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Enterogenous cyst of the small bowel mesentery: a case report and review of the literature.
We present a case of enterogenous cyst in an adult female who underwent a resection of the tumour. RESULTS: After two years of observation, there is no evidence of tumour recurrence. PMID: 29221426 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 11, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Endoscopic ultrasound guided versus surgical transrectal drainage of pelvic abscesses.
CONCLUSION: EUS guided and surgical transrectal drainage of pelvic abscesses from any cause are safe, nonetheless EUS guided drainage(if feasible) seems more effective after a single treatment, with high overall cure rates. PMID: 29207920 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

An algorithm to improve outcomes of radial forearm flap donor site.
CONCLUSIONS: Application of the algorithm described has led to a significant reduction in RFF donor site complication rates. This demonstrates that if flap donor sites are analyzed and tailor treated in the same way as primary defects are, instead of being given secondary importance and just grafted, outcomes improve. PMID: 29202648 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 6, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

A case of gastric cancer metastasis to the breast in a female with BRCA2 germline mutation and literature review.
CONCLUSION: Gastric cancer metastasis to the breast is rare, but should be considered in young female patients with signet ring cell type gastric cancer. PMID: 29202657 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 6, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Cronkhite-Canada syndrome causing pouch outlet obstruction 5 years after roux-en-y gastric bypass.
CONCLUSION: Diffuse polyposis in Cronkhite-Canada syndrome is a rare cause for pouch obstruction after RYGB. Clinical examination should focus on dermatologic findings. PMID: 29202677 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 6, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Simultaneous laparoscopic proctocolectomy (TaTME) and robot-assisted radical prostatectomy for synchronous rectal and prostate cancer.
CONCLUSIONS: In this case, the combination of TaTME and Retzius sparing RARP for synchronous rectal and prostate cancer was feasible and safe. We suggest performing the anterior TaTME dissection last, due to disturbing blood flow into the operating field after prostatectomy. PMID: 29198168 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 5, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intracranial complications of midline nasal dermoid cysts.
CONCLUSION: Nasal midline dermoid cysts are considered benign swellings. When an intracranial extension exists, infection can lead to deleterious complications. It is important for health care practitioners to be aware of this imminent risk. Suspicion of a nasal midline dermoid cyst should prompt a careful clinical work-up with an ultrasound followed by CT or MRI imaging. The treatment is complete excision to avoid disastrous complications and recurrences. PMID: 29198174 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - December 5, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Non-occlusive mesenteric ischemia: two case reports and a short review of the literature.
CONCLUSION: NOMI is a rare disease with a difficult diagnosis. Early recognition and treatment with supportive therapy, vasodilator drugs and possibly surgery can significantly lower mortality. PMID: 29173076 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 29, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

The inflammatory response to stress and angiogenesis in liver resection for colorectal liver metastases: a randomized controlled trial comparing open versus laparoscopic approach.
CONCLUSIONS: The immunological effects of treatment were similar between the groups. Thus, the laparoscopic approach does not seem to significantly influence the surgical stress and tumor related factors in patients suffering from colorectal liver metastases. PMID: 29179666 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 29, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

5-Year survival after splenectomy in a patient with recurrent cutaneous melanoma: a case report.
CONCLUSIONS: Although current systemic approaches demonstrate to provide clinically important benefit, patients with oligometastatic disease should be evaluated for surgical metastasectomy. A laparoscopic approach for splenic metastasis is shown to be a safe treatment. This disease-free survival of 60 months in a patient with a history of an in-transit metastasis has not been published before. A splenectomy for a solitary metastasis could prolong the survival, even in a recurrent melanoma. PMID: 29115903 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 9, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Transmesenteric hernia: a rare case of acute abdominal pain in children: a case report and review of the literature.
In this report, we discuss the case of an 11-year old girl presenting with acute abdominal pain caused by gangrene of a large part of the small bowel. During urgent surgical exploration, the cause of gangrene appeared to be herniation of the small bowel through a congenital defect in the mesentery with subsequent strangulation. A resection was performed leaving the patient with only 130 cm of small bowel remaining. Transmesenteric hernia is a rare type of internal herniation consisting of a small congenital defect in the small bowel mesentery through which the intestine can herniate and subsequently become strangula...
Source: Acta Chirurgica Belgica - November 9, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis.
CONCLUSION: ARM has been shown to be an accurate test for diagnosing FI. Further studies are required to establish the diagnostic accuracy of individual ARM measures. PMID: 29103343 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Treatment of a mycotic abdominal aortic aneurysm with the jailing technique.
CONCLUSION: We observed a good clinical outcome. PMID: 29084477 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - November 2, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Upregulation of VEGFR1 in a rat model of esophagogastric anastomotic healing.
CONCLUSION: Our results revealed a distinct expression pattern of the investigated growth factor receptors in rat intestinal tract. Showing higher expression levels of growth factor receptors at the gastric anastomotic tissue at the fifth postoperative day suggests a different contribution of the gastric and the esophageal side to the anastomotic healing. PMID: 29065778 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Efficacy of emergency exploratory laparotomy in incarcerated obturator hernia.
CONCLUSIONS: The EEL is a clinically safe and necessary choice for early diagnosis and treatment in IOH. EEL may improve the curative effect of IOH significantly. PMID: 29065783 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Protective effects of gallic acid against methotrexate-induced toxicity in rats.
CONCLUSIONS: Our results indicate that GA ameliorates biochemical and oxidative stress parameters in the liver of rats exposed to MTX. PMID: 29069994 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Laparoscopic liver resection for hemorrhagic hepatocellular adenoma in a pregnant patient.
CONCLUSION: In the pregnant patient, HCA represents a significant diagnostic and therapeutic challenge. Anatomically favorable located lesions can be safely managed with laparoscopic liver resection. We suggest that laparoscopic liver resection should be considered as part of the currently available strategies for HCA during pregnancy. PMID: 28982300 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Hypovolemic shock caused by delayed-onset superior gluteal artery rupture, successfully treated with arteriographic embolization.
CONCLUSIONS: A delayed SGA bleeding should be considered in late-onset shock associated with blunt buttock trauma. Furthermore, early detection and embolization not only prevent further complications, such as compartment syndrome and hypovolemic shock, but also eliminate the need for any surgical interventions. PMID: 28978258 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - October 6, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Pseudoaneurysm of the superior lateral genicular artery following anterior cruciate ligament repair.
CONCLUSION: Pseudoaneurysm is an uncommon complication of surgery or trauma of the knee. Although most cases in literature described pseudoaneurysms after total knee arthroplasty, it can be associated with arthroscopic knee surgery too. Ultrasound-guided thrombin injection can be a valuable treatment option. PMID: 28946810 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 29, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients.
CONCLUSIONS: Our results did not reveal a significant benefit of either surgical technique with respect to early-term clinical outcomes in elderly CABG patients. Further investigations are needed to determine whether off-pump CABG is superior than on-pump CABG in elderly patients. PMID: 28946812 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 29, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Juan Valverde de Amusco (1525-1588): an eminent anatomist of the renaissance or a plagiarist of Vesalius? His work and its impact in renaissance anatomy.
CONCLUSION: Valverde copied the work of Vesalius in many instances. Nevertheless, he had his fair share of contribution in the history of Anatomy; he managed to popularize and spread the new anatomy of the Rennaissance through his work which was far more cheaper than that of Vesalius; furthermore, his anatomic discoveries like the first depiction of the intracranial course of the carotid arteries (several decades before Willis's description), the extrinsic ocular muscles and the middle ear bones contribute to the spirit of the Scientific Revolution. PMID: 28956497 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 29, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Lynch syndrome and sextuple primary malignancies.
This article presents a rare clinical of a 61-year-old female diagnosed with extracolonic Lynch syndrome with six metachronous tumours acquiring in digestive tract during the period from 1993 to 2014 (over 21 years). No other cases of six primary malignancies in patient with Lynch syndrome have been reported in literature. Upon diagnosis of Lynch syndrome, it is important to screen patient for malignancies of different localization as this syndrome predisposes appearance of various cancers at earlier age than in general population. PMID: 28938854 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 26, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Single-incision versus multiport video-assisted thoracoscopic surgery in the treatment of lung cancer: a systematic review and meta-analysis.
CONCLUSIONS: In selected patients SITS is safe, feasible and may be considered an alternative to multiport VATS. PMID: 28934897 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 23, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.
CONCLUSIONS: Leakage after Sleeve was rare but still observed even in experienced hands. The leak rate is particularly high when LSG is performed after adjustable gastric banding removal. PMID: 28927340 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 22, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

An acute presentation of pediatric mesenteric lymphangioma: a case report and literature overview.
CONCLUSION: Mesenteric lymphangioma can cause an acute abdomen in children. Complete resection is recommended but might not be feasible without compromising the functional digestive outcome. Alternative treatments should be studied further to treat diffuse and complicated ML. PMID: 28927352 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 22, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Subhepatic mass occurrence after using oxidized and regenerated cellulose polymer in laparoscopic cholecystectomy: a case series.
CONCLUSION: ORC retention after surgery is not uncommon at long-term follow-up. The radiologic characteristics of a suspected ORC retention mass can differentiate it from a neoplastic lesion, so that surgery can be avoided. PMID: 28931346 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 22, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Chronic ileitis with transmural migration of ingested foreign body treated by laparoscopy.
CONCLUSION: At diagnostic laparoscopy, a linear foreign body resembling a wooden splinter was identified. It had partly migrated through the chronically inflamed bowel wall without causing perforation or abdominal contamination. It was removed laparoscopically without an enterotomy or bowel resection. Microscopy revealed non-viable bone, likely fish or chicken bone. The patient made an uneventful recovery and was discharged 3 days later. Herein we emphasise on the differential diagnosis and presentation of chronically ingested foreign bodies, as well as the feature of chronic ileitis with uncomplicated transmural migration...
Source: Acta Chirurgica Belgica - September 19, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Robotic lymphadenectomy of an internal mammary lymph node metastasis.
Authors: Melly L, Jansens JL, Kalscheuer G, Belhaj A, Rondelet B Abstract A 58-year-old woman was diagnosed with a left-sided lone internal mammary swollen lymph node on a routine follow-up computer tomography, 42 months after a left mastectomy in the context of a ductal carcinoma grade III. The suspected metastasis was successfully removed in toto using a 3-port-da Vinci robotic procedure and the patient was discharged home without any complication on the third postoperative day. Robotically assisted oncological lymph node removal is safe, easily performed and economically affordable. PMID: 28915769 [PubMed - ...
Source: Acta Chirurgica Belgica - September 18, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Endovascular stenting of mid-aortic syndrome due to Takayasu arteritis.
We report a successful endovascular treatment of stenosis of the descending thoracic and abdominal aorta in a 19-year-old female. Methods-results-conclusions: Self-expandable nitinol stent was deployed and adequate opening of the aorta was obtained in this patient. Long-term durability of endovascular approach is a matter of debate. We also reviewed the sufficiency of endovascular treatment versus surgery. PMID: 28903623 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 16, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Revascularization of the superficial femoral artery with paclitaxel-coated balloon for claudication.
CONCLUSION: Paclitaxel-coated balloon angioplasty of the SFA gives in routine clinical practice excellent midterm results, with a restenosis rate of 6.5% at 1 year. This procedure has authors' preference as first-choice technique for correction of short- and intermediate-length symptomatic stenoses of the SFA. PMID: 28891401 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 12, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intraoperative measurement of pressure gradient in median arcuate ligament syndrome as a rationale for radical surgical approach.
CONCLUSIONS: Release of the celiac artery resulted in insufficient decrease of pressure gradient, which was achieved by bypassing the segment with favorable mid-term outcome. We believe that the effect of the release should always be assessed to decide on subsequent treatment. PMID: 28859519 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 2, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

CHORDOMAS: Technologies, techniques, and treatment strategies.
Authors: Van Havenbergh T PMID: 28859544 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - September 2, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Colorectal cancer in the young: a possible role for immune surveillance?
Authors: Fiorot A, Pozza A, Ruffolo C, Caratozzolo E, Bonariol L, D'Amico FE, Padoan L, Calia di Pinto F, Scarpa M, Castoro C, Bassi N, Massani M Abstract BACKGROUND: Younger patients with colorectal cancer (CRC) generally have better survival in spite of worse clinical and pathological features. METHODS: Twenty-six patients under 50 years operated for primary CRC were enrolled and matched 1:2:2 according to stage, tumor site and gender with 52 patients from 50 to 70 years and 52 patients over 70 years old. RESULTS: Patients under 50 years had a significantly longer overall, cancer specific and disease free...
Source: Acta Chirurgica Belgica - July 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Seeding nerve sutures with minced nerve-graft (MINE-G): a simple method to improve nerve regeneration in rats.
CONCLUSIONS: Seeding the distal nerve suture with nerve fragments increases the number of myelinated fibers, the FD and the SMWR. The technique seems promising and deserves further investigation to clarify the mechanisms involved and its functional effects. PMID: 28738725 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 27, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Laparoscopic treated neuralgia after inguinal hernia repair: case report and literature review.
CONCLUSIONS: Chronic neuralgia can be a severe complication after inguinal hernia repair. When pharmacotherapy and technical interventions are not sufficient, a laparoscopic (triple) neurectomy can be a promising, safe and effective treatment option. PMID: 28738758 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 27, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

A rare cause of severe epigastric pain, emesis and increased lipase.
CONCLUSIONS: We describe symptomatology, diagnostic and therapeutic options of gastric volvulus. PMID: 28728516 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 23, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

In- and out-hospital mortality rate in surgical patients.
CONCLUSION: In-hospital mortality alone is an incomplete measure of mortality even within 30 days of care. To identify the missing deaths, hospital records need to be linked to data from death certificate. This connection with the national death registry will allow obtaining the rate of in-hospital and out-hospital death. PMID: 28728520 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 23, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Localized prostate cancer and robot-assisted laparoscopic radical prostatectomy: a retrospective, comparative study between pre- and post-operative Gleason scores.
CONCLUSIONS: We found a substantial underestimation of the GS in the pre-operative setting when compared to the GS in final pathology. PMID: 28720050 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 21, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

A rare case of non-traumatic acute intraabdominal hemorrhage: ruptured superior mesenteric artery aneurysm.
CONCLUSIONS: The patient presents a very rare case showing ability to perform emergent intestine-sparing vascular surgery in ruptured SMAA. Surgery or endovascular treatment options should not be delayed especially in pseudo-aneurysms. It is critical to include ruptured SMAA in differential diagnosis of intraabdominal bleeding. PMID: 28679320 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Case report: an unwanted leftover after laparoscopic cholecystectomy.
CONCLUSIONS: This case report elaborates on the incidence, different complications, prevention and management of spilled gallstones by means of a brief literature study. In case spillage happens removal of as many gallstones as possible is indicated the spillage should also be communicated to the patient to ease the diagnosis of a possible complication. PMID: 28679321 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

A combined technique using a muscular flap and endobronchial stent to repair complex broncho-oesophageal fistulae supported by ECMO.
CONCLUSIONS: Complex post-radiotherapy broncho-oesophageal fistulae should be treated surgically before respiratory complications arise, by combining reconstruction with a vascularised flap and transient stenting. PMID: 28685656 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 8, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Multidisciplinary management of testicular cancer complicated by thrombosis of the inferior vena cava: a case report.
CONCLUSIONS: IVC Thrombosis is a rare complication that should be taken into consideration when diagnosing testicular cancer. Prompt diagnosis is crucial to minimize the risk of PE which can be life-threatening. PMID: 28678675 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 7, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

The prognostic value of different node staging systems in patients with ≤15 lymph nodes following surgery for gastric adenocarcinoma.
CONCLUSIONS: LNR (continuous) and LODDS (categorical) were the strongest indicators of OS in GC when the number of LN harvested was ≤15. Therefore, they may be considered as an alternative nodal staging systems for GC. PMID: 28669280 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 4, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

The relationship between Vesalius and the Borgarucci family.
Authors: Van Hee R Abstract Two of the four brothers Borgarucci were medical doctors and in one way or another, be it distantly, connected with the great master Vesalius. Giulio Borgarucci was a physician, who became a Calvinist and emigrated to England where he treated many noblemen and friends of Queen Elisabeth I. He was present at a conversation between the Italian writer and traveler Pietro Bizzari and the Venetian jeweler who witnessed Vesalius' death in Zakynthos. Prospero Borgarucci became professor of anatomy and surgery in Padua, some 20 years after Vesalius. He published several treatises on anatomy...
Source: Acta Chirurgica Belgica - July 4, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Dose-dependent role of novel agents emodin and BTB14431 in colonic cancer treatment in rats.
CONCLUSIONS: Apoptosis was verified but no tumor-suppressing effects could be observed for iv and ip treatment with both agents in contrast to in vitro studies in our model. Establishing a successful ip treatment model for emotion and BTB14331 requires further studies. PMID: 28669313 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - July 4, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Intraoperative left atrium inversion after implantation of HeartMate III ventricular assist device.
We report here a case of left atrium inversion after implanting HeartMate III LVAD, which is known to be the first in literature. LVAD can be functional only if there is adequate inflow to the device. Parameters and filling of left ventricle can be assessed by TEE. In our case, initial examination with TEE showed thrombus like images. HeartMate III has a reliable algorithm that automatically reduces pump speed if 'suction effect' is detected. HeartMate III demonstrates clean flow properties and good surface wash. Despite these positive features of the HeartMate III, left atrium inversion can still be seen with it, so users...
Source: Acta Chirurgica Belgica - June 28, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Prehospital identification of trauma patients requiring transfusion: results of a retrospective study evaluating the use of the trauma induced coagulopathy clinical score (TICCS) in 33,385 patients from the TraumaRegister DGU( ®).
CONCLUSION: This retrospective study confirms that the TICCS is a useful and simple score for discriminating between trauma patients with and without the need for emergent blood product transfusion. PMID: 28639537 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 24, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Embolization of a large progressive symptomatic desmoid tumor in the rectus muscle of a female patient with multiple sclerosis: a case report.
CONCLUSIONS: Embolization of a primary supplying vessel of a desmoid tumor is a viable treatment option. However, scientific evidence remains limited and further research is mandatory for inclusion in evidence based treatment algorithms. PMID: 28641503 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 24, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Laparoscopic colectomy in a district hospital: the single surgeon can be safe.
CONCLUSIONS: This study of outcomes at a district hospital shows that the outcome reported from laparoscopic colorectal surgery in tertiary referral centres is reproducible at the district hospital level by a single surgeon with a high operative volume. PMID: 28636471 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 23, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research

Benign tumors of the parotid gland: a retrospective study of 339 patients.
CONCLUSION: Recurrence rate after primary surgery is lower after superficial or total parotidectomy than after other surgical techniques. Pleomorphic adenomas have the highest rate of recurrences. Age and sex have no significant influence over the rate of recurrences. The most frequent postoperative complications are facial paralysis and Frey's syndrome. PMID: 28636472 [PubMed - as supplied by publisher] (Source: Acta Chirurgica Belgica)
Source: Acta Chirurgica Belgica - June 23, 2017 Category: Surgery Tags: Acta Chir Belg Source Type: research