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Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia
Conclusion In conclusion, although greater bone contact with titanium increases implant stability, nail removal is more difficult, resulting in more longer surgical operation and more intraoperative bleeding. Therefore, we do not recommend titanium nail removal in asymptomatic patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 9, 2018 Category: General Medicine Source Type: research

A decade bibliometric analysis of global research on leishmaniasis in Web of Science database
Conclusion Our data shows an increase in the number of publications in the field of leishmaniasis. In addition, Brazil, USA, and India lead scientific production on leishmaniasis research. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 8, 2018 Category: General Medicine Source Type: research

Water in the human body: An anesthesiologist's perspective on the connection between physicochemical properties of water and physiologic relevance
Publication date: February 2018 Source:Annals of Medicine and Surgery, Volume 26 Author(s): Efraín Riveros-Perez, Ricardo Riveros The unique structure and multifaceted physicochemical properties of the water molecule, in addition to its universal presence in body compartments, make water a key player in multiple biological processes in human physiology. Since anesthesiologists deal with physiologic processes where water molecules are critical at different levels, and administer medications whose pharmacokinetics and pharmacodynamics depend on interaction with water molecules, we consider that exploration of basic s...
Source: Annals of Medicine and Surgery - January 3, 2018 Category: General Medicine Source Type: research

Impact of Medial-To-Lateral Vs Lateral-To-Medial approach on short-term and cancer-related outcomes in Laparoscopic Colorectal Surgery: A retrospective cohort study
Publication date: Available online 28 December 2017 Source:Annals of Medicine and Surgery Author(s): Anwar Hussain, Fahad Mahmood, Andrew DW. Torrance, Achilleas Tsiamis (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 28, 2017 Category: General Medicine Source Type: research

Water in the human body: An anesthesiologist ’s perspective on the connection between physicochemical properties of water and physiologic relevance
Publication date: Available online 27 December 2017 Source:Annals of Medicine and Surgery Author(s): Efraín Riveros-Perez, Ricardo Riveros The unique structure and multifaceted physicochemical properties of the water molecule, in addition to its universal presence in body compartments, make water a key player in multiple biological processes in human physiology. Since anesthesiologists deal with physiologic processes where water molecules are critical at different levels, and administer medications whose pharmacokinetics and pharmacodynamics depend on interaction with water molecules, we consider that exploration o...
Source: Annals of Medicine and Surgery - December 27, 2017 Category: General Medicine Source Type: research

Does a hospital diabetes inpatient service reduce blood glucose and HbA1c levels? A prospective cohort study
Conclusion This study is the first to measure the direct glucose adherence benefits associated DM education within Australia and provides evidence on the effectiveness of a Diabetes Service in reducing patient BGLs. Utilisation of Diabetes Services to control glycaemia encourages ongoing efforts and translates to reduced micro and macro cardiovascular risk factors associated with DM. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 27, 2017 Category: General Medicine Source Type: research

Case Series with Literature Review: Surgical Approach to Megarectum and/or Megasigmoid in Children with Unremitting Constipation
Conclusion MR is characterized by diminished sensation, poor compliance and defective contractility. Patients with MR do better with MP, which effectively removes the entire rectum versus SE, where normal caliber colon is anastomosed to MR at the peritoneal reflection; furthermore, MP reliably preserves continence; whereas total proctectomy (trans-anal or trans-abdominal) may cause incontinence. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 27, 2017 Category: General Medicine Source Type: research

Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani Provence –Kurdistan-Iraq, based on 4 years experience in two bariatric centers
Conclusion Significant changes in the parallel pattern to the extent of EWL were noticed in the quality of life of morbidly obese patients after laparoscopic sleeve gastrectomy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 27, 2017 Category: General Medicine Source Type: research

Career planning for future surgeons
Publication date: December 2017 Source:Annals of Medicine and Surgery, Volume 24 Author(s): Sharaf Sheik-Ali (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Intestinal perforation and peritonitis due to Taenia saginata: A case report from Iran
We report a case of intestinal perforation caused due to T. saginata infection. The patient, 54-year-old female, had intermittent abdominal pain, diarrhea and vomiting on referral. Intestinal obstruction and perforation leading to necrosis, and volvulus due to an impacted tapeworm was observed. Histopathological examinations showed acute inflammation with mucosal ulceration, and luminal exudates accompanied by an elongated and flattened segment of the helminth. Taenia infections should be considered in differential diagnosis of peritonitis and gastrointestinal tumors, particularly in endemic countries including Iran. (Sour...
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Postoperative enterocutaneous fistula - principles in non-operative approach
Conclusion Non-operative approach to management for postoperative enterocutaneous fistulas was successful in these cases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Clinical use of adipose-derived stem cells: European legislative issues
Conclusions According to these considerations, ASCs should be not-cultured, isolated mechanically and used only in the subcutaneous tissue. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Does surgeon volume affect the outcome of total knee arthroplasties in a developing country? - A retrospective cohort study
Conclusion Patients getting a bilateral TKA by LV surgeons were twice more likely to have a longer LOS as compared to HV group. Further research is warranted comparing all aspects and possible confounders to different variables before a conclusion can be made. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

A prospective cohort study on comparison of early outcome of classical Ponseti and modified Ponseti post tenotomy in clubfoot management
Conclusion Early results of below knee cast after tenotomy were comparable to the classical above knee cast after tenotomy in Ponseti treatment protocol for clubfoot. There was also reduction in cost of treatment in the modified Ponseti compared to the classical Ponseti. Long-term result will be desirable. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

The ligament of Parks as a key anatomical structure for safer hemorrhoidectomy: Anatomic study and a simple surgical note
Publication date: December 2017 Source:Annals of Medicine and Surgery, Volume 24 Author(s): Menelaos Zoulamoglou, Ioannis Kaklamanos, Maria Zarokosta, Ioannis Flessas, Vasileios Bonatsos, Theodoros Piperos, Panagiotis Theodoropoulos, Georgia Barla, Ioanna Stathopoulou, Theodoros Mariolis-Sapsakos Hemorrhoids are a common anal disorder which affects both men and women of all ages. One out of ten patients with hemorrhoidal disease, requires surgical treatment. Unfortunately though, hemorrhoidectomy is closely related to complications that can be present early or late postoperatively. In the present manuscript, the safe surg...
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Murine genotype impacts pancreatitis severity and systemic inflammation: An experimental study
Conclusion The genetic strain has an impact on pancreatitis severity and systemic inflammatory response in a murine taurocholate induction model. Analogous differences in humans may partially account for the disparity in post-ERCP pancreatitis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

The science behind autologous fat grafting
Conclusion Adipose tissue, actually, is the closest to the ideal filler because it is readily available; easily obtainable, with low donor-site morbidity; repeatable; inexpensive; versatile; and biocompatible. There is an abundance of literature supporting the efficacy of fat grafting in both aesthetic and reconstructive cases. Recent studies have shown the utility of adipose-derived stem cells in the improvement of wound healing, describing their ability to regenerate soft tissues and their remodelling capacity provided by their unique cytokine and growth factor profiles. Despite ongoing concerns about survival and longev...
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

A journey through liposuction and liposculture: Review
Conclusion Liposuction is a safe, simple and effective method of body contouring. It has enormous potential for its application in ablative and reconstructive surgery, far from the most common aesthetic processes with a very low complication rate. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Off-label use of adipose-derived stem cells
Conclusion In Europe, clinical trials involving cultured ASCs and/or the use of collagenase, which causes changes in the structural and functional properties of stem cells, and/or ASCs application in non-homologous tissue, should be considered off-label. ASCs should be non-cultured, isolated mechanically, and used only in the subcutaneous tissue. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Addressing the recruitment shortfall in surgery - how do we inspire the next generation?
Publication date: Available online 5 December 2017 Source:Annals of Medicine and Surgery Author(s): Jonathan Bartlett (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Paediatric Dentistry- Novel Evolvement
Publication date: Available online 14 December 2017 Source:Annals of Medicine and Surgery Author(s): Saleha Shah (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Streamlined manuscript submission guidelines: Beyond overdue
Publication date: January 2018 Source:Annals of Medicine and Surgery, Volume 25 Author(s): Zain A. Sobani, Joel Horovitz, Stephan Kamholz (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Surgical treatment of aggressive vertebral hemangioma causing progressive paraparesis
We present a case of a 84 years old woman admitted at our department with worsening paraparesis and urinary retention. Her magnetic resonance images (MRI) showed a lesion involving both anterior and posterior vertebral element of D5, with extension into epidural space and spinal cord compression. The patient was operated for laminectomy and epidural lesion removal. Histological examination confirmed the diagnosis of cavernous hemangioma. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Endovascular laser treatment of incompetent saphenous veins using the 1470  nm diode laser and radial fiber
Conclusions Endovascular laser treatment using the 1470 nm radial fiber laser constitutes an effective and safe modality for treatment of CVD. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Impact of liver volume and liver function on posthepatectomy liver failure after portal vein embolization – A multivariable cohort analysis
Conclusion Future liver remnant is the only preoperative factor with a significant impact on PHLF. Assessment of preoperative liver function may additionally help identify patients at risk for PHLF. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Violence against doctors, a serious concern for healthcare organizations to ponder about
Conclusion A considerable number of physicians participated have faced mild violence in which verbal abuse was commonest; followed by moderate and severe events. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 16, 2017 Category: General Medicine Source Type: research

Surgical and nonsurgical outcomes for treating a cohort of empyema thoracis patients: A monocenteric retrospective cohort study
Conclusion Because of the advanced stages of empyema in our patients, thoracotomy decortication procedure is often the first rank choice with success rates higher than nonsurgical techniques. However, nowadays, the success rates of nonsurgical and VATS management of empyema thoracis are mostly reported in the literature. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 13, 2017 Category: General Medicine Source Type: research

Ocular tuberculosis in Hospital Universiti Sains Malaysia – A case series
Conclusions This review shows the diverse entity of ocular TB spectrum in an endemic area. Good clinical response to anti-tuberculous therapy supported the presumed diagnosis of ocular TB in majority of the cases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 13, 2017 Category: General Medicine Source Type: research

In-hospital surgical treatment for haemorrhage after aesthetic mandibular osteotomy performed as an office-based day surgery: A case report
Publication date: Available online 13 October 2017 Source:Annals of Medicine and Surgery Author(s): Kosuke Kanke, Takahiro Abe, Masanobu Abe, Yoshiyuki Mori, Kazuto Hoshi, Tsuyoshi Takato In East Asia, a square face is considered unattractive, and mandibular contouring surgery is commonly used to give a smooth contour to the lower jaw. Mandibular contouring surgery occasionally involves not only osteotomy of the mandibular angle but also resection of the masseter muscle via an intraoral approach. This type of mandibular contouring surgery poses a risk of injury to the premasseteric branch of the facial artery and massive ...
Source: Annals of Medicine and Surgery - October 13, 2017 Category: General Medicine Source Type: research

Surgical assessment clinic - One stop emergency out-patient clinic for rapid assessment, reduced admissions and improved acute surgical service: A quality improvement study
Conclusion By providing suitable guidance for referring practitioners we have optimised our clinic use significantly and improved our acute ambulatory surgical care. We have reduced admissions, provided rapid treatment and have established a service that helps address the ever increasing demand on acute services within the NHS. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2017 Category: General Medicine Source Type: research

Mesenchymal stem cells in human meniscal regeneration: A systematic review
Conclusion Despite positive results from animal models, there is currently a lack of evidence in humans to conclude that stem cells can form durable neotissue similar to original human meniscus. There is a need for standardisation of protocol before further trials are considered. Initial outcomes from human studies are promising and mesenchymal stem cells may play an important role in meniscal repair in years to come. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 6, 2017 Category: General Medicine Source Type: research

Bartholin's gland abscess in a prepubertal female: A case report
Publication date: Available online 6 October 2017 Source:Annals of Medicine and Surgery Author(s): Veerabhadra Radhakrishna, Rachit Goel, Gaurav Parashar, Ramesh Santhanakrishnan Bartholin's gland abscess is one of the common inflictions of vulva seen in females of reproductive age group with a recurrence rate of up to 38%. Although it's encountered by many Paediatric Surgeons, it's very rarely reported in prepubertal age. Till date, only six cases have been reported to the best of our knowledge. A seven-year-old female child presented with a recurrent labial abscess. She was found to have Bartholin's gland abscess and wa...
Source: Annals of Medicine and Surgery - October 6, 2017 Category: General Medicine Source Type: research

A case report and approach to management in pneumatosis intestinalis
We present a case of a patient presenting on two separate occasions with PI, abdominal symptoms and radiological signs of acute abdominal pathology which demonstrates the wide spectrum of difficulties faced with this uncommon condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 30, 2017 Category: General Medicine Source Type: research

Intraluminal ileal tumour after right hemicolectomy for cancer: An implantation recurrence or a new cancer?
Conclusion This case seems to confirm the intraluminal implanting capacity of exfoliated carcinoma cells. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 29, 2017 Category: General Medicine Source Type: research

Surgical assessment clinic – One stop emergency out-patient clinic for rapid assessment, reduced admissions and improved acute surgical service
Conclusion By providing suitable guidance for referring practitioners we have optimised our clinic use significantly and improved our acute ambulatory surgical care. We have reduced admissions, provided rapid treatment and have established a service that helps address the ever increasing demand on acute services within the NHS. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2017 Category: General Medicine Source Type: research

The Birmingham experience of high-pressure methylene blue dye test during primary and revisional bariatric surgery: A retrospective cohort study
Conclusion Despite routine use of methylene blue dye test in 924 patients, there were only two positive tests. Whilst HPMB may demonstrate technical failure, this study suggests that there is no role for its routine use in primary bariatric surgery. Discontinuation of this practice would reduce risk of anaphylaxis to the dye, cost, and intra-operative time. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2017 Category: General Medicine Source Type: research

Choosing the uterine preservation surgery for placental polyp determined by blood flow evaluation: A retrospective cohort study
Conclusions Our report suggests that adding UAE might be safer to treat placental polyps that have strong vascularity. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2017 Category: General Medicine Source Type: research

Murine genotype impacts pancreatitis severity and systemic inflammation
Conclusion The genetic strain has an impact on pancreatitis severity and systemic inflammatory response in a murine taurocholate induction model. Analogous differences in humans may partially account for the disparity in post-ERCP pancreatitis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2017 Category: General Medicine Source Type: research

Patient outcome of emergency laparotomy improved with increasing “number of surgeons on-call” in a university hospital: Audit loop
Conclusion Our audit-loop suggests that adding a second consultant to the daily on-call rota significantly reduces postoperative mortality and morbidity. Age, ASA and ITU admission are other independent factors affecting patient outcomes. We suggest this change be applied to other high volume centres across the country to improve the outcomes after emergency laparotomy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2017 Category: General Medicine Source Type: research

Predisposing Factors for Seroma Formation in Patients Undergoing Thyroidectomy: Cross-sectional study
Conclusion We showed that Seroma formation was lower during thyroidectomy via electrical vessel sealing system in comparison with previous studies. In our study, older age, greater body mass index and decreased ionized calcium level were predictors of seroma formation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 19, 2017 Category: General Medicine Source Type: research

Feasibility and safety of single-incision laparoscopic cholecystectomy in elderly patients: A single institution, retrospective case series
Conclusion SILC for uncomplicated gallbladder could be performed for patients ≥ 80 years with acceptable morbidity and mortality as compared with the previous reports, though the complication rate of patients ≥ 80 years was higher than that of patients < 80 years. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 6, 2017 Category: General Medicine Source Type: research

Evaluation of satisfaction of individuals rehabilitated with zygomatic implants as regards anesthetic and sedative procedure
Conclusion There was no difference between the two groups as regards the anesthetic procedure. General satisfaction was high; there was emotional improvement after conclusion of the treatment, thus improving the quality of life. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 1, 2017 Category: General Medicine Source Type: research

S-shaped versus conventional straight skin incision: Impact on primary functional maturation, stenosis and thrombosis of autogenous radiocephalic arteriovenous fistula
Conclusion The outcome of this study demonstrates that S-shaped surgical skin incision is associated with a lower incidence of stenosis in comparison to straight incision type in RCAVF formation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 31, 2017 Category: General Medicine Source Type: research

Laparoscopic and open inguinal hernia repair: Patient reported outcomes in the elderly from a single centre - A prospective cohort study
Conclusion Time off work is not an absolute appropriate measure of return to premorbid status with respect to the elderly as a substantial number of >65 year olds have retired. We therefore present this interesting insight into patient perceptions following hernia repair by age group. Overall patients over 65 can expect the same high levels of satisfaction and low levels of pain following either technique for inguinal hernia repair as younger patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 30, 2017 Category: General Medicine Source Type: research

Postoperative quality of life and dysfunction in patients after combined total gastrectomy and esophagectomy
Conclusion DAUGS20 and QLQ-C30 scores showed no significant differences between groups 1 and 2 or groups A and B. These results suggest that postoperative QOL and dysfunction may be influenced more by current status than by surgical history and postoperative interval. Previous reports describe a DAUGS 20 score after gastrectomy of 27.8 and after esophagectomy of 36.1. The DAUGS20 score of these 18 patients is lower than DAUGS20 scores for patients undergoing either operation alone. Reconstruction using a subcutaneously placed jejunal segment seems to be reasonable. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 24, 2017 Category: General Medicine Source Type: research

The impact of alteplase on pulmonary graft function in donation after circulatory death – An experimental study
Conclusions All the lungs showed excellent blood gases after EVLP, and they all meet the criteria's for clinical lung transplantation. The use of alteplase did not seem to have any obvious benefit to the donor lungs in a DCD situation. The donor lungs treated with alteplas showed slightly better blood gases and slightly lower PVR compared to the group without alteplas, however the difference was not significant. DCD appears to be a safe and effective method to expand the donor pool. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 12, 2017 Category: General Medicine Source Type: research

Peritoneal metastases of rare carcinomas treated with cytoreductive surgery and HIPEC – A single center case series
Conclusion For patients with rare tumors, CRS and HIPEC is feasible with an acceptable perioperative morbidity and mortality. To improve knowledge in patient selection and outcome, rare tumors treated with CRS and HIPEC should be documented in central databases (as for example BIG RENAPE, Pierre-Benite, France). (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 9, 2017 Category: General Medicine Source Type: research

Phosphate disturbance in critically ill children: Incidence, associated risk factors and clinical outcomes
Conclusion Hypophosphatemia was common in the first 7 days of PICU hospitalization and was associated with prolonged PICU stay, Significant association between hypophosphatemia and duration of use of mechanical ventilation, use of furosemide, dopamine, steroids and β2 agonist. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 9, 2017 Category: General Medicine Source Type: research

Defunctioning stoma- a prognosticator for leaks in low rectal restorative cancer resection: A retrospective analysis of stoma database
Conclusions De-functioning ileostomy for LAR is a safe procedure with low morbidity. Most stomas are reversible. Series highlights a late reversal contrary to the nationally recommended guidelines. Most interestingly, the study demonstrated de-functioning mitigated clinical consequences of anastomotic leak to an extent that reoperation was avoidable, in keeping with recent meta-analysis indicating a significantly low anastomotic leakage rates and reoperation. Larger study is invaluable to substantiate findings. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 4, 2017 Category: General Medicine Source Type: research

Laparoscopic double-tract reconstruction after total gastrectomy for postoperative duodenal surveillance: Case series
Conclusion Although more detailed data are required, double-tract reconstruction may be the best choice for patients requiring total gastrectomy with regular check-up of the duodenum. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 2, 2017 Category: General Medicine Source Type: research