The discovery of the lymphatic system in the seventeenth century. Part VI: The microscopic discovery of the subtle anatomy.
Authors: Suy R, Thomis S, Fourneau I Abstract The discovery of chyle and lymph vessels had furthered the dream of understanding the body's structure and functions. Initially it was thought that chyle was sucked from the intestines through the open mouths of chyle vessels, and that lymph vessels were side branches of arterial end branches. In the second half of the 17th century, microscopy became an adjuvant for research into the subtle anatomy of the lymphatic system. In the present paper, we will focus on its initial use for the study of the structure and function of chyle and lymph vessels, and lymph glands. ...
Source: Acta Chirurgica Belgica - May 29, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

18F-FDG micro-PET/CT for intra-operative margin assessment during breast-conserving surgery.
Conclusions: This proof-of-concept study demonstrates that high-resolution FDG-PET/CT can facilitate intra-operative margin assessment during BCS. This technique achieves good sensitivity and specificity and may therefore reduce re-operation rates in the future. PMID: 32452298 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 29, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Suspicion of abdominal injuries in high-energy trauma patients: Which clinical factors influence decision making for diagnostic imaging?
Conclusion: This study clarifies on which clinical factors the decision is taken to perform diagnostic imaging to identify abdominal injuries. Future prospective multicentre studies should clarify whether these clinical factors are trustworthy predictors of abdominal injuries, and whether patients can safely be discharged after trauma work-up. PMID: 32427054 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 21, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

VATS Approach for Pulmonary Sclerosing Pneumocytoma: A case report.
Conclusions: Pulmonary sclerosing pneumocytoma is a rare form of benign tumor that should be part of the differential diagnosis of lung lesions of unknown origin. Because of its well-defined encapsulated structure allowing total enucleation, VATS can be proposed as a less invasive alternative to classic thoracotomy. PMID: 32397805 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 14, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Glue embolization of a bleeding lingual artery pseudoaneurysm related to tongue surgery.
In this report, a symptomatic, lingual artery pseudoaneurysm after repeated base of tongue surgery was identified on computed tomography and successfully managed with catheter-directed glue-embolization. PMID: 32375568 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Long-term follow-up of the incisional hernia rate after single-incision laparoscopic cholecystectomy: A prospective observational study.
Authors: Valcarenghi J, Hernigou J, Apicella G, Clegg E, Rousie M, Chasse E Abstract Purpose: To evaluate the long-term occurrence rate of incisional hernias following single-incision laparoscopic cholecystectomy (SILC).Background: Since the 90s, SILC has emerged as a less invasive alternative to standard laparoscopic cholecystectomy in selected patients. But concerns over port-incisional hernias have not been addressed.Methods: Between February 2009 and February 2011, 142 patients referred for gallstones who agreed to undergo SILC were included in a monocenter prospective observational study. All of the procedures...
Source: Acta Chirurgica Belgica - May 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Misdiagnosis of sebaceous carcinoma.
CONCLUSION: Sebaceous carcinoma is a tumour that is often misdiagnosed. The aim of this case report is to emphasize the possible consequences of its misdiagnosis. An overview of characteristic clinical findings is provided to help reduce the number of misdiagnoses. PMID: 32375578 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Preoperative treatment of benign insulinoma: diazoxide or somatostatin analogues?
We report the case of a 27-year-old patient with insulinoma in whom diazoxide was compared with lanreotide before operation. A diagnosis of insulinoma was made on the basis of a fasting test and a 2 cm tumour confirmed in the body of the pancreas, with a high uptake of 111-In-pentreotide. Diazoxide was initiated and increased to a maximal tolerated dose of 450 mg/day. Because of dyspnoea and persisting hypoglycaemia, diazoxide was shifted to lanreotide 120 mg. All symptoms resolved without hypoglycaemia. According to the EORTC quality score of life, the score without treatment, under diazoxide, under l...
Source: Acta Chirurgica Belgica - May 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Lipomatous Pancreas facilitates late Onset of renal Cell Carcinoma Metastases.
Conclusion: Pancreatic metastases occur late after the first diagnosis of renal carcinoma and show an affinity for lipomatous pancreatic tissues. Due to its rarity in occurrence, multicentric studies are highly recommended to further analyze this correlation between fatty pancreas and RCC. PMID: 32374654 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 7, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Case Report: Sigmoid Perforation by broken nitinol memory Frame after inguinal hernia Repair.
CONCLUSION: Particularly in young athletic patients the nitinol ring will be subject to bending forces in the groin and prone to breakage. This can have potentially severe consequences given its location near abdominal organs and neurovascular structures. In our opinion, patients should be informed about the possibility of ring breakage and doctors should consider the risk-benefits well. PMID: 32374656 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 7, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Andreas Vesalius of Brussels (1514-1564): his contribution to the field of functional neuroanatomy and the criticism to his predecessors.
Authors: Markatos K, Chytas D, Tsakotos G, Karamanou M, Piagkou M, Mazarakis A, Johnson E Abstract Until the fifteenth century, the knowledge about anatomy and function of the nervous system had been significantly influenced by theological notions. Andreas Vesalius of Brussels (1514-1564), based on human cadavers' dissections, criticized his predecessors and contributed to the construction of the current knowledge about functional neuroanatomy. Although he did not avoid mistakes, he successfully demonstrated the high value of human cadavers' dissection in anatomical teaching. PMID: 32345153 [PubMed - as supplie...
Source: Acta Chirurgica Belgica - May 1, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Microsurgical techniques for achieving gross total resection of ependymomas of the fourth ventricle.
Authors: Ghali MGZ Abstract Ependymomas arising from the ventricular surface present a major challenge to achieving a complete operative extirpation when located in the fourth ventricle given the presence of significant adherence to the floor of the same. Overzealous dissection and removal of a tumor from this zone may precipitate potentially catastrophic neurological deficits attributable to cranial nucleopathies and cranial neuropathies. Consequently, the classic neurosurgical teaching has advised attempted gross total resection, leaving adherent residual in the floor of the fourth ventricle, in order to prevent ...
Source: Acta Chirurgica Belgica - April 16, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Belgium and Global Surgery: Quo Vadis?
Authors: Vervoort D PMID: 32253981 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Mycotic aortic and left iliac ruptured aneurysm due to Escherichia Coli: a case report and literature overview.
We report the case of a patient who developed a mycotic aortic and ruptured left iliac aneurysm due to E. Coli. The patient developed a secondary aortic graft infection due to a mesenteric ischemia with fecal peritonitis. A literature overview of the current knowledge on mycotic aortic aneurysms specifically due to E. Coli is discussed including the clinical characteristics of patients, the management of the disease and the post-operative outcomes. PMID: 32253984 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Fistulectomy and primary sphincteroplasty (FIPS) to prevent keyhole deformity in simple anal fistula: a single-center retrospective cohort study.
Conclusion: FIPS avoids the development of keyhole deformity in the majority of patients with simple anal fistula, but is less successful in posterior fistulas. Since FIPS is a very effective, fast and simple procedure, it should be considered a valid alternative for the treatment of every simple anal fistula. PMID: 32253992 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

False aneurysm of the popliteal artery revealing a solitary osteochondroma of the distal femur in an 11-year-old boy.
Authors: Pelet H, Tunon de Lara S, Pfirrmann C, Meynard P, Harper L, Angelliaume A, Berard X, Lefèvre Y Abstract An 11-year-old boy presented with pain in the right knee, intermittent reverse ischemia of the right foot and paraesthesia of the right toes. An angio-CT showed a false aneurysm of the right superior popliteal artery, and a solitary osteochondroma of the posterior aspect of the distal femur. Excision of the aneurysm and the osteochondroma was performed in two-stages. The patient was clinically well at 1-year follow up. PMID: 32253993 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Prophylactic Ureteral Catheterization in the Intraoperative Diagnosis of Iatrogenic Ureteral Injury.
Conclusion: Although the beneficial effects of PUC on IUI incidence remain controversial, when a ureteral injury occurs during pelvic surgery, the presence of prophylactic ureteral catheters can significantly reduce both diagnostic delay and postoperative morbidity. By promoting an immediate repair, ureteral catheterization reduces need for further diagnostics and secondary interventions. PMID: 32253998 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Evaluation of Factors Affecting Morbidity and Mortality in Pneumonectomy Patients.
Conclusion: The results of this study indicate that our pneumonectomy outcomes are acceptable despite high morbidity and mortality rates. Appropriate patient selection for pneumonectomy is as important as complication management. High-comorbidity patients should undergo these procedures in experienced centers. PMID: 32254000 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Total mesorectal excision - 40 years of standard of rectal cancer surgery.
Authors: Votava J, Kachlik D, Hoch J Abstract Total mesorectal excision (TME) was first described 40 years ago by Richard Heald. The purpose of this article is to point out importance of this surgical procedure. Starting from first attempts to surgically cure rectal carcinoma in the 19th century through Miles' operation at the beginning of the 20th century results were not satisfactory due to high number of local recurrences after resections for rectal cancer. Progress in surgical technique and knowledge of anatomy and embryology of the rectum led to development of TME. Principle of TME is surprisingly simple: remo...
Source: Acta Chirurgica Belgica - March 25, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

The pioneer ophthalmologist Johann Friedrich Horner (1831-1886) and the clinical anatomy of the homonymous syndrome.
In conclusion, J .F .Horner's adamantine character, hard work, assiduous teaching and skills in eye surgery made him one of the main contributors for the evolution of ophthalmology in the 19th century Central Europe. PMID: 32204671 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 25, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intussusception related to transverse colonic lipoma: a case report and review of the literature.
We report the case of a 30-year-old patient with transverse colonic lipomas leading to obstruction of the descending colon by intussusception and continue by presenting a review of the current literature. PMID: 32141396 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Surgical treatment of a primary malignant pericardial mesothelioma: case report.
We report a case of a 72 years old woman with primary pericardial malignant mesothelioma involving the right atrium. Nine months following surgery, the patient is alive with good performance status. PMID: 32106775 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 1, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Impending paradoxical embolism: About two cases. 3D echocardiographic imaging and discussion of treatment options.
Conclusion: Emergent treatment is mandatory for IPDE, a serious disease with a high early mortality. This paper is a reminder of how to deal with such a rare condition. PMID: 32046603 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 14, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Paraplegia Following Transarterial Chemoembolisation for Hepatocellular Carcinoma: A Case Report.
Conclusion: Spinal cord injury is an extremely rare but grave complication of TACE. Paraplegia may result from inadvertent embolisation of spinal branches arising from intercostal or lumbar collateral vessels. This case highlights the necessity of evaluating and choosing the vessels before starting TACE to achieve a good outcome. PMID: 32031042 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 9, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

An uncommon presentation of a cutaneous angiosarcoma.
Authors: Wilssens NO, Den Hondt M, Duponselle J, Sciot R, Hompes D, Nevens THG Abstract Cutaneous angiosarcoma (cAS) is a rare and aggressive malignant vascular tumor, which mostly occurs in the head and neck region. The outcome of cAS is poor and timely diagnosis is paramount, but often delayed because of the slow onset and the variance in presentation. This paper reports on a case of an 88-year old woman who presented with a persisting "hematoma" in the left retro-auricular region. Although considered at initial differential diagnosis, no signs of malignancy were identified in histopathology and imaging...
Source: Acta Chirurgica Belgica - February 7, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

An Analysis on the Use of Warren's Distal Splenorenal Shunt Surgery for the Treatment of Portal Hypertension at The University Hospitals Leuven.
Authors: Van Praet KM, Ceulemans LJ, Monbaliu D, Aerts R, Jochmans I, Pirenne J Abstract Introduction: Extrahepatic portal vein thrombosis is the most common cause of portal hypertension, particularly in children. Portal hypertension-related manifestations include refractory variceal bleeding, splenomegaly and ascites. Albeit more rarely performed, the distal splenorenal shunt (Warren's shunt) has proven to be effective in selectively decompressing the collateral circulation. The aim of our study was to describe our experience with the distal splenorenal shunt and to determine the long-term effect on portal hyperte...
Source: Acta Chirurgica Belgica - February 7, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intrapericardial pneumonectomy for unicentric hilar castleman disease.
Conclusion: We emphasize that some cases with intrapulmonary Castleman disease may require a pneumonectomy if the tumor is centrally located. PMID: 32024436 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 7, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

An uncommon presentation of a cutaneous angiosarcoma.
Authors: Wilssens NO, Den Hondt M, Duponselle J, Sciot R, Hompes D, Nevens TH Abstract Cutaneous angiosarcoma (cAS) is a rare and aggressive malignant vascular tumor, which mostly occurs in the head and neck region. The outcome of cAS is poor and timely diagnosis is paramount, but often delayed because of the slow onset and the variance in presentation.This paper reports on a case of an 88-year old woman who presented with a persisting "hematoma" in the left retro-auricular region. Although considered at initial differential diagnosis, no signs of malignancy were identified in histopathology and imaging i...
Source: Acta Chirurgica Belgica - February 6, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Contributions of Avicenna to Surgery and Anesthesiology.
Conclusion: Findings of this review study will provide a brief insight on Avicenna's Canon of Medicine to the sciences of anesthesiology and surgery based on the recent investigations. PMID: 32013741 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 6, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Solitary prostate cancer liver metastasis: an exceptional indication for liver resection.
Conclusions: The very rare indication and possible role of liver resection in the treatment of PCLM is discussed. PMID: 32000583 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 1, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Successful outcome following resection of metachronous pancreatic metastasis from a rhabdomyosarcoma.
Conclusion: Although rare, rhabdomyosarcoma can metastasize to the pancreas. The surgeons must be aware of this complication, and that such pancreatic metastases are potentially resectable with a good long term outcome. PMID: 31994975 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 31, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Hemicorporectomy - the ultimate solution of terminal pelvic sepsis.
Authors: Richtr P, Hoch J, Svobodová K, Jech Z, Kříž J, Hyšperská V, Štulík J, Babjuk M, Přikryl P Abstract SummaryHemicorporectomy is the amputation of the lower body - pelvis and lower limbs. It requires transsection of the spine and dural sac at the level of aortic bifurcation and inferior lower vein, and permanent urinary and stool derivation. Performance indications are tumour trauma and terminal pelvic osteomyelitis. So far about 60 cases have been published; only 11 operations were performed for terminal osteomyelitis. We have successfully performed hemicorporecto...
Source: Acta Chirurgica Belgica - January 30, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intra-operative vagal neuromonitoring predicts non-recurrent laryngeal nerves: technical notes and review of the recent literature.
Conclusion: The NRLN is an important surgical challenge because unilateral palsy can lead to permanent hoarseness. This anomaly emphasizes the importance of a thorough surgical dissection and the use of intra-operative vagal nerve neuromonitoring. Our method of continuous intra-operative vagal nerve monitoring makes it possible to predict a non-recurrent laryngeal nerve in an early stage during surgery. PMID: 31986987 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 30, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

A rare vascular tumor of the spleen: Littoral cell angioma.
Conclusions: For a timely diagnosis, Littoral cell angioma should be considered among the initial diagnoses in patients who were found to have splenomegaly in their physical examination and multiple masses in the spleen in radiological tests. PMID: 31986995 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 30, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Mediastinal Calcified Hydatid Cyst.
Authors: Kabiri EH, El Hammoumi M, Bhairis M, Oukabli M PMID: 31987013 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 30, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Inferior pancreaticoduodenal artery aneurysms and Dunbar syndrome. Experience with the open surgery.
CONCLUSIONS: Awareness of possible repercussions of the celiac trunk stenosis to peripancreatic arteries should be elevated. Restoration of physiological blood flow by removing pathologic anatomy should be performed. Since there is no correlation between the size of a visceral aneurysm and the risk of rupture, having a high postrupture mortality, pancreaticoduodenal artery aneurysms should be treated even if asymptomatic. Surgical treatment remains the mainstay treatment of the Dunbar syndrome complicated by visceral aneurysms. PMID: 31961777 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 22, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

Factors affecting organ donation rate during devastating brain injuries: A 6-year data analysis.
Conclusions: Our findings showed that refusal by the family was the most common reason for failure of deceased organ donations. To maximize the number of procured organs, transplant communities need to focus on increasing awareness regarding brain death and organ donation and establish strategies to increase consent obtained from the families. PMID: 31903853 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 8, 2020 Category: Surgery Tags: Acta Chir Belg Source Type: research

TIPP versus the Lichtenstein and Shouldice techniques in the repair of inguinal hernias - short-term results.
Authors: Djokovic A, Delibegovic S Abstract OBJECTIVE: The Lichtenstein mesh technique is recommended as the standard surgical procedure for inguinal hernias. Shouldice is the best non-mesh technique. However, there are reports that the transinguinal preperitoneal technique (TIPP), which uses a preperitoneal mesh, has potential advantages in relation to the Lichtenstein and the Shouldice techniques. PATIENTS AND METHODS: Three hundred patients with inguinal hernias were randomized into three groups of hundred patients each: group 1 whose inguinal hernia repair was performed using the Lichtenstein technique; gro...
Source: Acta Chirurgica Belgica - December 22, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Evaluation of acute kidney injury with oxidative stress biomarkers and renal resistive index after cardiac surgery.
Authors: Kararmaz A, Arslantas MK, Aksu U, Ulugol H, Cinel I, Toraman F Abstract (210 words):Background: We investigated whether cardiopulmonary bypass (CPB) related oxidative stress mediated glycocalyx degradation can cause an increase in renal resistive index (RRI) or postoperative AKI. Additionally, to evaluate whether RRI and early postoperative serum cystatin C levels could improve the prediction sensitivity of acute kidney injury (AKI).Methods: Forty-two patients undergoing cardiac surgery were included in this prospective observational study. RRI was measured pre-operatively and in the cardiac intensive care...
Source: Acta Chirurgica Belgica - December 12, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A large retroperitoneal Mullerian cyst: case report and review of the literature.
Conclusion: Retroperitoneal Mullerian cysts outside the pelvis have infrequently been described in the literature. As correct preoperative diagnosis is seldom possible, surgical resection is the golden standard of treatment. PMID: 31795845 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 6, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Surgical Treatment of Therapy-Resistant Reflux after Roux-en-Y Gastric Bypass. A Case Series of the Modified Nissen Fundoplication.
CONCLUSION: Complete symptom relief was seen one month after MNF. The procedure seems safe, feasible and effective. The study is limited by small sample size and short follow-up yet shows clear improvement of symptoms. Larger trials are needed to establish validity of the MNF. PMID: 31746675 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 22, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A combined intrapleural administration of dornase alfa and tissue plasminogen activator is safe in children with empyema - a pilot study.
Conclusions: The intrapleural treatment of dornase alfa and tissue plasminogen activator as treatment of empyema was safe in ten children with empyema. If confirmed in further studies, this combination of intrapleural therapy may improve the management of paediatric empyema. PMID: 31750793 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 22, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Surgical treatment of the cancer of the optic nerve and orbit. An historical overview.
Conclusions: Many of the techniques introduced those years are still in use. PMID: 31738660 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 19, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Robotic-assisted parathyroidectomy through lateral cervical approach: first results in Belgium.
Conclusions: Robotic-assisted parathyroidectomy through lateral cervical approach is a safe and feasible procedure in patients with posteriorly localized parathyroid adenomas. Preoperative imaging techniques are crucial to detect the exact location. PMID: 31738661 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 19, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A case report of peritoneal tuberculosis diagnosed by laparoscopy in a low prevalence setting.
Authors: Van Slambrouck J, Vlasselaers J, Devos B Abstract Peritoneal tuberculosis is a rare extrapulmonary manifestation of tuberculosis. Considering the diagnosis of peritoneal tuberculosis in a low prevalence setting can be vital for the further clinical management in selected patients.In a young male with migration background, presenting with generalised abdominal pain, computed tomography revealed ascites, omental and peritoneal thickening and enlarged mesentery lymph nodes. Computed tomography also revealed a distal ureteral calculus at the right vesico-ureteral junction. Diagnostic laparoscopy showed a nodul...
Source: Acta Chirurgica Belgica - November 19, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Assessment of anal sphincter distensibility following the STARR procedure: a pilot study.
Conclusion: Anal dilatation did not appear to alter anal distensibility in patients with a normal anal function before the STARR procedure. PMID: 31738687 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 19, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Surgical resection of voluminous epiphrenic diverticula.
Authors: Maertens V, Lagarde S, Wijnhoven B Abstract A 52-year-old male and 55-year-old female underwent surgical resection of a voluminous symptomatic epiphrenic diverticulum via a right thoracotomy. A formal myotomy of the distal esophagus was not performed. The first patient had an uncomplicated recovery whilst the other patient still suffers from an esophageal-cutaneous fistula and repetitive abscesses, treated by intravenous antibiotics and percutaneous drainage. The authors discuss the indication for resection, surgical techniques and complications. PMID: 31718462 [PubMed - as supplied by publisher] (Sour...
Source: Acta Chirurgica Belgica - November 16, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Fluoroscopy-use during ureterorenoscopy: are urologists concerned about radiation exposure? A nationwide survey in Belgium and the Netherlands.
Conclusion: There is a wide variety in the use and awareness of radiation during URS. To further reduce radiation and it's negative effect for patients and medical staff, awareness about radiation safety should increase among urologists. PMID: 31718463 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 16, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Median arcuate ligament in liver transplantation.
This report reminds how important it is to be able to recognize and how to manage a stenosing median arcuate ligament in liver transplantation. PMID: 31696795 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 9, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A low grade osteosarcoma of the colon.
Authors: Šantak G, Frančina M, Gotovac N PMID: 31701810 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 9, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research