Canadian Journal of Surgery articles from October 2004

Canadian Journal of Surgery archives from October 2004

Tibial plateau fractures.(Correspondence/Correspondance)
October 1, 2004... I read with interest Dr. Cameron's letter about tibial plateau fractures (Can J Surg 2004;47:149). This is the second time he has written on this subject, with the same conclusion that "tibial plateau fractures seldom progress to total knee...

Surgical Limits: the Life of Gordon Murray.(Book Review)
October 1, 2004... SURGICAL LIMITS: THE LIFE OF GORDON MURRAY. Shelley McKellar. Toronto: University of Toronto Press; 2003. 270 pages. $48. ISBN 0-8-2-3739-9 Gordon Murray ranks as Canada's greatest surgical pioneer, to whom history has been most unkind....

Combined trauma laparotomy and endovascular repair of thoracic aortic injury.
October 1, 2004... Proximal thoracic aortic injuries from blunt chest-trauma can be fatal soon after the injury or during or after attempts at open repair.1 Recently, several centres have described excellent results from endovascular repair of these injuries...

Patellar tendon laxity in systemic lupus erythematosus.(Case notes)
October 1, 2004... Tendon rupture in patients with systemic lupus erythematosus (SLE) is a rare complication that appears to result from high doses of steroids over long periods. (1) There are reports of patellar ruptures in patients with SLE. Reported here is...

Chylous ascites secondary to small-bowel angiosarcoma.(Case notes)
October 1, 2004... A 57-year-old man arrived at hospital after 10 weeks of progressive abdominal distention and shortness of breath. His medical history included multiple hereditary osteochondromatosis and development 8 years before of a secondary chondrosarcoma...

Ischemic pancolitis: recognizing a rare form of acute ischemic colitis.(Case Notes)
October 1, 2004... Ischemic colitis is the most common form of gastrointestinal ischemia. (1,2) The diagnosis, however, is often elusive, as patient signs and symptoms are nonspecific. Colonic involvement is usually segmental; ischemic colitis rarely involves the...

Treatment of lung hydatidosis by VATS: a preliminary report.(Brief Communication/communication abregee)
October 1, 2004... Hydatidosis is a parasitic condition, an echinococcosis, endemic to regions including South America, Australia, the Mediterranian and the Balkans. (1) A pulmonary location is observed in 30%-40% of cases. (2) Increasing frequency of this...

Postsurgical tetanus.(Review Article/Article de revue)
October 1, 2004... The incidence of tetanus declined dramatically in the 20th century owing to routine vaccination and prompt attention to wound care. Postsurgical tetanus is uncommon, with both exogenous and endogenous sources being responsible for disease. The...

Radiology for the surgeon: musculoskeletal case 33.(Continuing Medical Education/Formation medicale continue)
October 1, 2004... Presentation A 36-year-old woman with a complaint of pain and weakness in her shoulder was referred to an orthopedic surgeon. She had no recent history of trauma, but had fallen some 9 months previously on her outstretched hand, injuring...

Surgical Education and Self-Assessment Program (SESAP).(Continuing Medical Education/Formation medicale continue)
October 1, 2004... Category 16, item 6 Question During a routine physical examination, a firm, rubbery, 1.5-cm node is discovered in the anterior neck of a 60-year-old patient with a 58-pack/yr smoking history. The remainder of the head and neck...

Surgical images: soft tissue: Mullerian cyst of the upper abdomen: a lesion mimicking pancreatic cystadenoma.(Continuing Medical Education/ Formation medicale continue)
October 1, 2004... Mullerian cysts are rare retroperitoneal lesions, the majority of which occur in women. Most develop in the pelvis but a few involve the upper abdomen, manifesting as a mass at the tail of the pancreas. The cysts are large and often displace...

Gastroduodenal tuberculosis management guidelines, based on a large experience and a review of the literature.(Original Article/Article original)
October 1, 2004... Background: To review our experience of gastroduodenal tuberculosis before formulating management guidelines, we did a retrospective analysis at a large tertiary-care teaching institution in North India. Method: We reviewed 23 consecutive cases...

Is intensive care necessary after elective abdominal aortic aneurysm repair?(Original Article/Article original)
October 1, 2004... Background: To review morbidity and mortality of patients undergoing elective, open repair of infrarenal abdominal aortic aneurysms and were admitted postoperatively to a surgical stepdown unit rather than routinely to the intensive care unit...

Chronic lower extremity ischemia: a human model of ischemic tolerance.(Original Article/Article original)
October 1, 2004... Background: Ischemic preconditioning (IPC) has been found in animals to have a protective effect against future ischemic injury to muscle tissue. Such injury is unavoidable during some surgical procedures. To determine whether chronic ischemia...

Magnetic resonance-guided percutaneous cryosurgery of breast carcinoma: technique and early clinical results.(Original Article/Article original)
October 1, 2004... Purpose: This phase I study was designed to demonstrate the feasibility, safety, efficacy and predictability of percutaneous cryosurgery, guided under magnetic resonance (MR) imaging, in the treatment of invasive breast carcinoma. Patients and...

Results of cholecystectomy without intraoperative cholangiography.(Original Article/Article original)
October 1, 2004... Background: To determine if cholecystectomy can be performed satisfactorily without the use of adjunctive intraoperative cholangiography (IOC), we planned a retrospective analysis at a Canadian university teaching hospital. Methods: General...

Assessment of stability of the cervical spine in blunt trauma patients: review of the literature, with presentation and preliminary results of a modified traction test protocol.(Original Article/Article original)
October 1, 2004... Objective: To review the reported efficacy of various imaging techniques in assessing stability of the neck in blunt trauma patients, and to present the protocol and preliminary results of a modified traction test protocol. Design: This is a...

Multivariate analysis of technical variables in pancreaticoduodenectomy: the effect of pylorus preservation and retromesenteric jejunal position on early outcome.(Original Article/Article original)
October 1, 2004... Background: To evaluate the effect of technical modifications to pancreaticoduodenectomy (PD) on postoperative outcome, we established a register of all patients undergoing PD at Victoria General Hospital (Queen Elizabeth II Health Sciences...

Assessing the bioethical integrity of a clinical trial in surgery.(Quill on Scalpel/Plume et scalpel)
October 1, 2004... A recent article by Thoma and colleagues in the June 2004 Canadian Journal of Surgery (volume 47, pages 200-208) nicely takes readers through the process of assessing the value of a randomized clinical trial (RCT) in surgery. (1) These steps...

Raising the bar for the ethical integrity of clinical trials/Hausser la barre de l'integrite ethique des etudes cliniques.(Editorial)
October 1, 2004... The article by Dr. Mark Bernstein (on pages 329-332) identifies an essential framework to assess the bioethical integrity of clinical research. This sets new standards for investigators who aspire to develop effective clinical trials in...