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Simultaneous stent grafting of the descending thoracic aorta and aortofemoral bypass for "shaggy aorta" syndrome.(Case Notes / Notes de cas)(Case study)
October 1, 2007... Spontaneous peripheral and visceral embolization from diffuse, aortic atherosclerotic disease is unusual. It is due to multiple, ulcerated, atherosclerotic plaques, which are lined with thrombus of the thoracoabdominal aorta, and is associated...
Rupture of a mesenteric hydatid cyst: a rare cause of acute abdomen.(Case note)(Case study)
October 1, 2007... Hydatid disease is most commonly caused by Echinococcus granulosus, in which humans are an intermediate host, (1) and is endemic in the Mediterranean region, including Turkey, the Middle East and the Far East. (2) The disease occurs in the...
Esophageal perforation in closed neck trauma.(Case note)(Case study)
October 1, 2007... We report a rare case of esophageal perforation resulting from a closed traumatic injury that caused hyperextension-flexion of the cervical spine.
Case report
A healthy 76-year-old man sustained closed head and neck trauma after...
Macronodular hepatic tuberculosis necessitating hepatic resection: a diagnostic conundrum.(Case note)(Case study)
October 1, 2007... The local form of hepatic tuberculosis with no clinical extrapulmonary manifestations is relatively rare. Hepatic tuberculosis lesions that appear as masses larger than 2 mm in diameter are referred to as macronodular and pseudotumoural...
Recurrent pyogenic cholangitis in a white woman.(Case note)(Case study)
October 1, 2007... A healthy 68-year-old white woman of eastern European origin who had lived her entire life in Canada presented with ascending cholangitis. She had undergone cholecystectomy many years earlier and had suffered recurrent bouts of abdominal pain...
Gastrointestinal stromal tumour of the rectum associated with a cutaneous lesion.(Case note)(Case study)
October 1, 2007... Gastrointestinal stromal tumours (GISTs) are found most commonly in the stomach (60%-70%), followed by the small bowel (20%-30%), and the colon and rectum (5%). (1) We describe a case of GIST in an unusual location (perianal) and highlight how...
A half century of publication on the frontiers of Canadian surgery/Un demi-siecle de publication aux frontiers de la chirurgie canadienne.(Editorial
October 1, 2007... The Canadian Journal of Surgery (CJS) carries the mission "to contribute to the effective continuing medical education of Canadian surgical specialists using innovative techniques when feasible and to provide surgeons with an effective vehicle...
Fifty years with Aesculapius.(Quill on Scalpel / Plume et scalpel)
October 1, 2007... There was a somewhat pungent, stuffy and irritating smell that greeted a small group of 56 students who met in the anatomy lab classroom to start their medical training--the future class of '61. Some were nervous about this new venture, some...
Canadian surgery and the Canadian Journal of Surgery--decades of change.(Anniversary Issue / Publication anniversaire)(Dr. Robert M. Janes's comments)
October 1, 2007... Dr. Robert M. Janes, first Chairman of the Editorial Board, in his opening comments in the new Canadian Journal of Surgery (CJS) (vol. 1, no. 1 [Fig. 1], opined that "the establishment of a Canadian journal should not be regarded as further...
Origins of the Canadian school of surgery.(Anniversary Issue / Publication anniversaire)(analysis of History of Canadian Surgery)
October 1, 2007... Background: Since its inception 50 years ago, the Canadian Journal of Surgery has published articles under the banner "History of Canadian Surgery." Because no comprehensive history of surgery in this country has yet been written, these...
From trauma care to injury control: a people's history of the evolution of trauma systems in Canada.(Anniversary Issue / Publication anniversaire)
October 1, 2007... The last 2 decades have seen a remarkable evolution in the quality of injury care in Canada, yet few likely appreciate the magnitude and scope of this tremendous accomplishment. When, in 1966, the United States National Academy of Sciences...
A dialogue with editors, past and present, on how the CJS came of age.(Anniversary Issue / Publication anniversaire)(Company overview)
October 1, 2007... Introduction
Seldom does an opportunity arise to summarize 50 years of history with direct input from people who have been leaders in molding the direction and growth of a major journal. Therefore, as part of the 50th anniversary of the...
What does the Canadian Journal of Surgery mean to me, a community surgeon?(Anniversary Correspondence / Correspondance anniversaire)(Brief article)
October 1, 2007... The Canadian Journal of Surgery (CJS) now in its 50th year of publication has survived despite all the odds--and in my opinion rightly so. This indexed publication with contributions from general surgery, orthopedics and vascular surgery is one...
Congratulations CJS.(Anniversary Correspondence / Correspondance anniversaire)
October 1, 2007... The Canadian Association of Surgical Chairs (CASC) wishes to sincerely congratulate the Canadian Journal of Surgery on the occasion of 50 years of publication. The Journal has provided an outstanding service to the Canadian surgical community...
Prevention of overwhelming postsplenectomy infection in thalassemia patients by partial rather than total splenectomy.(Clinical report)
October 1, 2007... Objective: We aimed to evaluate the protective role of partial versus total splenectomy against sepsis in patients with thalassaemia when other preventive measures are not available. Overwhelming postsplenectomy infection is a serious...
A randomized pilot validation of educational measures in teaching shoulder arthroscopy to surgical residents.
October 1, 2007... Background: Injuries to the shoulder joint commonly require the attention of an orthopedic surgeon. Shoulder arthroscopy plays an increasingly important role in the diagnosis and repair of shoulder pathology; however, the most effective manner...
Do administrative databases accurately measure waiting times for medical care? Evidence from general surgery.
October 1, 2007... We abstracted the records of patients from general surgeons' offices in Winnipeg to compare waiting times from charts (i.e., the gold standard) with waiting times using administrative data. The administrative data method relies on physicians'...
Surgical images: soft tissue Postgastrectomy benign gastrojejunocolic fistula.(Continuing Medical Education / Formation medical continue)
October 1, 2007... A 66-year-old man presented with a history of diarrhea (10 bowel movements per day) for 3 months. Besides weight loss (20 kg), no other symptoms were manifested. Abdominal physical examination was normal. His medical history was marked by a...
Canadian Association of General Surgeons and American College of Surgeons Evidence Based Reviews in Surgery. 22: the use of PET/CT scanning on the management of resectable pancreatic cancer.(Evidence-Based Surgery
October 1, 2007... 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 currentbest evidence in making decisions about the care of individual...
Users' guide to the surgical literature: how to use a decision analysis.(Evidence-Based Surgery / Chirurgie factuelle)
October 1, 2007... Clinical scenario
After a long night on call, a general surgery resident on a vascular surgery rotation meets a radiology resident at the hospital coffee shop, and they begin to discuss interesting consults from the previous night. She...
Laparoscopic colorectal surgery and community hospitals.(Correspondence
October 1, 2007... I read with interest the article from Sebajang and colleagues1 published in the April issue of the Canadian Journal of Surgery. The authors report a 3-year experience of laparoscopic colorectal surgery performed in a community hospital. This is...
Wait-lists.(Correspondence / Correspondance)(Letter to the editor)
October 1, 2007... I must take exception to the comments of my friend and colleague, Dr. Michael Gross, regarding "Citations and wait-lists: much ado about nothing?" (1) (published in the April issue of the Canadian Journal of Surgery). His conclusions, based on...
Intussuception in adults: surgical aspects.(Correspondence / Correspondance)(Letter to the editor)
October 1, 2007... In regard to an article published in the February issue of the Canadian Journal of Surgery, (1) entitled "Surgical images: soft tissue. Transverse colonic intussusception," the authors should not have tried manual reduction, since a great...