Pericardial Salmonella with Cardiac Tamponade and Ventricular Wall Rupture: A Case Report
Discussion In our review of literature, only 19 cases of NTS pericarditis have been reported. Prior to our case, salmonellosis resulting in ventricular rupture has been reported once. Early diagnosis and treatment is crucial in minimizing morbidity and mortality. Clinical suspicion based on electrocardiogram and hemodynamic assessment is critical in suspecting pericardial effusion in a patient with nonspecific symptoms and Salmonella bacteremia. The key to recovery involves aggressive treatment, including pericardiectomy and antibiotic treatment. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 29, 2016 Category: Journals (General) Source Type: research

Inhibition of early AAA formation by aortic intraluminal pentagalloyl glucose (PGG) infusion in a novel porcine AAA model
Conclusion In our model, intraluminal delivered PGG is able to penetrate the aortic wall from the inside and impair the early AAA development by stabilizing the elastic lamellae and preserving their integrity. The principle holds a high clinical potential if it can be translated to human conditions, since it, if so, potentially could represent a new drug for stabilizing small abdominal aneurysms. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 23, 2016 Category: Journals (General) Source Type: research

Mixed squamous cell and glandular papilloma of the lung resembling early adenocarcinoma: A case report
Conclusion Both pre- and intraoperative diagnoses may be difficult mainly because of the rareness of the disease. The diagnosis of mixed squamous cell and glandular papilloma should be considered in case the presence of adenocarcinoma is not totally ruled out. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 23, 2016 Category: Journals (General) Source Type: research

Comparing open gastrostomy tube to percutaneous endoscopic gastrostomy tube in heart transplant patients
Conclusions This is the largest reported study to date comparing outcomes between PEG and OGT in heart transplant patients. PEG does not confer any advantage over OGT in this patient population with respect to morbidity, mortality, and length of stay. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 19, 2016 Category: Journals (General) Source Type: research

A case of cecal volvulus mimicking Ogilvie Syndrome in a hospitalized patient with a pelvis fracture
Conclusion Cecal volvulus and Ogilvie syndrome display overlapping clinical features at their time of presentation and need to be carefully distinguished. By uncertainty, an exploratory laparotomy should always be performed, in view of the reported high mortality rate of cecal volvulus if surgery is delayed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 19, 2016 Category: Journals (General) Source Type: research

Effectiveness and Properties of the biological prosthesis Permacol™ in pediatric surgery: A large single center experience
Conclusions In accordance with the few data (case reports and case series) reported in literature about pediatric patients, our experience in different pathologies and applications has shown the effectiveness of Permacol™, in particular for the non-occurrence of infections, that often affect the use of prosthesis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 12, 2016 Category: Journals (General) Source Type: research

Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection
Conclusion We reported a patient with Iliopsoas tendinitis after revision THA requiring two-level iliopsoas muscle transection. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 10, 2016 Category: Journals (General) Source Type: research

An audit on the use of chaperones during intimate patient examinations
Conclusion A chaperone should be offered to all patients who undergo an intimate examination. The identity of the chaperone or decline by a patient should be documented within their medical notes. Our team have demonstrated how effective an audit tool is to improve compliance to guidelines, patient safety and care. A further audit will be undertaken once our surgical proformas have been redesigned to incorporate an area for the chaperone to sign and we encourage other surgical units to do the same. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 10, 2016 Category: Journals (General) Source Type: research

Long Term Follow Up after Resection Emphasizes the Role of Surgery in Primary Hepatic Epithelioid Hemangioendothelioma
Conclusions Only surgery can provide cure in HEH. If the extent of the disease prohibits primary resection liver transplantation might offer the most valuable option. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 10, 2016 Category: Journals (General) Source Type: research

Evaluation of the minimally invasive parathyroidectomy in patients with primary hyperparathyroidism: A Retrospective Cohort Study
Conclusions In MIBI-negative patients with indications for surgery, MIP should not be carried out without a clear localization of SA, or in MGD. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 10, 2016 Category: Journals (General) Source Type: research

The cost of trauma operating theatre inefficiency
This study found delays in operating TT to represent a sizable cost, with potential efficiency savings based on TT of £347,327/theatre/year. Further study of a larger sample is warranted to better evaluate the identified trends. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 6, 2016 Category: Journals (General) Source Type: research

Ogilvie Syndrome versus caecal Volvulus in a hospitalized patient with a pelvis fracture
CONCLUSION Cecal volvulus and Ogilvie syndrome display overlapping clinical features at their time of presentation and need to be carefully distinguished. By uncertainty, an exploratory laparotomy should always be performed, in view of the reported high mortality rate of cecal volvulus if surgery is delayed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 3, 2016 Category: Journals (General) Source Type: research

Failure to rescue patients from early critical complications of oesophagogastric cancer surgery
Publication date: Available online 2 March 2016 Source:Annals of Medicine and Surgery Author(s): Elroy P. Weledji, Vincent Verla ‘Failure to rescue’ is a significant cause of mortality in gastrointestinal surgery. Differences in mortality between high and low-volume hospitals are not associated with large difference in complication rates but to the ability of the hospital to effectively rescue patients from the complications. We reviewed the critical complications following surgery for oesophageal and gastric cancer, their prevention and reasons for failure to rescue. Strategies focusing on perioperative op...
Source: Annals of Medicine and Surgery - March 3, 2016 Category: Journals (General) Source Type: research

Open repair of large abdominal wall hernias with and without components separation; an analysis from the ACS-NSQIP database
Conclusions Components separation technique for large incisional hernias significantly increases length of stay and postoperative morbidity. Novel strategies to improve short-term outcomes are needed with continued use of this technique. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 3, 2016 Category: Journals (General) Source Type: research

Reexpansion pulmonary edema after surgery for spontaneous pneumothorax in a patient with anorexia nervosa
Conclusion We present a case of RPE after VATS for spontaneous pneumothorax in a patient with AN. Malnutrition owing to AN results in critical complications such as RPE. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 3, 2016 Category: Journals (General) Source Type: research

Role of MicroRNAs in Carcinogenesis that potential for biomarker of Endometrial Cancer
This study was found three miRNA that plays a role in the development of endometrial cancer. The hsa-miR-495 and hsa-miR-152 were repressed in endometrial cancer compared to normal tissue. The microRNA regulate genes that control proliferation and cell survival. Moreover, hsa-miR-181d was upregulated to control expression a tumor suppressor gene, PTEN to protect the cancer cell from apoptosis. Further investigation to validate the function of the miRNA is a warrant for developing biomarkers of endometrial carcinoma. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 29, 2016 Category: Journals (General) Source Type: research

A technique for marking oncological breast tissue specimens
Publication date: Available online 24 February 2016 Source:Annals of Medicine and Surgery Author(s): Jaison Patel, Stephanie Jenkins (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 25, 2016 Category: Journals (General) Source Type: research

A randomised controlled trial of mini incision or conventional incision for saphenous vein harvesting in patients undergoing myocardial revascularization
Conclusion Coronary artery bypass surgery with mini-incision for saphenectomy, demonstrated a lower rate for preoperative complications when compared to saphenectomy under conventional incision procedures. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 17, 2016 Category: Journals (General) Source Type: research

Comparing the Surgical Timelines of Military and Civilians Traumatic Lower Limb Amputations
This study identified that military patients were treated for longer in critical care and required more surgical interventions for their amputations. Despite this, their time to stump closure and length of stay were not statistically different compared to civilian patients. Such observations reflect the importance of an Orthoplastic approach, as well as daily surgical theatre co-ordination and weekly multi-disciplinary meetings in providing optimal care for these complex patients. This study reports the epidemiological observed differences between two lower limb trauma groups. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 16, 2016 Category: Journals (General) Source Type: research

Whole clavicle sequestration from chronic osteomyelitis in a 10 year old boy: a case report and review of the literature
Publication date: Available online 15 February 2016 Source:Annals of Medicine and Surgery Author(s): Agu Thaddeus Chika, Mathew E. Orjiaku Chronic osteomyelitis is a childhood disease and so it is not uncommon to diagnose it in a 10 year old boy who is suffering from pains and discharging sinuses from the left shoulder girdle. What is not common is the involvement of the clavicle in this infective process and even more uncommon is for the whole length of the clavicle to sequester. This case report describes a rare case of chronic osteomyelitis of the left clavicle in which the entire length was removed as a sequestrum ...
Source: Annals of Medicine and Surgery - February 16, 2016 Category: Journals (General) Source Type: research

An Unusual Case of Intraabdominal Abscess and Acute Abdomen Caused by Axial Torsion of a Meckel's Diverticulum
Conclusion Although MD is known as a pediatric disease, it is likely to occur in adults as well. Axial torsion of Meckel’s diverticulum should be kept in mind the adults presenting with symptoms of acute abdomen. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 11, 2016 Category: Journals (General) Source Type: research

Focused Parathyroidectomy without Intra-operative Parathormone Monitoring: The Value of PTH Assay in Preoperative Ultrasound Guided Fine Needdle Aspiration Washout
Conclusions The higher level of PTH in preoperative ultrasound guided FNA washout is a considerable data to predict the correct localization of HP, particularly in circumstances of greater values than the serum PTH level. However, although its specificity is high, in cases of coexisting nodular thyroid disease, associated additional HP might be missed at focused parathyroidectomy without PTH monitoring, leading to recurrent disease. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 10, 2016 Category: Journals (General) Source Type: research

Chronic rhino-orbito-cerebral mucormycosis: A case report and review of the literature
Publication date: Available online 6 February 2016 Source:Annals of Medicine and Surgery Author(s): Gutiérrez-Delgado Eva M, Treviño-González José Luis, Montemayor-Alatorre Adolfo, Ceceñas-Falcón Luis Angel, Ruiz-Holguín Eduardo, Andrade-Vázquez Catalina Janette, Lara-Medrano Reynaldo, Ramos-Jiménez Javier (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 7, 2016 Category: Journals (General) Source Type: research

Diaphragmatic hernia following oesophagectomy for oesophageal cancer – Are we too radical?
Conclusion This case series investigated the recommended extent of hiatal dissection in oesophageal surgery. Currently there is no clear guidance available on this subject and further studies are needed to ascertain the optimum resection margin that results in the best balance of oncological parameters vs. post operative morbidity. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 6, 2016 Category: Journals (General) Source Type: research

Early combined parenteral and enteral nutrition for pancreaticoduodenectomy – Retrospective cohort analysis
Conclusion This is the first European study of ECPEN after PD. ECPEN is safe and, especially in combination with NCJ, provides comprehensive coverage of caloric requirements during the postoperative phase. Clinical controlled trials are needed to investigate potential benefits of complete energy supplementation during the early postoperative phase after PD. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 4, 2016 Category: Journals (General) Source Type: research

Jejunoileal Diverticulosis, a Rare Cause of Ileal Perforation – Case Report
Conclusion JID remains underdiagnosed. When it presents as an acute complication it may require immediate surgical intervention. In an elderly person, especially with known gastrointestinal diverticulosis, one must have a high index of suspicion for perforation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 4, 2016 Category: Journals (General) Source Type: research

Factors associated with burnout among residents in a developing country
Conclusion High levels of burnout are prevalent among trainee doctors in our part of the world which are comparable with international literature. Efforts to improve the work environment of residents may significantly reduce levels of burnout. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - February 3, 2016 Category: Journals (General) Source Type: research

Occult pulmonary lymphangitic carcinomatosis presenting as 'chronic cough' with a normal HRCT chest
We present a patient with a 3 month history of CC who had an extensive workup including a normal high resolution computed tomography of the chest (HRCT) 6 weeks prior to consultation at our center. He subsequently developed constitutional symptoms including weight loss and loss of appetite 5 weeks after initial consultation. A repeat HRCT chest and a subsequent whole body PET scan found that he had developed extensive pulmonary lymphangitic carcinomatosis (PLC) from a colon primary. Treatment of the colon cancer resulted in significant decrease in metastatic disease burden and cough resolution. PLC is a very rare cause of ...
Source: Annals of Medicine and Surgery - February 1, 2016 Category: Journals (General) Source Type: research

Creation of the Ideal Gastric Tube: Comparison of Three Methods: A Prospective Cohort Study
Conclusion We hypothesize that by using radial type staplers, we can create a durable gastric tube and reduce the number of staplers and therefore reduce operative cost. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 27, 2016 Category: Journals (General) Source Type: research

Is performing lobectomy after the use of bevacizumab for a lung tumor dangerous?
In this report, we describe two patients who underwent surgery safely without fragile pathological findings of the vessels. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 27, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “Is cold therapy really efficient after knee arthroplasty?”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 1 on “An audit into the management of chronic anal fissure”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Tim Gabe Williams (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “Corneal oedema after phacoemulsification in the early postoperative period: A qualitative comparative case–control study between diabetics and non-diabetics”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “Giant lipoma of the back affecting quality of life”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “An audit into the management of chronic anal fissure”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Guido Alsfasser (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 1 on “corneal oedema after phacoemulsification in the early postoperative period: A qualitative comparative case–control study between diabetics and non-diabetics”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Terry John Evans (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “Laparo- and thoracoscopic aortic aneurysm neck optimization and treatment of potential endoleaks type IA and II in a porcine model”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Francisco Mateo Vallejo (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 1 on “Laparo- and thoracoscopic aortic aneurysm neck optimization and treatment of potential endoleaks type IA and II in a porcine model”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Tim Gabe Williams (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 2 on “A cost-minimization analysis of first intention laparoscopic compared to open right hemicolectomy for colon cancer”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Sergio A. Acuna (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Peer review report 1 on “Pharmacogenetics and anaesthetic drugs: Implications for perioperative practice”
Publication date: January–June 2016 Source:Annals of Medicine and Surgery, Volume 5, Supplement 1 Author(s): Deva Jayakumar (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Transanal drainage tube reduces rate and severity of anastomotic leakage in patients with colorectal anastomosis: A case controlled study
Conclusions Placement of a transanal drainage tube in patients with colorectal anastomoses is a safe and simple technique to perform and reduces anastomotic leakage, the severity of the complication and hospital stay. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 26, 2016 Category: Journals (General) Source Type: research

Case report of an anal adenocarcinoma arising from a perineal lump
We report our diagnosis and management of a patient who presented with a large perineal lump with a long-standing history of perianal fistulous disease. This was initially evaluated with a Magnetic Resonance Imaging, and the diagnosis was confirmed with biopsy. Multimodality treatment with chemoradiotherapy and surgery should be offered to achieve the best outcomes. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Gadoxetate Disodium enhanced spectral dual-energy CT for evaluation of cholangiocarcinoma: Preliminary data
Conclusion In this small pilot population, evaluation of potential hilar/perihilar cholangiocarcinoma using dual energy CT at both the single FDA-approved dose and double dose of gadolinium demonstrated observed differences in attenuation between the hepatic parenchyma and lesions. However, small sample size and heterogeneity of lesions warrants further investigation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Clinical audit of ankle fracture management in the elderly
Conclusions Poor bone quality and associated co-morbidity can present technical difficulties when managing patients surgically. However, our results have shown considerably improved anatomical reduction rates following internal fixation in eligible patients, irrespective of age or gender. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Diaphragmatic hernia following oesophagectomy for oesophageal cancer - are we too radical?
Conclusion This case series investigated the recommended extent of hiatal dissection in oesophageal surgery. Currently there is no clear guidance available on this subject and further studies are needed to ascertain the optimum resection margin that results in the best balance of oncological parameters vs. post operative morbidity. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Subtotal gastrectomy with conventional D2 lymphadenectomy for carcinoma of the distal gastric portion: a retrospective cohort study on clinical outcomes
Conclusions A R0 type distal subtotal gastrectomy with standard D2 lymphadenectomy for a histologically proven invasive adenocarcinoma of the distal gastric portion without distant metastasis offers acceptable postoperative morbidity and mortality, and considerably high overall cumulative 5-year survival rate. The probability of cumulative survival decreases five times when the ratio between metastatic and examined lymph nodes is > 0.25. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Colorectal cancer survival in Jamaica
Conclusions Long-term survival from colorectal cancer remains poor with only about 33% of patients being alive five years after their diagnosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

How to Approach Supervisors for Research Opportunities
Publication date: Available online 22 January 2016 Source:Annals of Medicine and Surgery Author(s): Daniyal J. Jafree, Katharine Whitehurst, Shivanchan Rajmohan With appropriate planning and a carefully constructed email, you will be surprised by the number of prestigious academics who would be interested to take you on for research opportunities. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Use of bioabsorbable staple reinforcement material in side-to-side anastomoses: Suture line reinforcement of the weak point of the anastomosis
Conclusion These findings suggest that the use of NeoveilⓇ as a buttressing material is associated with reinforced staple lines and increased crotch burst pressures compared to non-buttressed staple lines. NeoveilⓇ was found to perform comparably to clinically available buttress materials in this ex vivo model. Reinforcement of the weak point of the side-to-side anastomosis with NeoveilⓇmay lead to fewer anastomotic leaks. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 23, 2016 Category: Journals (General) Source Type: research

Stapled versus hand-sewn cervical esophagogastric anastomosis in patients undergoing esophagectomy: A Retrospective Cohort Study
Conclusion Both hand sewn and stapled anastomotic techniques are equally effective way of performing a cervical esophagogastric anastomosis. However, patients having anastomotic leak develop anastomotic stricture more often in those having hand-sewn anastomosis compared to stapled anastomosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 16, 2016 Category: Journals (General) Source Type: research