Primary acinic cell carcinoma of the breast: A case report with a clinicopathological and immunohistochemical study of a rare breast cancer subtype
In this study, we perform a detailed morphologic and immunohistochemical description of cases of this rare entity and undertake a comprehensive review of all reported cases of breast acinic cell carcinoma in the English language literature to date. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Patient’s views of the consent process for groin hernia repair: Use of consent template improves compliance with best practice (Original research)
ConclusionsThe use of pre-printed consent and discharge summary templates improve compliance with best practice. Whilst patient preference favours consent in the outpatient clinic, satisfaction levels were high wherever consent was obtained. Patients should have more choice. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

First case report of bile leak from the duct of Luschka in a patient with mini-gastric bypass: The challenge of management
CONCLUSIONTo the best of our knowledge, this is the first case report of bile leak from duct of Luschka after mini-gastric bypass treated successfully with relaparoscopy and drainage. Herein we will discuss all the available options of treatment and the challenge of it. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 21, 2018 Category: General Medicine Source Type: research

Osteosarcoma of the Talus Treated with Extraarticular Resection “ Total Talectomy” and Reconstruction Using Fibular Bone Graft: A Case Report
ConclusionExtraarticular resection and reconstruction using fibular bone graftis a good technique for management of osteosarcoma of the talus. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 21, 2018 Category: General Medicine Source Type: research

Laparoscopic cholecystectomy using the PINPOINT® Endoscopic Fluorescence Imaging System with intraoperative fluorescent imaging for acute cholecystitis: a case report
We report on a laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) using the bright field/full-color fluorescence laparoscope system PINPOINT® (Novadaq, Mississauga, ON, Canada).The patient was an 85-year-old man who was diagnosed with moderate AC. Indocyanine green (ICG) was administered just before surgery, and we used only PINPOINT® to perform the LC. The advantage of this procedure is that it can be performed while viewing ICG fluorescence in the cystic duct. Since the gallbladder is imaged with this technique, it is also advantageous from the perspective of deciding at which layer to detach the gall...
Source: Annals of Medicine and Surgery - September 21, 2018 Category: General Medicine Source Type: research

Case report: Laparoscopic approach in the treatment of presacral lipoma
We present a case of retrorectal lipoma, 15 cm × 10 cm × 8 cm in size, treated by the laparoscopic approach. The preoperative magnetic resonance imaging visualised a mass, 12 cm × 6.7 cm × 8.6 cm in diameter, in the retrorectal space, spreading toward the left obturator foramen. Surgery was indicated due to exclude malignant process certainly, because it is difficult to differentiate lipoma from low-grade liposarcoma on non invasive imaging. Laparoscopic extirpation of the tumour was performed. The overall operative time was 80 min. The diagnosis of lipoma was established on histological examination...
Source: Annals of Medicine and Surgery - September 21, 2018 Category: General Medicine Source Type: research

Which is the correlation between carcinoid tumour and Laparoscopic Sleeve Gastrectomy? A case series and Literature review
Conclusionthere are neither certain data which evidence a correlation between obesity and GCT, nor data to support the hypothesis of a higher incidence of GCT after bariatric surgery. Based on our experience in obese patients the finding of GCT in the pre-operatory phase is not an absolute contraindication for bariatric surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

A Single Epitope of Epstein-Barr Virus Stimulates IgG Production in Mice
ConclusionsOur data suggest that this EBV GP350 epitope is able to induce IgG expression in vivo without causing allergic reactions, and represents a potential EBV vaccine candidate. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

A Novel Device in Parathyroid Autotransplantation for Patients with Secondary Hyperparathyroidism - Case Series
ConclusionApplication of the novel squeezing device is an economic, effective and safe way in endoscopic parathyroidectomy and autotransplantation for patients with secondary hyperparathyroidism. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

The use of ankle brachial pressure indices in a cohort of black African diabetic patients
ConclusionThe prevalence of PAD in diabetics measured by the ABI index was low and the majority in our setting had mild PAD and were asymptomatic. ABI could be used in patients with diabetes, but values should be interpreted with precision, according to the clinical situation as higher values are common. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

Health Literacy Assessment and Patient Satisfaction in Surgical Practice
ConclusionPatients on average were highly satisfied with provider communication in this outpatient surgical clinic. Higher education levels were associated with better health literacy and patients with both characteristics were more satisfied with provider communication. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

Neuromuscular electrical stimulation is ineffective for treating quadriceps muscle wasting with ruptured aneurysm: A case report
ConclusionNMES had no effect on quadriceps muscle wasting in a patient with ruptured middle cerebral artery aneurysms who had decreased CMAP amplitude in the peroneal nerve during the acute phase. NMES is not effective for patients with peripheral nerve conduction abnormalities. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 20, 2018 Category: General Medicine Source Type: research

Impact of Attitude and Knowledge on Intention To Breastfeed: Can mHealth Based Education Influence Decision to Breastfeed Exclusively?
ConclusionSaudi women have limited knowledge about exclusive breastfeeding and early initiation. They feel unprepared, unsupported, lack resources and socially challenged. An educational material utilizing mHealth can alter intentions to breastfeed exclusively. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 19, 2018 Category: General Medicine Source Type: research

Laparoscopic Roux-en-Y gastric bypass is as safe as laparoscopic sleeve gastrectomy. Results of a comparative cohort study
ConclusionsUnlike previous studies, we found no difference in early complication rates between LRYGB and LSG in a comparable cohort when performed by a surgeon with sufficient experience in bariatric surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 18, 2018 Category: General Medicine Source Type: research

Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries
ConclusionMajor issues when addressing cicatricial ectropion followed by severe burns are: right donor site selection, appropriate graft thickness with the least possible disturbance of the affected place vascularisation, followed by immediate grafting after debridement of scaring and unhealthy tissue, with generous preservation of the orbicularis muscle. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 18, 2018 Category: General Medicine Source Type: research

Optilene, a new non-absorbable monofilament is safe and effective for CABG anastomosis. OPTICABG - A prospective international, multi-centric, cohort study
ConclusionOptilene suture material represents a safe and effective alternative to existing sutures used in CABG surgery for anastomosis construction. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 16, 2018 Category: General Medicine Source Type: research

Recurrent diabetic myonecrosis –An under-diagnosed cause of acute painful swollen limb in long standing diabetics
Publication date: Available online 13 September 2018Source: Annals of Medicine and SurgeryAuthor(s): Sonali Gupta, Pradeep Goyal, Pranav Sharma, Priti Soin, Puneet S. KocharAbstractDiabetic myonecrosis (DMN) is an under-diagnosed complication of long-standing poorly controlled diabetes mellitus. It presents as abrupt pain and swelling of the extremity, mostly lower limbs. Diagnosis is often delayed as it mimics a number of clinical entities such as deep vein thrombosis (DVT), cellulitis, necrotizing fasciitis and malignancy. Failure to properly identify this condition can result in increased morbidity through exposure to u...
Source: Annals of Medicine and Surgery - September 14, 2018 Category: General Medicine Source Type: research

Editorial Board
Publication date: September 2018Source: Annals of Medicine and Surgery, Volume 33Author(s): (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 12, 2018 Category: General Medicine Source Type: research

Frequency of bloodstream infection in febrile neutropenic patients, Experience from a developing Country
ConclusionsIt is concluded that the frequency of staphylococcus aureus was 16%, E. coli was 14.5%, Pseudomonas 8.5% and Klebsiella 15.5% (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 12, 2018 Category: General Medicine Source Type: research

Title: Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries
CONCLUSIONMajor issues when addressing cicatricial ectropion followed by severe burns are: right donor site selection, appropriate graft thickness with the least possible disturbance of the affected place vascularisation, followed by immediate grafting after debridement of scaring and unhealthy tissue, with generous preservation of the orbicularis muscle. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 12, 2018 Category: General Medicine Source Type: research

Single-incision laparoscopic preperitoneal mesh repair of supra-pubic incisional hernia: A case report
CONCLUSIONSingle-incision laparoscopic preperitoneal mesh repair, offering good cosmetic results, might be useful for repair of supra-pubic incisional hernia. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 12, 2018 Category: General Medicine Source Type: research

Anorectal tuberculosis as a chronic rectal mass mimicking rectal prolapse in a child-a case report
Publication date: Available online 12 September 2018Source: Annals of Medicine and SurgeryAuthor(s): Kamal Pandit, Suman Khanal, Shekhar Bhatta, Andrew B. Trotter (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 12, 2018 Category: General Medicine Source Type: research

Pre-diagnostic delays caused by gastrointestinal investigations do not affect outcomes in pancreatic cancer – a retrospective cohort study
ConclusionDelays caused by pre-diagnostic GI investigations do not appear to contribute to the poor prognosis of pancreatic cancer. Recently updated NICE guidance recommends early ultrasound or CT in patients with GI symptoms and weight loss which may reduce delays in diagnosis. Screening tests in future may become cost effective and diagnose this condition at a curable stage which in turn may improve survival rates. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 11, 2018 Category: General Medicine Source Type: research

Posterior dislocation of a constrained total knee arthroplasty: A case report
CONCLUSIONHere, we report the first case, to our knowledge, of dislocation with a constrained prosthesis without any history of trauma. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 11, 2018 Category: General Medicine Source Type: research

A challenging case of laparoscopic synchronous bilateral adrenalectomy for Cushing’s disease. Case report
ConclusionLaparoscopic synchronous bilateral adrenalectomy is feasible and effective and should be considered also in patients with wide preoperative comorbidities and challenging intraoperative management, as long as the patient is meticulously studied preoperatively. An approach including a multidisciplinary team discussion is recommended. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 9, 2018 Category: General Medicine Source Type: research

Severe Hepatic Abscess: conservative treatment of multi-organ infection by Stenotrophomonas maltophilia. A case report
ConclusionAlthough SM is thought to be a nosocomial pathogen, it can be involved in severe systemic sepsis affecting different organs outside the hospital setting. Fortunately, the combination of tigecycline with TMP-SMX seems to be the best therapeutic option. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 7, 2018 Category: General Medicine Source Type: research

A rare case of nasal biphenotypic sino-nasal sarcoma in a young female
In conclusion, Biphenotypic Sino-nasal sarcoma is a very rare and newly diagnosed entity. However, it should be kept in mind while dealing with any suspicious nasal masses in patients especially in females. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 7, 2018 Category: General Medicine Source Type: research

Jejunal lymphangioma causing intussusception in an adult: An Unusual Case with Review of the Literature
ConclusionLymphangioma, although rare in the small bowel, is a possible cause of intussusception and should be considered on the differential of abdominal pain in adults. The pathogenesis of polycystic kidney disease has implications that could predispose to cystic development beyond the kidney, and more research into the genetic mechanism behind the disease is necessary to support or deny this claim. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - September 1, 2018 Category: General Medicine Source Type: research

Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adenocarcinoma of the sigmoid: Report of a case
ConclusionSimultaneous resection of synchronous adenocarcinoma of the cardia and the sigmoid is feasible and avoids possible progression of the untreated neoplasm during the interval between two separate resections, provided that a curative resection can be obtained for both diseases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 31, 2018 Category: General Medicine Source Type: research

Genetic diversity at the C-terminal domain of knob-associated histidine-rich protein (KAHRP) of Plasmodium falciparum isolates from Burundi, Eastern Africa
Publication date: Available online 29 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Ahmad Mardani, Hajar Ziaei Hezarjaribi, Mahdi Fakhar, Seyed Naser Emadi, Azadeh Rezaei-rad, Joseph Butore, Ndayikunda ClaudeteAbstractThe knob-associated histidine-rich protein (KAHRP) is an exported parasite protein and the major component of infected erythrocytes by Plasmodium falciparum. P. falciparum histidine-rich protein-1 (PfHRP-1) is docked by KAHRP, which this interaction plays a significant role in cytoadherence of the malaria protozoan to erythrocytes and pathogenicity. The most polymorphic region of the PfHRP-1 is ...
Source: Annals of Medicine and Surgery - August 31, 2018 Category: General Medicine Source Type: research

Massive encrustations as a consequence of longterm indwelling urethral catheter: a rare case report
Publication date: Available online 29 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Tika Ram Bhandari, Sudha Shahi, Naveen MahasethAbstractLongterm indwelling urethral catheter can cause several complications such as lower urinary tract infections, tissue damage, pain, hemorrhage and encrustation of catheter leading to blockage. A 55- year old male presented with suprapubic pain for three months owing to poorly draining Foley catheter. He had undergone surgery for bladder calculi two and half a years back. He had been discharged with Foley catheter. He did not show up at the hospital for two and half years. T...
Source: Annals of Medicine and Surgery - August 31, 2018 Category: General Medicine Source Type: research

Transection of the appendix and omentum following a seat belt injury; Case Report and Literature Review
ConclusionSince the introduction of seatbelt in the 1970s, fatalities from road traffic accidents have fallen by up to 60%. However, the seat belt itself is associated with a unique injury profile, including intestinal tears, perforations, and transections, collectively termed “the seatbelt syndrome”. Seat belt syndrome injuries may sometimes have a delayed presentation, thus repeated abdominal examination is recommended even if the patient is initially stable. Appendiceal transection is rare but may occur. A thorough inspection of the abdominal soft tissue to look for accompanying injuries is important if case...
Source: Annals of Medicine and Surgery - August 31, 2018 Category: General Medicine Source Type: research

Treatment of bilateral ovarian dysgerminoma with 11-year follow-up: A case report
ConclusionsDysgerminoma is a malignant neoplasm that, similar to other cancers, is easier to treat when diagnosed early. However, cures may be obtained even in advanced cases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 29, 2018 Category: General Medicine Source Type: research

A case of excessive femoral anteversion which caused instability of the medial collateral ligament of the knee joint
CONCLUSIONWe surgically treated the patient with knee joint valgus instability caused by excessive femoral anteversion and equinus foot and achieved a favorable outcome. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 29, 2018 Category: General Medicine Source Type: research

An uncommon cause for a non-healing cutaneous fistula in the parotid gland area - A case report
ConclusionEarly diagnosis and rapid treatment minimize patient discomfort and reduce the probability of further complications. The differential diagnosis of sinus tract of dental origin should be considered in any case of unclarified non-healing skin lesion in the head and neck area, especially if initial treatments have failed. An early interdisciplinary approach is essential. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 24, 2018 Category: General Medicine Source Type: research

Post hepatectomy liver failure – A comprehensive review of current concepts and controversies
Publication date: Available online 23 August 2018Source: Annals of Medicine and SurgeryAuthor(s): S. Ray, N.N. Mehta, A. Golhar, S. NundyAbstractPost hepatectomy liver failure (PHLF) comprises of a conundrum of symptoms and signs following major hepatic resections. The pathophysiology essentially revolves around disruption of the normal hepatocyte regeneration and disturbed liver homeostasis. Prompt identification of the pre-operative predictors of PHLF in the form of biochemical parameters and imaging features are of paramount importance for any hepatic surgeon and forms the cornerstone of its management. Treatment revolv...
Source: Annals of Medicine and Surgery - August 23, 2018 Category: General Medicine Source Type: research

Treatment of bilateral ovarian dygerminoma with 11-year follow-up: a case report
ConclusionsDysgerminoma is a malignant neoplasm that, similar to other cancers, is easier to treat when diagnosed early. However, cures may be obtained even in advanced cases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 21, 2018 Category: General Medicine Source Type: research

Voiceless disability: a worth case of bilateral infrainguinal testicular torsion in a patient with cerebropalsy
ConclusionIn the patients with intellectual disability, a control of the testicles, it should always be done, mostly in case of atypical behavior. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 21, 2018 Category: General Medicine Source Type: research

Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: retrospective case series of 145 patients
Publication date: Available online 20 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Robin Som, Nicky Seymour, Sri G. Thrumurthy, Sophia Khattak, Shivani Joshi, Paolo G. SorelliAbstractIntroductionEmergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes.MethodsA retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a stan...
Source: Annals of Medicine and Surgery - August 21, 2018 Category: General Medicine Source Type: research

Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report
ConclusionDue to potentially devastating consequences, early detection, adherence to standard operating procedures for peripheral venous access, management of aggressive patients, and meticulous teamwork must be upheld. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 21, 2018 Category: General Medicine Source Type: research

Simultaneous resection of an adenocarcinoma of the cardia and a synchronous adeonocarcinoma of the sigmoid: report of a case
ConclusionSimultaneous resection of synchronous adenocarcinoma of the cardia and the sigmoid is feasible and avoids possible progression of the untreated neoplasm during the interval between two separate resections, provided that a curative resection can be obtained for both diseases. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 20, 2018 Category: General Medicine Source Type: research

Unplanned Postoperative Reintubation Following General and Vascular Surgical Procedures: Outcomes and Risk Factors
Publication date: Available online 20 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Derrick Acheampong, Shanice Guerrier, Valentina Lavarias, David Pechman, Christopher Mills, William Inabnet, I. Michael LeitmanAbstractBackgroundUnplanned postoperative reintubation (UPR) is a marker for severe adverse outcomes following general and vascular surgery.Study designA retrospective analysis of 8809 adult patients, aged 18 years and older, who underwent major general and vascular surgery at a large single-center urban hospital was conducted from January 2013 to September 2016. Patients were grouped into those who ex...
Source: Annals of Medicine and Surgery - August 20, 2018 Category: General Medicine Source Type: research

Optimal surgical management in kidney and pancreas transplantation to minimise wound complications: a systematic review and meta-analysis
Publication date: Available online 18 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Sara Shahrestani, Hanh Minh Tran, Henry C. Pleass, Wayne J. HawthorneAbstractBackgroundImmunosuppression in transplant patients increases the risk of wound complications. However, an optimal surgical approach to kidney and pancreas transplantation can minimise this risk.Materials and MethodsWe performed a systematic review and meta-analysis to examine factors contributing to incisional hernia formation in kidney and pancreas transplant recipients. . Bias appraisal of studies was conducted via the Newcastle-Ottawa scale. We con...
Source: Annals of Medicine and Surgery - August 19, 2018 Category: General Medicine Source Type: research

An Uncommon Cause For A Non-Healing Cutaneous Fistula In The Parotid Gland Area- A Case Report
CONCLUSIONEarly diagnosis and rapid treatment minimize patient discomfort and reduce the probability of further complications. The differential diagnosis of sinus tract of dental origin should be considered in any case of unclarified non-healing skin lesion in the head and neck area, especially if initial treatments have failed. An early interdisciplinary approach is essential. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 18, 2018 Category: General Medicine Source Type: research

Posterior Shoulder Dislocation in a 10-Year-Old Child: Case Report
ConclusionPosterior shoulder dislocations are rare, and even more rare in children without fractures. It is easily missed and needs careful history taking, physical exam and correct x-ray view to reach the diagnosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 18, 2018 Category: General Medicine Source Type: research

A cohort study of prognostic factors associated with recurrence or metastasis of gastrointestinal stromal tumor (GIST) of stomach
Publication date: Available online 18 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Chairat Supsamutchai, Chumpon Wilasrusmee, Pitichote Hiranyatheb, Jakrapan Jirasiritham, Teerawut Rakchob, Pattawia Choikrua (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 18, 2018 Category: General Medicine Source Type: research

The business of medicine and surgery with medical aid: time for regulation and legislation?
Publication date: Available online 18 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Habib Noorbhai, Aslam NoorbhaiAbstractThe medical and surgical professions have dominated the health sciences for the past few centuries. As these disciplines evolve with practice, new methods, research, and the cost implications for both the healthcare practitioner and patient have increased substantially. The practice of medicine and other health science occupations have also evolved over the years due to the escalation of various diseases and mortality rates. It is however common knowledge that inadequate lifestyles coupled...
Source: Annals of Medicine and Surgery - August 18, 2018 Category: General Medicine Source Type: research

Increasing motivation and engagement in neurosurgery for medical students through practical simulation-based learning
ConclusionOur pilot neurosurgical workshop demonstrated the educational value of practical SBL learning for motivating students towards a surgical career. Homogeneous views across year of study and medical school underline the value of developing a unified strategy to develop and standardise undergraduate surgical teaching with a practical focus. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 17, 2018 Category: General Medicine Source Type: research

Risk factors contributing to cardiac events following general and vascular surgery
Publication date: Available online 8 August 2018Source: Annals of Medicine and SurgeryAuthor(s): Derrick Acheampong, Shanice Guerrier, Valentina Lavarias, David Pechman, Christopher Mills, William Inabnet, Percy Boateng, I. Michael LeitmanAbstractBackgroundCardiac events (CE) following surgery have been associated with morbidity and mortality. Defining risk factors that contribute to CE is essential to improve surgical outcomes.Study designThis was a retrospective study at a large urban teaching hospital for surgery performed from 2013 to 2015. Adult patients (≥18 years) that underwent general and vascular surgery were ...
Source: Annals of Medicine and Surgery - August 8, 2018 Category: General Medicine Source Type: research

Surgical strategy for suspected early gallbladder carcinoma including incidental gallbladder carcinoma diagnosed during or after cholecystectomy
ConclusionBecause of the ability to obtain full-thickness frozen biopsies during laparoscopic cholecystectomy, we could diagnose GBC intraoperatively, allowing for rapid diagnosis and tumor resection. We recommend developing a surgical treatment strategy for suspected early GBC in advance of cholecystectomy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 2, 2018 Category: General Medicine Source Type: research