Canadian Journal of Surgery articles from February 2009

Canadian Journal of Surgery archives from February 2009

Population-based review of the outcomes following hepatic resection in a Canadian health region.(RESEARCH/RECHERCHE)(Report)
February 1, 2009... The reported results for hepatic resection surgery have changed dramatically over the past 40 years. In 1977, a review of hepatic surgery was undertaken by Foster and Berman. (1) They reviewed the outcomes of 621 hepatic resections and found an...

A prospective evaluation of venous thromboembolism in patients undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.(RESEARCH/RECHERCHE)(Clinical report)
February 1, 2009... It is well known that cancer is a risk factor for venous thromboembolism (VTE),1 which is defined as the presence of clotted blood in a vein, right cardiac chamber or in the pulmonary arterial tree, and comprises pulmonary embolism (PE), deep...

Prediction of involvement of sentinel and nonsentinel lymph nodes in a Canadian population with breast cancer.(RESEARCH/RECHERCHE)(Report)
February 1, 2009... The morbidity of surgical treatment for many women with early stage breast cancer has been reduced with the adoption of breast-conserving surgery (1) and sentinel lymph node biopsy (SLNB). (2) Integration of SLNB into the surgical management of...

Gastrointestinal stromal tumours: outcomes of surgical management and analysis of prognostic variables.(RESEARCH/RECHERCHE)(Report)
February 1, 2009... Gastrointestinal stromal tumours (GISTs) are rare tumours that originate from Cajal cells in the myenteric plexus. These cells are most commonly located in the stomach (39%-70%) and account for 0.1%-3% of all gastrointestinal system tumours....

The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases.(RESEARCH/RECHERCHE)(Clinical report)
February 1, 2009... Historically, the risks associated with major surgery for treating thyroid diseases and the problems of adequate hormonal replacement have deterred surgeons from performing total thyroidectomies. In fact, thyroid surgery was rarely performed...

A time of change/Une ere de changements.(Editorial)
February 1, 2009... It was with great pleasure that I accepted to join Garth Warnock as Coeditor-in-Chief of the Canadian Journal of Surgery. Over the last 50 years, CJS has seemed to stand the test of time. Seminal articles, particularly in a Canadian context,...

Local recurrence after rectal cancer treatment in Manitoba.(RESEARCH/RECHERCHE)(Clinical report)
February 1, 2009... Colorectal cancer is the third most common cancer in both sexes in terms of incidence and mortality, (1) with rectal cancer representing about one-quarter of cases. (2) A major issue in rectal cancer is local recurrence after a potentially...

Outcomes in patients with popliteal sarcomas.(RESEARCH/RECHERCHE)(Clinical report)
February 1, 2009... Soft-tissue sarcomas are a rare form of cancer, consisting of 2% of all malignancies. (1,2) Their occurrence in the popliteal fossa accounts for 3%-5% of all extremity and trunk soft-tissue sarcomas. (3-5) The popliteal fossa is defined as the...

Comparison of on-demand and planned relaparotomy for secondary peritonitis.(CAGS AND ACS EVIDENCE-BASED REVIEWS IN SURGERY. 28)(Clinical report)
February 1, 2009... 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 individual patients." (1) The key to practising...

Peritoneal mesothelioma: current understanding and management.(SURGICAL BIOLOGY FOR THE CLINICIAN)(Clinical report)
February 1, 2009... Mesothelioma is a rapidly progressing, asbestos-related tumour. This tumour was once rare and is now showing an increasing incidence worldwide (1) following the vast mining of asbestos, which peaked in the 1970s. (2) Presently, although...

Digital versus conventional templating techniques in preoperative planning for total hip arthroplasty.(RESEARCH/RECHERCHE)(Clinical report)
February 1, 2009... Preoperative planning is an important part of total hip arthroplasty surgery. Templating helps selection of the correct implant size, (1) lowers the risk of periprosthetic fracture, (2) helps restore femoral offset (3) and leg length in hip...

Musculoskeletal case 43.(RADIOLOGY FOR THE SURGEON)(Clinical report)
February 1, 2009... PRESENTATION A 57-year-old man presented with chronic ulnar-sided right wrist pain. Plain radiographs were nondiagnostic (not shown). We performed magnetic resonance imaging (MRI). Coronal [T.sub.1]-weighted (Fig. 1), coronal fast short...

Pneumoretroperitoneum secondary to duodenal perforation after endoscopic retrograde cholangiopancreatography.(Clinical report)
February 1, 2009... [FIGURE 1 OMITTED] Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure performed to diagnose and treat pancreatic and biliary diseases. In about 5%-10% of patients it causes adverse events. Pancreatitis is the...

A rare complication of cardiopulmonary resuscitation.(Clinical report)
February 1, 2009... Chest compressions during cardiopulmonary resuscitation (CPR) can be traumatic to patients. Sternal fractures occur in 1 of 5 resuscitation attempts, and costal fractures occur in 1 of 3; two-thirds of patients with costal fractures have 3 or...

Extracapsular extrusion of a horizontal metacarpal head fracture.(Clinical report)
February 1, 2009... Intra-articular fractures of the metacarpal head are rare, often requiring surgical fixation to maintain articular congruence. (1) McElfresh and Dobyns (2) presented a 10-group classification of 103 such fractures based on anatomic involvement...

Importance of liver drainage in biliary-bronchopleural fistula resulting from thoracoabdominal gunshot injury.(Case study)
February 1, 2009... Post-traumatic, biliary-bronchopleural fistulas (BBPFs) are rare. We present a case of BBPF after a thoracoabdominal gunshot wound for which the patient required surgical management. CASE REPORT A 27-year-old man presented to our...

Intra-abdominal bleeding from a seromuscular tear of an ascending rectosigmoid intramural hematoma after stapled hemorrhoidopexy.(CASE NOTE)
February 1, 2009... Stapled hemorrhoidopexy (SH) is an accepted procedure for third-degree hemorrhoids; however, recent data show that the complication rate and need for additional hemorrhoid treatment are higher for SH than for conventional hemorrhoidectomy. One...

Gastric outlet obstruction secondary to biliary calculi: 2 cases of Bouveret syndrome.(CASE NOTE)(Case study)
February 1, 2009... Gallstone ileus is an uncommon cause of small-bowel obstruction, accounting for about 1%-4% of cases. (1,2) Although the most common location for intestinal obstruction by a biliary calculus is the terminal ileum, obstruction infrequently...

Percutaneous catheter drainage in the treatment of abdominal compartment syndrome.(Case study)
February 1, 2009... Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intra-abdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60%-70%. (1) The treatment of choice in ACS is surgical...

Giant parotid mass.
February 1, 2009... Carcinoma ex-pleomorphic adenomas arise from long-standing pleomorphic adenomas, and their malignant elements are epithelial only. We describe the case of a man with a huge parotid mass that was diagnosed histologically as a carcinoma...

Hoffa fracture with ipsilateral patellar dislocation resulting from household trauma.(Case study)
February 1, 2009... Hoffa fracture is a rare lesion and has been reported to occur with supracondylar fracture of the femur, (1) fracture of the femoral shaft and knee dislocation. (1,2) We report a rare case of ipsilateral Hoffa fracture and patellar dislocation,...

Stepwise carcinogenesis of hepatocellular carcinoma in a nodule surrounded by hyperplastic and hypervascular liver tissue.(Clinical report)
February 1, 2009... Stepwise carcinogenesis of hepatocellular carcinoma (HCC) in the cirrhotic liver has been well described pathologically and radiologically. (1,2) It is accompanied by sequential hemodynamic changes in the nodules. (3,4) The dysplastic nodule...

Perineal schwannoma.(Clinical report)
February 1, 2009... Schwannoma is a benign tumour arising from Schwann cells of the peripheral nerve sheath; histologic predominance of degenerative findings is typical of a rare variant, the "ancient" schwannoma. (1-3) Retroperitoneal pelvic localization of these...