Abstract Background Primary choledocholithiasis (PC) is a common disease in biliary surgery. The treatment is always challenging due to its high recurrence. A systemic review is undertaken to determine the risk factors for recurrence and provide with the individualized management strategy. Methods Electronic databases PubMed (Medline), Embase and Cochrane Central Register of Controlled Studies were searched for relevant articles on risk factors for PC recurrence. Its therapeutic intervention...
Wed Aug 19, 2020 21:40
This article looks at comparing the revision rates of fully stabilized and hinged total knee arthroplasty, when used in either primary or first revision procedures. Abstract Background Concerns exist about the survival and complication rates of highly constrained total knee arthroplasty (TKA) prostheses. The aims of this study were to determine if there were differences between the revision and complication rates of fully stabilized (FSTKA) and hinged (HTKA) TKA, when used in both primary...
Wed Aug 19, 2020 21:40
Carotid endarterectomies are an essential part of the surgical management of embolic stroke prevention. Perioperative complication rates are pivotal in the justification of the procedure being performed. Through analysis of the Australasian Vascular Audit database, we found no significant difference in major patient morbidity or mortality in cases performed by an experienced vascular surgeon, and those cases with supervised trainees performing major components of the procedure. Abstract...
Wed Aug 19, 2020 21:39
Cystic lesions of the pancreas (PCLs) may be inflammatory or proliferative and making an accurate and timely pre‐operative diagnosis remains a significant clinical challenge. This narrative review examines the current diagnostic benchmarks and identifies novel diagnostic techniques that warrant further consideration, a number of which are beginning to be included in routine clinical practice when these PCLs are being investigated. We have highlighted the need for a comprehensive and standardised...
Wed Aug 19, 2020 21:38
Overview of a simulation‐based medical education paediatric surgical programme in Myanmar. Abstract Background Simulation‐based medical education (SBME) is an integral part of undergraduate and postgraduate training in high‐income countries (HICs). Despite potential benefits to low‐ and middle‐income countries (LMICs), it has not been widely applied. Our aim was to use SBME to address some essential paediatric surgery learning needs in a LMIC. Methods Eleven SBME courses were designed,...
Wed Aug 19, 2020 21:34
Wed Aug 19, 2020 21:24
AbstractDysphagia secondary to osteoarticular disorders is a rare entity. In this report, we present the case of a 76-year-old female patient with progressive dysphagia and recurrent aspiration pneumonia caused by large anterior cervical osteophytes. Osteophytectomy was performed without spinal fusion. The patient reported significant improvement post-operatively, and no recurrence was detected at the 1-year follow-up. Cervical osteophytosis should be suspected as a cause of dysphagia, especially...
Wed Aug 19, 2020 03:00
AbstractGastric conduit perforation is a life-threatening complication after esophagectomy and currently there is no consensus about its optimal management. Endoscopic vacuum therapy (E-VAC) is a promising technique for the treatment of leaks and perforations after upper gastro-intestinal surgery. We report the case of a 65 years-old male patient who underwent an Ivor Lewis esophagectomy for esophago-gastric junction adenocarcinoma. He referred to our Emergency Department for septic shock and right...
Wed Aug 19, 2020 03:00
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