Canadian Journal of Surgery articles from December 2004

Canadian Journal of Surgery archives from December 2004

Saddle embolism of the aorta with sudden paraplegia.(Case Note/Note de cas)
December 1, 2004... A saddle embolism of the aorta causes an acute ischemia of the lower extremities (LX). In a third of patients, various degrees of sensory and motor deficits occur, (1) but sudden paraplegia is seen rarely and its cause is unclear. Case...

Ethical guidelines for the evaluation of living organ donors.(Quill on Scalpel/Plume et scalpel)
December 1, 2004... Transplantation is an effective, life-prolonging treatment for organ failure. Demand has steadily increased over the past decade, creating a shortage in the supply of organs. In addition, the number of deceased organ donors has reached a...

Ethical issues in molecular medicine of relevance to surgeons.(Quill on Scalpel/Plume et scalpel)
December 1, 2004... The technology associated with the care of surgical patients and the level of sophistication of biomedical research accompanying it are evolving at a rapid pace. Both new and old bioethical issues are assuming increasing levels of prominence...

All superior pubic ramus fractures are not created equal.(Original Article/Article original)
December 1, 2004... Objective: To assess whether patients with a fracture of the high superior pubic ramus have functional outcomes worse than those of the lower or more central superior pubic ramus. Method: We carried out a retrospective cohort study of all...

Nonbridging external fixation for fractures of the distal radius.(Original Article/Article original)
December 1, 2004... Objective: To assess the feasibility of using standard components from the small AO external fixator set to support fractures of the distal radius with a construct incorporating distal fixation in the periarticular radius fragment that would...

External fixation with or without supplementary intramedullary Kirschner wires in the treatment of distal radial fractures.(Original Article/Article original)
December 1, 2004... Objectives: To determine radiographic outcomes in the fracture of distal radius treated by close reduction and external fixation, with or without supplementary intramedullary Kirschner wires. Methods: At the Orthopedic Department of National...

The practice of thoracic surgery in Canada.(Original Article/Article original)
December 1, 2004... The objective of the consensus conference of the Canadian Association of Thoracic Surgeons (CATS) was to define the scope of thoracic surgery practice in Canada, to develop standards of practice, to define training and resource requirements for...

Isolated blunt splenic injury: do we transfuse more in an attempt to operate less?(Trauma and Critical Care/Traumatologie et soins critiques)
December 1, 2004... Objective: To determine if blood transfusion requirements in patients with isolated blunt splenic injury (BSI) are greater if they are managed nonoperatively, we did a retrospective case study of patients with isolated BSI who were seen at a...

Surgical Education and Self-Assessment Program (SESAP).(Continuing Medical Education/Formation medicale continue)
December 1, 2004... Category 10, item 35-36 Question A 20-year-old man has a 22-calibre gunshot wound to the left upper extremity, with entrance and exit wounds at the antecubital fossa. The forearm is swollen, with normal motor function of the median...

Radiology for the surgeon: soft-tissue case 56.(Continuing Medical Education/Formation medicale continue)
December 1, 2004... Presentation A 32-year-old man was brought to the emergency room late at night with severe abdominal pain of about 4 hours' duration. The pain started suddenly in the left side of his abdomen about 2 hours after he went to sleep, having...

Surgical images: musculoskeletal: scapulothoracic dissociation.(Continuing Medical Education/ Formation medicale continue)
December 1, 2004... A 9-year-old boy was helping his father on the farm when a heavy piece of equipment (200-400 kg) fell onto his left shoulder. He had a brief loss of consciousness at the scene. When transported to his local hospital for assessment, he...

Canadian Association of General Surgeons Evidence Based Reviews in Surgery. 11: evidence-based guidelines for children with isolated spleen or liver injury.(Evidence-Based Surgery/Chirurgie factuelle)
December 1, 2004... Selected articles Stylianos S and the APSA Liver/ Spleen Trauma Study Group. Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. J Pediatr Surg 2000;35(2):164-7, discussion 167-9. ...

Levels of evidence and grades of recommendations in general thoracic surgery.(Evidence-Based Surgery/Chirurgie factuelle)
December 1, 2004... Objectives: To determine the grades of recommendations and levels of evidence available if the formal practice of evidence-based medicine is applied to general thoracic surgery. Methods: Three general thoracic surgeons, by consensus, developed...

Skin sealants: an effective option for closing cerebrospinal fluid leakage.(Brief Communication/ Communication abregee)
December 1, 2004... Cerebrospinal fluid (CSF) and surgical wound leaks are a common postoperative complication in neurosurgical or otolaryngological procedures. (1) Conservative treatments are usually used first for this potentially serious complication, but...

Cas de fracture bilaterale symetrique simultanee traumatique proximale du tibia et du perone.(Case note/Note de cas)
December 1, 2004... Les fractures de stress bilaterales symetriques de la jambe sont bien documentees (1), contrairement a celles dues a un veritable traumatisme. Nous rapportons un cas de fracture bilaterale symetrique simultanee proximale du tibia et du perone...

Neuroleptic malignant syndrome after an emergency operation for acute appendicitis perforation.(Case Note/Note de cas)
December 1, 2004... Case report A 62-year-old man with no history of psychiatric or neurological problems came to hospital after 3 days of severe abdominal pain and constipation. Diagnosed with acute abdomen secondary to acute appendicitis perforation, he...

Spontaneous rupture of the iliac vein.(Case Note/Note de cas)
December 1, 2004... A previously healthy 79-year-old woman was admitted to our emergency room in December 2002 with a 90-minute history of lower-abdominal pain, which had a sudden onset without trauma. Shortly thereafter, she collapsed in the emergency room. A...

Wait times and health care resources.(Editorial)
December 1, 2004... Recent discussions between federal and provincial First Ministers and Health Ministers have once again emphasized issues relating to waiting times for elective medical care in Canada. There has been increasing interest in waiting times for both...