Canadian Journal of Surgery articles from February 2007

Canadian Journal of Surgery archives from February 2007

Incidence of intramedullary nail removal after femoral shaft fracture healing.
February 1, 2007... Introduction: There are limited data on hardware removal after femoral fracture healing. We determined the incidence of intramedullary nail (IMN) removal after midshaft femoral fractures. We also studied demographic factors influencing IMN...

The role of prophylactic cholecystectomy versus deferral in the care of patients after endoscopic sphincterotomy.(Clinical report)
February 1, 2007... Introduction: Prophylactic cholecystectomy (PC) is advised after ES and clearance of ductal calculi on the basis of a randomized controlled trial that showed a requirement for cholecystectomy in 36% of patients who defer surgery. Other studies...

Treatment of an infected total hip replacement with the PROSTALAC system: Part 1: infection resolution.(Clinical report)
February 1, 2007... Introduction: Infection after total hip replacement (THR) is a serious medical complication with significant negative ramifications for both the patient and the health care system. The prosthesis of antibiotic-loaded acrylic cement (PROSTALAC)...

Treatment of an infected total hip replacement with the PROSTALAC system: Part 2: health-related quality of life and function with the PROSTALAC implant in situ.
February 1, 2007... Introduction: Infection after total hip replacement (THR) adversely affects patients' function and health-related quality of life (HRQL). A prosthesis with antibiotic-loaded acrylic cement (PROSTALAC) was designed to improve the function and...

Factors influencing waiting times for elective laparoscopic cholecystectomy.(Clinical report)
February 1, 2007... Introduction: Health Canada states that waiting list information and management systems in Canada are woefully inadequate, especially for elective surgical procedures. Understanding the reasons for waiting is paramount to achieving fairness and...

Definition of postresectional residual pleural space.
February 1, 2007... Background: Complications of the residual postoperative pleural space (RPPS) after partial pulmonary resections increase hospital stay, cost and morbidity. The objectives of this study were to define and identify the long-term outcome of RPPS....

Editor's view/Point de vue du redacteur.(Editorial)(Editorial)
February 1, 2007... This is an unusual topic for a surgical journal, because it concerns working less rather than working more! It's no secret that a significant mismatch now exists between physician numbers and patient demand. There has been widespread publicity...

The effect of patient transfer on outcomes after rupture of an abdominal aortic aneurysm.
February 1, 2007... Objective: Centralization of vascular surgery services has resulted in patients being transferred longer distances for treatment of life-threatening conditions. The purpose of this study was to determine whether patient transfer adversely...

Laparoscopic surgery for colon cancer: a systematic review.
February 1, 2007... Introduction: Colorectal cancer is the second leading cause of cancer-related death in western countries. The objective of this systematic review was to show that laparoscopic-assisted colon resection for cancer is not inferior to open...

Radiology for the surgeon: musculoskeletal case 38.(Continuing Medical Education/Formation medicale continue)(Clinical report)
February 1, 2007... Presentation A31-year-old previously healthy man presented with swelling in his left foot, with a blue discolouration for 4 years. On examination, he had marked swelling over the medial aspect of the first metatarsal bone of his left foot....

Surgical images: soft tissue transverse colonic intussusception.(Continuing Medical Education/Formation medical continue)
February 1, 2007... A75-year-old man who underwent an emergent repair of a leaking inflammatory aortic aneurysm 2 years previously was seen in routine follow-up by a vascular surgeon in our hospital. At this visit, he was found to have a palpable nonpulsatile...

Canadian Association of General Surgeons and American College of Surgeons Evidence Based Reviews in Surgery. 20. Small gallstones may increase the risk of pancreatitis; is there a benefit for a prophylactic cholecystecomy?(Evidence-Based Surgery/Chirugie factuelle)
February 1, 2007... 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...

Mucocele of the appendix associated with a carcinoid of the terminal ileum.(Case note/Note de cas)(Case study)
February 1, 2007... A 54-year-old woman presented to the emergency department with acute right lower quadrant abdominal pain of a few hours duration. Past medical history revealed recurrent lower abdominal pains, investigated 5 years previously by endoscopy and...

Splenic and superior mesenteric artery thrombolytic infusion therapy for acute portal and mesenteric vein thrombosis.(Case Note/Note de cas)(Case study)
February 1, 2007... Intestinal ischemia is a condition associated with a high degree of morbidity and mortality. Mesenteric venous thrombosis is an uncommon cause of intestinal ischemia accounting for 5%-15% of such cases. (1) Surgical intervention in cases of...

William Harvey, Fabricius ab Acquapendente and the divide between medicine and surgery.(Quill on Scalpel/Plume et scalpel)(Biography)
February 1, 2007... At this time of year, senior medical students in Canada submit their applications for specialty training. They have already announced their wishes to be either physicians or surgeons by their choice of elective rotations in the previous year,...

Harvey Cushing: A Life in Surgery.(Book review)
February 1, 2007... HARVEY CUSHING: A LIFE IN SURGERY. Michael Bliss. University of Toronto Press; 2005; 591 Pages; CDN$50.00 ISBN: 0-8020-8950-X In the course of nature the heavens often rain down the richest gifts on human beings, but sometimes with lavish...

A History of Neuro-Oncology.(Book review)
February 1, 2007... A HISTORY OF NEURO-ONCOLOGY. Rolando F. Del Maestro. Montreal: DW Medical Consulting Inc. 2006; 143 p. $20.00. ISBN: 0771706359 This is one of the most inappropriately titled books I have read. It originated from an exhibit prepared by Dr....

The impact of a comprehensive course in advanced minimal access surgery on surgeon practice.
February 1, 2007... Introduction: Practising surgeons need an effective means for learning new skills and procedures in advanced minimal access surgery (MASA). Currently, available educational methods include traditional continuing medical education symposia...