Canadian Journal of Surgery articles from February 2006

Canadian Journal of Surgery archives from February 2006

Waiting for cancer care: exploiting our national laboratory.(Quill on Scalpel/Plume et scalpel)
February 1, 2006... In recent high-quality surveys of health issues, ranging from adult primary care (1) to hospital executive views (2) of quality of care, in 5 English-speaking countries, Canada was found to underperform on waiting and access issues. For insured...

Outcomes and attitudes: lessons learned from pilots.(Quill on Scalpel/Plume et scalpel)(similarities between the surgeon and the captain of an airplane)
February 1, 2006... As a pilot, surgeon, 6 Sigma champion and colleague of one of the authors of the article being discussed here, (1) I have to declare my conflicts of interest early in this editorial. However, the paper in question deserves careful appraisal,...

Waiting times for radiation therapy in Ontario.(adjuvant radiation therapy in Cancer Care, Ontario)
February 1, 2006... Background: The mass media and clinical journals have reported lengthy waiting times after surgery before initiation of radiation therapy (RT) for cancer across Canada. We aimed to describe the length of time between the last date of surgery or...

Investigating interpersonal competencies of cardiac surgery teams.(cardiac surgery requires individuals to have the requisite medical knowledge and skills)
February 1, 2006... Successful cardiac surgery requires highly skilled individuals to interact effectively in a variety of complex situations. Although cardiac surgery requires individuals to have the requisite medical knowledge and skills, interpersonal...

Delays to surgery in non-small-cell lung cancer.(diagnosis & treatment of lung care)
February 1, 2006... Background: In Canada, waiting times for referral and surgery exist for both benign and malignant disease. We attempted to evaluate the length of various waiting times for surgery as well as their association with surgical stage in patients...

Internal thoracic artery to left anterior descending anastomosis performed on the beating heart by endoscopic robot assistance using a new distal connector.(robotic systems to perform completely endoscopic off-pump bypass)
February 1, 2006... Background: Automated distal connecting devices have been recently introduced to facilitate coronary anastomosis. This could have a large impact on the capacity of robotic systems to perform completely endoscopic off-pump bypass, where the...

Nonsurgical treatment of chronic anal fissure: nitroglycerin and dilatation versus nifedipine and botulinum toxin.(chronic anal fissures can be successfully treated nonsurgically)
February 1, 2006... Background: Surgical sphincterotomy for chronic anal fissure can cause fecal incontinence. This has led to the investigation of nonsurgical treatment options that avoid permanent damage to the internal anal sphincter. Methods: We conducted a...

Undergraduate surgical training: variations in program objectives and curriculum implementation across Canada.(learning objectives in undergraduate surgical education)
February 1, 2006... Background: Although nationally recognized learning objectives for undergraduate surgical education exist, the extent to which Canadian medical schools follow these guidelines has never been established. Methods: We distributed a survey to all...

Burden of injury during the complex political emergency in northern Uganda.
February 1, 2006... Background: War injury is a public health problem that warrants global attention. This study aims to determine the burden of injury during a complex emergency in sub-Saharan Africa. Methods: To determine the magnitude, causes, distribution,...

Surgical images: soft tissue: tension pyopneumothorax.(Continuing Medical Education/Formation medicale continue)
February 1, 2006... Presentation A 49-year-old man had a productive cough, chills, fever, weakness, exertional dyspnea and pleuritic chest pain for 4 weeks. The patient was afebrile. Breath sounds were diminished over the right chest area. The patient's...

Canadian Association of General Surgeons and American college of surgeons evidence based reviews in surgery. 16: randomized trial of parathyroidectomy in mild asymptomatic primary hyperparathyroidism.(A surgery to remove parathyroid glands)
February 1, 2006... CAGS Evidence Based Reviews in Surgery The term "evidence-based medicine" was first coined by Sackett and colleagues as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of...

Building the high-reliability surgical team.(cardiac surgery team in its best)
February 1, 2006... Every surgeon has begun his or her career as a medical undergraduate with a keen awareness of the basis for our assessments in the domains of knowledge, skills and attitudes. It is this last domain in which psychological and human factors are...

Laparoscopic adrenalectomy for pheochromocytoma in pregnancy.(tumors of the adrenal gland)
February 1, 2006... Case report A 28-year-old woman was diagnosed with right adrenal pheochromocytoma on the basis of episodes of nausea, bloating and headaches, and elevated 24-hour urine metanephrines, normetanephrines and epinephrine. Imaging studies...

Caval foramen hernia masquerading as a thoracic mass.(Case Notes/Notes de cas)
February 1, 2006... Case report An 85-year-old woman presented with weight loss and a change in bowel habit over the preceding 3 months. Colonoscopy showed several benign-looking polyps in the transverse colon, which were removed with electrocautery snare. We...

Correction.(Case Notes)(Correction Notice)
February 1, 2006... The following acknowledgement should have been included in a recent Canadian Journal of Surgery article by John Kaspar, Sam Kaspar, Cinzia Orme and Justin de V. de Beer (Intra-articular steroid hip injection for osteoarthritis: a survey of...