Case Report 

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

Tafadzwa P Makarawo, Sarah Bastawrous and Amir Bastawrous
Abstract

Laparoscopic Roux-en-Y bypass (RYGB) is the approach of choice for bariatric surgical procedures, being performed in the majority of the 200,000 procedures performed in the United States in 2007. An established complication of laparoscopic gastric bypass surgery is bowel obstructions with a reported incidence as high as 9.7%.

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Research Article 

Risk Factors of Choledocholithiasis after Distal Gastrectomy for Gastric Cancer

Yoshihide Asaumi, Mitsuaki Sakatoku, Saki Hayashi, Naohiro Ohta, Zensei Nozaki, Kohichi Yoshida, Hiroyuki Sugahara, Masahiro Kaneki, Kenichi Ietsugu and Kaoru Kiyohara
Abstract

Some reconstruction methods are used after distal gastrectomy, and an endoscopic approach for choledocholithiasis is restricted by the type of reconstruction. We investigated retrospectively the risk factors for post-surgical choledocholithiasis after distal gastrectomy.

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Original Article 

Application of Cognitive Theory of Multimedia Learning in Undergraduate Surgery Course

Muhammad Shamim
Abstract

This questionnaire-based quasi-experimental study was conducted prospectively in the department of Surgery at the end of Surgery II course. The questionnaire comprised of items asking about demography, prior operating room experience, overall satisfaction and items based on principles of cognitive theory of multimedia learning.

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Research Article 

Does Vitamin D Deficiency Cause Primary Hyperparathyroidism?

Rodrigo Arrangoiz, Jorge Sanchez-Garcia, Eduardo Moreno-Paquentin, David Caba Molina, Enrique Luque de Leon, Fernando Cordera, Manuel Munoz, Efrain Cruz-Gonzalez and Luis Fernando Negrete-Cervantes
Abstract

Primary hyperparathyroidism (PHPT) is the third most common endocrine disease. It is caused by a single parathyroid adenoma in 85% to 90% of the cases. Vitamin D deficiency (VDD) is a common finding in PHPT with an incidence varying in the literature from 53% to 77%. The aim of our study is to describe a cohort of patients with PHTP with and without VDD.

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Research Article 

Plastic Surgery Training Courses: Motivation, Money Matters and More

Anne M Collins, Jack FC Woods, Shane PO Neill, Richard P Hanson and Paul F Ridgway
Abstract

The manner in which surgical training is delivered is changing. Internationally, work practice reform has challenged surgical educators to provide the same level of experience in an environment of reduced clinical contact hours. Extra-clinical training courses afford the opportunity to improve both technical proficiency and knowledge base, yet enrolment has significant implications for participants. The aim of this study was to ascertain the correlation between the perceived importance of specific extra-clinical courses to plastic surgery training with the rate of course uptake.

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Research Article 

Maxium Sutureless Closed Haemorrhoidectomy for Symptomatic Haemorrhoids Grades III and IV: An Observational Cross-sectional Study

Jawad Kadhim S Al-Dhahiry
Abstract

A symptomatic haemorrhoidal disease is one of the most common anorectal diseases. Haemorrhoids grades I and II can be medically treated but haemorrhoids grades III and IV are surgically treated. Although Conventional Haemorrhoidectomy Techniques (CH) are commonly used but they are associated with some major complications. Many novel techniques have been introduced to overcome these complications such as Maxium Haemorrhoidectomy (MH).

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Case Report 

Novel Description of Nash's Rectal Funnel for Drainage of Pelvic Collections Following Colorectal Surgery

O Pickering, A Leonard, A Clarke and GF Nash
Abstract

The Nash rectal funnel is a soft silastic hollow apparatus which can easily be inserted through the anus to open the blown rectal cross-staples after instillation of local anaesthetic jelly (Instillagel). It is introduced on the ward with the patient in the lateral position. The wider flange is folded over your finger and introduced without discomfort.

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Research Article 

Preoperative Imaging in the Diagnosis of Acute Appendicitis is Associated with Low Negative Appendectomy Rate

Oystein Hoydahl, Hartwig Korner and Tom-Harald Edna
Abstract

Acute appendicitis is the most common surgical emergency worldwide, but the diagnosis continues to challenge clinicians. In the light of the constantly increasing demand for evidence-based treatment and avoiding unnecessary surgery, the traditional rates of negative appendectomies up to as high as 25% are no longer considered acceptable.

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Research Article 

Management of Incisional Hernias at a Tertiary Centre

Jacob A Akoh
Abstract

All patients with incisional hernias who underwent repair at Derriford Hospital, Plymouth between 2009 and 2011 were included in the study. A retrospective review of elective and emergency cases; operative details of the index procedure and hernia repair; and postoperative events and outcome was performed. Analysis was performed using an Excel pivot table and tests of statistical significance performed using GraphPad Prism.

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Review Article 

Clinical Progress of Toremifene and Tamoxifen in Endocrine Therapy for Breast Cancer

Zhu Lizhe, Li Xiongxiong, Yu Shuyao and Ren Yu
Abstract

Researches on the breast cancer pathogenesis have been greatly progressed within the past few decades, so does the immunohistochemical classification of breast cancer. Recent clinical trials and studies have shown that endocrine therapy has become a clear target treatment with confirmed efficacy of breast cancer.

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Research Article 

The Evaluation of the Early and Late Postoperative Pancreatic Function and Nutritional Status: Central Pancreatectomy Versus Distal Pancreatectomy

Wataru Izumo, Ryota Higuchi and Masakazu Yamamoto
Abstract

Central pancreatectomy is performed to preserve pancreatic function in selected patients with low-grade tumors. We evaluated short-term and long-term pancreatic function and nutritional status after central or distal pancreatectomy.

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Case Report 

Laparoscopic Sleeve Gastrectomy - An Unexpected Finding: MALT Lymphoma in a H.Pylori-Negative Patient

Ramesh Piyumal De Silva, Sukaina Jaffar and Michael Devadas
Abstract

Overweight and Obesity have been associated with an increased risk of developing a variety of gastrointestinal cancers. The increasing implementation of bariatric surgery to manage overweight and obesity would likely increase the incidental diagnosis of malignancies in patients who were previously asymptomatic or had nonspecific gastrointestinal symptoms.

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Case Report 

Laparoscopic Donor Nephrectomy of Dual Renal Artery Kidneys: Single Center Experience

Ibrahim AlOraifi, Mansour Tawfeeq, Hamad AlHellow, Mohammed S AlQahtani, Meteb M AlBugami, Abdulwahab AlShahrani and Gelu Osian
Abstract

Renal transplantation is the only cure for patients with end-stage renal disease. However, this treatment modality is not readily available for all patients. It requires a specialized center of excellence, fellowship trained surgeons and an extremely intricate network of transplantation and organ procurement organization staff.

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Original Article 

Comparative Study of Laparoscopic Versus Open Resection of Colorectal Liver Metastasis

Christian Hunnicke Petersen, Peter Norgaard Larsen, Jan Storkholm, Nicolai Aagaard Schultz and Kenneth Hojsgaard Jensen
Abstract

Laparoscopic liver resection is gaining increased application in the treatment of colorectal liver metastases (CRLM). The aim of this study is to compare safety and feasibility of minor laparoscopic liver resection vs. open liver resection in patients with CRLM. One hundred and twenty-eight patients who underwent minor resection of CRLM were retrospectively reviewed. Sixty-four consecutive cases of laparoscopic liver resections (LLR) were compared to a matched control group of 64 open liver resections (OLR).

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Research Article 

Post-cardiotomy Rescue Extracorporeal Cardiopulmonary Resuscitation in Neonates with Single Ventricle after Intractable Cardiac Arrest: Attrition after Hospital Discharge and Predictors of Outcome

Anastasios C. Polimenakos, Patrice Wojtyla, Vincent Rizzo, Chawki F. ElZein and Michel N. Ilbawi
Abstract

Extracorporeal cardiopulmonary resuscitation (ECPR) in children with cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) has been reported with encouraging results. We reviewed outcomes of neonates with functional single ventricle (FSV) surviving post-cardiotomy ECPR after hospital discharge.

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Case Report 

Is Ligation an Option after Gunshut Injury of the Subclavian Artery?

Yucel Akkas, Bulent Kocer, Gultekin Gulbahar, Ahmet Gokhan Gundogdu and Bulent Ozkurt
Abstract

We would like to present this case to emphasize on the importance of rapid and accurate diagnosis leading to lifesaving emergent surgical approach. A 30 year-old male patient was taken to the emergency department after suffering from a gunshot wound. He had right subclavian artery injury. Right subclavian artery was ligated through an infraclavicular incision. The subclavian artery angiography, which was performed postoperatively, demonstrated the right axillary artery to be supplied by the collateral vasculature.

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Case Report 

A Rare Case of Biliary Atresia and Choledochal Cyst in a Premature Infant

Abigail B Podany, Ryan M Juza, Sosamma T Methratta, Peter W Dillon, Mary C Santos, Brett W Engbrecht, Robert E Cilley, Dorothy V Rocourt and Karmaine A Millington
Abstract

Recent case reports have described variants in the classification of biliary atresia and choledochal cyst requiring the expansion of the classical system for describing these anomalies. This in effect, further obscures the line between these two previously separate entities while highlighting the difficulties of intraoperative differentiation of biliary atresia, cystic biliary atresia, choledochal cyst, and Caroli's disease. In our case report, we describe a 34-week premature infant who developed a direct hyperbilirubinemia and was found to have an atypical presentation of choledochal cyst and biliary atresia.

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Case Report 

Transcatheter Embolization of a Large Coronary Artery Fistula in a Child

Gorbatykh A, Krestjaninov O, Soynov I, Voitov A and Nichay N
Abstract

Coronary artery fistula is a rare congenital disease of a coronary circulation. The progress is usually favorable, but in case of a large right atrial coronary fistula a volume overload with a progressing heart failure may occur. Conventional treatment involves fistula's closure using cardiopulmonary bypass. We present a case of endovascular closure of a large coronary artery-to-right atrium fistula.

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