Canadian Journal of Surgery articles from April 2005

Canadian Journal of Surgery archives from April 2005

Primary total knee arthroplasty in patients receiving workers' compensation benefits.(Original Article/Article original)
April 1, 2005... Objective: To determine the influence of Ontario Workplace Safety and Insurance Board (WSIB) benefits on short-term clinical outcomes of primary unilateral total knee arthroplasty (TKA). Methods: In a retrospective matched-cohort study at a...

Multiple epiphyseal dysplasia in children: beware of overtreatment!(Original Article/Article original)
April 1, 2005... Purpose: To determine the various musculoskeletal manifestations of multiple epiphyseal dysplasia in children, and the course of this disease in childhood. Methods: Ten children were diagnosed and treated at the Children's Hospital of Eastern...

Insulin responses to glucose and isoproterenol decrease with age.(Original Article/Article original)
April 1, 2005... Background: Older trauma patients are less tolerant of glucose loads than are young patients, in part as a result of diminished insulin response. We hypothesized that diminished insulin responses result from reduced pancreatic sensitivity to...

An observational study of duplicate presentation rates between two national orthopedic meetings.(Original Article/Article original)
April 1, 2005... Background: National meetings such as those of the American Academy of Orthopaedic Surgeons (AAOS) and the Canadian Orthopaedic Association (COA) are invaluable in the dissemination of new research findings. Given the limits of meeting agendas,...

Hand-assisted laparoscopic versus open nephrectomies in living donors.(Original Article/Article original)
April 1, 2005... Shortages of cadaveric kidneys for transplant into rising numbers of patients with end-stage renal failure have increased the demand for kidneys from live donors. The morbidity associated with traditional open donor nephrectomies (ODN) may...

Intestinal and peritoneal tuberculosis: changing trends over 10 years and a review of 80 patients.(Original Article/Article original)
April 1, 2005... Background: To establish the efficiency of minimally invasive procedures in the diagnosis and management of abdominal (intestinal and peritoneal) tuberculosis (AT), I retrospectively and then prospectively evaluated clinical, physical and...

Using administrative databases to measure waiting times for patients undergoing major cancer surgery in Ontario, 1993-2000.(Original Article/Article original)
April 1, 2005... Purpose: To determine how long patients in Ontario waited for major breast, colorectal, lung or prostate cancer surgery in the years 1993-2000. Methods: "Surgical waiting time" was defined as the interval from date of preoperative surgeon...

Traumatic growth arrest of the distal tibia: a clinical and radiographic review.
April 1, 2005... Background: Injury to the physis of the distal tibia in children can lead to subsequent growth arrest. This can result in physeal bars, leg-length discrepancies and angular deformities. Method: The cases of 12 children with distal tibial growth...

Users' guide to the surgical literature: case-control studies in surgical journals.(Evidence-Based Surgery/Chirurgie factuelle)
April 1, 2005... Introduction: Some articles in surgical journals identify themselves as case-control studies, but their methods differ substantially from conventional epidemiologic case-control study (ECC) designs. Most of these studies appear instead to be...

Surgical images: musculoskeletal: costal hemangioma presenting as rib pain after pneumonia.(Continuing Medical Education/Formation medicale continue)
April 1, 2005... A 45-year-old man came to a primary centre with brief but progressive right-costal pain that followed heavy coughing secondary to pneumonia. The pain was pleuritic in nature but was also increased by direct palpation. Rest relieved it;...

Surgical Education and Self-Assessment Program (SESAP).(Continuing Medical Education/Formation medicale continue)
April 1, 2005... Category 1, item 13 Question A 48-year-old construction worker has a 2-week history of vague left lower abdominal-wall pain. The pain is described as an aching sensation without radiation. The pain is now severe, localized to the left...

Benign granular-cell tumour of the breast.(Case Notes/Notes de cas)
April 1, 2005... Granular cell tumour (GCT) is a rare lesion of putative Schwann's cell origin. It affects many organs, including the breast. Recognition of this usually benign tumour is important, since clinically, radiogically and grossly, GCT of the breast...

Pure invasive micropapillary carcinoma of the male breast: report of a rare case.(Case Notes/Notes de cas)
April 1, 2005... Breast carcinoma in men is a relatively rare disease with an incidence of nearly 1% of all breast cancers; it accounts for IMPC is a morphologically distinctive form of ductal carcinoma in which the tumour cells are arranged in morule-like...

Synchondrosis fracture in a pediatric patient.(Case Note/Note de cas)
April 1, 2005... We present the case of a 6-year-old boy with a fracture of the anterior arch of the atlas vertebra, treated with transoral closed reduction and external immobilization. Case report A 6-year-old boy arrived at the emergency department...

Melanoma erysipeloides.(Case Notes/Notes de cas)
April 1, 2005... A 63-year-old man went to his family physician with an axillary mass that had grown over the preceding year. An incisional biopsy showed a poorly differentiated tumour that stained positive for S-100 protein and negative for CD45, HMB and...

Small-bowel perforation: a consequence of feeding jejunostomy.(Case Notes/Notes de cas)
April 1, 2005... Enteral feeding is a preferred route for postsurgical sustenance of very ill patients with a functioning small bowel. (1,2) Postpyloric feeding through a jejunal tube is in wide practice and usually well tolerated. We report a case of...

Implantation metastasis from adenocarcinoma of the colon into a fistula-in-ano: a case report.(Casa Notes/Notes de cas)
April 1, 2005... Viable malignant cells have been isolated from the lumen of bowel and from surgical gloves and instruments after colorectal cancer surgery. (1) There are reports of implantation of malignant cells into benign anal lesions during colorectal...

Dissatisfaction: how it has grown/Histoire d'une insatisfaction croissante.(Editorial)
April 1, 2005... Recent developments have highlighted the "greying" of health care providers in Canada. Not only are there fewer physicians and nurses available to deliver care, but those who are working tend to be older. The effect of this on health care...

Patients in pain: who should be responsible?(Quill on Scalpel/Plume et scalpel)
April 1, 2005... It is not an unusual situation in modern surgical practice to go to either the recovery room or the floor to review postoperative patients and see other specialists in attendance. However, it is now time to question some of the more recent...

Pain management.(Quill on Scalpel/Plume et scalpel)
April 1, 2005... As anesthetists involved in a pain management service, we wish to raise our reservations about some of the opinions expressed by Dr. Michael Gross (1) in "Patients in pain: Who should be responsible?" The first principle of postoperative...

Snowmobile trauma, alcohol and the law: a reply.(Correspondence/Correspondance)(Letter to the Editor)
April 1, 2005... We thank Dr. Driedger for his letter to the editor (Can J Surg 2004;47(4):304) commenting on our article on snowmobile trauma in Manitoba (Can J Surg 2004;47 (2):90-4), and would like to respond. We are delighted to see that Dr. Dreidger...