Canadian Journal of Surgery articles from June 2006

Canadian Journal of Surgery archives from June 2006

Developing a culture of mentoring/Pour implanter une culture de mentorat.(Editorial)
June 1, 2006... Surely the difficult decisions regarding patient care that we tackled as inexperienced, newly minted surgeons at the outset of clinical practice. How nice it would have been to have received support and advice from an experienced senior mentor!...

Reflections on the mentoring of a young surgeon.(Quill on Scalpel / Plume et scalperl)
June 1, 2006... In a 2004 decision, the College of Physicians and Surgeons of Manitoba found no evidence of professional misconduct by any physician involved in the 12 deaths investigated by Associate Chief Judge Murray Sinclair's inquiry into the Pediatric...

Occult cystobiliary communication presenting as postoperative biliary leakage after hydatid liver surgery: are there significant preoperative clinical predictors?
June 1, 2006... Background: Occult cystobiliary communication (CBC) presents with biliary leakage, if the cystobiliary opening cannot be detected and repaired at operation. We investigated the clinical signs associated with the risk of occult CBC in the...

Quality of diagnosis and surgical management of breast lesions in a community hospital: Room for improvement?
June 1, 2006... Background: We aimed to examine both the diagnostic modalities used to identify breast lesions and their surgical management in an Ontario community hospital. Methods: We conducted a retrospective chart review of the preoperative diagnostic...

Computer-enhanced telemanipulation in mitral valve repair: preliminary experience in Canada with the da Vinci robotic system.
June 1, 2006... Background: Investigation into the surgical application of robot technology continues to expand. We report on the first case series of robotic-assisted mitral valve (RAMV) repair in Canada with use of the da Vinci telemanipulation system...

Surgery for osteitis pubis.
June 1, 2006... Background: Osteitis pubis is a rare and self-limited condition. Surgery may be necessary in 5%-10% of cases. The outcome after surgery for osteitis pubis is not known. Methods: To determine the success of surgical intervention for osteitis...

Practice patterns for deep vein thrombosis prophylaxis in minimal-access surgery.
June 1, 2006... Background: There are no comprehensive evidence-based guidelines for deep vein thrombosis (DVT) prophylaxis in patients undergoing minimal-access surgery (MAS). Methods: We completed a cross-sectional survey of general surgeons practising in...

A study of large-bowel volvulus in urban Australia.
June 1, 2006... Background: Large-bowel volvulus is a rare cause of bowel obstruction in the industrialized world. We analyzed the presentation and outcome of 49 patients at the Princess Alexandra Hospital, Brisbane, Australia, who received a diagnosis of...

Using video audit to improve trauma resuscitation--time for a new approach.(Trauma and Critical Care / Traumatologie et soins critiques)
June 1, 2006... Trauma systems development and a systematic approach to the care of the injured have significantly improved outcomes following injury. (1-6) The coordinated reception and resuscitation of patients with major trauma in the hospital phase of care...

Acute appendagitis as a cause of right lower quadrant pain.(Case Notes
June 1, 2006... Acute right lower quadrant (RLQ) pain is one of the commonest symptoms general surgeons are asked to evaluate. Apart from classical appendicitis, the differential diagnosis includes conditions confined to the appendix, such as cystadenoma or...

Endovascular management of traumatic aortic injuries.(Correspondence/Correspondance)(Letter to the editor)
June 1, 2006... In the August issue of the journal (Can J Surg 2005;48:293-7), (1) Lawlor and colleagues reported 7 cases of acute traumatic rupture of the descending thoracic aorta treated with endovascular stent grafting and claimed a triumphant success (0%...

Preoperative fasting.(Correspondence / Correspondance)(Letter to the editor)
June 1, 2006... In the October issue of the journal (Can J Surg 2005;48:409-11), (1) a group of surgeons reviewed the recent Cochrane analysis (2) on preoperative fasting in adults to prevent perioperative complications. They agreed that the intake of clear...

Canadian Association of General Surgeons and American College of Surgeons Evidence Based Reviews in Surgery. 17: the timing of elective colectomy in diverticulitis: a decision analysis.(Evidence-Based Surgery / Chirurgie factuelle)
June 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...