Canadian Journal of Surgery articles from June 2005

Canadian Journal of Surgery archives from June 2005

This resident has got to learn!/Ce resident doit apprendre!(Editorial)
June 1, 2005... As a junior surgical trainee in the University of Alberta's General Surgical Residency Program, I found that one of my mentors was exceedingly patient in instructing me, step by step, on the fundamentals of surgical technique. One day as I was...

Surgical management of early stage invasive breast cancer: a practice guideline.
June 1, 2005... Objectives: To assess the available evidence on sentinel lymph-node biopsy, and to examine the longterm follow-up data from large randomized phase III trials comparing breast-conserving therapy with mastectomy in order to make recommendations...

Correction.(Correction Notice)
June 1, 2005... In a case report in the April 2005 issue of the journal (Can J Surg 2005;48[2]:159-60), one of the authors' names was misspelled. The author byline on page 159 should read as follows: Shahzeer Karmali, MD, BSc; * Luke Rudmik, MD; * Walley...

Effectiveness of repeated video feedback in the acquisition of a surgical technical skill.
June 1, 2005... Background: Previously we evaluated the effectiveness of videotaped feedback as a teaching tool for surgical residents using 3 different core skills in the field of orthopedics. Our results revealed no significant differences in technical skill...

Patient satisfaction with inpatient versus outpatient reconstruction of the anterior cruciate ligament: a randomized clinical trial.
June 1, 2005... Objective: To compare satisfaction levels after reconstruction of the anterior cruciate ligament (ACL) between inpatients and outpatients by means of a valid and comprehensive outcome tool. Methods: Fifty patients examined at a tertiary clinic...

How pilot-hole size affects bone-screw pullout strength in human cadaveric cancellous bone.
June 1, 2005... Objective: Screw failure of cancellous bone screws is not uncommon. To compare the effect of varying pilot-hole size on pullout strength of cancellous bone screws in human cadaveric bone, we designed and performed a biomechanical study to allow...

Locally applied molgramostim improves wound healing at colonic anastomoses in rats after ligation of the common bile duct.
June 1, 2005... Background: Several systemic factors, including jaundice, long-term corticosteroid therapy, diabetes and malnutrition, increase the risk of anastomotic dehiscence. The local application of molgramostim (recombinant human granulocyte-macrophage...

Training of Canadian general surgeons: are they really prepared? CAGS questionnaire on surgical training.
June 1, 2005... Background: General surgery in Canada varies from single system subspecialty practice in large centres to multisystem broad-based practice in smaller communities. We have attempted to determine whether Canadian training programs in general...

Predictors of referral for adjuvant therapy for colorectal cancer.
June 1, 2005... Objective: We carried out a retrospective cohort study at the Ottawa Hospital-Civic Campus to determine the proportions of patients referred for and provided adjuvant therapy for colorectal cancer (CRC) among those eligible according to...

Treatment and outcome of vertebral Langerhans cell histiocytosis at the Children's Hospital of Eastern Ontario.
June 1, 2005... Background: We wished to evaluate the treatment methods for vertebral Langerhans cell histiocytosis (LCH) (a rare reticuloendothelial disorder) at a tertiary care pediatric centre and compare treatment and outcomes with those reported in the...

Surgical images: soft tissue: gastrointestinal stromal tumour of the stomach.(Continuing Medical Education/ Formation medicale continue)
June 1, 2005... A 65-year-old woman who presented with hematemesis and melena had a history of chronic anemia but no previous episodes of gastrointestinal bleeding. Her hemoglobin level was 69 g/L. Gastroscopy revealed a submucosal mass in the posterior wall...

Radiology for the surgeon: soft-tissue case 57.(Continuing Medical Education/Formation medicale continue)
June 1, 2005... Presentation A 43-year-old woman presented with a 5-day history of abdominal pain, fever and vomiting. There was no diarrhea, constipation or abdominal distension. She had undergone laparoscopic appendectomy 2 weeks before the onset of...

Radiology for the surgeon: musculoskeletal case 35.(Continuing Medical Education/Formation medicale continue)
June 1, 2005... Presentation A 34-year-old man was referred to an orthopedic surgeon after twisting his right knee. He had ongoing pain and locking and could not fully extend the joint. Physical examination revealed marked tenderness along the medial...

Surgical Education and Self-Assessment Program (SESAP).(Continuing Medical Education/Formation medicale continue)
June 1, 2005... Category 15, Item 6 Question In patients who sustain crush injuries to the fingers, significant nail bed lacerations are most closely associated with A Subungual hematoma involving 10% of the nail bed B Fracture of the distal...

Canadian Association of General Surgeons and American College of Surgeons evidence based reviews in surgery. 13: Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones.(Evidence-Based Surgery/Chirurgie factuelle)
June 1, 2005... Selected article Boerma D, Bauws EJ, Keulemans YA, Janssen IM, Bolwerk CJ, Timmer R, et al. Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones: a randomised trial. Lancet...

Cervical intramedullary tuberculoma and tuberculous kyphosis in a 23-month-old child: case report.(Brief Communication/Communication abregee)
June 1, 2005... Mycobacterium tuberculosis is a serious pathogen in many parts of the world being increasingly responsible for disease. (1,2) Worldwide 7-10 million people have tuberculosis; in 1995 in the United States 22 201 new cases were reported. (2)...

Goblet cell carcinoid of the appendix.(Case Notes/Notes de cas)
June 1, 2005... Three distinct histologic patterns have been identified in appendiceal carcinoids: the argentaffin-positive carcinoid, the nonargentaffin carcinoid, and the mucinous, goblet cell carcinoid. (1) Therapy for carcinoids in the first 2 classes...

Leiomyosarcoma of the inferior vena cava.(Case Notes/Notes de cas)
June 1, 2005... Primary malignant tumours of vascular origin are rare. The most common is the leiomyosarcoma, a malignant neoplasm derived from smooth-muscle tissue and accounting for less than 1% of all malignant tumours. (1) Leiomyosarcomas are seen...

Cat scratch disease presenting as breast mastitis.(Notes de cas)
June 1, 2005... Manifestations of cat scratch disease (CSD) range from the classic syndrome of regional lymphadenopathy to unusual manifestations such as severe, systemic or recurrent infection producing encephalitis, splenitis, mediastinal masses and...