Autologous fat transplantation for breast reconstruction: A literature review
Conclusion The role of lipofilling for breast reconstruction could be more significant with the application of the findings of experimental research on tissue engineering and ASCs. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 23, 2016 Category: Journals (General) Source Type: research

Problem-based learning in medical school: A student's perspective
Publication date: Available online 22 November 2016 Source:Annals of Medicine and Surgery Author(s): Bliss J. Chang (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 22, 2016 Category: Journals (General) Source Type: research

Selective Beneficial Cardiometabolic Effects of Vertical Sleeve Gastrectomy are Predominantly Mediated through Glucagon-Like Peptide (GLP-1) in Zucker Diabetic Fatty Rats
Publication date: Available online 17 November 2016 Source:Annals of Medicine and Surgery Author(s): Sunil Kumar, Raymond Lau, Thomas Palaia, Christopher Hall, Jenny Lee, Keneth Hall, Collin E. Brathwaite, Louis Ragolia (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 18, 2016 Category: Journals (General) Source Type: research

Outcomes of laparoscopic sleeve gastrectomy at a bariatric unit in South Africa
Conclusions LSG was shown to produce an adequate %EBMIL loss at 6 months, resulting in a significant improvement in the quality of life (QoL), coupled with good BAROS outcomes. The results of this research are comparable to other studies of LSGs, and the low complication rate supports the use of the procedure and accounts for no observed mortality. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 15, 2016 Category: Journals (General) Source Type: research

Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors- observational cross-sectional study
Conclusions Our study was able to add more to the epidemiological perspective and the risk profile of retained surgical items in abdominal and pelvic surgery. Surgical cases associated with these factors may need further testing to rule out RSI. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 15, 2016 Category: Journals (General) Source Type: research

Succinct guide to liver transplantation for medical students
Publication date: Available online 14 November 2016 Source:Annals of Medicine and Surgery Author(s): Cheng-Maw Ho, Po-Huang Lee, Cheng-Wing Tung, Rey-Heng Hu, Yao-Ming Wu, Ming-Chih Ho Literature on liver transplantation for use in medical education is limited and as yet unsatisfactory. The aim of this article is to help medical students gain enough insight into the reality of being a liver transplant recipient. This is crucial so in the future they can feel confident in approaching these patients with adequate knowledge and confidence. The knowledge-tree based learning core topics are designed for a 2-hour class includin...
Source: Annals of Medicine and Surgery - November 14, 2016 Category: Journals (General) Source Type: research

Respiratory distress associated with heterotopic gastrointestinal cysts of the oral cavity: A case report
We report the case of a 28-day newborn with a 3.6 cm oval mass on the floor of the mouth causing difficulty eating and cyanosis during crying. Complete surgical excision was performed by an oral approach under general anesthesia. Microscopic examination revealed gastric epithelium with tall columnar mucous cells on the surface and numerous short closed crypts, resembling fundal glands and mature gastric epithelium. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 13, 2016 Category: Journals (General) Source Type: research

Efficacy of computed tomography for the prediction of colectomy and mortality in patients with clostridium difficile infection
Conclusion We designed a CT scale to predict colectomy, able to rule out the development of fulminant colitis and the need for surgical procedure. Patients with wall thickening of the caecum, ascending, descending or sigmoid colon were more likely to die within 30 days of CDI diagnosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 10, 2016 Category: Journals (General) Source Type: research

A case report of small bowel perforation secondary to cytomegalovirus related immune reconstitution inflammatory syndrome in an AIDS patient
We describe a patient with a recently diagnosed advanced stage HIV infection and an intestinal perforation associated with cytomegalovirus immune reconstitution inflammatory syndrome after highly active antiretroviral therapy initiation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 9, 2016 Category: Journals (General) Source Type: research

Diathermy awareness among surgeons-An analysis in Ireland
Conclusion Our results show a dearth of awareness among surgeons regarding diathermy. Given our findings, we urge a shift in attitude towards diathermy, with surgeons adopting a more cautious and safe approach to diathermy use. We recommend that formal training be introduced as a hospital based initiative. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 9, 2016 Category: Journals (General) Source Type: research

Snappy surgery for snapped ankles: Does it reduce the number of inpatient bed: Days?
Publication date: November 2016 Source:Annals of Medicine and Surgery, Volume 11 Author(s): Camilla Jackson, Rosanne Cope, Fiona James, Elizabeth Ribey, Anastasia Tsyben, Duncan Cundall-Curry (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 2, 2016 Category: Journals (General) Source Type: research

Early surgical exposure as a tool for learning anatomy
Publication date: November 2016 Source:Annals of Medicine and Surgery, Volume 11 Author(s): Lee Hatter, Maria Pepa Bruce, Miriam Fahmy, Misha Sidapra, Alexander Mehta (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 2, 2016 Category: Journals (General) Source Type: research

How does chronic pancreatitis affect the quality of life in patients?
Publication date: November 2016 Source:Annals of Medicine and Surgery, Volume 11 Author(s): Matthew Wilcox, Marianne Johnstone, Robert Sutton (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 2, 2016 Category: Journals (General) Source Type: research

Identifying causes for delayed discharges in patients admitted with jaundice – A prospective review of inpatient admissions at a tertiary referral centre for hepatobiliary surgery
Publication date: November 2016 Source:Annals of Medicine and Surgery, Volume 11 Author(s): Giuseppe Garcia, Ashley Dennison, Imran Bhatti, Kirsty Bates, Vijay Chavda (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 2, 2016 Category: Journals (General) Source Type: research

Severe trachea compression caused by Riedel's thyroiditis: A case report and review of the literature
Conclusions Clinicians should be aware of RT. It is important to differentiate this condition from other thyroid disorders, especially malignant lesions. Thyroidectomy is indicated for patients with compressive symptoms, suspicious malignancy and failure of conservative management. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 2, 2016 Category: Journals (General) Source Type: research

A Prospective Cohort Study to Assess the Role of Fdg-Pet in Differentiating Benign and Malignant Follicular Neoplasms
Conclusions FDG-PET/CT can help in differentiating benign and malignant non-Hürthle cell neoplasms. SUVmax of 3.25 was found to be the best for identifying malignant non-Hürthle cell follicular neoplasms. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 1, 2016 Category: Journals (General) Source Type: research

Management of achalasia in the uk, do we need new guidelines?
Conclusion Diagnosis and management of achalasia within the UK is relatively standardised, although there remains limited access to HRM. Discussion at benign MDTs however is poor and follow-up differs widely. UK guidelines may help to make these more uniform. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 1, 2016 Category: Journals (General) Source Type: research

Critical review of sham surgery clinical trials: Confounding factors analysis
Conclusions the validity of sham surgery should be reconsidered. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 29, 2016 Category: Journals (General) Source Type: research

Evaluating the educational environment of an International animal model-based wet lab course for undergraduate students
Conclusions Students seem to positively rate the ESMSC educational environment. Junior as well as KCL students appear to be more enthusiastic. Further research should focus on the optimal strategy for early involvement and motivation of various students’ groups in BST. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 25, 2016 Category: Journals (General) Source Type: research

Severe trachea compression caused by Riedel ’s thyroiditis:A case report and review of the literature
Conclusions Clinicians should be aware of RT.It is important to differentiate this condition from other thyroid disorders, especially malignant lesions. Thyroidectomy is indicated for patients with compressive symptoms, suspicious malignancy and failure of conservative management. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 25, 2016 Category: Journals (General) Source Type: research

Primary surgical treatment of locally advanced breast cancer in low resource settings
Publication date: Available online 22 October 2016 Source:Annals of Medicine and Surgery Author(s): Elroy Patrick Weledji, Felix Adolphe Elong (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2016 Category: Journals (General) Source Type: research

Total or partial vertebrectomy for lung cancer invading the spine
Conclusions In our experience, Lung cancer surgery combined with vertebrectomy is highly aggressive surgery associated with high morbidity. But, this procedure is a promising treatment option for selected patients, for example N0M0 disease with lung cancer invading the spine. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 16, 2016 Category: Journals (General) Source Type: research

The effectiveness of conservative management for retropharyngeal abscesses greater than 2  cm
Conclusion Conservative management of retropharyngeal abscesses >2 cm can be offered to patients during the first 48 h. If the patient demonstrates clinical and biochemical improvement, antibiotics alone can be continued. If the patient deteriorates, surgical drainage can be subsequently performed with no increase in morbidity and mortality. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 13, 2016 Category: Journals (General) Source Type: research

The effectiveness of conservative management for retropharyngeal abscesses greater than 2 centimetres
Conclusion Conservative management of retropharyngeal abscesses >2cms can be offered to patients during the first 48 hours. If the patient demonstrates clinical and biochemical improvement, antibiotics alone can be continued. If the patient deteriorates, surgical drainage can be subsequently performed with no increase in morbidity and mortality. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 11, 2016 Category: Journals (General) Source Type: research

Clinical strategies to aim an adequate safety profile for patients and effective training for surgical Residents: the laparoscopic cholecystectomy model
Conclusion applying an educational model based on both graduated levels of responsibility and modulated grade of clinical complexity can guarantee an high safety profile. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 28, 2016 Category: Journals (General) Source Type: research

A Case Report: Giant Intra-abdominal Liposarcoma Presenting Acute Renal Failure
Conclusion A detailed history should be obtained other abdominal solid organs should also be considered while performing a careful physical examination, the amount of urinary output in particular should be questioned and this sytemic questioning should be supported by specific laboratory tests. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 22, 2016 Category: Journals (General) Source Type: research

The Impact of Temporal Artery Biopsy on Surgical Practice
Conclusions TAB is an expensive procedure with a low positive yield. Recent evidence suggests promising results with USS in diagnosing GCA. With the exceedingly low positive TAB results found in this study, patients with suspected GCA should be investigated in accordance with the above algorithm. The routine use of USS will reduce the number of negative TAB performed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2016 Category: Journals (General) Source Type: research

A Study Assessing Postoperative Corrugate Rubber Drain of Perianal Abscess
Conclusions Management of perianal abscess using Corrugate Rubber drain in compares with packing leads to immediate pain relief, low recurrence rate of abscess and fistula formation, without need to expert nursing and less ugly scar formation. This resulted in low morbidity and cost. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 18, 2016 Category: Journals (General) Source Type: research

Local repair of stoma prolapse: Case report of an in  vivo application of linear stapler devices
Conclusion This report offers surgeons an alternative, efficient and effective option for addressing the complications of stoma prolapse. While future studies are needed to assess long-term outcomes, in the short-term, our report confirms the safety and effectiveness of this local technique. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 14, 2016 Category: Journals (General) Source Type: research

Treatment of postoperative sciatic nerve palsy after total hip arthroplasty for postoperative acetabular fracture: a case report
Publication date: Available online 10 September 2016 Source:Annals of Medicine and Surgery Author(s): Akio Kanda, Kazuo Kaneko, Osamu Obayashi, Atsuhiko Mogami, Itaru Morohashi Acetabular fracture is usually treated with osteosynthesis. However, in the case of an intra-articular fracture, osteosynthesis can result in arthropathy of the hip joint and poor long-term results, hence, total hip arthroplasty is required. However, in total hip arthroplasty for postoperative acetabular fracture, sciatic nerve palsy tends to develop more commonly than after primary total hip arthroplasty. This is a case report of a 57-year-old Jap...
Source: Annals of Medicine and Surgery - September 10, 2016 Category: Journals (General) Source Type: research

Using electronic health record collected clinical variables to predict medical intensive care unit mortality
Conclusions Through the multidimensional analysis of the correlations between eight common clinical variables, AutoTriage provides an improvement in the specificity and sensitivity of patient mortality prediction over existing prediction methods. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 7, 2016 Category: Journals (General) Source Type: research

How to Make an Academic Poster
Publication date: Available online 6 September 2016 Source:Annals of Medicine and Surgery Author(s): Buket Gundogan, Kiron Koshy, Langhit Kurar, Katharine Whitehurst Academic posters are an excellent way to showcase your work at conferences and meetings. They can be used in poster presentations and serve as a summary of your project. In this how to article, we demonstrate how trainees can make and deliver a successful academic poster. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 7, 2016 Category: Journals (General) Source Type: research

Postoperative washing of sutured wounds
Publication date: Available online 2 September 2016 Source:Annals of Medicine and Surgery Author(s): Conrad Harrison, Cian Wade, Sinclair Gore A best evidence topic was written according to the structured protocol. The three part question addressed was: [In patients undergoing closure of surgical wounds with sutures] does [keeping the wound dry for the first 48 hours after closure] [reduce the incidence of surgical site infections (SSIs)]? 4 relevant papers were culled from the literature and appraised. The authors, date, country, population, study type, main outcomes, key results and study weaknesses were tabulated. Curr...
Source: Annals of Medicine and Surgery - September 3, 2016 Category: Journals (General) Source Type: research

Local repair of stoma prolapse: case report of an in vivo application of linear stapler devices
Conclusion This report offers surgeons an alternative, efficient and effective option for addressing the complications of stoma prolapse. While future studies are needed to assess long-term outcomes, in the short-term, our report confirms the safety and effectiveness of this local technique. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 2, 2016 Category: Journals (General) Source Type: research

Weekly paclitaxel therapy for gastric cancer in patients with renal dysfunction: A Case Report
Publication date: Available online 1 September 2016 Source:Annals of Medicine and Surgery Author(s): Kyohei Kanematsu, Hironori Tsujimoto, Shinsuke Nomura, Hiroyuki Horiguchi, Nozomi Ito, Kenji Yamazaki, Shuichi Hiraki, Suefumi Aosasa, Junji Yamamoto, Kazuo Hase A 57-year-old woman was admitted to National Defense Medical College hospital for treatment of gastric cancer with pyloric stenosis. She had been diagnosed with chronic kidney disease (CKD) 10 years prior, but received no hemodialysis. Because of peritoneal dissemination, a palliative distal gastrectomy was performed. In consideration of renal dysfunction, we deci...
Source: Annals of Medicine and Surgery - September 2, 2016 Category: Journals (General) Source Type: research

Best evidence topic: should ventral hernia repair be performed at the same time as bariatric surgery?
Publication date: Available online 30 August 2016 Source:Annals of Medicine and Surgery Author(s): Mohammed Saif Sait, Robin Som, Cynthia Michelle Borg, Avril Chang, Sasindran Ramar A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In morbidly obese patients undergoing bariatric surgery, when a ventral hernia is picked up in clinic or intraoperatively is concurrent repair of the hernia better than delayed repair after weight loss with regards to complication rates? Using the reported search, 179 papers were found. 5 studies were deemed to be suitable to answer th...
Source: Annals of Medicine and Surgery - August 31, 2016 Category: Journals (General) Source Type: research

Biliary Cysts in Adults. 26 years experience at a single center
Conclusions Biliary cysts require an accurate diagnosis and surgical treatment in order to decrease the risk of malignant transformation and progression of the disease. Precise surgical treatment is needed to achieve complete resection and a long term postoperative follow up is mandatory. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 31, 2016 Category: Journals (General) Source Type: research

The TNBS-induced colitis animal model: An overview
Conclusion The aim of this study was to thoroughly present an updated review of the TNBS-induced colitis protocols that are implemented by researchers. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 20, 2016 Category: Journals (General) Source Type: research

Liver transplantation in a patient with complete portal vein thrombosis, is there a surgical way out? A case report
Conclusion The presence of a Grade III PVT associated with a large SRS should not be considered a contraindication for LT, and the use of the shunt vein should be considered a feasible option to perform portal anastomosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 20, 2016 Category: Journals (General) Source Type: research

Gangliocytic Paraganglioma Treated With Ampullectomy, A Case Report
Conclusion In conclusion, we present the case of an incidental gangliocytic paraganglioma occurring in the periampullary region of the patient. Ampullectomy was carried out and to date the patient has had no recurrence. Rarity of this tumor, along with treatment choice, makes it especially worthy of notability. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 17, 2016 Category: Journals (General) Source Type: research

Unusual lesions mimicking impingement syndrome in the shoulder joint - think medially
We present a series of four cases mimicking “classical” impingement symptoms/signs in which the causal pathology was identified outside the sub-acromial space. Magnetic Resonance Imaging (MRI) showed lesions that were present in the supra-spinatus fossa but were causing pressure effects on the sub-acromial space, namely - a ganglion cyst in one case, lipomata in two other cases, and a glomus tumour. A ganglion cyst and glomus tumour mimicking impingement syndrome is a rare reported case to our knowledge. These are unusual causes that should be considered when investigating classical impingement syndrome and par...
Source: Annals of Medicine and Surgery - August 14, 2016 Category: Journals (General) Source Type: research

Differentiating Graves' disease from subacute thyroiditis using ratio of serum free triiodothyronine to free thyroxine
Conclusions FT3/FT4 ratio of >4.4 (10−2 pg/ng) may help in differentiating the cause of thyrotoxicosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 13, 2016 Category: Journals (General) Source Type: research

The change of neutrophils/lymphocytes ratio in migraine attacks: A case-controlled study
Conclusion Neutrophil/lymphocyte ratio is a sign of inflammation, and we consider that this ratio will also increase during migraine attacks, as with other inflammatory and acute processes. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 12, 2016 Category: Journals (General) Source Type: research

Association between Elevated Pre-Operative Glycosylated Hemoglobin and Post-Operative Infections after Non-Emergent Surgery
Conclusions The risk factors of post-operative infection are multiple and likely synergistic. While pre-operative HbA1c level is not independently associated with risk of post-operative infection, there are scenarios and patient subgroups where pre-operative HbA1c is useful in predicting an increased risk of infectious complications in the post-operative period. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 10, 2016 Category: Journals (General) Source Type: research

Laparoscopic sleeve gastrectomy using a synthetic bioabsorbable staple line reinforcement material: post-operative complications and 6 year outcomes
Conclusion The synthetic bioabsorbable reinforcement material shows no staple line leaks making it safe to use. LSG as a procedure had a high resolution of obesity-related comorbidities as well as sustainable long-term weight loss. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 10, 2016 Category: Journals (General) Source Type: research

Predictors of successful non-operative management of grade III & amp; IV blunt pancreatic trauma
Conclusions Non-operative measures should be attempted in a select group of grade III&IV blunt pancreatic trauma. In hemodynamically stable patients with a controlled leak walled off as a pseudocyst without associated organ injuries and pancreatic necrosis, NOM has a higher success rate. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 10, 2016 Category: Journals (General) Source Type: research

Differentiating Graves ’ Disease from Subacute Thyroiditis Using Ratio of Serum Free Triiodothyronine to Free Thyroxine
Conclusions FT3/FT4 ratio of >4.4 (10−2 pg/ng) may help in differentiating the cause of thyrotoxicosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 9, 2016 Category: Journals (General) Source Type: research

The role of oncoplastic breast conserving treatment for locally advanced breast tumors. A matching case-control study
Conclusion This study corroborates the fact that OS is a safety procedure for LABC, offering the similar oncologic results observed in patients submitted to classic BCS. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 5, 2016 Category: Journals (General) Source Type: research

Mixed pyolaryngocele: uncommon presentation of deep spaces neck infection
We report a case of 45 years old male patient with five-week history of neck swelling, dysphonia, mild dyspnea and odynophagia. An urgent C.T scan showed a mixed pyolaryngocele. The management consisted high dose antibiotic and an excision of the residual laryngocoele via an external approach. Discussion and conclusion A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. Excision of the laryngocoele, still the best treatment option to prevent this complication and recurrence. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 4, 2016 Category: Journals (General) Source Type: research

Well-promising outcomes with vacuum-assisted closure in an infected wound following laparotomy: A case report
Conclusion The simultaneous use of instillation and constant pressure seemed to be superior in comparison with NPWT alone. Compared to conventional methods, the use of VAC ends to better outcomes, in cases of infected wounds following laparotomy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 4, 2016 Category: Journals (General) Source Type: research