Canadian Journal of Surgery articles from June 2007

Canadian Journal of Surgery archives from June 2007

Editor's view/Point de vue de la redaction.(Editorial)
June 1, 2007... Continuing the theme of physician resources and access to care from the last 2 editorials in the Canadian Journal of Surgery, one barrier for surgical patients has been the lack of operating room (OR) resources. I am sure all of us in surgery...

An orthopedic career fair: a novel recruitment event.(Quill on Scalpel/Plume et scalpel)
June 1, 2007... Since 1996, surgical residency programs across Canada have seen a steady decline in the number of applicants. (1) In the 2004 Orthopaedic Residency Match, 3 positions were not filled in Canada in the first iteration of the match. (2) According...

An open and shut case for early VATS treatment of primary spontaneous pneumothorax in children.(video-assisted thoracic surgery)(Clinical report)
June 1, 2007... Background: Treatment of primary spontaneous pneumothorax (SP) involves thoracostomy tube (TT) drainage, with surgery reserved for persistent or recurrent air leaks. We hypothesized that the advent of video-assisted thoracic surgery (VATS)...

The effect of clinical academic service contracts on surgeon satisfaction.
June 1, 2007... Objective: The purpose of this study was to determine the satisfaction of members of an academic department who are funded by a Clinical Academic Service Contract (CASC), compared with those who are not. Methods: We mailed a satisfaction...

Does patient perception of alignment affect total knee arthroplasty outcome?
June 1, 2007... Objective: This study was designed to address a recurring observation in our centre that, despite a satisfactory postoperative radiographic limb alignment, some patients are dissatisfied with the alignment and appearance of their operated leg....

Development of a provincial guideline for the acute assessment and management of adult and pediatric patients with head injuries.
June 1, 2007... Background: Regionalized approaches to trauma care improve patient outcomes. We developed and distributed a clinical reference poster to standardize the emergency department evaluation and management of patients with traumatic head injuries in...

Characterizing laparoscopic incisional hernia repair.(Clinical report)
June 1, 2007... Introduction: Laparoscopic repair of ventral and incisional hernias (LVIHRs) is feasible; however, many facets of this procedure remain poorly defined. The indications, essential technical features and postoperative management should be...

An approach to transfusion and hemorrhage in trauma: current perspectives on restrictive transfusion strategies.(Surgical Biology for the Clinician/Biologie chirurgicale pour le clinicien)(Report)
June 1, 2007... Hemorrhagic shock is a leading cause of death in trauma patients. Surgical control of bleeding and fluid resuscitation with both crystalloid and blood products remain the mainstay of therapy for injured patients with bleeding. However, there...

Evaluation of a regional trauma registry.(Trauma and Critical Care/Traumatologie et soins critiques)
June 1, 2007... Background: For decades, trauma registries have been the primary source of data for resource allocation, quality improvement efforts and hypothesis-generating research in trauma care. Surprisingly, the quality and completion of data in these...

Canadian Association of General Surgeons and American College of Surgeons evidence based reviews in Surgery. 21: the risk of surgical site infection is reduced with perioperative oxygen.(Evidence-Based Surgery/Chirurgie factuelle)(Clinical report)
June 1, 2007... Selected Article Belda FJ, Aguilera L, Garcia de la Asuncion J, et al. Supplemental perioperative oxygen and the risk of surgical wound infection. A randomized controlled trial. JAMA 2005;294(16):2035-42. Abstract Objective: Does...

Surgical images: soft tissue: Calcinosis cutis.(Continuing Medical Education/Formation medicale continue)(Case study)(Clinical report)
June 1, 2007... A 71-year-old woman with new onset end-stage renal failure of unknown origin presented with symptoms of uremia (nausea, vomiting, purities, dyspnea, fatigue). Physical examination revealed an area of dry gangrene on the left leg. Laboratory...

Radiology for the surgeon: musculoskeletal case 39.(Continuing Medical Education/Formation medicale continue)(Case study)(Clinical report)
June 1, 2007... Presentation A 27-year-old male volleyball player was referred for an orthopedic consult with a complaint of left shoulder pain. His pain had been present for 3 months and was more prominent with overhead activities. Over the last 2...

Salmonella urinary tract infection: a vascular emergency.(Case Notes/Notes de cas)(Case study)(Clinical report)
June 1, 2007... We report on the case of Salmonella arteritis with aneurysm formation of the left common iliac. Extrinsic compression of the left ureter resulted in ureteral obstruction and Salmonella bacteremia secondary to pyelonephritis. An excision was...

Jejunal adenoma presenting with gastrointestinal bleeding.(Case Notes/Notes de cas)(Case study)(Clinical report)
June 1, 2007... Small intestinal polyps are uncommon and may present with gastrointestinal (GI) bleeding. We describe the case of a patient who presented with a bleeding jejunal tubulovillous adenoma to illustrate the clinicopathological and treatment...

Spontaneous pneumorrhachis associated with pneumomediastin in a patient with diabetic ketoacidosis: an exceptional manifestation of a benign disease.(Case Notes/Notes de cas)(Case study)(Clinical report)
June 1, 2007... Spontaneous pneumomediastinum is a rare, generally self-limiting condition. We describe the case of a patient who presented a pneumorrhachis as an exceptional complication of pneumomediastinum. Case report An 18-year-old man with a...

Case report of ventricular septal defect secondary to blunt chest trauma.(Case Notes/Notes de cas)(Case study)
June 1, 2007... Isolated traumatic ventricular septal defect (VSD) is a rare result of blunt cardiac trauma. (1,2) There are about 58 cases reported in the English literature since 1970. (2) Traumatic VSD is variable in its presentation, temporal course and...

Aggressive angiomyxoma of the pelvis: a case report.(Case Notes/Notes de cas)(Case study)
June 1, 2007... First described by Steeper and Rosai in 1983, (1) aggressive angiomyxoma (AAM) is a mesenchymal tumour found mainly in the pelvis and perineum. There is a strong female predominance, with a female-to-male ratio of approximately 6:1. It is a...