Invasive mucinous adenocarcinoma of the lung arising in a type 1 congenital pulmonary airway malformation in a 68-year-old patient: a case report.
Conclusions: Surgical resection should be considered in adults with asymptomatic cysts to prevent malignant transformation. For further analysis, histopathological examination of specimen is essential for a proper diagnosis and eventually further postoperative treatment. PMID: 31262240 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 4, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Is extralevator abdominoperineal resection necessary for low rectal carcinoma in the neoadjuvant chemoradiotherapy era?
Conclusion: We conclude that in the era of routinely used NACRT, ELAPR is not superior to conventional APR for stage II/III low rectal carcinomas. ELAPR is associated with increased morbidity and has no short-term surgical oncological advantage over APR. PMID: 31250735 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 1, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Investigating the prevalence of risk factors of papillary thyroid carcinoma recurrence and disease-free survival after thyroidectomy and central neck dissection in Iranian patients.
In this study 289 patients were included with a mean follow-up of 72.90 ± 11.02 months. 70.6% were female and 29.4% were male. Recurrence occurred in 58 cases from which 10 were distant and 48 were loco-regional. 5-year DFS was 80% and total-survival-rate was 99%. Our analysis showed that primary tumor size, vascular-invasion, extra-thyroid extension, and lymph node ratio (LNR) were significantly related to DFS. PMID: 31237189 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 28, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Combined one-stage esophagectomy and duodeno-pancreatectomy for synchronous cancers of the esophagus and pancreatic ampulla in an elderly patient.
Conclusion: Single-stage radical resection of the oesophagus and a cephalic duodeno-pancreatectomy can be more considered for synchronous cancers even in elderly patient. PMID: 31230557 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 25, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intrathyroidal parathyroid carcinoma presenting as an asymptomatic hypercalcemia: a case report.
Conclusions: PC is a rare entity comprising 0.5-2% of patients with primary hyperparathyroidism. Even more unusual is an intrathyroidal parathyroid gland (0.2%). Only a dozen cases of intrathyroidal PC have been reported. Our case is the second patient reported to be asymptomatic. PMID: 31226907 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 24, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Reliability and usefulness of upper gastro intestinal contrast studies to assess pouch size in patients with weight loss failure after Roux-en-Y gastric bypass.
CONCLUSION: Systematic reassessment of UGI contrast studies showed 23% pouch dilatation in patients with weight loss failure after RYGB. However, low interobserver agreement and discrepancy in success rate of revision surgery greatly questions the reliability and usefulness of this diagnostic modality. PMID: 31203729 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 18, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A subcutaneous infection mimicking necrotising fasciitis due to Butyricimonas virosa.
Conclusions: Considering there was no necrotizing infection present it may have been possible to safely close the wound sooner. However it is difficult to differentiate between an actual necrotizing fasciitis and a subcutaneous infection mimicking necrotizing fasciitis. Therefore further studies on effective assessment tools to diagnose necrotizing fasciitis, such as the (modified) LRINEC score and enhanced CT, could be helpful. PMID: 31203733 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 18, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Gastropericardial fistula in a patient with upside-down stomach and stomach perforation: A case report.
Conclusions: Gastropericardial fistula is a rare acute complication of the diseases of the upper GIT. It is invariably a serious, life-threatening condition. Diagnosis is confirmed by thoracic CT and a contrast swallow study. The necessity of acute surgical treatment is widely accepted. The type of procedure must be selected based on the patient's individual criteria. PMID: 31204899 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 18, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Perineal hernia mesh repair: a combination of glue, sutures and tack fixation. How to do it.
Conclusion A recurrent perineal hernia can be prevented by a solid fixation of the mesh using the technique of a glued mesh repair. This technique shows to be easy, fast and without recurrence. PMID: 31204903 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 18, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Comparative analysis of radiofrequency ablation and resection for colorectal liver metastases in caudate lobe: a retrospective study.
Conclusion RFA is a feasible, safe and effective treatment for colorectal liver metastases in the caudate. Surgical resection revealed superior outcomes in the treatment of caudate CRLMs, particularly in cases with a hepatic tumor size>3 cm. PMID: 31187689 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 14, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Primary midgut volvulus without intestinal malrotation in a young adult: a case report.
Conclusion: Primary midgut volvulus is an extremely rare condition that must be considered in all young adults presenting with intestinal obstruction without previous abdominal surgery. Early diagnosis and immediate surgical intervention are the key factors to a successful outcome. PMID: 31187699 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 14, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Giant Colonic Diverticulum: Case report of a rare surgical condition.
Conclusions: Giant colonic diverticulum is a rare presentation of diverticular disease. Because of the risk of serious complications, a correct diagnosis and treatment is essential. The investigations of choice include a plain abdominal x-ray and an abdominal CT scan. Surgical treatment is the treatment of choice with preferably a colectomy with en-bloc resection of the diverticulum. PMID: 31188087 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 14, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Avicenna and Rhazes, two Persian scientists.
Authors: Monadi T, Azadbakht M, Zargaran A, Chabra A PMID: 31084405 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 17, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Mucinous cystadenocarcinoma in the renal pelvis: primary or secondary? Case report and literature review.
CONCLUSION: Primary renal mucinous cystadenocarcinoma is an exceedingly rare tumor. Histopathology still remains the gold standard for the diagnosis of this tumor. Because of the rarity, secondary involvement from more common sites, such as ovary and gastrointestinal tract, should be thoroughly excluded. PMID: 31084406 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 17, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Types and implications of abdominal fluid collections following gastric cancer surgery.
CONCLUSIONS: About one half of abdominal fluid collections after gastric surgery were asymptomatic and eventually resolved spontaneously without any intervention. However, the need for interventional drainage was significantly increased by coexisting pancreatic or enteric fistula. PMID: 31060443 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - May 8, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Can Local Infiltration of Lidocaine Reduce the Postoperative Atrial Fibrillation Rate in Patients undergoing Lobectomy for Lung Cancer?
This study investigated the effects of local infiltration of an anesthetic (lidocaine) on the post-lobectomy POAF rate. METHODS: This non-randomized study included 81 patients who underwent lobectomy for lung cancer. Patients were divided into a lidocaine-infiltration group comprising patients who received lidocaine infiltration around the pulmonary veins and a no-intervention group. Patients were monitored for the development of POAF during hospitalization. Pre- and postoperative demographic and clinical data were analyzed. RESULTS: AF occurred in 3 (7.5%) of 40 patients in the lidocaine-infiltration group and in ...
Source: Acta Chirurgica Belgica - April 25, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

PRODIGE 7 should be interpreted with caution.
Authors: Liberale G, Ameye L, Hendlisz A Abstract The recent presentation and abstract from the PRODIGE 7 study at ASCO 2018 on the role of hyperthermic intraperitoneal chemotherapy (HIPEC) using oxaliplatin as adjuvant treatment following cytoreductive surgery (CRS) in patients with colorectal peritoneal metastases (PM) who have received perioperative chemotherapy (PCT) has shaken the surgical community involved in the treatment of colorectal PM. Since then, two papers, an editorial and an opinion paper, have been reported in response to the results from PRODIGE 7 with opposite conclusions and perspectives. In thi...
Source: Acta Chirurgica Belgica - April 25, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Lateral neck cyst as initial presentation of thyroid malignancy.
CONCLUSION: We aimed to highlight the possibility of an underlying unsuspected thyroid carcinoma in young patients initially presenting with a neck mass mimicking the more common benign branchial cleft cyst. We underline the necessity of thoroughly examining suspected cysts as adequate diagnosis should avoid delayed treatment as it directly affects the tumor stage and prognosis. PMID: 31012377 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 25, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Using simple interrupted Suture Anastomoses may impair Translatability of experimental Rodent oesophageal Surgery.
Authors: Tagkalos E, Lindner A, Gruber G, Lang H, Heimann A, Grimminger PP, Muensterer OJ, Oetzmann von Sochaczewski C Abstract BACKGROUND/PURPOSE: Irreproducibility and missing translatability are major drawbacks in experimental animal studies. Hand-sewn anastomoses in oesophageal surgery are usually continuous, whereas those in experimental oesophageal surgery are widely performed using the simple interrupted technique. It has been implicated to be inferior in tolerating anastomotic tension, which we aimed to test in rats due to their importance as an animal model in oesophageal surgery. METHODS: We determine...
Source: Acta Chirurgica Belgica - April 25, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Prediction of exocrine and endocrine insufficiency after pancreaticoduodenectomy using volumetry.
CONCLUSIONS: Pancreatic remnant volumetry and parenchymal thickness measurement after pancreaticoduodenectomy are correlated with exocrine insufficiency, but with limited predictive value. None of the preoperative measurements are withheld to predict postoperative exocrine function. Pre- and postoperative volumetry appear to have no use in predicting postoperative diabetes. PMID: 31008690 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 24, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

The effect of bilateral U-sutures in pancreaticojejunostomy in 75 consecutive cases.
Authors: Piao S, Pan Z, Qian C, Jin X Abstract BACKGROUND: Various technical interventions have been suggested to decrease the frequency of postoperative pancreatic fistulas but the effect is not particularly satisfactory. We have analyzed our application of bilateral U-sutures in pancreatico- jejunostomy. METHODS: The pancreatic stump is freed over approximately 2 cm, an appropriate diameter silicone catheter with 2-4 lateral holes was inserted into the remnant pancreatic duct (>2 mm in diameter is required) over 2-3cm as a stent in 69 patients. In 6 patients with soft pancreas and very small pancreatic duct (
Source: Acta Chirurgica Belgica - April 24, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Evolution of Surgical Treatment of Carotid Artery Stenosis: a single centre observational study.
This study aimed primarily to determine if an academic hospital has implemented these international guidelines about indication and timing of surgical treatment of carotid stenosis. Secondary, the influence of referral from another hospital on time from symptoms to surgery and the influence of time between neurological event and surgery on 30-day complication rate was studied. Thirdly, the number of asymptomatic carotid artery lesions treated surgically was also evaluated in both periods. METHODS: Retrospective study to compare patients with significant atherosclerotic carotid stenosis who underwent carotid endarterect...
Source: Acta Chirurgica Belgica - April 18, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Incisional negative pressure wound therapy does not reduce surgical site infections in abdominal midline incisions: a case control study.
CONCLUSION: Our data do not support the use of an incisional negative pressure wound therapy on closed wounds in midline laparotomy incisions. Although, differences exist between the commmercial and self-made systems. PMID: 30975040 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 14, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

'Full prosthetic jacket': external stenting of the renal vein.
We present a case of positional compression of the left renal vein (LRV) after right nephrectomy and caval reconstruction, treated by external stenting using a reinforced vascular prosthesis. CASE REPORT: A 69-year-old female patient presented because of swelling of the left leg. A renal cell carcinoma (RCC) was visualized on computed tomography (CT) scan in the right kidney, with a thrombus occluding the inferior caval vein (ICV) and the right renal vein (RRV). A right nephrectomy was performed, with ligation of the already occluded ICV. Venotomy allowed thrombectomy of the ICV above the level of the renal veins. Veno...
Source: Acta Chirurgica Belgica - April 12, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intraabdominal continuous negative pressure therapy for secondary peritonitis: an observational trial in a maximum care center.
CONCLUSIONS: Fast acting in acute secondary peritonitis for elimination of the source, abdominal lavage, derivation of the exsudat and interdisciplinary treatment is the treatment of choice. The MPI could be beneficial for the decision process of using cNPT. PMID: 30947631 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - April 7, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

The influence of Arabic medicine on surgery in the Low Countries1.
Authors: Van Hee R Abstract The influence of Arab Medicine on Western science has recently been challenged. Using the example of two Flemish surgeons, Jan Yperman in the early 14th and Thomas Fijens in the late 16th century, this article argues that Arab physicians and surgeons have imposed a long lasting influence on the surgical practitioners in the Low Countries. PMID: 30915892 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 29, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

From bedside to bench: an evaluation of expectations and challenges encountered by young surgeons facing basic science.
CONCLUSION: This study identified main barriers that young surgeons have to face when getting involved in basic science underlining the need to improve institutional and financial support to ensure involvement of new generations of surgeons in surgical research. PMID: 30909846 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 28, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Correlations of neck ultrasound and pathology in cervical lymph node of papillary thyroid carcinoma.
CONCLUSIONS: Preoperative neck US is a valuable tool in the detection of cervical lymph node metastases from papillary thyroid cancer and can provide reliable information to assist in surgical management. PMID: 30905261 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 26, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Effect of conservative treatment in aortoiliac occlusive disease.
CONCLUSIONS: Conservative treatment, especially with SET, has acceptable subjective symptom outcomes in selected patients with AIOD. It could be a good alternative treatment for certain patients with AIOD and IC. PMID: 30895917 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 23, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Vague abdominal pain after Roux-en-Y gastric bypass: not always an internal herniation: case report and literature review.
CONCLUSIONS: Abdominal pain after gastric bypass is a frequent cause of admission to the emergency department. Besides the more serious complications, internal hernia is often withheld as possible diagnosis in the differential diagnosis of late onset, postprandial epigastric pain. This case report highlights another possibility. At initial surgery, a candy cane shaped blind loop should be avoided both at the gastro-jejunal as well as the entero-enteric anastomosis. PMID: 30900521 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 23, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Ectopic leiomyoma as a late complication of laparoscopic hysterectomy with power morcellation: a case report and review of the literature.
CONCLUSIONS: Ectopic leiomyoma are a late and rare complication of a laparoscopic hysterectomy with power morcellation of the uterus. PMID: 30892129 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 22, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Primary leiomyosarcoma of the colon: a case report and review of the literature.
CONCLUSION: Radical resection is the treatment of choice for primary leiomyosarcoma of the colon and long-term follow-up is needed to evaluate metastatic disease or local recurrence. PMID: 30879400 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 19, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Long-term outcomes of completion pneumonectomy for non-small cell lung cancer.
CONCLUSION: Completion pneumonectomy involves an acceptable mortality rate but high morbidity rate. Based on the results of this study, the interval between initial resection and CP does not affect survival time. PMID: 30821655 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - March 5, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

PEComa of the talus: a unique case of a soft tissue tumor within bone.
CONCLUSIONS: PEComa is a very rare tumor, and its presence in bone is especially rare. The here reported case of PEComa presenting at the level of the talus is, to the best of our knowledge, the first case to be reported in the literature. PMID: 30774002 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 20, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Tailgut cyst: report of three cases and review of the literature.
We report three clinical cases: one of a 67-year old woman with high fever and anal bulging; the second case was a 50-year old woman with diffuse abdominal pain and the third case was a 52-year old woman with high fever and no abdominal or rectal pain. The rectal examination and MRI indicated the presence of a tailgut cyst. In all the cases a complete resection through a posterior perineal route was performed. Histopathological examination confirmed the diagnosis of a tailgut cyst, with a malignant component identified in the third case. DISCUSSION: The discussion presents a brief review of the relevant information des...
Source: Acta Chirurgica Belgica - February 20, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Secretan's syndrome: case report.
We present a typical case of a 42-year old women with Secretan's syndrome. PMID: 30764721 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 16, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Comparison of stump closure techniques during laparoscopic appendectomies for complicated appendicitis - results from Pol-LA (Polish laparoscopic appendectomy) multicenter large cohort study.
Authors: Lasek A, Wysocki M, Mavrikis J, Myśliwiec P, Bobowicz M, Dowgiałło-Wnukiewicz N, Kenig J, Stefura T, Walędziak M, Pędziwiatr M, Pol-LA (Polish Laparoscopic Appendectomy) Collaborative Study Group Abstract BACKGROUND: In general, the three main options for stump closure in laparoscopic appendectomy are clips, endoscopic staplers and endoloops. However, there is no gold standard, especially regarding complicated acute appendicitis which is generally associated with worse outcomes. OBJECTIVES: We aimed to assess the outcomes of different stump closure techniques during laparoscopic appendectomies for...
Source: Acta Chirurgica Belgica - February 13, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Long-term results of secondary biliary repair for cholecystectomy-related bile duct injury: results of a tertiary referral center.
CONCLUSION: Late follow-up after primary or secondary repair of BDI is recommended to detect recurrent biliary stricture. Bile duct injuries may occur in a tertiary center, but are intraoperatively detected with routine IOC and immediately repaired resulting in satisfactory outcome. PMID: 30727824 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 9, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Pediatric tumors of the buccal fat pad: lipoma and hemangioma.
CONCLUSIONS: Being extremely rare, tumors of the BFP in children have an indicative clinical presentation and radiologic image. A detailed intraoral approach is described and proposed as effective and safe surgical treatment. PMID: 30722729 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 7, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Cutaneous adverse effects of methylene blue in an animal skin-flap model.
CONCLUSIONS: Local methylene blue injection increases skin necrosis and decreases rates of surviving flap areas in an experimental rat models. PMID: 30724704 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 7, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

An air-containing mediastinal mass in a patient with a primary adenocarcinoma of the right lung.
CONCLUSION: Surinfected mediastinal chyloma due to oesopagho-mediastinal fistula is an extremely rare complication after cervical mediastinoscopy and radiotherapy. Open drainage of the chyloma and total coverage of the fistula can control infection and prevent recurrence on short term. PMID: 30724708 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 7, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Investigation of proper hepatic artery and gastroduodenal artery variations by multidetector computed tomography angiography method.
CONCLUSION: We described different vascular variations in the PHAs and GDAs of our patients. PMID: 30714485 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 6, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Treatment of two newborns with esophageal atresia and distal tracheoesophageal fistula complicated by gastric perforation: choosing the simple way.
CONCLUSION: Performing fistula ligation or occlusion as an initial treatment in patients with impaired cardiac and respiratory functions may worsen the status of the patient. In such cases, it could be better to perform simple interventions first to facilitate subsequent treatments. PMID: 30714508 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - February 6, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Philip Henry Mules (1843-1905) and his innovations in ocular surgery.
CONCLUSIONS: Philip Henry Mules (1843-1905) was a respectable English ophthalmologist, who despite his short life, only 62-years-old, his innovations in ocular surgery were considered a breakthrough in the late nineteenth century, because in almost every textbook of ophthalmology they were cited and deserved a great merit. PMID: 30676278 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 26, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

The discovery of the lymphatic system in the seventeenth century. Part V: an ode to the nerves.
Authors: Suy R, Thomis S, Fourneau I Abstract The English anatomists Francis Glisson and Thomas Wharton introduced theories on the use of recently discovered lymphatic system in the1650s. Their main idea was that membranous tissues were supplied by nerves with a vital fluid produced within nutritive glands, to be carried to the brain and thence from the brain to all membranous tissues, including glands. They stated that the distribution of the vital fluid was based on the similarity between its ingredients and the needs of the recipient tissues, and not on the weight, size or location of pores encountered, as maint...
Source: Acta Chirurgica Belgica - January 23, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

A systematic review of the literature reporting on randomised controlled trials comparing treatments for faecal incontinence in adults.
CONCLUSIONS: The current evidence has not identified significant differences between treatments for FI, and where differences were identified, the results were contradictory between RCTs. PMID: 30644337 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 17, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Paclitaxel drug-coated balloon angioplasty for the treatment of failing arteriovenous fistulas: a single-center experience.
CONCLUSION: Compared to results reported in literature with plain old balloon angioplasty (POBA), Lutonix paclitaxel DCB angioplasty proved a short-term patency benefit in treatment of dialysis AVF stenosis. PMID: 30633638 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 13, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Blunt injury of popliteal artery.
Authors: Chang JT, Lin CY, Tsai YT, Lin YC PMID: 30633641 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 13, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Gallbladder torsion: a cholecystectomy that cannot be delayed.
Authors: David M, Mattia B, Seda G, Benjamin N, Jerome H Abstract Gallbladder torsion is a rare entity, where the gallbladder twisted around its mesentery. Unfortunately, the diagnosis is rarely done preoperatively. This paper aims, through a case report, to describe the risk factors and the radiological criteria used to diagnose gallbladder torsion, in order to avoid a rapidly unfavourable evolution and the need to proceed to emergency cholecystectomy. PMID: 30633646 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - January 13, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research

Is ITP really a desirable indication for teaching laparoscopic splenectomy? Cohort study.
Authors: Radkowiak D, Wysocki M, Zychowicz A, Lasek A, Major P, Pędziwiatr M, Budzyński P, Zub-Pokrowiecka A, Budzyński A Abstract BACKGROUND: We aimed to evaluate the outcomes of laparoscopic splenectomy (LS) in patients with immune thrombocytopenic purpura (ITP) compared with operated for other indications. METHODS: Retrospective cohort study of patients who underwent LS in 1998-2017. Group 1 consisted of 256 patients operated for ITP, and Group 2 of 231 operated for other indications. Primary outcome was procedure difficulty. Secondary was perioperative course (30 days of surgery). RESULTS: Patients i...
Source: Acta Chirurgica Belgica - January 11, 2019 Category: Surgery Tags: Acta Chir Belg Source Type: research