Acute pancreatitis: A 7 year review of the epidemiology, aetiology and outcome from a tertiary hospital in Jamaica
Conclusion The incidence of AP was 74/100,000 hospital admissions annually. There was an unusual female preponderance, with biliary pancreatitis being the most common type occurring at an equal frequency among males and females. Only 12.2% of the total cases seen were severe. The case fatality rate was 2%. Local health policy should target timely interventions for biliary pancreatitis and should also address the local factors affecting disease severity. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 5, 2017 Category: General Medicine Source Type: research

Dysphagia caused by giant schwannoma of the supraglottic oropharynx: A case report and review of the literature
Conclusion Although rare, schwannomas do occasionally occur in the supraglottic oropharynx. When dysphagia is present, a thorough diagnostic procedure should be performed to evaluate the morphology and function of the upper aerodigestive tract. MRI is sensitive and specific in the diagnosis of schwannoma. And the best treatment of choice is complete excision with preservation of functions. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 5, 2017 Category: General Medicine Source Type: research

Bleeding complications post ultrasound guided renal biopsy – A single centre experience from Pakistan
Conclusions Percutaneous kidney biopsy is a relatively safe procedure. Complication rates following the procedure are minimal. It is important that all nephrology programs train the trainees in performing biopsies, so that there is a wider clinical use of this important investigation even in underprivileged & developing countries. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - July 5, 2017 Category: General Medicine Source Type: research

A case report of pneumo-retro-peritoneum: An unusual presentation of ischio-rectal abscess
Conclusion Abdominal symptoms are rare in ischio-rectal abscess, but they must be kept in mind. Proper diagnosis may avoid a negative laparotomy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 27, 2017 Category: General Medicine Source Type: research

Procedure, applications, and outcomes of autologous fat grafting
Conclusions Lipofilling is a low-risk procedure that can be used to correct soft-tissue defects in the face, trunk, and extremities, with minimal discomfort for patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 27, 2017 Category: General Medicine Source Type: research

New method of indocyanine green fluorescence sentinel node mapping for early gastric cancer
Conclusion Our method made identification of ICG positive lymph nodes easy in SN mapping in back-table under room light. Although further accumulation and analysis are necessary, we may be able to apply this method for intraoperative SN mapping of laparoscopic gastric cancer surgey. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 27, 2017 Category: General Medicine Source Type: research

Potential cost savings by minimisation of blood sample delays on care decision making in urgent care services
Conclusion Sample rejection rate is high and is associated with increased in-hospital stay and cost. Blood sampling technique impacts on rejection rates. Reduction in sample rejection rates in emergency care areas in acute hospitals has the potential to impact on patient flow and reduce cost. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 27, 2017 Category: General Medicine Source Type: research

The biological and clinical basis for the use of adipose-derived stem cells in the field of wound healing
Publication date: Available online 23 June 2017 Source:Annals of Medicine and Surgery Author(s): Nicolò Bertozzi, Francesco Simonacci, Michele Pio Grieco, Eugenio Grignaffini, Edoardo Raposio Worldwide, hard-to-heal lower limb wounds are estimated to affect 1.5–3% of the adult population with a treatment-related annual cost of $10 billion. Thus, chronic skin ulcers of the lower limb are a matter of economic and public concern. Over the years, multiple medical and surgical approaches have been proposed but they are still inadequate, and no effective therapy yet exists. Regenerative medicine and stem cell-based...
Source: Annals of Medicine and Surgery - June 24, 2017 Category: General Medicine Source Type: research

Porocarcinoma; presentation and management, a meta-analysis of 453 cases
Conclusions Porocarcinoma is an aggressive skin cancer. Surgery is the main modality of treatment. Systematic review registration number reviewregistry233. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 21, 2017 Category: General Medicine Source Type: research

Maxillary artery based flaps for oral cavity reconstruction, a review
Conclusion Maxillary artery based flaps should be considered as an option especially in previously radiotherapy/surgically operated patients with facial vessels sacrifice. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 21, 2017 Category: General Medicine Source Type: research

The major thoracic vascular invasion of lung cancer
Conclusion The positive predictive value of the preoperative CT findings for tumor invasion of the thoracic vessels was low. Therefore, surgical opportunities that offer the chance of a cure shouldn't be missed in advanced lung cancer patients because the tumor is located near the major thoracic vessels on preoperative CT. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 21, 2017 Category: General Medicine Source Type: research

Effect of adjuvant chemotherapy after pulmonary metastasectomy on the prognosis of colorectal cancer
Conclusions Adjuvant chemotherapy after curative resection of lung metastases might strongly affect the prognosis of metastatic CRC patients. Even patients with single metastatic lesions and normal preoperative CEA level appeared to receive benefits from such chemotherapy. Narrowing of suitable candidates by predicting the effects of systemic chemotherapy and prospective randomized studies are needed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 21, 2017 Category: General Medicine Source Type: research

Potential cost savings by minimisation of delays on care decision making in urgent care services
Conclusion Sample rejection rate is high and is associated with increased in-hospital stay and cost. Blood sampling technique impacts on rejection rates. Reduction in sample rejection rates in emergency care areas in acute hospitals has the potential to impact on patient flow and reduce cost. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 17, 2017 Category: General Medicine Source Type: research

Induction of autoimmune abdominal aortic aneurysm in pigs - A novel large animal model
Conclusion We developed a novel large animal AAA model by infrarenal aortic sheep-to-pig xenograph transplantation resulting in autoimmune AAA induction with continuously progressive aneurysmal growth. This model can be used to provide a better understand the autoimmune aspect of AAA formation in large animals. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 16, 2017 Category: General Medicine Source Type: research

Improving antibiotic prophylaxis in gastrointestinal surgery patients: A quality improvement project
Conclusions Our quality improvement intervention was successful in improving SAP for patients undergoing gastrointestinal surgery at our institution. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 16, 2017 Category: General Medicine Source Type: research

Temporal artery biopsy in the diagnosis of giant cell arteritis: does the end justify the means?
Conclusion Overall 13.2% of our biopsies were positive for GCA and 87.3% of biopsy negative patients continued prednisolone therapy on clinical grounds. In the face of new diagnostic tests (high resolution MRI (Magnetic Resonance Imaging), colour duplex USS (Ultra Sound Scan) and PET (Positive Emission Topography) can we justify invasive surgery to all patients on histological grounds when the results may not alter management? Further investigation is needed directly comparing newer imaging modalities to histology. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 16, 2017 Category: General Medicine Source Type: research

Evaluating validity of current criteria for judgment passing ER rotation among internee medical students
Conclusions According to association between successfully completions of training in emergency medicine and self-assessment questionnaire, it seems current criteria for judgment passing emergency medicine rotation is valid as well as we recommended using self-assessment for evaluating validity of such testes. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 16, 2017 Category: General Medicine Source Type: research

Diagnostic approaches and treatment of eosinophilic esophagitis. A review article
Publication date: Available online 16 June 2017 Source:Annals of Medicine and Surgery Author(s): Hossein Akhondi Eosinophilic Esophagitis (EoE) is a condition that involves eosinophilic influx into the esophageal epithelium. It affects both children and adults; Adults present with dysphagia whereas children with vague abdominal complaints. The clinical symptoms as well as pathologic features of EoE and gastro esophageal reflux disease (GERD) are similar. Since eosinophilia in the esophagus is a non-specific finding, the clinical presentation in conjunction with endoscopic findings and pathology, is crucial in determining ...
Source: Annals of Medicine and Surgery - June 16, 2017 Category: General Medicine Source Type: research

Is transoral robotic surgery a safe and effective multilevel treatment for obstructive sleep apnoea in obese patients following failure of conventional treatment(s)?
Publication date: July 2017 Source:Annals of Medicine and Surgery, Volume 19 Author(s): George Garas, Anthousa Kythreotou, Christos Georgalas, Asit Arora, Bhik Kotecha, Floyd C. Holsinger, David G. Grant, Neil Tolley A best evidence topic was written according to a structured protocol. The question addressed was whether TransOral Robotic Surgery (TORS) is a safe and effective multilevel treatment for Obstructive Sleep Apnoea (OSA) in obese patients following failure of conventional treatment(s). A total of 39 papers were identified using the reported searches of which 5 represented the best evidence to answer the clinical...
Source: Annals of Medicine and Surgery - June 10, 2017 Category: General Medicine Source Type: research

Rare mycotic aneurysms of internal jugular vein and innominate vein secondary to untreated parapharyngeal abscess: A case report
We report a 31 year old woman presented with three months history of large untreated parapharyngeal abscess and bleeding from the mouth. On evaluation chest CT scan identified the abscess extending down to the superior mediastinum and multiple small lung abscesses. Echocardiography showed tricuspid valve insufficiency. Patient was brought to the operating room (OR) and intra-operatively it was found that she had multiple large mycotic pseudoaneurysms of the internal jugular vein and right brachiocephalic veins. All these pseudoaneurysms were repaired with pericardial patches under cardiopulmonary bypass. Patient did well i...
Source: Annals of Medicine and Surgery - June 9, 2017 Category: General Medicine Source Type: research

Mean platelet volume and serum uric acid in neonatal sepsis: A case-control study
Conclusions MPV could be assessed in the early diagnosis of neonatal sepsis while SUA level has lower sensitivity in neonatal sepsis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 8, 2017 Category: General Medicine Source Type: research

A bibliometric analysis of the citation classics of acute appendicitis
Conclusions Bibliometric analysis of the citation classics in a given field can provide interesting insights into the relationship between the quality of research outputs and clinical practice. The study of acute appendicitis remains an active field of research with a growing body of higher quality evidence underpinning our clinical practice. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 7, 2017 Category: General Medicine Source Type: research

Efficacy of submucosal epinephrine injection for the prevention of postpolypectomy bleeding: A meta-analysis of randomized controlled studies
Conclusion The routine use of prophylaxis submucosal epinephrine injection is safe and beneficial preventing postpolypectomy bleeding. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 7, 2017 Category: General Medicine Source Type: research

Hernias- Is it a primary defect or a systemic disorder? Role of collagen III in all hernias- A case control study
Conclusion This study signifies that ventral, recurrent and primary inguinal hernias are not just caused because of a primary defect but an acquired disorder with respect to collagen distribution. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 7, 2017 Category: General Medicine Source Type: research

Clinical outcomes of self-expandable metal stent (SEMS) placement as palliative treatment for malignant colorectal obstruction: A single-center study from Japan
Conclusion SEMS placement as a palliative treatment is likely to fail within a year, leading to re-occlusion. It is very important to maintain vigilant monitoring using X-ray, CT, and colonoscopy after SEMS placement, with close cooperation between the endoscopist and surgeon. A logistic framework involving careful follow-up, even in the absence of symptoms, and a combined team involving endoscopists and surgeons should be established to support re-intervention and surgery. We recommend vigilant monitoring of patients who received SEMS placement for palliation of malignant colorectal obstruction. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 4, 2017 Category: General Medicine Source Type: research

Carcinosarcoma of the maxillary sinus: A rare case report
Conclusion This is an aggressive tumor, rapidly progressive with a poor prognosis. The management of this rare condition remains undetermined. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 3, 2017 Category: General Medicine Source Type: research

Knot free technique for Laparoscopic Ventral Mesh Rectopexy
Conclusion Our study with limitations of small group and relatively shorter follow up has proven to be a safe technique. This technique has a potential of replacing intra or extracorporeal knot with endo clips and requires less time compared to conventional suturing. It also advantage of having a minimal learning curve. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 2, 2017 Category: General Medicine Source Type: research

Role of collagen 3 in ventral recurrent and primary inguinal hernias - A case control study
Conclusion This study signifies that ventral, recurrent and primary inguinal hernias are not just caused because of a primary defect but an acquired disorder with respect to collagen distribution. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - June 1, 2017 Category: General Medicine Source Type: research

Exposure to the drug company marketing in Greece: Interactions and attitudes in a non-regulated environment for medical students
Conclusion Our results suggest that medical students in Greece are notably exposed to pharmaceutical industry marketing and their conflicting answers demonstrate that they are inadequately prepared for this interaction. Interventions are needed so that students are prepared and able to manage these interactions critically. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 30, 2017 Category: General Medicine Source Type: research

Serum intestinal fatty acid binding protein level for early diagnosis and prediction of severity of necrotizing enterocolitis in the preterm infant (case series)
Conclusions Serial measurements of serum I-FABP levels may be a useful marker for early diagnosis and prediction of disease severity in NEC. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 27, 2017 Category: General Medicine Source Type: research

Does additional reconstruction of the anterolateral ligament during a primary anterior cruciate ligament reconstruction affect tibial rotational laxity – A case series
Conclusion Our findings are based primarily in anaesthetized patients, with kinematic values at time-zero postoperatively. Patients presenting with significant rotational instability following a primary ACL injury and assessed to have a grade-3 pivot-shift may benefit from dual-ligament reconstruction. Further research is required to assess long-term patient-centered clinical outcomes. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 25, 2017 Category: General Medicine Source Type: research

Subtotal laparoscopic cholecystectomy influences the rate of conversion in patients with difficult laparoscopic cholecystectomy: Case series
Conclusion SLC is feasible, safe and can reduce the rate of conversion for patients with difficult laporoscopic cholecystectomy. Sub-total laparoscopic cholecystectomy is not a substitute to conversion and in difficult conditions it is not a failure for the surgeon but a wisdom. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 25, 2017 Category: General Medicine Source Type: research

A case report of an unusual cause of postoperative leg pain after posterior lumbar fusion
We report the case of a 36-year old man who underwent elective posterior lumbar spinal fusion after presenting with bilateral leg pain with associated back pain. He had undergone a L5/S1 discectomy in 2001, which provided good symptomatic relief. On this admission, he underwent elective L4-S1 posterolateral fusion and bilateral L4/5 and L5/S1 decompression. Intra-operatively a pedicle screw had to be re-inserted after fluoroscopy confirmed a lateral breech. The patient had no major postoperative complications until the sixth day when the patient re-presented with acute leg pain and weakness. Following a local multidiscipli...
Source: Annals of Medicine and Surgery - May 23, 2017 Category: General Medicine Source Type: research

Spontaneous temporomandibular joint herniation into the external auditory canal through a patent foramen of Huschke: A case report
Publication date: Available online 18 May 2017 Source:Annals of Medicine and Surgery Author(s): Kyeong Hwa Ryu, Hye Jin Baek, Dong Gu Hur Temporomandibular joint herniation (TMJ) can be caused by inflammation, trauma, tumor, or otologic procedures. However, spontaneous TMJ herniation can also occur as a result of a congenital bony defect in the external auditory canal (EAC), known as the patent foramen of Huschke (PFH), and occurs in 0.4% of the population. Herein, the authors present a case of spontaneous TMJ herniation through the PFH with clicking tinnitus. The patient underwent the surgical repair of bony defect in th...
Source: Annals of Medicine and Surgery - May 19, 2017 Category: General Medicine Source Type: research

Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2-3 distal radial fractures
Conclusions Both techniques could get satisfactory results in the treatment of AO type C2-3 fractures, but PKEF leads to better wrist function than VLCP . (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 19, 2017 Category: General Medicine Source Type: research

Comparison of outcome of VLCP versus PKEF in the treatment of AO type-C2-3 distal radial fractures
Conclusions Both techniques could get satisfactory results in the treatment of AO type C2-3 fractures, but PKEF leads to better wrist function than VLCP . (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 14, 2017 Category: General Medicine Source Type: research

Completeness in clerking: The surgical admissions proforma
Conclusion Our study illustrates that a comprehensive surgical clerking proforma improves patient data documentation and saves healthcare professionals' time compared to the freehand clerking method. The implications of such work are far reaching, and if well implemented could allow a new reliable platform for further clinical audits. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 14, 2017 Category: General Medicine Source Type: research

Transauricular intra-arterial and intravenous digital subtraction angiography for abdominal aortic aneurysm imaging in a rabbit model
Conclusions Transauricular DSA shows good correlation to conventional DSA, can be used repeatedly with less invasiveness, and suitable for rabbit AAA follow-up study. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 10, 2017 Category: General Medicine Source Type: research

Measurement accuracy of total cell volume by automated dialyzer reprocessing: A prospective cohort study
Conclusion The approach of measurement differed from that of the conventional method (weight evaluation was used instead of volumetric evaluation), the reprocessing machine could offer accurate results. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 4, 2017 Category: Journals (General) Source Type: research

Conquering the deadly stroke: Perspective on a surgeon's odyssey
Publication date: Available online 3 May 2017 Source:Annals of Medicine and Surgery Author(s): Bibek Aryal, Teruo Komokata, Yutaka Imoto (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 3, 2017 Category: Journals (General) Source Type: research

Abdominal perineal resection or wilde local excision in primary anorectal malignant melanoma. Case report and review
Conclusion The higher serum levels of LDH and YKL-40 are suggestive for Anorectal Melanoma diagnosis. The decrease of these findings may be associated with good prognosis. The review of both APR and WLE options suggests no significant difference in survival among patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 29, 2017 Category: Journals (General) Source Type: research

A survey of doctors at a UK teaching hospital to assess understanding of recent changes to consent law
Conclusion The majority were not familiar with the concept of material risk and recent legal changes. A majority were not confident that their practice meets current requirements, suggesting that recent changes in consent law may not be widely understood at this hospital. We suggest more guidance and education may be necessary than is currently available. Increased understanding of recent changes to consent law will reduce the risk taken by NHS trusts and offer patients a service compliant with Supreme Court guidance. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 21, 2017 Category: Journals (General) Source Type: research

Serological evidence of human cystic echinococcosis and associated risk factors among general population in Mazandaran Province, northern Iran
Publication date: Available online 11 April 2017 Source:Annals of Medicine and Surgery Author(s): Hajar Ziaei Hezarjaribi, Mahdi Fakhar, Bahman Rahimi Esboei, Masoud Soosaraei, Abozar Ghorbani, Naeim Nabyan, Saeed Hosseini Teshnizi The aim of the present study was to determine the seroprevalence of CE among human referring to Health Centers in Mazandaran Province, northern Iran and to identify the risk factors involved in spreading the disease. Between 2013 and 2014, the serum samples were taken randomly from 600 subjects referring to health centers in Mazandaran Province. After obtaining informed consent for each partici...
Source: Annals of Medicine and Surgery - April 11, 2017 Category: Journals (General) Source Type: research

Intestinal Obstruction Induced by Peach Stone in Stenosis of Sigmoid Colon by Adenocarcinoma: A Case Report and Literature Review
CONCLUSION Intestinal obstructions and perforations are rare conditions caused by the ingestion of foreign bodies. These conditions must be taken into consideration especially owing to differing diagnoses and previous pathologies concomitant with the ingestion of objects such as those described in the foregoing adenocarcinoma case. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 10, 2017 Category: Journals (General) Source Type: research

Minimally invasive esophagectomy for esophageal cancer according to  the location of the tumor: Experience of 251 patients
Conclusions MIE for esophageal cancer according to the location and clinical stage of the tumor will decrease all postoperative complications and may yield the greatest benefit from surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 5, 2017 Category: Journals (General) Source Type: research

Saving from unnecessary pancreaticoduodenectomy. Brunner's gland hamartoma: Case report on a rare duodenal lesion and exhaustive literature review
Conclusion BGH is a rare lesion featuring, when symptomatic, obstructive or bleeding symptoms. Surgical treatment represents the gold standard approach in case of lesions that are technically impossible to remove endoscopically or in case of an undiagnosed lesion. Herein, we report a case of a patient presenting with a duodenal lesion mimicking, in all preoperative findings, a tumour of the duodenum. Duodenotomy and resection of the BGH provided a definitive cure avoiding surgical overtreatment. An intraoperative deep analysis of all surgical cases still remain crucial for a right therapeutic choice even in a new era for s...
Source: Annals of Medicine and Surgery - April 4, 2017 Category: Journals (General) Source Type: research

Case series report of navigation-based in  vivo knee kinematics in total knee arthroplasty with a gradually reducing femoral radius design
Conclusion TKA using a prosthesis with a gradually reducing radius minimized paradoxical anterior slide in navigation-based in vivo knee kinematics. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 2, 2017 Category: Journals (General) Source Type: research

Minimally invasive esophagectomy for esophageal cancer according to the location of the tumor: experience of 251 patients
Conclusions MIE for esophageal cancer according to the location and clinical stage of the tumor will decrease all postoperative complications and may yield the greatest benefit from surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - April 1, 2017 Category: Journals (General) Source Type: research

Intraoperative Dislocation of the Trial Bipolar Cup into the Pelvis during Bipolar Hip Arthroplasty -A case report
Conclusion We easily removed our trial cup using another approach. It is vital to plan systematically for this frustrating complication. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 31, 2017 Category: Journals (General) Source Type: research

Sutureless functional end-to-end anastomosis using a linear stapler with polyglycolic acid felt for intetinal anastomoses
Conclusion Sutureless functional end-to-end anastomosis using the Endo GIA™ Reinforced appears to be safe, efficacious, and straightforward. Reinforcement of the crotch site with a bioabsorbable polyglycolic acid sheet appears to mitigate conventional problems with crotch-site vulnerability. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 31, 2017 Category: Journals (General) Source Type: research