Canadian Journal of Surgery articles from October 2006

Canadian Journal of Surgery archives from October 2006

Undergraduate medical education/L'education medicale de premier cycle.(Editorial)
October 1, 2006... Two articles and a commentary in Quill on Scalpel address the important issue of the role of surgery in the undergraduate curriculum of Canadian medical schools. The time allocated to surgical specialties is diminishing with increasing...

Imaging for spinal surgery.(Quill on Scalpel/Plume et scalpel)
October 1, 2006... Spine surgery has evolved into a specialty heavily dependent on high-quality diagnostic imaging. In Canada, patients and spinal surgeons alike continue to enjoy generally high standards of imaging quality. Whereas printed photographic film has...

Commentary.(Quill on Scalpel/Plume et scalpel)(use of imaging)
October 1, 2006... In their article, "Imaging for spinal surgery," (1) Splawinski and colleagues list most of the issues associated with the implementation of picture archiving and communication systems (PACS) into a radiology department and, consequently, access...

Doctor "lite".(Quill on Scalpel/Plume et scalpel)(teaching of medical students)
October 1, 2006... I recently had the occasion to operate with a second-year surgical resident who graduated with an MD after 3 years of training. I asked for a description of the anatomy of the femoral artery from the groin to popliteal fossa, since this was...

Early experience of stapled hemorrhoidectomy in a community hospital setting.
October 1, 2006... Background: Stapled hemorrhoidectomy was introduced as a new procedure for the surgical management of hemorrhoidal disease in 1993. We present a cohort longitudinal study performed in a community hospital setting where the short-term outcomes...

Methylene blue prevents surgery-induced peritoneal adhesions but impairs the early phase of anastomotic wound healing.(Drug overview)
October 1, 2006... Objectives: Adhesion formation continues to be an important problem in gastrointestinal surgery. In recent years, methylene blue (MB) has been reported to be an effective agent for preventing peritoneal adhesions. However, its effects on the...

What procedures are students doing during undergraduate surgical clerkship?
October 1, 2006... Background: Many North American medical schools have removed didactic surgical teaching from the nonclinical years, and there has been a trend toward shortening surgical clerkships. Of concern is that this policy has led to a decrease in...

A needs assessment study of undergraduate surgical education.
October 1, 2006... Background: There is compelling evidence to suggest that undergraduate surgical education may fail to provide appropriate instruction in basic surgical principles and skills. Methods: We completed a descriptive, cross-sectional survey of...

The efficacy of video-assisted thoracoscopic surgery for anterior release and fusion in the management of pediatric spinal deformities.
October 1, 2006... Purpose: This study examined clinical and radiological outcomes following video-assisted thoracoscopic surgery (VATS) for anterior release and fusion in the correction of pediatric scoliotic deformities. Methods: We undertook a detailed chart...

Use of fibrin sealants for the localized, controlled release of cefazolin.(Drug overview)
October 1, 2006... Background: Fibrin sealants are used increasingly in surgery to reduce bleeding and improve wound healing. They have great potential as biocompatible, biodegradable drug delivery systems, because the sealant may adhere to the target tissue and...

Complications of Meckel's diverticula in adults.(Brief Communication/Communication abregee)
October 1, 2006... Meckel's diverticulum is a normal anatomic variant found in 2% of the population. It is a remnant of the vitelline duct, which is usually located on the antimesenteric border of the ileum, within about 60 cm of the terminal ileum. As a...

Canadian Association of General Surgeons and American College of Surgeons Evidence Based Reviews in Surgery. 18: treatment of occult pneumothoraces from blunt trauma.(Evidence-Based Surgery/Chirurgie factuelle)
October 1, 2006... Selected article Brasel K, Stafford RE, Weigelt JA, et al. Treatment of occult pneumothoraces from blunt trauma. J Trauma 1999;46(6):987-91. Abstract Question: Can occult pneumothoraces be safely observed without the need for a...

Herniation through the foramen of Winslow: radiographic and intraoperative findings.(Case study)
October 1, 2006... Case report A 65-year-old woman presented to the emergency department with a 36-hour history of constant epigastric pain, back pain and obstipation. Her medical history included chronic obstructive pulmonary disease (COPD) and a remote...

Septal aperture: an anatomic variant predisposing to bilateral low-energy fractures of the distal humerus.(Case Notes/Notes de cas)
October 1, 2006... Septal aperture is the absence of a septum in the coronoid-olecranon fossae of the distal humerus. It is a relatively common anatomic variant in human distal humeri thought to occur early in childhood. We report a case of this atypical fracture...

Invasive lobular carcinoma of the male breast.(Case Notes/Notes de cas)
October 1, 2006... Breast carcinoma in men is extremely rare ( Case report A 64-year-old man presented with a painless mass in the left breast. His history showed no evidence of liver disease, and no medication had been taken; in particular, there was no...

Body Contouring After Massive Weight Loss.(Book review)
October 1, 2006... The role of general surgeon in Canada continues to evolve. Where once the rise of specialist surgery eroded the requirement for services provided by general surgeons, the current lack of access to certain types of care has increased the burden...

Perforator Flaps: Anatomy, Technique and Clinical Applications.(Book review)
October 1, 2006... Perforator flaps: anatomy, technique & clinical applications. P.N. Blondeel, G.G. Hallock, S.F. Morris, P.C. Neligan, editors. St. Louis (MO): Quality Medical Publishing, Inc; 2006. 1096 pages and DVD; CDN $500. ISBN 1576261786 Perforator...