standard technique for the treatment of benign small and medium size adrenal masses (<6 cm), due to low morbidity rate, short hospitalization and patient rapid recovery. The aim of our study is to analyse the feasibility and efficiency of this surgical approach in a broad spectrum of adrenal gland pathologies.

    Methods: Pre-operative, intra-operative and post-operative data from 126 patients undergone laparoscopic adrenalectomy between January 2003 and December 2015 were retrospectively collected and reviewed. Read More

    Aortoesophageal fistula and arch pseudoaneurysm after removing of a swallowed chicken bone: a case report of one-stage hybrid treatment.
    BMC Surg 2018 Jan 11;18(1). Epub 2018 Jan 11.
    Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Guo Xue Alley 37#, Chengdu, 610041, People's Republic of China.
    Background: Aortoesophageal fistula (AEF) and arch pseudoaneurysm are rare complications induced by a foreign body, and considerable controversy remains regarding the appropriate management strategies. We herein report a successful one-stage hybrid treatment in a patient with AEF and arch pseudoaneurysm.

    Case Presentation: The patient, a 40-year-old man, presented to the emergency room because of intense retrosternal discomfort for 3 days and hematemesis for 3 h. Read More

    Recurrence in unicentric castleman's disease postoperatively: a case report and literature review.
    BMC Surg 2018 Jan 4;18(1). Epub 2018 Jan 4.
    Department of Thoracic surgery, China-Japan Union Hospital of Jilin University, Number 126, Xiantai street, Changchun, 130033, China.
    Background: Our case describe a rare recurrence case of Unicentric Castleman's disease (UCD) with hyaline vascular type 14 years after surgery.

    Case Presentation: A 35-year-old Chinese female was admitted to hospital with one and half months history chest distress and chest pain. Patient reports a history of thoracic operation for mediastinal mass 14 years ago, and it was diagnosed UCD with hyaline vascular type after postoperative pathological examination. Read More

    Enhanced recovery after surgery program in Gynaecologic Oncological surgery in a minimally invasive techniques expert center.
    BMC Surg 2017 Dec 28;17(1):136. Epub 2017 Dec 28.
    Département d'Anesthésie Réanimation, Institut Paoli Calmettes et CRCM, Marseille, France.
    Background: Enhanced Recovery After Surgery Programs (ERP) includes multimodal approaches of perioperative patient's clinical pathways designed to achieve early recovery after surgery and a decreased length of hospital stay (LOS).

    Methods: This observational study evaluated the implementation of ERP in gynaecologic oncological surgery in a minimally invasive techniques (MIT) expert center with more than 85% of procedures done with MIT. We compared a prospective cohort of 100 patients involved in ERP between December 2015 and June 2016 to a 100 patients control group, without ERP, previously managed in the same center between April 2015 and November 2015. Read More

    Surgical treatment strategies for giant inguinoscrotal hernia - a case report with review of the literature.
    BMC Surg 2017 Dec 19;17(1):135. Epub 2017 Dec 19.
    Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg-University, Langenbeckstraße 1, 55131, Mainz, Germany.
    Background: An inguinoscrotal hernia is defined as "giant" if descending below the midpoint of the inner thigh of a patient in upright position. In developed countries this is a rare entity. In the literature different surgical techniques have been reported so far to achieve a successful treatment. Read More

    An association of spleen volume and aortic diameter in patients and in mice with abdominal aortic aneurysm.
    BMC Surg 2017 Dec 15;17(1):134. Epub 2017 Dec 15.
    Department of Vascular Surgery, Peking Union Medical College Hospital, No.1 Shuaifuyuan, Dongdan, Dongcheng District, Beijing, 100730, China.
    Background: To investigate the potential mechanism of splenic enlargement in Ang II/APOE model and the associations between the spleen volume and the indices of abdominal aortic aneurysm (AAA) in human.

    Methods: To investigate the changes of spleen volume on AAA formation, apolipoprotein E knockout (Apo E) mice were treated with Ang II (1000 ng/kg/min) up to 28 days to generate AAA. We used Magnetic Resonance Imaging (MRI), liquid measurement, H&E and immunohistochemistry to analyze the morphological or pathological changes of spleen. Read More

    Four years' follow-up changes of physical activity and sedentary time in women undergoing roux-en-Y gastric bypass surgery and appurtenant children.
    BMC Surg 2017 Dec 11;17(1):133. Epub 2017 Dec 11.
    Department of Public Health Sciences, Karolinska Institutet, K9, Social Medicin, SE-171 77, Stockholm, Sweden.
    Background: Objectively measured levels of physical activity (PA) in patients undergoing Roux-en-Y Gastric Bypass (RYGB) surgery remain essentially unchanged from before to one year after surgery. Effects from RYGB on objectively measured levels of PA among women undergoing RYGB and appurtenant children beyond one year post-surgery are unknown. The aim of the present study was to objectively assess longitudinal changes in PA and sedentary time (ST), among women undergoing RYGB and appurtenant children, from three months before to nine and 48 months after maternal surgery. Read More

    In-screw polymethylmethacrylate-augmented sacroiliac screw for the treatment of fragility fractures of the pelvis: a prospective, observational study with 1-year follow-up.
    BMC Surg 2017 Dec 8;17(1):132. Epub 2017 Dec 8.
    Department of Orthopedics, Trauma and Plastic Surgery, Spine Center, University Hospital of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
    Background: The incidence of pelvic ring fractures in the elderly significantly increased. Because of persistent pain and immobilization associated with this injury, surgical treatment is recommended. To minimise comorbidities and surgical risk, percutaneous techniques are becoming more relevant. Read More

    Use of a hydrophilic coating wire reduces significantly the rate of central vein punctures and the incidence of pneumothorax in totally implantable access port (TIAP) surgery.
    BMC Surg 2017 12 7;17(1):131. Epub 2017 Dec 7.
    Department of Surgery, University of Heidelberg, INF 110, 69120, Heidelberg, Germany.
    Background: Insertion of a Totally Implantable Access Port (TIAP) can be performed either via Central Vein Puncture (CVP) or Brachiocephalic Vein Cut-down (venous section-VS). The primary success rate of TIAP implantation using VS rarely ever achieves 100%. The objective of this study was to describe a modified VS approach using a hydrophilic coated wire (TVS). Read More

    Using patient data to optimize an expert-based guideline on convalescence recommendations after gynecological surgery: a prospective cohort study.
    BMC Surg 2017 Dec 6;17(1):129. Epub 2017 Dec 6.
    Department of Obstetrics and Gynecology, VU University Medical Center, P.O. Box 7057, Amsterdam, 1007, MB, The Netherlands.
    Background: Convalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms of resumption of various daily activities including work, following different laparoscopic and abdominal surgery in order to optimize an expert-based guideline on convalescence recommendations.

    Methods: This is a prospective cohort study conducted in nine general and one university hospital in the Netherlands. Read More

    Outcome comparison between percutaneous cholecystostomy and cholecystectomy: a 10-year population-based analysis.
    BMC Surg 2017 Dec 7;17(1):130. Epub 2017 Dec 7.
    Department of Computer Science and Engineering, Yuan Ze University, Taoyuan, 32003, Taiwan.
    Background: Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors have maintained that there is no evidence to support a recommendation for PC rather than cholecystectomy (CCS) in elderly or critically ill patients with acute cholecystitis (AC).

    Methods: We conducted this study by tracking trends in the utilization and outcomes of PC and CCS using longitudinal health research data in Taiwan.

    Results: Analyses were conducted on 236,742 patients, 11,184 of whom had undergone PC and 225,558 of whom had undergone CCS. Read More

    Robotic-assisted total mesorectal excision with the single-docking technique for patients with rectal cancer.
    BMC Surg 2017 Dec 5;17(1):126. Epub 2017 Dec 5.
    Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
    Background: The robotic system has advantages of high-definition three-dimensional vision and articular instruments with high dexterity, allowing more precise dissection in the deep and narrow pelvic cavity.

    Methods: We enrolled 95 patients with stage I-III rectal cancer (adenocarcinoma) who underwent totally robotic-assisted total mesorectal excision (TME) with single-docking technique at a single institution between September 2013 and December 2016.

    Results: Of the 95 patients, 48 (50. Read More

    Risk of total/subtotal meniscectomy for respective medial and lateral meniscus injury: correlation with tear type, duration of complaint, age, gender and ACL rupture in 6034 Asian patients.
    BMC Surg 2017 Dec 5;17(1):127. Epub 2017 Dec 5.
    Institute of Sports Medicine, Peking University Third Hospital, Beijing Key Laboratory of Sports Injuries, Beijing, 100191, China.
    Background: To evaluate the risk factor associated with total or subtotal meniscectomy for respective medial and lateral meniscus injury.

    Methods: The data of all the meniscus injured patients undergoing arthroscopy in our institute between January 15th, 2000 and December 31st, 2008 was collected and 6034 patients with 7241 injured menisci met the inclusion criteria. The mean patient age was 33. Read More

    Disparities in the regional, hospital and individual levels of antibiotic use in gallstone surgery in Sweden.
    BMC Surg 2017 Dec 6;17(1):128. Epub 2017 Dec 6.
    Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Center for Digestive Diseases, Karolinska University Hospital, -141 86, Stockholm, SE, Sweden.
    Background: Antimicrobial resistance may be promoted by divergent routines and lack of conformity in antibiotic treatment, especially regarding the practice of antibiotic prophylaxis. The aim of the present study was to assess differences in gallstone surgery regarding antibiotic use in Sweden.

    Methods: The study was based on data from the Swedish Register for Gallstone Surgery and ERCP (GallRiks) 2005-2015. Read More

    Postoperative changes of the microbiome: are surgical complications related to the gut flora? A systematic review.
    BMC Surg 2017 Dec 4;17(1):125. Epub 2017 Dec 4.
    Center for Complementary Medicine, Department of Environmental Health Sciences and Hospital Infection Control, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Straße 115b, 79106, Freiburg im Breisgau, Germany.
    Background: The purpose of this review was to identify the relationship between the gut microbiome and the development of postoperative complications like anastomotic leakage or a wound infection. Recent reviews focusing on underlying molecular biology suggested that postoperative complications might be influenced by the patients' gut flora. Therefore, a review focusing on the available clinical data is needed. Read More

    Two occurrences of delayed epidural hematoma in different areas following decompressive craniectomy for acute subdural hematoma in a single patient: a case report.
    BMC Surg 2017 Dec 4;17(1):123. Epub 2017 Dec 4.
    Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China.
    Background: Delayed epidural hematoma (DEH) following evacuation of traumatic acute subdural hematoma (ASDH) or acute epidural hematoma (EDH) is a rare but devastating complication, especially when it occurs sequentially in a single patient.

    Case Presentation: A 19-year-old man who developed contralateral DEH following craniotomy for evacuation of a traumatic right-side ASDH and then developed a left-side DEH of the posterior cranial fossa after craniotomy for evacuation of the contralateral DEH. He was immediately returned to the operating room for additional surgeries and his neurological outcome was satisfactory. Read More

    Posterior intervertebral space debridement, annular bone grafting and instrumentation for treatment of lumbosacral tuberculosis.
    BMC Surg 2017 Dec 4;17(1):124. Epub 2017 Dec 4.
    Department of Orthopedic, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, 710068, China.
    Background: The choice of surgical methods for lumbosacral tuberculosis is controversial due to the complex anterior anatomy and peculiar biomechanics of the lumbosacral junction. The objective of this study was to explore the clinical effect of posterior intervertebral space debridement with annular bone graft fusion and fixation for the treatment of lumbosacral tuberculosis.

    Methods: We retrospectively analysed data from 23 patients with lumbosacral tuberculosis who had undergone posterior intervertebral space debridement with annular bone fusion and fixation between January 2008 and September 2014. Read More

    Primary malignant melanoma of the esophagus treated with subtotal esophagectomy: a case report.
    BMC Surg 2017 Dec 2;17(1):122. Epub 2017 Dec 2.
    Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, North 15 West 7, Kita-ku, Sapporo, Hokkaido, 0608638, Japan.
    Background: Primary malignant melanoma of the esophagus (PMME) is a rare disease with a poor prognosis. There are few reports of early-stage cases in which tumor invasion reached the lamina propria or muscularis mucosae, as in the present case. A standard treatment for early-stage PMME has not yet been established. Read More

    Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes.
    BMC Surg 2017 Dec 1;17(1):121. Epub 2017 Dec 1.
    Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
    Background: Management of emergency general surgical conditions remains a challenge in rural sub-Saharan Africa due to issues such as insufficient human capacity and infrastructure. This study describes the burden of emergency general surgical conditions and the ability to provide care for these conditions at three rural district hospitals in Rwanda.

    Methods: This retrospective cross-sectional study included all patients presenting to Butaro, Kirehe and Rwinkwavu District Hospitals between January 1st 2015 and December 31st 2015 with emergency general surgical conditions, defined as non-traumatic, non-obstetric acute care surgical conditions. Read More

    Relationship between screw sagittal angle and stress on endplate of adjacent segments after anterior cervical corpectomy and fusion with internal fixation: a Chinese finite element study.
    BMC Surg 2017 Dec 1;17(1):119. Epub 2017 Dec 1.
    Department of Orthopaedics, Second Military Medical University of Chinese People's Liberation Army and Changhai Hospital, Shanghai, China.
    Background: In order to reduce the incidence of adjacent segment disease (ASD), the current study was designed to establish Chinese finite element models of normal 3rd~7th cervical vertebrae (C3-C7) and anterior cervical corpectomy and fusion (ACCF) with internal fixation , and analyze the influence of screw sagittal angle (SSA) on stress on endplate of adjacent cervical segments.

    Methods: Mimics 8.1 and Abaqus/CAE 6. Read More

    Clinical value of a prophylactic minitracheostomy after esophagectomy: analysis in patients at high risk for postoperative pulmonary complications.
    BMC Surg 2017 Dec 1;17(1):120. Epub 2017 Dec 1.
    Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
    Background: The aim of this study is to evaluate the clinical value of a prophylactic minitracheostomy (PMT) in patients undergoing an esophagectomy for esophageal cancer and to clarify the indications for a PMT.

    Methods: Ninety-four patients who underwent right transthoracic esophagectomy for esophageal cancer between January 2009 and December 2013 were studied. Short surgical outcomes were retrospectively compared between 30 patients at high risk for postoperative pulmonary complications who underwent a PMT (PMT group) and 64 patients at standard risk without a PMT (non-PMT group). Read More

    Obstruction in the third portion of the duodenum due to a diospyrobezoar: a case report.
    BMC Surg 2017 Nov 29;17(1):117. Epub 2017 Nov 29.
    Department of Surgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan.
    Background: Duodenal obstruction occurs mainly due to physical lesions such as duodenal ulcers or tumors. Obstruction due to bezoars is rare. We describe an extremely rare case of obstruction in the third portion of the duodenum caused by a diospyrobezoar 15 months after laparoscopic distal gastrectomy for early gastric cancer. Read More

    Massive pelvic recurrence of uterine leiomyomatosis with intracaval-intracardiac extension: video case report and literature review.
    BMC Surg 2017 Nov 29;17(1):118. Epub 2017 Nov 29.
    Division of General Surgery and Liver Transplantation, San Camillo-Forlanini Hospital POIT - L. Spallanzani INMI, Rome, Italy.
    Background: Uterine leiomyomas represent the gynecological neoplasm with the highest prevalence worldwide. This apparently benign pathological entity may permeate into the venous system causing the so-called intravenous leiomyomatosis of the uterus (IVL). IVL may seldom extend to large caliber veins and reach the right cardiac chambers or pulmonary arteries and cause signs of right sided congestive heart failure and sudden death. Read More

    Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery.
    BMC Surg 2017 Nov 28;17(1):111. Epub 2017 Nov 28.
    Cardiorespiratory Division, Department of Rehabilitation Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
    Background: In cardiothoracic and abdominal surgery, postoperative complications remain major clinical problems. Early mobilization has been widely practiced and is an important component in preventing complications, including orthostatic hypotension (OH) during postoperative management. We investigated cardiovascular response during early mobilization and the incidence of OH after cardiothoracic and abdominal surgery. Read More

    Risk factors for difficulty of laparoscopic cholecystectomy in grade II acute cholecystitis according to the Tokyo guidelines 2013.
    BMC Surg 2017 Nov 28;17(1):114. Epub 2017 Nov 28.
    Department of surgery, South Miyagi Medical Center, 38-1 Aza-nishi, Ogawara, Shibata-gun, Miyagi, 989-1253, Japan.
    Background: The Tokyo Guidelines 2013 classifies acute cholecystitis (AC) into three grades and recommends appropriate therapy for each grade. For grade II AC, either early laparoscopic cholecystectomy (LC) or percutaneous transhepatic gallbladder drainage (PTGBD) should be performed. This study aimed to identify the risk factors for difficulty of LC for treating grade II AC. Read More

    Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature.
    BMC Surg 2017 Nov 28;17(1):115. Epub 2017 Nov 28.
    Department Surgery, Division of General and Visceral Surgery, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
    Background: Thyroid hemorrhage is considered to be an uncommon complication following blunt trauma to the neck. This condition is potentially life-threatening due to airway compression and may therefore require emergency airway management and surgical intervention in some cases.

    Case Presentation: We present the case of a 52-year-old woman who experienced a traumatic thyroid gland rupture (right lobe) with subsequent active arterial bleeding from branches of the inferior thyroid artery. Read More

    Successful access to the ampulla for endoscopic retrograde cholangiopancreatography in patients with situs inversus totalis: a case report.
    BMC Surg 2017 Nov 28;17(1):112. Epub 2017 Nov 28.
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
    Background: Although various endoscopic techniques in situs inversus have been reported, endoscopic retrograde cholangiopancreatography (ERCP) in patients with situs inversus is always challenging even for an experienced endoscopist. We performed ERCP using two different techniques, and compare the merits of each technique.

    Case Presentation: A 74-year-old woman presented with epigastric pain and jaundice for 3 days. Read More

    ACDF vs TDR for patients with cervical spondylosis - an 8 year follow up study.
    BMC Surg 2017 Nov 28;17(1):113. Epub 2017 Nov 28.
    Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, NO555,East Friendship Rd, Xi'an, Shanxi, 86710054, China.
    Background: ACDF has been considered as the gold standard in the treatment of single level cervical disk protrusion. However, it may cause adjacent level degeneration due to regional biomechanical changes. TDR has been applied with satisfactory results for over a decade, but there is no consensus if TDR is safer and more efficient than ACDF. Read More

    Hemodynamic benefits of celiac artery release for ruptured right gastric artery aneurysm associated with median arcuate ligament syndrome: a case report.
    BMC Surg 2017 Nov 28;17(1):116. Epub 2017 Nov 28.
    Department of Surgery, Asahi General Hospital, 1326, I, Asahi-shi, Chiba, 289-2511, Japan.
    Background: It has been reported that median arcuate ligament syndrome is closely associated with gastric or pancreaticoduodenal artery aneurysms. Hemodynamic state plays an important role in the formation of the aneurysms. These aneurysms are treated with open resection or endovascular exclusion. Read More

    Intralobar pulmonary sequestration expanding toward the contralateral thorax: two case reports.
    BMC Surg 2017 Nov 28;17(1):110. Epub 2017 Nov 28.
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
    Background: Intralobar pulmonary sequestration (ILS) is defined as a portion of parenchyma that is contained within the normal pleural investment of the lung but not connected to the tracheobronchial tree, and supplied by anomalous systemic arteries. As ILS is enveloped within the lobe of the normal lung, it is extremely rare for ILS to invade into the mediastinum. We report two atypical cases of infants with ILS expanded toward the posterior mediastinum and contralateral thorax through the pulmonary ligament. Read More

    Prognostic role of nodal ratio, LODDS, pN in patients with pancreatic cancer with venous involvement.
    BMC Surg 2017 Nov 23;17(1):109. Epub 2017 Nov 23.
    Division of General Surgery and Transplantation Surgery, Pisa University Hospital, Pisa, Italy.
    Background: The UICC/AJCC TNM staging system classifies lymph nodes as N0 and N1 in pancreatic cancer. Aim of the study is to determine whether the number of examine nodes, the nodal ratio (NR) and the logarithm odds of positive lymph nodes (LODDS) may better stratify the prognosis of patients undergoing pancreatectomy combined with venous resection for pancreatic cancer with venous involvement.

    Methods: A multicenter database of 303 patients undergoing pancreatectomy in 9 Italian referral centers was analyzed. Read More

    Risk factors for lymph node metastasis in early gastric cancer patients: Report from Eastern Europe country- Lithuania.
    BMC Surg 2017 Nov 23;17(1):108. Epub 2017 Nov 23.
    Department of Abdominal Surgery and Oncology, National Cancer Institute, Santariskiu str. 1, Vilnius, 08660, Lithuania.
    Background: Current risk factors for lymph node metastasis in early gastric cancer have been primarily determined in Asian countries; however their applicability to Western nations is under discussion. The aim of our study was to identify risk factors associated with lymph node metastasis in Western cohort patients from the Eastern European country - Lithuania.

    Methods: A total of 218 patients who underwent open gastrectomy for early gastric cancer were included in this retrospective study. Read More

    Martius' flap for recurrent perineal and rectovaginal fistulae in a patient with Crohn's disease, endometriosis and a mullerian anomaly.
    BMC Surg 2017 Nov 21;17(1):107. Epub 2017 Nov 21.
    Department of Colorectal Surgery, Santa Rita Clinic, Vercelli, Italy.
    Background: Rectovaginal fistulas represent 5% of all anorectal fistulae and are a disastrous manifestation of Crohn's disease that negatively affects patients' social and sexual quality of life. Treatment remains challenging for colorectal surgeons, and the recurrence rate remains high despite the numerous available options.

    Case Presentation: We describe a 31-year-old female patient with a Crohn's disease-related recurrent perineo-vaginal and recto-vaginal fistulae and a concomitant mullerian anomaly. Read More

    Risk factors for contralateral inguinal hernia repair after unilateral inguinal hernia repair in male adult patients: analysis from a nationwide population based cohort study.
    BMC Surg 2017 Nov 21;17(1):106. Epub 2017 Nov 21.
    Department of General Surgery, E-Da Hospital, No.1, Yida Road, Jiao-su Village, Yan-chao District, Kaohsiung City, 824, Taiwan, Republic of China.
    Background: To identify the rate of and risk factors for contralateral inguinal hernia (CIH) after unilateral inguinal hernia repair in adult male patients.

    Methods: This retrospective cohort study identified from the Taiwan National Health Insurance Research Database (NHIRD). Information on all adult patients who underwent primary unilateral inguinal hernia repair without any other operation was collected using ICD-9 diagnostic and procedure codes. Read More

    Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study.
    BMC Surg 2017 Nov 9;17(1):104. Epub 2017 Nov 9.
    Department of Visceral Surgery, Lausanne University Hospital (Centre Hospitalier Universitaire Vaudois - CHUV), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
    Background: Pelvic fractures are severe injuries with frequently associated multi-system trauma and a high mortality rate. The value of the pelvic fracture pattern for predicting transfusion requirements and mortality is not entirely clear. To address hemorrhage from pelvic injuries, the early application of pelvic binders is now recommended and arterial angio-embolization is widely used for controlling arterial bleeding. Read More

    Robotic versus laparoscopic distal pancreatectomy: an up-to-date meta-analysis.
    BMC Surg 2017 Nov 9;17(1):105. Epub 2017 Nov 9.
    Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.
    Background: Laparoscopic distal pancreatectomy (LDP) reduces postoperative morbidity, hospital stay and recovery as compared with open distal pancreatectomy. Many authors believe that robotic surgery can overcome the difficulties and technical limits of LDP thanks to improved surgical manipulation and better visualization. Few studies in the literature have compared the two methods in terms of surgical and oncological outcome. Read More

    Effective and rapid treatment of wound botulism, a case report.
    BMC Surg 2017 Oct 26;17(1):103. Epub 2017 Oct 26.
    Chirurgische Universitäts- und Poliklinik, BG-Klinikum Bergmannsheil GmbH, Universitätsklinikum der Ruhr-Universität, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.
    Background: The latest news shows several cases of contaminated heroin that is found in different parts all over Europe. This information can be helpful for the emergency doctors to find the correct diagnosis of wound botulism in patients who are intravenous drug users.

    Case Presentation: We describe a case of a 40-year-old man who presented to the emergency department in 2016. Read More

    Severe anemia due to pharyngeal leech infestation; a case report from Ethiopia.
    BMC Surg 2017 Oct 12;17(1):102. Epub 2017 Oct 12.
    Department of public health, Bahir Dar University College of Medicine and Health Science, Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia.
    Background: Leeches are rare blood-sucking endoparasites. Swimming in streams and ponds as well as drinking contaminated water are the major ways to acquire leeches.

    Case Presentation: A 6 year old boy who came with a history of hematemesis, frequent spitting of blood stained saliva, fatigue and anorexia to a rural hospital in Ethiopia. Read More

    Deltopectoral flap revisited for reconstruction surgery in patients with advanced thyroid cancer: a case report.
    BMC Surg 2017 Sep 15;17(1):101. Epub 2017 Sep 15.
    Department of General Surgery, Yokohama City University Hospital, Yokohama, Japan.
    Background: We present the cases of 2 patients with invasive thyroid cancer, who underwent reconstructive surgery using a deltopectoral flap. Although the overall rate of extrathyroidal extension in patients with thyroid cancer is quite low, skin invasion is the most common pattern observed. Reconstructive surgery, involving local skin flaps, is required in these patients. Read More

    Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital.
    BMC Surg 2017 Sep 11;17(1):100. Epub 2017 Sep 11.
    Operating Room Department, West China Hospital, Sichuan University, Chengdu, China.
    Background: Case cancellation (CC) has significant impact on the efficiency of operating room (OR) management, which can be mitigated by taking preventive measures. In this study, using the data of the West China Hospital (WCH), we identified the effect of contributing factors and recommended hospital interventions to facilitate CC prevention.

    Method: We conducted a retrospective review of 11,331 elective surgical cases from January 1 to December 31, 2014. Read More

    A comparative study of irrigation versus no irrigation during burr hole craniostomy to treat chronic subdural hematoma.
    BMC Surg 2017 Sep 11;17(1):99. Epub 2017 Sep 11.
    Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 JieFang Avenue, Wuhan, 430022, China.
    Background: Burr hole craniostomy is a widely used method for the evacuation of CSDH. However it is not clear whether the irrigation during operation improves the prognosis or gives rise to additional complications instead. This retrospective cohort study was conducted to determine this issue. Read More

    Preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS): a case report.
    BMC Surg 2017 Sep 11;17(1):98. Epub 2017 Sep 11.
    Department of Hepatobiliary Surgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, #32, Section 2, West 1st Ring Road, Chengdu, 610072, China.
    Background: At present, Da Vinci robotic assisted hepatectomy has been routinely carried out in conditional units. But there is no report concerning the use of Da Vinci robots for hepatic hydatid cystectomy and experience on this aspect is seldom mentioned before. This study was to summarize the preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS). Read More

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