Canadian Journal of Surgery articles from April 2008

Canadian Journal of Surgery archives from April 2008

"First, do no harm": monitoring outcomes during the transition from open to laparoscopic live donor nephrectomy in a Canadian centre.(Original Article/Article original)
April 1, 2008... Objective: During the learning curve for laparoscopic live donor nephrectomy (LLDN), donor morbidity and poorer graft function may be increased. To minimize these risks, a dedicated team of laparoscopic, urologic and transplant specialists...

Deep infection in total hip arthroplasty.(Original Article/Article original)
April 1, 2008... Objective: To report on a 30-year prospective study of deep infection in 1993 consecutive total hip arthroplasties performed by a single surgeon. Methods: The relations of numerous variables to the incidence of deep infection were studied....

Outcomes after pancreatic trauma: experience at a single institution.(Original Article/Article original)
April 1, 2008... Objective: Pancreatic injury following trauma is unusual, and there are few data regarding outcomes, particularly with respect to endocrine and exocrine function. The purpose of this study was to review our institutional experience in regard to...

A survey of Canadian general surgery residents' interest in international surgery.(Original Article/Article original)(Survey)
April 1, 2008... Objective: This survey of Canadian general surgery residents was designed to determine their interest level, past experiences and awareness of opportunities in the field of international surgery. Methods: A web-based national survey in both...

Safety and efficacy of gastrointestinal stents in cancer patients at a community hospital.(Original Article/Article original)
April 1, 2008... Objective: Increasing scientific evidence supports the use of self-expanding metallic gastrointestinal (GI) stents. The commonly accepted primary indications are their usefulness as a bridge to surgery and for palliation to avoid surgery. These...

Orthopedic surgery core curriculum hip and knee reconstruction.(Original Article/Article original)(Survey)
April 1, 2008... Objective: To develop a core curriculum for orthopedic surgery and to conduct a national survey to assess the importance of 281 curriculum items. Attention was focused on 55 topics pertaining to hip and knee reconstruction. Methods: A 281-item...

Open versus endovascular repair of abdominal aortic aneurysm: a survey of Canadian vascular surgeons.(Original Article/Article original)(Survey)
April 1, 2008... Objective: The aim of this survey was to determine Canadian vascular surgeons' experience with elective endovascular aortic repair (EVAR) and traditional open repair and their interest in participating in an expertise-based randomized...

Surgical images: musculoskeletal: sural neurocutaneous cross-leg flap.(Continuing Medical Education/Formation medicale continue)(Brief article)
April 1, 2008... A 7-year-old girl presented to the multinational medical unit at Kandahar Airfield with an open lateral malleolus fracture secondary to a blast injury. Serial debridement procedures preceded a vacuum-assisted closure dressing applied for 8 days...

Radiology for the surgeon: soft-tissue case 60.(Continuing Medical Education/Formation medicale continue)
April 1, 2008... Presentation A 76-year-old man was admitted to our internal medicine service for investigation of anemia of unclear cause. The patient's history disclosed chronic obstructive lung disease and hypertension. His physical examination was...

A minimally invasive treatment option in primary muscular hydatid cyst: report of 2 cases.(Brief Communication/ Communication abregee)
April 1, 2008... Primary involvement of muscles is very rare in cases of hydatid cyst; it has been reported in about 2%-3% of all patients. (1) In this presentation, we discuss the clinical and therapeutic aspects of hydatid cyst observed in muscles. Case...

Meckel's diverticulum causing mechanical small bowel obstruction.(Correspondence/Correspondance)
April 1, 2008... We read the article by Dumper and Colleagues (1) with interest, and we would like to add to their series by describing the phenomenon of small bowel obstruction secondary to an adhesion from the distal end of a Meckel's diverticulum. The...

Reflecting on principles of professionalism/Reflexion sur les principes du professionnalisme.(Editorial)
April 1, 2008... In this issue, the members of the Committee on Professionalism of the Canadian Association of General Surgeons have undertaken to define a new position paper on professionalism for the general surgeon. (1) As stated by the Committee, it is...

Professionalism--connecting the past and the present and a blueprint for the Canadian Association of General Surgeons.(Quill on Scalpel/Plume et scalpel)
April 1, 2008... Definition and explanation of terms Merriam-Webster's Collegiate Dictionary defines professionalism as "the conduct, aims and qualities that characterize or mark a profession or a professional person." (1) Within the context of the...

Waiting for hip revision surgery: the impact on patient disability.
April 1, 2008... Objective: Increased wait times for total joint arthroplasty (TJA) are a concern nationally and provincially. Additionally, the number of patients requiring revision of their initial TJA is increasing. The purpose of this study was to evaluate...

Predicting multiple organ failure in patients with severe trauma.(Original Article/Article original)(Clinical report)
April 1, 2008... Objective: Pathophysiological processes in the first days after trauma seem to be important for the development and final outcome in cases of multiple organ failure (MOF). Our objective in this study was to assess the kinetics of C-reactive...

Is preemptive decompression of an asymptomatic spinal epidural hematoma justified?(Case Note/Note de cas)(Disease/Disorder overview)
April 1, 2008... Spinal epidural hematoma, an extremely rare entity, has a variable presentation. Delayed diagnosis and treatment can result in permanent neurologic deficit and even death. We describe a case of a young man presenting as a poly-trauma victim...

Two possibly iatrogenic biliary-duodenal fistulas in a single patient after medical and surgical interventions.(Case Note/Note de cas)
April 1, 2008... Nine out of every 10 abnormal biliary-enteric communications are the result of perforation caused by gallstones from the gallbladder or common bile duct (CBD) into the duodenum; the remaining one is the result of peptic ulcer, tumour, trauma or...

Giant chest wall tumour invading the abdominal cavity: simultaneous reconstruction of the chest wall and hemidiaphragm.(Case Note/Note de cas)
April 1, 2008... Surgical excision of malignant chest wall tumours may be either palliative or curative. We present a case of a myxoid chondrosarcoma that arose from the lateral chest wall, invaded the right hemidiaphragm and was compressing the right hepatic...

Aneurysmal bone cyst of the clavicle.(Case Note/Note de cas)(Case study)
April 1, 2008... Aneurysmal bone cyst is a benign but locally destructive lesion of the bone characterized by presence of spongy or multiloculated cystic tissue filled with blood. It accounts for 2.5% of all bone tumours. Eighty percent of aneurysmal bone cysts...

Unconsidered cause of bowel obstruction--gossypiboma.(Case Note/Note de cas)(Case study)
April 1, 2008... Forgotten foreign bodies, such as cotton sponges, gauze or instruments, after any surgical procedure are considered a misadventure. (1) "Gossypiboma" denotes a mass of cotton that is accidentally retained in the body postoperatively. We...

Multifocal adenoid cystic carcinoma of the breast: an unusual presentation.(Case Note/Note de cas)
April 1, 2008... Adenoid cystic carcinomas (ACCs) constitute 0.1%-1% of all malignant breast tumours. They have better prognosis than other breast masses: they usually do not metastasize, and treatment is usually followed by prolonged survival. We present a...

Spontaneous rupture of a gastrointestinal stromal tumour associated with life-threatening nontraumatic hemoperitoneum.(Case Note/Note de cas)(Case study)
April 1, 2008... Gastrointestinal stromal tumours (GISTs) are the commonest mesenchymal tumours of the digestive tract, with an incidence estimated between 10 and 20/106 people annually. (1) GISTs are characterized by overexpression in the tyrosine kinase...

Primary peritonitis in a young healthy woman: an unusual case.(Case Note/Note de cas)(Case study)
April 1, 2008... Primary or spontaneous bacterial peritonitis is defined as peritonitis in the absence of an evident intra-abdominal infection. (1) We report an unusual case of primary peritonitis that occurred in a healthy young woman. Case report A...

Role of the endo-GIA stapler in transanal excision of rectal tumours.(Case Note/Note de cas)
April 1, 2008... Benign rectal tumours or those of low-grade malignancy, such as large polyps or in situ carcinomas, often present a challenge for the surgeon who, because of the anatomic structure of the rectum and anal sphincter, must perform an invasive...

Type IV Monteggia fracture in a child.(Case Note/Note de cas)
April 1, 2008... I describe a type IV Monteggia fracture in a 12-year-old boy with an initial greenstick radial fracture. The concept of a "symbiotic effect" is proposed, wherein single-bone injuries at 2 levels shield each other from excessive damage, and a...

An uncommon variant of Meckel's diverticulum.(Case Note/Note de cas)(Case study)
April 1, 2008... Contrary to the standard presentation, a Meckel's diverticulum unusually located and wedged into the mesenteric side of the ileum was detected in a 7-month-old boy. The case is presented to discuss the embryologic basis and clinical importance...

Mediastinal lymphocele following radical esophagogastrectomy.(Case Note/Note de cas)(Case study)
April 1, 2008... Chylothorax is a rare but recognized complication of esophageal surgery. The close anatomic relation between the esophagus and thoracic duct explains the risk of chylothorax after esophagectomy. We report a rare case of a thoracic lymphocele...