25,025 results match your criteria Bowel Trauma


Validation of a methodology for neuro-urological and lumbosacral stimulation studies in domestic pigs: a humanlike animal model.

J Neurosurg Spine 2019 Feb 15:1-11. Epub 2019 Feb 15.

7Neurosurgery, Pellegrin Hospital, Bordeaux, Nouvelle Aquitaine; and.

OBJECTIVESpinal cord injuries (SCIs) result in loss of movement and sensory feedback, but also organ dysfunction. Nearly all patients with complete SCI lose bladder control and are prone to kidney failure if intermittent catheterization is not performed. Electrical stimulation of sacral spinal roots was initially considered to be a promising approach for restoring continence and micturition control, but many patients are discouraged by the need for surgical deafferentation as it could lead to a loss of sensory functions and reflexes. Read More

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http://dx.doi.org/10.3171/2018.11.SPINE18676DOI Listing
February 2019

Abdominal trauma: experience of 4961 cases in Western Mexico.

Cir Cir 2019 ;87(2):183-189

Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.

Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.

Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico. Read More

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http://dx.doi.org/10.24875/CIRU.18000509DOI Listing
January 2019

Pneumatosis intestinalis after molecular targeted therapy.

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Pneumoperitoneum after surgical manipulation of the abdomen implies a perforation. Rare cases of non-operated cancer patients, largely with gastrointestinal or genitourinary cancers, have been noted to have radiological findings of pneumatosis intestinalis and/or pneumoperitoneum as a complication of molecular-targeted therapy (MTT) without confounding factors for perforation. We present a patient with a cranial malignancy treated with bevacizumab who subsequently manifested with pneumatosis intestinalis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193033
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http://dx.doi.org/10.1016/j.wneu.2019.01.225DOI Listing
February 2019
1 Read

Differentiation between intestinal Behçet’s disease and Crohn’sdisease based on endoscopy

Turk J Med Sci 2019 Feb 11;49(1):42-49. Epub 2019 Feb 11.

Background/aim: Differentiating intestinal Behçet’s disease (BD) from Crohn’s disease (CD) is highly challenging, as they often mimic each other in terms of clinical manifestations. Endoscopy is an important modality for distinguishing bowel lesions. The study was designed to identify clinical manifestations that are easily confused and to evaluate the efficacy of endoscopy for distinguishing intestinal BD from CD by several overlapping signs. Read More

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http://dx.doi.org/10.3906/sag-1807-67DOI Listing
February 2019

Intraoperative Consultations to Acute Care Surgery at a Level I Trauma Center.

Am Surg 2019 Jan;85(1):82-85

Intraoperative consultations are an important component of acute care surgery (ACS). The nature of these consultations is incompletely characterized by the existing literature. The study objective was to define the characteristics of intraoperative consults managed by a mature ACS program at a Level I trauma center. Read More

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January 2019

Gastrointestinal stromal tumor leading to acute abdomen and hypovolemic shock in a trauma patient.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):83-85

Department of General Surgery, İstanbul Medicine Hospital, İstanbul-Turkey.

Gastrointestinal stromal tumors (GISTs) are among the rare tumors of gastrointestinal (GI) tract. GISTs occur respectively in the stomach, small intestines, colon and rectum, omentum and mesentery, esophagus, retroperitoneal space, and abdominal cavity. However, they may occur anywhere along the GI tract. Read More

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http://www.tjtes.org/eng/jvi.aspx?pdir=travma&plng=eng&a
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http://dx.doi.org/10.5505/tjtes.2018.35005DOI Listing
January 2019
3 Reads

Perforated appendicitis in the setting of a massive ventral hernia, morbid obesity, and multiple severe comorbidities: challenges in acute management.

Trauma Surg Acute Care Open 2019 24;4(1):e000243. Epub 2019 Jan 24.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

A 57-year-old woman with morbid obesity (body mass index [BMI] of 43), systemic lupus on steroids, type 2 insulin-dependent diabetes, peripheral vascular disease, unprovoked pulmonary embolism on rivaroxaban, and hypertension presented with 3 days of worsening abdominal pain and nausea. She had an extensive surgical history including a cesarean section, multiple laparotomies for small bowel obstructions (one complicated by bowel perforation requiring resection), and a double-barrelled ileostomy, which had been since reversed. As a result, she had a massive incisional hernia (figure 1). Read More

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http://dx.doi.org/10.1136/tsaco-2018-000243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347851PMC
January 2019
1 Read

Angiotensin II Use in Refractory Multisystem Shock: A Case Report.

Cureus 2018 Nov 30;10(11):e3665. Epub 2018 Nov 30.

Surgery, Riverside Community Hospital / University of California, Riverside, USA.

Distributive (vasodilatory) shock is common in patients admitted to the intensive care unit (ICU). Treating distributive shock presents a challenge, especially if a patient is tachyphylactic to commonly used vasopressors. This case report illustrates the use of a newly approved vasopressor in a patient with vasodilatory shock resulting from a motor vehicle injury. Read More

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https://www.cureus.com/articles/15678-angiotensin-ii-use-in-
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http://dx.doi.org/10.7759/cureus.3665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355300PMC
November 2018
2 Reads

Successful vascularized jejunal patch graft to treat severe orad duodenal injury secondary to foreign body obstruction in a dog.

Vet Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina.

Objective: To report the surgical treatment and outcome of an adult dog with a duodenal perforation treated with a vascularized jejunal patch graft.

Study Design: Case report.

Animal: A 1-year-old castrated male boxer dog. Read More

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http://dx.doi.org/10.1111/vsu.13174DOI Listing
February 2019
1 Read

A differentiated approach to repeat small-bowel anastomoses in patients with postoperative peritonitis: a prospective cohort study.

Eur J Trauma Emerg Surg 2019 Feb 4. Epub 2019 Feb 4.

Chair of Neymark Departmental Surgery and Hospital Surgery, Altai State Medical University, Prospect Lenina 40, Barnaul, Altai Krai, 656038, Russia.

Background: Postoperative peritonitis still remains the cause of a high mortality rate in emergency abdominal surgery. Here we aimed to evaluate the efficacy of different surgical strategies for small-bowel perforations that resulted in postoperative peritonitis.

Methods: Surgical management results for 140 patients with postoperative peritonitis due to small-bowel perforations, necrosis and anastomotic leakage were comparatively analyzed. Read More

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http://dx.doi.org/10.1007/s00068-019-01084-7DOI Listing
February 2019
1 Read

Small bowel obstruction with multiple perforations post chestnut ingestion.

BMJ Case Rep 2019 Feb 3;12(2). Epub 2019 Feb 3.

Department of General Surgery, Northern Health, Epping, Victoria, Australia.

Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. Read More

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http://dx.doi.org/10.1136/bcr-2018-227999DOI Listing
February 2019

Microplastics in marine mammals stranded around the British coast: ubiquitous but transitory?

Sci Rep 2019 Jan 31;9(1):1075. Epub 2019 Jan 31.

Centre for Ecology and Conservation, University of Exeter, Cornwall, TR10 9EZ, UK.

Plastic pollution represents a pervasive and increasing threat to marine ecosystems worldwide and there is a need to better understand the extent to which microplastics (<5 mm) are ingested by high trophic-level taxa, such as marine mammals. Here, we perform a comprehensive assessment by examining whole digestive tracts of 50 individuals from 10 species whilst operating strict contamination controls. Microplastics were ubiquitous with particles detected in every animal examined. Read More

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http://dx.doi.org/10.1038/s41598-018-37428-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355900PMC
January 2019

Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia.

N Engl J Med 2019 Jan;380(5):473-485

From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston.

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http://www.nejm.org/doi/10.1056/NEJMcpc1810391
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http://dx.doi.org/10.1056/NEJMcpc1810391DOI Listing
January 2019
12 Reads

Primary repair of duodenal injuries: A retrospective cohort study from a major trauma centre in South Africa.

Scand J Surg 2019 Jan 29:1457496918822620. Epub 2019 Jan 29.

2 Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background And Aims:: The management of duodenal trauma remains controversial. This retrospective audit of a prospectively maintained database was intended to clarify the operative management of duodenal injury at our institution and to assess the risk factors for leak following primary duodenal repair.

Materials And Methods:: This was a retrospective study undertaken at the Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg, South Africa. Read More

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http://dx.doi.org/10.1177/1457496918822620DOI Listing
January 2019

Predictors of ischemic bowel in patients with incarcerated hernias.

Hernia 2019 Jan 28. Epub 2019 Jan 28.

Division of Trauma, Surgical Critical Care and Acute Care Surgery, Department of Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA, 90502, USA.

Purpose: Diagnosing intestinal strangulation in the setting of incarcerated hernias remains challenging. Hyponatremia has been identified as a predictor of necrotizing soft tissue infections and gangrenous cholecystitis. We hypothesized that hyponatremia could predict bowel ischemia in patients with incarcerated hernias. Read More

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http://dx.doi.org/10.1007/s10029-019-01884-1DOI Listing
January 2019
1 Read

Examining the impact of small bowel resection procedure timing in patients with blunt traumatic injury: a propensity-matched analysis.

Eur J Trauma Emerg Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Research Administration, Jersey Shore University Medical Center, Neptune, NJ, USA.

Objective: The purpose of this study was to evaluate the impact of the timing of small bowel resection in small bowel injury on patients' outcomes.

Methods: This study was performed using data from patients included in the National Trauma Data Bank (2007-2010) who sustained blunt injuries and underwent a small bowel resection (SBR) within 24 h of arrival to the hospital. The patients' characteristics and outcomes were compared between two groups: SBR within 4 h (Group 1) and SBR between 4 and 24 h (Group 2) using Chi-square, Fisher exact, and Wilcoxon rank-sum tests. Read More

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http://dx.doi.org/10.1007/s00068-018-1056-yDOI Listing
January 2019

Chronic nodules of sigmoid perforation caused by incarcerated intrauterine contraception device.

Medicine (Baltimore) 2019 Jan;98(4):e14117

Department of Gynecology, Guangdong Women and Children Hospital.

Rationale: It is extremely rare for an intrauterine contraception device (IUD) to cause uterine perforation and Sigmoid perforation for a long time without being detected.

Patient Concerns: We present a case of a patient who has suffered from abdominal pain after 4 years of placement of an IUD, and found that the IUD was incarcerated by ultrasound.

Diagnoses: Laparoscopic and hysteroscopic examination revealed that the incarcerated IUD caused uterine perforation and sigmoid perforation for a long time. Read More

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http://dx.doi.org/10.1097/MD.0000000000014117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358395PMC
January 2019
1 Read

Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan.

Cureus 2018 Nov 17;10(11):e3604. Epub 2018 Nov 17.

General Surgery, Jinnah Postgraduate Medical College, Karachi, PAK.

Introduction Abdominal injuries are responsible for 10% of the mortalities due to trauma. Delays in early diagnosis or misdiagnoses are two major reasons for the mortality and morbidity associated with abdominal trauma. The objectives of this study were to determine the frequency of visceral injuries in patients with abdominal trauma and compare the frequency of visceral injuries in patients with blunt and penetrating abdominal trauma. Read More

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http://dx.doi.org/10.7759/cureus.3604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338406PMC
November 2018

Current Evaluation of Antibiotic Usage in Complicated Intra-Abdominal Infection after the STOP IT Trial: Did We STOP IT?

Surg Infect (Larchmt) 2019 Jan 24. Epub 2019 Jan 24.

1 Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio.

Background: After publication of the Study to Optimize Peritoneal Infection Therapy (STOP IT) trial, we sought to determine if we were implementing study findings into practice appropriately. We had three objectives: evaluate antibiotic usage; evaluate patient outcomes; and delineate differences in antibiotic usage between general surgeons (GS) and trauma/acute care surgery trained surgeons (TACS).

Patients And Methods: This was an analysis of patients with complicated intra-abdominal infection admitted via the emergency department from February 2014 through May 2017. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2018.121
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http://dx.doi.org/10.1089/sur.2018.121DOI Listing
January 2019
3 Reads

Robotic-assisted surgery for complicated and non-complicated diverticulitis: a single-surgeon case series.

J Robot Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Emory University, 6335 Hospital Parkway, Suite 110, Johns Creek, GA, 30097, USA.

Laparoscopic colectomy is the preferred approach for surgical management of non-complicated diverticulitis, with lower complication rates, shorter length of stay, and decreased narcotic use compared with open surgery. Complicated diverticulitis, characterized by abscess, fistula or stricture, is more difficult to manage with minimally invasive surgery, with reports of higher conversion rates, prolonged operative time, longer length of stay, and increased complication rates. The robotic platform may provide an alternative safe and feasible option for managing complicated diverticulitis with minimally invasive surgery. Read More

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http://dx.doi.org/10.1007/s11701-018-00914-xDOI Listing
January 2019
3 Reads

Pediatric Handlebar Injuries: More Than Meets the Abdomen.

Pediatr Emerg Care 2019 Jan 21. Epub 2019 Jan 21.

Division of Pediatric Radiology, Department of Radiology, Indiana University School of Medicine.

Objectives: Injuries associated with bicycles can generally be categorized into 2 types: injuries from falling from/off bicycles and injuries from striking the bicycle. In the second mechanism category, most occur as a result of children striking their body against the bicycle handlebar. The purpose of this study was to evaluate the presentation, body location, injury severity, and need for intervention for pediatric handlebar injuries at a single level one pediatric trauma center and contrast these against other bicycle-related injuries in children. Read More

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http://Insights.ovid.com/crossref?an=00006565-900000000-9824
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http://dx.doi.org/10.1097/PEC.0000000000001690DOI Listing
January 2019
8 Reads

Epidural Spinal Cord Stimulation facilitates immediate restoration of dormant motor and autonomic supraspinal pathways after chronic neurologically complete spinal cord injury.

J Neurotrauma 2019 Jan 22. Epub 2019 Jan 22.

Hennepin County Medical Center, Neurosurgery, Minneapolis, Minnesota, United States.

Epidural Spinal Cord Stimulation (eSCS) in combination with extensive rehabilitation has been reported to restore volitional movement in a select group of subjects after motor-complete spinal cord injury (SCI). Numerous questions about the generalizability of these findings to patients with longer term SCI have arisen, especially regarding the possibility of restoring autonomic function. To better understand the effect of eSCS on volitional movement and autonomic function, two female participants five and ten years after injury at ages 48 and 52 respectively with minimal spinal cord preservation on MRI were implanted with an eSCS system at the vertebral T12 level. Read More

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https://www.liebertpub.com/doi/10.1089/neu.2018.6006
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http://dx.doi.org/10.1089/neu.2018.6006DOI Listing
January 2019
5 Reads

Clinical impact & pathogenic mechanisms of human parvovirus B19: A multiorgan disease inflictor incognito.

Indian J Med Res 2018 Oct;148(4):373-384

Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.

Human parvovirus B19 (B19V) causes myriads of clinical diseases; however, owing to lack of awareness and undetermined clinical impact, it has failed to become a virus pathogen of global concern. Cryptically, B19V causes significant morbidity and mortality. Half of the world population and 60 per cent of Indians are known to be serologically naive and are at risk of acquiring B19V infections. Read More

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http://www.ijmr.org.in/text.asp?2018/148/4/373/250539
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http://dx.doi.org/10.4103/ijmr.IJMR_533_18DOI Listing
October 2018
5 Reads

Organ transplantation and gut microbiota: current reviews and future challenges.

Am J Transl Res 2018 15;10(11):3330-3344. Epub 2018 Nov 15.

Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College, Huazhong University of Science and Technology 13 Hangkong Road, Wuhan 430030, China.

Organ transplantation is often the only effective treatment for patients with end-stage diseases, such as heart, liver, kidney and small bowel failure and is carried out frequently worldwide. Still the post-transplantation complications remain health- and life-threatening outcome that needed to be resolved. With the rapid development of molecular technologies in recent years, more and more researchers realize that the gut microbiota may play a critical role in human diseases. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291689PMC
November 2018
6 Reads

Technical considerations and outcomes for ileal ureter replacement: a retrospective study in China.

BMC Surg 2019 Jan 18;19(1). Epub 2019 Jan 18.

Department of Urology, Peking University First Hospital, Institute of Urology, National Urological Cancer Center, Peking University, No.8 Xishiku St, Xicheng District, Beijing, 100034, China.

Background: Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China.

Methods: We retrospectively collected data of patients who underwent ileal ureter replacement between January 2010 and January 2015. Read More

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http://dx.doi.org/10.1186/s12893-019-0472-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339271PMC
January 2019
3 Reads

Impact of Intra-Operative Adverse Events on the Risk of Surgical Site Infection in Abdominal Surgery.

Surg Infect (Larchmt) 2019 Jan 18. Epub 2019 Jan 18.

Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Intra-operative adverse events (iAEs) recently were shown to correlate independently with an increased risk of post-operative death, morbidity, re-admissions, and length of hospital stay. We sought to understand further the impact of iAEs on surgical site infections (SSIs) in abdominal surgical procedures and delineate which patient populations are most affected. We hypothesized that all patients with iAEs have an increased risk for SSI, especially those with pre-existing risk factors for SSI. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2018.157
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http://dx.doi.org/10.1089/sur.2018.157DOI Listing
January 2019
5 Reads

Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill: Experience from a Tertiary Care Center.

Indian J Nephrol 2018 Nov-Dec;28(6):413-420

Department of Nephrology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

There is only limited information on the epidemiology and outcomes of acute kidney injury (AKI) in critically ill patients from low- and middle-income countries. This study aims to identify the etiology, short-term outcomes, and determinants of mortality in patients with AKI admitted to multiple medical and surgical Intensive Care Units (ICU's) in a tertiary care center. The study also aims to compare the clinical characteristics and outcomes of community-acquired AKI (CAAKI) and hospital-acquired AKI (HAAKI). Read More

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http://dx.doi.org/10.4103/ijn.IJN_191_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309393PMC
January 2019
1 Read

Occult child abuse presenting as pneumatosis intestinalis and portomesenteric venous gas - a case report.

BMC Pediatr 2019 Jan 15;19(1):21. Epub 2019 Jan 15.

Department of Pediatric Emergency Medicine, Children's Hospital, China Medical University, Taichung, Taiwan.

Background: Pneumatosis intestinalis and portomesenteric venous gas are usually caused by necrotizing enterocolitis; however they can occur secondary to abusive abdominal trauma with bone fractures and bruising. It is difficult to recognize initially if there is no bruising on the skin or bone fractures.

Case Presentation: We report a 1-year-old child with no obvious history of trauma who presented with conscious disturbance. Read More

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http://dx.doi.org/10.1186/s12887-018-1382-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334378PMC
January 2019
3 Reads

Using Machine Learning to Identify Change in Surgical Decision Making in Current Use of Damage Control Laparotomy.

J Am Coll Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Surgery, University of Texas McGovern Medical School, Houston, TX; Center for Clinical Research and Evidence Based Medicine, University of Texas McGovern Medical School, Houston, TX.

Background: In an earlier study, we reported the successful reduction in the use of damage control laparotomy (DCL); however, no change in the relative frequencies of specific indications was observed. In this study, we aimed to use machine learning to help identify the changes in surgical decision making that occurred.

Study Design: Adult patients undergoing emergent trauma laparotomy were included: pre-quality improvement (QI): January 1, 2011 to October 31, 2013 and post-QI: November 1, 2013 to June 30, 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10727515193002
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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.025DOI Listing
January 2019
4 Reads

Evaluating the efficacy of the single-incision uphold system for pelvic organ prolapse repair.

Taiwan J Obstet Gynecol 2019 Jan;58(1):94-98

Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan. Electronic address:

Objective: The aim of this study was to assess the efficacy and clinical outcomes of pelvic floor reconstruction with transvaginal mesh of the Uphold™ Vaginal Support System (Boston Scientific Corporation).

Materials And Methods: This retrospective study reviewed the medical records of patients with pelvic organ prolapse stage 3 or 4 who underwent pelvic reconstructive surgery with transvaginal mesh of the Uphold™ Vaginal Support System from January 2015 to March 2017. Patients who were treated with laparoscopic sacrocolpopexy, transvaginal sacrospinous ligament suspension or other mesh kits were excluded. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10284559183029
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http://dx.doi.org/10.1016/j.tjog.2018.11.018DOI Listing
January 2019
9 Reads

Functional anal canal length measurement using high-resolution anorectal manometry to investigate anal sphincter dysfunction in patients with fecal incontinence or constipation.

Neurogastroenterol Motil 2019 Jan 13:e13532. Epub 2019 Jan 13.

National Bowel Research Centre and GI Physiology Unit, Blizard Institute, Centre for Surgery & Trauma, Queen Mary University of London, London, UK.

Background: Using high-resolution anorectal manometry, we aimed to evaluate the: (a) optimal threshold to measure functional anal canal length (FACL) with intra- and inter-observer variability; (b) relationship between abnormal FACL and other phenotypic findings; and (c) utility of FACL measurement to discriminate between healthy volunteers (HV) and patients with fecal incontinence (FI) or chronic constipation (CC).

Methods: Consecutive patients referred for investigation of FI or CC in isolation were included. FACL was calculated at 5, 10, 20, 30, and 50 mm Hg above rectal pressure. Read More

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http://dx.doi.org/10.1111/nmo.13532DOI Listing
January 2019
1 Read

Gastrointestinal injuries during gynaecologic operations at a university teaching hospital in Thailand: a 10-year review.

J Obstet Gynaecol 2019 Jan 11:1-5. Epub 2019 Jan 11.

b Reproductive Endocrinology and Infertility Unit, Department of Obstetrics and Gynaecology , Faculty of Medicine Ramathibodi Hospital, Mahidol University , Bangkok , Thailand.

The objective of this study was to investigate the incidence of gastrointestinal injuries during gynaecologic operations, the management of such injuries and associated risk factors. This case-control study (1:4) examined patients who received gynaecologic operations from 2007 to 2016 in Ramathibodi Hospital. The study cases comprised patients who had gastrointestinal injuries, while the control cases comprised patients who had gynaecologic surgeries in the same period with matching the types of procedures. Read More

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https://www.tandfonline.com/doi/full/10.1080/01443615.2018.1
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http://dx.doi.org/10.1080/01443615.2018.1525692DOI Listing
January 2019
4 Reads

Bowel and Bladder Injury Repair and Follow-up After Gynecologic Surgery.

Obstet Gynecol 2019 Feb;133(2):313-322

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Bowel and bladder injuries are relatively rare, but there can be serious complications of both open and minimally invasive gynecologic procedures. As with most surgical complications, timely recognition is key in minimizing serious patient morbidity and mortality. Diagnosis of such injuries requires careful attention to surgical entry and dissection techniques and employment of adjuvant diagnostic modalities. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003067DOI Listing
February 2019
5.175 Impact Factor

Outcomes in Adhesive Small Bowel Obstruction from a Large Statewide Database: What to Expect after Non-Operative Management.

J Trauma Acute Care Surg 2019 Jan 10. Epub 2019 Jan 10.

Trauma Service, Scripps Mercy Hospital, San Diego, California.

Background: Although adhesive small bowel obstruction (ASBO) is frequently managed non-operatively, little is known regarding outcomes on readmission following this approach. Using a large population-based dataset, we evaluated risk factors for operative intervention and mortality at readmission in patients with ASBO who were initially managed non-operatively.

Methods: ASBO patients were identified in the California Office of Statewide Health Planning and Development 2007-2014 patient discharge database. Read More

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http://dx.doi.org/10.1097/TA.0000000000002196DOI Listing
January 2019
2 Reads

BLUNT SMALL BOWEL PERFORATION (SBP): A MULTICENTER UPDATE 15 YEARS LATER.

J Trauma Acute Care Surg 2019 Jan 10. Epub 2019 Jan 10.

University of North Carolina, Chapel Hill, NC.

Background: Previous work demonstrated diagnostic delays in blunt small bowel perforation (SBP) with increased mortality and inability of CT scans to reliably exclude the diagnosis. We conducted a follow-up multicenter study to determine if these challenges persist 15 years later.

Methods: We selected adult cases with blunt injury, ICD-9 or CPT indicating small bowel surgery, no other major injury and at least one abdominal CT within initial 6 hours. Read More

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http://dx.doi.org/10.1097/TA.0000000000002176DOI Listing
January 2019
3 Reads

Minimally invasive preperitoneal balloon tamponade and abdominal aortic junctional tourniquet versus open packing for pelvic fracture-associated hemorrhage: Not all extrinsic compression is equal.

J Trauma Acute Care Surg 2019 Jan 10. Epub 2019 Jan 10.

Departments of Surgery and Clinical Investigations, Madigan Army Medical Center, Tacoma, Washington.

Background: Minimally invasive preperitoneal balloon tamponade (PPB) and abdominal aortic junctional tourniquets (AAJT) have been proposed as alternatives to open preperitoneal packing (OP) for the management of pelvic fracture-associated hemorrhage. We hypothesized that the PPB (SpaceMaker Pro) and AAJT would result in similar rates of survival and blood loss versus OP METHODS: 32 swine underwent creation of a combined open-book pelvic fracture and major iliac vascular injuries. Animals were randomized to no intervention (n=7), OP (n=10), PPB (n=9), or AAJT (n=6) at a mean arterial pressure <40 mmHg following initiation of uncontrolled hemorrhage. Read More

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http://dx.doi.org/10.1097/TA.0000000000002203DOI Listing
January 2019
2 Reads

Small bowel obstruction due to internal hernia through sigmoid epiploica.

J Surg Case Rep 2019 Jan 8;2019(1):rjy342. Epub 2019 Jan 8.

Section of Burns and Trauma, MedStar Washington Hospital Center, and Department of Surgery, Georgetown University School of Medicine.

Internal hernia is a rare cause of small bowel obstruction; even more rare is one that occurs through a sigmoid epiploica defect. There have been only two previously reported cases from this etiology, but both were without the advantage of high-resolution imaging. We report the first color representation of this pathology, along with the first video recording of the internal hernia reduction. Read More

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http://dx.doi.org/10.1093/jscr/rjy342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324651PMC
January 2019
1 Read

Laparoscopic Approach to Large Bowel Neoplastic Obstruction After Self-Expandable-Metal-Stent (SEMS) Placement.

Surg Laparosc Endosc Percutan Tech 2019 Jan 8. Epub 2019 Jan 8.

Department of Surgery, Surgical Oncology and Minimally Invasive Division.

Endoscopic self-expandable metal stent (SEMS) placement as a bridge to surgery in large bowel neoplastic obstruction is an alternative to emergency surgery for the obstructive colorectal neoplasms. This study aims to analyze postoperative and long-term outcomes in a series of patients who underwent laparoscopic colorectal resection after SEMS placement. The analysis, after the stratification based on the time elapsed between the onset of the occlusive symptoms and the SEMS positioning, revealed an interesting result, with lower mortality for patients who underwent the procedure within 24 hours of hospitalization (P=0. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000623DOI Listing
January 2019
3 Reads

Tactics to Prevent Intra-Abdominal Infections in General Surgery.

Surg Infect (Larchmt) 2019 Jan 10. Epub 2019 Jan 10.

Department of Surgery, Section of Trauma & Critical Care, Stanford University Stanford, California.

Background: Abdominal infections following surgery have many severe consequences. Several effective, well-evaluated infection prevention and control processes exist to avoid these infections.

Methods: This manuscript reviews and provides supporting evidence for common management strategies useful to avoid postoperative abdominal infection. Read More

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http://dx.doi.org/10.1089/sur.2018.282DOI Listing
January 2019
1 Read

Laparoscopic Access: Direct Trocar Insertion Versus Open Technique.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

1 Department of Surgical Gastroenterology, Command Hospital, Lucknow, India.

Introduction: Creation of pneumoperitoneum and laparoscopic entry into the abdominal cavity are crucial initial steps of laparoscopic surgery and associated with bowel and major vessel injuries. Various methods have been described in literature such as Veress needle, open access technique (OAT), direct trocar insertion (DTI), and optical port. There is no consensus on the safest method of gaining access to the peritoneal cavity to create a pneumoperitoneum. Read More

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http://dx.doi.org/10.1089/lap.2018.0408DOI Listing
January 2019
3 Reads

Melanosis Coli: A Case of Mistaken Identity-A Case Report.

Perm J 2019 ;23

Division of Acute Care Surgery and Trauma, Memorial Regional Hospital, Hollywood, FL.

Introduction: Melanosis coli is a condition in which the colon develops a brown to black discoloration. It is associated with chronic laxative use and frequently diagnosed incidentally during colonoscopy or histopathologic evaluation.

Case Presentation: A 74-year-old woman presented to the Emergency Department with severe abdominal pain and bilious emesis. Read More

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http://dx.doi.org/10.7812/TPP/18-063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326559PMC
January 2019
1 Read

Counteraction of perforated cecum lesions in rats: Effects of pentadecapeptide BPC 157, L-NAME and L-arginine.

World J Gastroenterol 2018 Dec;24(48):5462-5476

Departments of Pharmacology and Pathology, Medical Faculty University of Zagreb, Zagreb 10000, Croatia.

Aim: To study the counteraction of perforated cecum lesion using BPC 157 and nitric oxide (NO) system agents.

Methods: Alongside with the agents' application (after 1 min, medication (/kg, 10 mL/2 min bath/rat) includes: BPC 157 (10 μg), L-NAME (5 mg), L-arginine (100mg) alone or combined, and saline baths (controls)) on the rat perforate cecum injury, we continuously assessed the gross reappearance of the vessels (USB microcamera) quickly propagating toward the defect at the cecum surface, defect contraction, bleeding attenuation, MDA- and NO-levels in cecum tissue at 15 min, and severity of cecum lesions and adhesions at 1 and 7 d.

Results: Post-injury, during/after a saline bath, the number of vessels was significantly reduced, the defect was slightly narrowed, bleeding was significant and MDA-levels increased and NO-levels decreased. Read More

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http://dx.doi.org/10.3748/wjg.v24.i48.5462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319139PMC
December 2018
2 Reads
2.369 Impact Factor

Fracture and dislocation of lumbar vertebrae with entrapment of small bowel: A case report and literature review.

J Int Med Res 2019 Feb 8;47(2):1043-1051. Epub 2019 Jan 8.

1 Department of Orthopaedic Surgery, Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.

Traumatic incarceration of the small bowel accompanied by vertebral fractures and dislocation is rare and usually misdiagnosed until laparotomy. This report presents a rare case of jejunum entrapment between lumbar spine fractures. A 43-year-old man was clamped between two railway tracks on the upper abdomen and lower back. Read More

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http://dx.doi.org/10.1177/0300060518816205DOI Listing
February 2019
6 Reads

Robotic urologic surgery: trends in litigation over the last decade.

J Robot Surg 2019 Jan 8. Epub 2019 Jan 8.

Division of Urology, Department of Surgery, Cedars-Sinai Medical Center, 99 N. La Cienega Blvd M-102, Beverly Hills, Los Angeles, CA, 90211, USA.

There is a lack of information regarding malpractice claims and indemnity payments associated with robotic cases in surgery. Malpractice claims and indemnity payouts will elucidate and mitigate harms of future adoption of new technology into surgery. We analyzed claims filed against Intuitive Surgical, Inc. Read More

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http://link.springer.com/10.1007/s11701-018-00905-y
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http://dx.doi.org/10.1007/s11701-018-00905-yDOI Listing
January 2019
6 Reads

Aberrant splenic artery rising from the superior mesenteric artery: a rare but important anatomical variation.

Surg Radiol Anat 2019 Jan 3. Epub 2019 Jan 3.

General, Digestive, and Endocrine Surgery, Nouvel Hôpital Civil, Université de Strasbourg, 1 Place de L'hôpital, 67100, Strasbourg, France.

Aberrant splenic artery originating from the superior mesenteric artery (SMA) is extremely rare and recognition of this anomaly is important in the pre-operative planning of complex surgery such as pancreatic surgery, liver transplantation and vascular surgery. We present the case of an 80-year-old female diagnosed as septic shock due to mesenteric ischemia and obstructive pyelonephritis. Her splenic artery was originating from the SMA and the anomaly was readily appreciated on the pre-operative CT images. Read More

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http://dx.doi.org/10.1007/s00276-018-02177-5DOI Listing
January 2019
5 Reads

Acute Surgical Decision-Making in Abdominal Trauma Is Not Altered by Race or Socioeconomic Status.

Am Surg 2018 Dec;84(12):1869-1875

Two main procedures are performed on patients suffering from colonic perforation, diverting colostomy and primary tissue repair. We investigated patient race, ethnicity, and socioeconomic status (SES) that predicted surgical outcomes after blunt or penetrating trauma. A retrospective analysis was performed using data from the National Trauma Data Bank for three years (2013-2015). Read More

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December 2018
2 Reads

Recurring Emergency General Surgery: Characterizing a Vulnerable Population.

J Trauma Acute Care Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

Introduction: Limited data exists for long-term outcomes after emergency general surgeries (EGS) in the United States. This study aimed to characterize the incidence of inpatient readmissions and additional operations within 6-months of an EGS procedure.

Methods: In this retrospective observational study, we identified adults (≥18 years old) undergoing one of seven common EGS procedures (appendectomies, cholecystectomies, small bowel resections, large bowel resections, control of GI ulcers and bleeding, peritoneal adhesiolysis, and exploratory laparotomies) who were discharged alive in the 2010-2015 National Readmissions Database. Read More

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http://dx.doi.org/10.1097/TA.0000000000002151DOI Listing
November 2018
1 Read

Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: a registry-based, propensity score-matched comparison of 9907 patients.

Surg Endosc 2019 Jan 2. Epub 2019 Jan 2.

Winghofer Medicum Hernia Center, Winghofer Straße 42, 72108, Rottenburg am Neckar, Germany.

Background: For comparison of laparoscopic IPOM versus sublay technique for elective incisional hernia repair, the number of cases included in randomized controlled trials and meta-analyses is limited. Therefore, an urgent need for more comparative data persists.

Methods: In total, 9907 patients with an elective incisional hernia repair and 1-year follow-up were selected from the Herniamed Hernia Registry between September 1, 2009 and June 1, 2016. Read More

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http://link.springer.com/10.1007/s00464-018-06629-2
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http://dx.doi.org/10.1007/s00464-018-06629-2DOI Listing
January 2019
10 Reads