Background Restoration of elbow flexion is the priority in traumatic brachial plexus injuries. Surgical approaches commonly include nerve transfers and nerve grafting. Our objective was to evaluate the safety and efficacy profile of nerve transfers versus grafting for traumatic nonobstetric brachial plexus injuries. Methods This systematic literature review was performed according to the PRISMA guidelines. A random‐effects model meta‐analysis was conducted, and the I‐square was used to assess...
Wed Sep 04, 2019 20:49
Abstract Background The treatment of senile distal radius fractures had not been clearly defined. The objective of this study was to identify the factors associated with the decision for operative treatment of displaced distal radius fractures in patients aged over 55 years. Methods Data of 318 patients with displaced distal radius fractures were collected on patient‐, fracture‐ and surgeon‐related characteristics that were plausibly related to the decision for operation. Mean comparisons...
Tue Sep 03, 2019 14:14
Post‐operative mortality is lower following oesophagectomy and pancreaticoduodenectomy performed in high‐volume (six or more procedures annually) when compared with low‐volume centres, regardless of hospital service capability. Abstract Background High hospital‐volume and service capability are associated with improved mortality following complex cancer surgery. Using a population‐based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy,...
Tue Sep 03, 2019 14:14
We analyse the 100 most cited papers in liver cancer. These 100 most cited papers reflect major advances and a number of hot topics of liver cancer during the recent decades. Abstract Background Bibliometric analysis has become popular in recent years, and increasingly more articles focusing on a particular disease are being published. The present study was performed to analyse the 100 most frequently cited papers in liver cancer (LC). Methods We searched the Thomson Reuters Web of...
Tue Sep 03, 2019 14:14
We conducted a meta‐analysis combining data from 11 studies to identify modifiable risk factors for multidrug‐resistant Gram‐negative infection in a burn intensive care unit. Risk factors included antibiotic exposures and hospital interventions. Cephalosporins and carbapenems posed the highest antibiotic risks while urinary and arterial catheters posed the highest hospital intervention risks. Abstract Background We conducted a systematic review and meta‐analysis to identify potentially modifiable...
Tue Sep 03, 2019 14:14
A de‐identified summary of general surgical trainee logbook data was obtained from General Surgeons Australia, over a 6‐year period (2009–2014). Case volumes in operative and non‐operative acute surgical cases were analysed over this time, encompassing 5307 individual logbooks. The acute surgical case experience of general surgical trainees has not declined according to this research, but should continue to be monitored in view of the changing scope of general surgical practice. Abstract Background...
Tue Sep 03, 2019 14:14
Tue Sep 03, 2019 14:14
The aim of this study was to evaluate the biomechanical performance of clavicles repaired using a novel intramedullary Echidna pin device and the Knowles pin. The Echidna pin features retractable spines that engage with the bone to minimize migration and facilitate ease of device removal. The is device, which exhibits greater bending strength and pull‐out strength than that of the Knowles pin, may produce a more stable clavicle fracture reduction compared to that of commercially available threadless...
Tue Sep 03, 2019 14:14
Laparoscopic cholecystectomy performed in patients with acute cholecystitis after 72 h of symptom onset by a dedicated surgical unit can have good outcomes Abstract Background Early laparoscopic cholecystectomy (ELC) within 72 h of symptom onset is preferred for management of acute cholecystitis (AC). Beyond 72 h, acute‐on‐chronic fibrosis sets in rendering surgery challenging. This study aims to compare the outcomes of ELC for AC within and beyond 72 h of symptom onset by a dedicated acute...
Tue Sep 03, 2019 14:14
Examination of the Australia and New Zealand Audit of Surgical Mortality database has revealed systemic or organizational predictors of adverse events that may have implications for quality improvement at an institutional or jurisdictional level. The extent to which these associations are due to the peer‐review process itself should be the focus of further research. Abstract Background Peer review of surgical deaths can identify deficits in individual and systemic delivery of healthcare,...
Tue Sep 03, 2019 14:13
Publication date: Available online 4 September 2019Source: Journal of Surgical EducationAuthor(s): Charalampos Siotos, Rachael M. Payne, Amr Mirdad, Kalliopi Siotou, Scott D. Lifchez, Damon S. Cooney, Gedge D. Rosson, Carisa M. CooneyObjectiveGeneral surgery and surgical subspecialty residents account for nearly 19% of US medical residents; however, it is well known that many surgical residents fail to graduate from their residency training program. We sought to comprehensively evaluate recent trends...
Wed Sep 04, 2019 15:16
Publication date: Available online 3 September 2019Source: Journal of Surgical EducationAuthor(s): Naikhoba C.O. Munabi, Libby Durnwald, Eric S. Nagengast, Faustin Ntirenganya, William P. Magee IIIObjectiveShort-term, high-volume surgical training experiences can lead to successful skills transfer and be an effective method of training surgical providers in low-resource settings. However, immediate skills acquisition does not guarantee long-term performance of surgical procedures by trainees. This...
Wed Sep 04, 2019 15:16
Publication date: Available online 3 September 2019Source: Journal of Surgical EducationAuthor(s): Leah K. Winer, Alex R. Cortez, Al Kassam, Ralph C. Quillin, Michael D. Goodman, Amy T. Makley, Jeffrey J. Sussman, Joshua W. KuetheOBJECTIVEThis Week in SCORE (TWIS) is a biennial, general surgery curriculum comprised of weekly online modules, readings, and multiple-choice quizzes. In this study, we examined the impact of required TWIS on American Board of Surgery In-Training Examination (ABSITE) scores...
Wed Sep 04, 2019 15:16
Publication date: Available online 3 September 2019Source: Journal of Surgical EducationAuthor(s): Gabrielle Rolland, Eric P. Ahnfeldt, Charles H. Chestnut, Robert M. Cromer, Byron J. Faler, Andrew D. Galusha, Romeo C. Ignacio, Dwight C. Kellicut, Daniel T. Lammers, Timothy A. Platz, Brandon W. Propper, M. Logan Rawlins, W. Brian Sweeney, E. Matthew RitterIntroductionThe attrition rate in civilian general surgery Graduate Medical Education (GME) is estimated at 20%, while estimates of attrition in...
Wed Sep 04, 2019 15:16
Publication date: Available online 3 September 2019Source: Journal of Surgical EducationAuthor(s): Joceline V. Vu, Calista M. Harbaugh, Ana C. De Roo, Ben E. Biesterveld, Paul G. Gauger, Justin B. Dimick, Gurjit SandhuObjectiveThe importance of feedback is well recognized in surgical training. Although there is increased focus on leadership as an essential competency in surgical training, it is unclear whether surgical residents receive effective feedback on leadership performance. We performed an...
Wed Sep 04, 2019 15:16
Publication date: Available online 3 September 2019Source: Journal of Surgical EducationAuthor(s): Abigail F. Winkel, Mark B. Woodland, Anh T. Nguyen, Helen Kang MorganObjectiveTo investigate associations between activities residents reported doing to support their own well-being and perceived experience of burnout and mental health problems.DesignA single-group, multi-institutional cross-sectional survey explored physician well-being using six questions. Self-report of burnout was the primary outcome...
Wed Sep 04, 2019 15:16
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