21,327 results match your criteria The British journal of surgery[Journal]


Major hepatectomy with or without pancreatoduodenectomy for advanced gallbladder cancer.

Br J Surg 2019 Feb 14. Epub 2019 Feb 14.

Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: The indications for major hepatectomy for gallbladder cancer either with or without pancreatoduodenectomy remain controversial. The clinical value of these extended procedures was evaluated in this study.

Methods: Patients who underwent major hepatectomy for gallbladder cancer between 1996 and 2016 were identified from a prospectively compiled database. Read More

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http://dx.doi.org/10.1002/bjs.11088DOI Listing
February 2019

Systematic review of clinical prediction models for survival after surgery for resectable pancreatic cancer.

Br J Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgery, Cancer Centre Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Background: As more therapeutic options for pancreatic cancer are becoming available, there is a need to improve outcome prediction to support shared decision-making. A systematic evaluation of prediction models in resectable pancreatic cancer is lacking.

Methods: This systematic review followed the CHARMS and PRISMA guidelines. Read More

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http://dx.doi.org/10.1002/bjs.11111DOI Listing
February 2019

Cost-effectiveness analysis of a randomized clinical trial of early versus deferred endovenous ablation of superficial venous reflux in patients with venous ulceration.

Br J Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Surgery and Cancer, Imperial College London, London, UK.

Background: Treatment of superficial venous reflux in addition to compression therapy accelerates venous leg ulcer healing and reduces ulcer recurrence. The aim of this study was to evaluate the costs and cost-effectiveness of early versus delayed endovenous treatment of patients with venous leg ulcers.

Methods: This was a within-trial cost-utility analysis with a 1-year time horizon using data from the EVRA (Early Venous Reflux Ablation) trial. Read More

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http://dx.doi.org/10.1002/bjs.11082DOI Listing
February 2019

Clinical and experimental studies of intraperitoneal lipolysis and the development of clinically relevant pancreatic fistula after pancreatic surgery.

Br J Surg 2019 Feb 6. Epub 2019 Feb 6.

Division of Hepatobiliary Pancreatic Surgery and Transplantation, Department of Surgery, Kyoto University, Kyoto, Japan.

Background: Visceral obesity is one of the risk factors for clinically relevant pancreatic fistula after pancreatic resection. The objective of this study was to evaluate the impact of intraperitoneal lipolysis on postoperative pancreatic fistula.

Methods: The degree of intraperitoneal lipolysis was investigated by measuring the free fatty acid concentration in drain discharge in patients after pancreatic resection. Read More

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http://dx.doi.org/10.1002/bjs.11075DOI Listing
February 2019

Meta-analysis of negative pressure wound therapy of closed groin incisions in arterial surgery.

Br J Surg 2019 Feb 6. Epub 2019 Feb 6.

Vascular Centre, Skane University Hospital, Malmö, Sweden.

Background: Surgical-site infection (SSI) after groin incisions for arterial surgery is common and may lead to amputation or death. Incisional negative pressure wound therapy (NPWT) dressings have been suggested to reduce SSIs. The aim of this systematic review with meta-analysis was to assess the effects of incisional NPWT on the incidence of SSI in closed groin incisions after arterial surgery. Read More

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http://dx.doi.org/10.1002/bjs.11100DOI Listing
February 2019

Time to calcitonin normalization after surgery for node-negative and node-positive medullary thyroid cancer.

Br J Surg 2019 Feb 6. Epub 2019 Feb 6.

Medical Faculty, Department of General, Visceral and Vascular Surgery, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Background: It remains unclear when postoperative serum calcitonin levels should be measured in patients with medullary thyroid cancer (MTC) and, specifically, whether this decision should be based on the preoperative calcitonin level or nodal status.

Methods: A cohort of patients with previously untreated MTC was studied. Kaplan-Meier analyses, stratified by preoperative calcitonin level, nodal status and number of nodal metastases, were performed to determine time to calcitonin normalization after initial surgery, with statistical analysis by means of the log rank test. Read More

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http://dx.doi.org/10.1002/bjs.11071DOI Listing
February 2019
2 Reads

Snapshot quiz.

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Br J Surg 2019 Feb;106(3):225

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http://dx.doi.org/10.1002/bjs.11056DOI Listing
February 2019

Systematic review of fibrin glue in burn wound reconstruction.

Br J Surg 2019 Feb;106(3):165-173

Department of Plastic Surgery and Burns, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Background: In the reconstruction of burns using split-skin grafts (SSGs), fibrin glue can be used to improve graft take and reduce haematoma formation, although the efficacy and cost-effectiveness are unknown. This systematic review evaluated outcomes of fibrin glue compared with conventional SSG attachment techniques. Outcomes of interest included SSG take, haematoma formation, patient satisfaction and cost-effectiveness. Read More

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http://dx.doi.org/10.1002/bjs.11045DOI Listing
February 2019

Abdominal wall closure.

Authors:
A C de Beaux

Br J Surg 2019 Feb;106(3):163-164

Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK.

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http://dx.doi.org/10.1002/bjs.11081DOI Listing
February 2019

Tweets of the month - January 2019.

Authors:
Rebecca Grossman

Br J Surg 2019 Feb;106(3):297

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http://dx.doi.org/10.1002/bjs.11130DOI Listing
February 2019

Randomized trial of oral versus enteral feeding for patients with postoperative pancreatic fistula after pancreatoduodenectomy.

Br J Surg 2019 Feb;106(3):190-198

Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Background: Whether continued oral feeding may have a negative impact on healing of postoperative pancreatic fistula (POPF) is unclear. The aim was to test the hypothesis that oral feeding is non-inferior to enteral feeding in closure of POPF after pancreatoduodenectomy, and to clarify the effects of oral feeding on the duration and grade of POPF.

Methods: This multicentre, non-inferiority randomized trial of oral or enteral feeding of patients with POPF after pancreatoduodenectomy recruited patients between August 2013 and September 2016. Read More

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http://dx.doi.org/10.1002/bjs.11087DOI Listing
February 2019

Correspondence.

Authors:
S Kriwanek

Br J Surg 2019 Feb;106(3):296

Surgical Department, Danube Hospital, Vienna, Austria.

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http://dx.doi.org/10.1002/bjs.11090DOI Listing
February 2019

Snapshot quiz.

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Br J Surg 2019 Feb;106(3):189

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http://dx.doi.org/10.1002/bjs.11015DOI Listing
February 2019

Correspondence.

Authors:
J C Ederveen

Br J Surg 2019 Feb;106(3):296

Department of Radiology, Catharina Hospital, Eindhoven, the Netherlands.

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http://dx.doi.org/10.1002/bjs.11089DOI Listing
February 2019

Patient-reported functional and quality-of-life outcomes after transanal total mesorectal excision.

Br J Surg 2019 Feb 4. Epub 2019 Feb 4.

Division of Colon and Rectal Surgery, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.

Follow-up of more than 1 year after transanal total mesorectal excision for rectal cancer demonstrated improved quality of life and stable or improved functional outcomes. Continued experience and operative efficiency hold promise for improved overall outcomes with this emerging technology. Key patient-reported outcomes. Read More

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http://dx.doi.org/10.1002/bjs.11069DOI Listing
February 2019

Effect of care continuity on mortality of patients readmitted after colorectal surgery.

Br J Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA.

Background: Postoperative readmission after colorectal resection is common. It is unknown whether patients who receive readmission care from the surgeon who performed the index surgery have improved mortality. This study evaluated whether postdischarge continuity of care, defined at the hospital and surgeon level, was associated with decreased mortality after colorectal surgery. Read More

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http://dx.doi.org/10.1002/bjs.11078DOI Listing
February 2019

Variation in pancreatoduodenectomy as delivered in two national audits.

Br J Surg 2019 Feb 1. Epub 2019 Feb 1.

German Society for General and Visceral Surgery StuDoQ|Pancreas and Clinic of Surgery, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany.

Background: Nationwide audits facilitate quality and outcome assessment of pancreatoduodenectomy. Differences may exist between countries but studies comparing nationwide outcomes of pancreatoduodenectomy based on audits are lacking. This study aimed to compare the German and Dutch audits for external data validation. Read More

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http://doi.wiley.com/10.1002/bjs.11085
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http://dx.doi.org/10.1002/bjs.11085DOI Listing
February 2019
3 Reads

Influence of psoas muscle area on mortality following elective abdominal aortic aneurysm repair.

Br J Surg 2019 Jan 31. Epub 2019 Jan 31.

Leeds Vascular Institute, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Background: The effect of sarcopenia based on the total psoas muscle area (TPMA) on CT is inconclusive in patients undergoing abdominal aortic aneurysm (AAA) intervention. The aim of this prospective cohort study was to evaluate morphometric sarcopenia as a method of risk stratification in patients undergoing elective AAA intervention.

Methods: TPMA was measured on preintervention CT images of patients undergoing elective endovascular aneurysm repair (EVAR) or open aneurysm repair. Read More

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http://dx.doi.org/10.1002/bjs.11074DOI Listing
January 2019
2 Reads

Multicentre propensity score-matched study of laparoscopic versus open repeat liver resection for colorectal liver metastases.

Br J Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Background: Repeat liver resection is often the best treatment option for patients with recurrent colorectal liver metastases (CRLM). Repeat resections can be complex, however, owing to adhesions and altered liver anatomy. It remains uncertain whether the advantages of a laparoscopic approach are upheld in this setting. Read More

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http://dx.doi.org/10.1002/bjs.11096DOI Listing
February 2019
1 Read

Functional outcomes from a randomized trial of early closure of temporary ileostomy after rectal excision for cancer.

Br J Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Scandinavian Surgical Outcomes Research Group, Sahlgrenska University Hospital Östra, Gothenburg, Sweden.

Background: Low anterior resection syndrome (LARS) has a significant impact on postoperative quality of life. Although early closure of an ileostomy is safe in selected patients, functional outcomes have not been investigated. The aim was to compare bowel function and the prevalence of LARS in patients who underwent early or late closure of an ileostomy after rectal resection for cancer. Read More

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http://doi.wiley.com/10.1002/bjs.11092
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http://dx.doi.org/10.1002/bjs.11092DOI Listing
February 2019
1 Read

Cost-effectiveness of targeted screening for abdominal aortic aneurysm in siblings.

Br J Surg 2019 02 31;106(3):206-216. Epub 2019 Jan 31.

Department of Vascular Surgery, Falun County Hospital, Falun, Sweden.

Background: Population screening for abdominal aortic aneurysm (AAA) in 65‐year‐old men has been shown to be cost‐effective. A risk group with higher prevalence is siblings of patients with an AAA. This health economic model‐based study evaluated the potential cost‐effectiveness of targeted AAA screening of siblings. Read More

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http://dx.doi.org/10.1002/bjs.11047DOI Listing
February 2019
1 Read

Meta-analysis of clinical outcome after treatment for achalasia based on manometric subtypes.

Br J Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Surgery, Brigham and Women's Hospital and Boston VA Healthcare System, Harvard Medical School, Boston, Massachusetts, USA.

Background: The introduction of high-resolution manometry and the Chicago classification has made it possible to diagnose achalasia and predict treatment response accurately. The aim of this study was to compare the effect of the different treatments available on symptomatic outcomes across all achalasia subtypes.

Methods: The study was conducted according to PRISMA and MOOSE guidelines. Read More

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http://dx.doi.org/10.1002/bjs.11049DOI Listing
January 2019
2 Reads

Contralateral surgery in patients scheduled for total thyroidectomy with initial loss or absence of signal during neural monitoring.

Br J Surg 2019 Jan 25. Epub 2019 Jan 25.

Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain.

Background: Staged total thyroidectomy has been advised to prevent bilateral recurrent laryngeal nerve paralysis when loss of the signal from neural monitoring is observed after dissection of the initial thyroid lobe. This is supported by expert opinion but hard evidence is lacking. A lost signal can return during surgery or, even if it persists, its positive predictive value is only in the range 60-70 per cent. Read More

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http://dx.doi.org/10.1002/bjs.11067DOI Listing
January 2019
1 Read

Diagnostic accuracy of percutaneous biopsy in retroperitoneal sarcoma.

Br J Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Radiology, Istituto Nazionale Tumori, Milan, Italy.

Background: Percutaneous biopsy is recommended before surgery for suspected retroperitoneal sarcoma (RPS) to confirm the histological diagnosis and guide surgical strategy. The present study aimed to establish the diagnostic accuracy of percutaneous core biopsy with respect to histological diagnosis and tumour grade.

Methods: Data on patients with suspected RPS who underwent percutaneous biopsy followed by surgical resection between 2005 and 2016 at one of two tertiary European sarcoma units were reviewed. Read More

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http://dx.doi.org/10.1002/bjs.11064DOI Listing
January 2019
2 Reads

Proposal for a new classification for perihilar cholangiocarcinoma based on tumour depth.

Br J Surg 2019 Jan 24. Epub 2019 Jan 24.

Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: The T system for distal cholangiocarcinoma has been revised from a layer-based to a depth-based approach in the current American Joint Committee on Cancer (AJCC) classification. In perihilar cholangiocarcinoma, tumour depth in the staging scheme has not yet been addressed. The aim of this study was to propose a new T system using measured tumour depth in perihilar cholangiocarcinoma. Read More

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http://dx.doi.org/10.1002/bjs.11063DOI Listing
January 2019
1 Read

Systematic review to assess the possibility of return of cerebral and cardiac activity after normothermic regional perfusion for donors after circulatory death.

Br J Surg 2019 Feb 22;106(3):174-180. Epub 2019 Jan 22.

Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Background: Normothermic regional perfusion (NRP) is a novel technique that aids organ recovery from donors after circulatory death (DCDs). However, ethical concerns exist regarding the potential return of spontaneous cerebral and cardiac activity (ROSCCA). This study aimed to determine the likelihood of ROSCCA in NRP-DCDs of abdominal organs. Read More

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http://dx.doi.org/10.1002/bjs.11046DOI Listing
February 2019
3 Reads

Long-term functional outcomes and quality of life in patients with Hirschsprung's disease.

Br J Surg 2019 Jan 17. Epub 2019 Jan 17.

Division of Paediatric Surgery, Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.

Background: It is unclear whether functional outcomes improve or deteriorate with age following surgery for Hirschsprung's disease. The aim of this cross-sectional study was to determine the long-term functional outcomes and quality of life (QoL) in patients with Hirschsprung's disease.

Methods: Patients with pathologically proven Hirschsprung's disease older than 7 years were included. Read More

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http://dx.doi.org/10.1002/bjs.11059DOI Listing
January 2019
4 Reads

Influence of the level of sacrectomy on survival in patients with locally advanced and recurrent rectal cancer.

Br J Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of General Surgery, Christchurch Public Hospital, Christchurch, New Zealand.

Background: Exenterative surgery for locally advanced rectal cancer may involve partial sacrectomy to achieve complete resection. High sacrectomy is technically challenging, and can be associated with high morbidity and mortality rates. The aim of this study was to determine the influence of the level of sacrectomy on the survival of patients with locally advanced rectal cancer. Read More

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http://dx.doi.org/10.1002/bjs.11048DOI Listing
January 2019
1 Read

Implementation and evaluation of nationwide scale-up of the Surgical Safety Checklist.

Br J Surg 2019 Jan;106(2):e91-e102

Centre for Global Health and Health Partnerships, King's College London, London, UK.

Background: The WHO Surgical Safety Checklist improves surgical outcomes, but evidence and theoretical frameworks for successful implementation in low-income countries remain lacking. Based on previous research in Madagascar, a nationwide checklist implementation in Benin was designed and evaluated longitudinally.

Methods: This study had a longitudinal embedded mixed-methods design. Read More

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http://doi.wiley.com/10.1002/bjs.11034
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http://dx.doi.org/10.1002/bjs.11034DOI Listing
January 2019
7 Reads

Systematic review of the use of big data to improve surgery in low- and middle-income countries.

Br J Surg 2019 Jan;106(2):e62-e72

Surgical Informatics, Centre for Medical Informatics, Royal Infirmary of Edinburgh, University of Edinburgh, Edinburgh, UK.

Background: Technological advances have led to the generation of large amounts of data, both in surgical research and practice. Despite this, it is unclear how much originates in low- and middle-income countries (LMICs) and what barriers exist to the use of such data in improving surgical care. The aim of this review was to capture the extent and impact of programmes that use large volumes of patient data on surgical care in LMICs. Read More

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http://dx.doi.org/10.1002/bjs.11052DOI Listing
January 2019
1 Read

Training and accrediting international surgeons.

Br J Surg 2019 Jan;106(2):e27-e33

Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Background: Formal international medical programmes (IMPs) represent an evolution away from traditional medical volunteerism, and are based on the foundation of bidirectional exchange of knowledge, experience and organizational expertise. The intent is to develop multidirectional collaborations and local capacity that is resilient in the face of limited resources. Training and accreditation of surgeons continues to be a challenge to IMPs, including the need for mutual recognition of competencies and professional certification. Read More

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http://doi.wiley.com/10.1002/bjs.11041
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http://dx.doi.org/10.1002/bjs.11041DOI Listing
January 2019
2 Reads

A realized vision of access to safe, affordable surgical and anaesthesia care.

Br J Surg 2019 Jan;106(2):e24-e26

King's Centre for Global Health and Health Partnership, School of Population Health and Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, Room 2.13, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK.

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http://dx.doi.org/10.1002/bjs.11068DOI Listing
January 2019
1 Read

Surgical training programmes in the South Pacific, Papua New Guinea and Timor Leste.

Br J Surg 2019 Jan;106(2):e53-e61

Department of Surgery, Port Moresby General Hospital, School of Medicine and Health Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea.

Background: There is a surgical workforce shortage in Papua New Guinea (PNG), the Pacific and Timor Leste. Previously, Pacific Island specialists who trained overseas tended to migrate.

Methods: A narrative review was undertaken of the training programmes delivered through the University of Papua New Guinea and Fiji National University's Fiji School of Medicine, and support provided through Australian Aid and the Royal Australasian College of Surgeons (RACS), including scholarships and visiting medical teams. Read More

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http://dx.doi.org/10.1002/bjs.11057DOI Listing
January 2019
1 Read

Prevalence and predictors of surgical-site infection after caesarean section at a rural district hospital in Rwanda.

Br J Surg 2019 Jan;106(2):e121-e128

Partners In Health/Inshuti Mu Buzima, Rwanda.

Background: There are few prospective studies of outcomes following surgery in rural district hospitals in sub-Saharan Africa. This study aimed to estimate the prevalence and predictors of surgical-site infection (SSI) following caesarean section at Kirehe District Hospital in rural Rwanda.

Methods: Adult women who underwent caesarean section between March and October 2017 were given a voucher to return to the hospital on postoperative day (POD) 10 (±3 days). Read More

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http://doi.wiley.com/10.1002/bjs.11060
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http://dx.doi.org/10.1002/bjs.11060DOI Listing
January 2019
4 Reads

Lessons for all from the early years of the global surgery initiative.

Br J Surg 2019 Jan;106(2):e14-e16

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

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http://dx.doi.org/10.1002/bjs.11029DOI Listing
January 2019
1 Read

Caesarean section performed by medical doctors and associate clinicians in Sierra Leone.

Br J Surg 2019 Jan;106(2):e129-e137

Institute of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

Background: Many countries lack sufficient medical doctors to provide safe and affordable surgical and emergency obstetric care. Task-sharing with associate clinicians (ACs) has been suggested to fill this gap. The aim of this study was to assess maternal and neonatal outcomes of caesarean sections performed by ACs and doctors. Read More

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http://dx.doi.org/10.1002/bjs.11076DOI Listing
January 2019
1 Read

Disseminating technology in global surgery.

Br J Surg 2019 Jan;106(2):e34-e43

Section of Translational Anaesthesia and Surgery, Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds, UK.

Background: Effective dissemination of technology in global surgery is vital to realize universal health coverage by 2030. Challenges include a lack of human resource, infrastructure and finance. Understanding these challenges, and exploring opportunities and solutions to overcome them, are essential to improve global surgical care. Read More

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http://dx.doi.org/10.1002/bjs.11036DOI Listing
January 2019
1 Read

Evaluation of a surgical training programme for clinical officers in Malawi.

Br J Surg 2019 Jan;106(2):e156-e165

Department of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.

Background: Shortages of specialist surgeons in African countries mean that the needs of rural populations go unmet. Task-shifting from surgical specialists to other cadres of clinicians occurs in some countries, but without widespread acceptance. Clinical Officer Surgical Training in Africa (COST-Africa) developed and implemented BSc surgical training for clinical officers in Malawi. Read More

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http://doi.wiley.com/10.1002/bjs.11065
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http://dx.doi.org/10.1002/bjs.11065DOI Listing
January 2019
5 Reads

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research.

Authors:

Br J Surg 2019 Jan;106(2):e73-e80

Background: The Clavien-Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien-Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Read More

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http://dx.doi.org/10.1002/bjs.11025DOI Listing
January 2019
1 Read

Implementation science and innovation in global surgery.

Br J Surg 2019 Jan;106(2):e20-e23

Department of Surgery, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

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http://doi.wiley.com/10.1002/bjs.11043
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http://dx.doi.org/10.1002/bjs.11043DOI Listing
January 2019
2 Reads

Mixed-methods assessment of surgical capacity in two regions in Ethiopia.

Br J Surg 2019 Jan;106(2):e81-e90

Federal Ministry of Health, Addis Ababa, Ethiopia.

Background: Surgery is among the most neglected parts of healthcare systems in low- and middle-income countries. Ethiopia has launched a national strategic plan to address challenges in the surgical system. This study aimed to assess surgical capacity in two Ethiopian regions to inform priority areas for improvement. Read More

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http://doi.wiley.com/10.1002/bjs.11032
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http://dx.doi.org/10.1002/bjs.11032DOI Listing
January 2019
2 Reads

Prioritizing research for patients requiring surgery in low- and middle-income countries.

Authors:

Br J Surg 2019 Jan;106(2):e113-e120

Background: The National Institute for Health Research Global Health Research Unit on Global Surgery is establishing research Hubs in low- and middle-income countries (LMICs). The aim of this study was for the Hubs to prioritize future research into areas of unmet clinical need for patients in LMICs requiring surgery.

Methods: A modified Delphi process was overseen by the research Hub leads and engaged LMIC clinicians, patients and expert methodologists. Read More

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http://dx.doi.org/10.1002/bjs.11037DOI Listing
January 2019
1 Read

Growing research in global surgery with an eye towards equity.

Br J Surg 2019 Jan;106(2):e151-e155

Partners In Health/Rwanda, Kigali, Rwanda.

Background: Global surgery research is often generated through collaborative partnerships between researchers from both low- and middle-income countries (LMICs) and high-income countries (HICs). Inequitable engagement of LMIC collaborators can limit the impact of the research.

Methods: This article describes evidence of inequities in the conduct of global surgery research and outlines reasons why the inequities in this research field may be more acute than in other global health research disciplines. Read More

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http://doi.wiley.com/10.1002/bjs.11066
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http://dx.doi.org/10.1002/bjs.11066DOI Listing
January 2019
6 Reads

Global surgery and the sustainable development goals.

Br J Surg 2019 Jan;106(2):e44-e52

Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.

Background: The field of global surgery has gained significant recent momentum, catalysed by the 2015 publication of the Lancet Commission on Global Surgery, Disease Control Priorities 3 and World Health Assembly resolution 68.15. These reports characterized the global burden of disease amenable to surgical care, called for global investment in surgical systems, and recognized surgery and anaesthesia as essential components of universal health coverage. Read More

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http://doi.wiley.com/10.1002/bjs.11044
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http://dx.doi.org/10.1002/bjs.11044DOI Listing
January 2019
5 Reads

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy.

Authors:

Br J Surg 2019 Jan;106(2):e103-e112

Background: The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy.

Methods: In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Read More

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http://doi.wiley.com/10.1002/bjs.11051
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http://dx.doi.org/10.1002/bjs.11051DOI Listing
January 2019
4 Reads

Global surgery.

Authors:

Br J Surg 2019 Jan;106(2):e167-e172

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http://dx.doi.org/10.1002/bjs.11121DOI Listing
January 2019
1 Read

Ethical considerations in global surgery.

Authors:
E Steyn J Edge

Br J Surg 2019 Jan 26;106(2):e17-e19. Epub 2018 Dec 26.

Division of Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town, 8000 South Africa.

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http://dx.doi.org/10.1002/bjs.11028DOI Listing
January 2019
1 Read

Correspondence.

Br J Surg 2019 Jan;106(1):152

Departamento de Ciências da Vida - Faculdade de Ciências e Tecnologia - Universidade de Coimbra, Coimbra, Portugal.

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http://dx.doi.org/10.1002/bjs.11055DOI Listing
January 2019
1 Read

It's all about communication.

Authors:
J J Earnshaw

Br J Surg 2019 Jan;106(1):11-12

Department of Vascular Surgery, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK.

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http://dx.doi.org/10.1002/bjs.11091DOI Listing
January 2019
1 Read

Snapshot quiz.

Authors:

Br J Surg 2019 Jan;106(1):81

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http://dx.doi.org/10.1002/bjs.11012DOI Listing
January 2019
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