Gender (and other) equity, diversity and inclusion in surgery
PMID: 31549798 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Harvey EJ, Ball CG Tags: Can J Surg Source Type: research

Égalité entre les sexes (et autres identités), diversité et inclusion en chirurgie
Égalité entre les sexes (et autres identités), diversité et inclusion en chirurgie Can J Surg. 2019 Oct 01;62(5):293 Authors: Harvey EJ, Ball CG PMID: 31549799 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Harvey EJ, Ball CG Tags: Can J Surg Source Type: research

Patient willingness to contribute to the cost of novel implants in total joint arthroplasty: the Canadian experience
Conclusion: This study demonstrated that up to 62% of our sample of patients in Ontario were willing to share the costs of a novel total joint replacement implant. Willingness to pay was associated with the proposed benefits of the implant and certain patient characteristics. Our study shows that a high proportion of Canadian patients may be willing to copay to have access to new technologies. PMID: 31550090 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Fuhrmann A, Batash R, Schwarzkopf R, Backstein D Tags: Can J Surg Source Type: research

Impact of preoperative mental health status on functional outcome 1 year after total hip arthroplasty
Abstract Background: The aim of this prospective cohort study was to determine the effect of preoperative mental health status on functional outcome 1 year after total hip arthroplasty (THA). Methods: Data were collected for 677 patients from a randomized controlled trial in Alberta who received primary THA between April 2005 and June 2006 (sex, age, body mass index [BMI], comorbidities, back pain and need for another lower limb arthroplasty procedure within 1 yr after surgery). The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and 36-Item Short Form Health Survey (SF-36) mental health ...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Jaiswal P, Railton P, Khong H, Smith C, Powell J Tags: Can J Surg Source Type: research

Predictive factors for diabetes remission after bariatric surgery
Abstract Background: Bariatric surgery has been shown to induce type 2 diabetes mellitus (T2DM) remission in severely obese patients. After laparoscopic Roux-en-Y gastric bypass (LRYGB), diabetes remission occurs early and independently of weight loss. Previous research has identified preoperative factors for remission, such as duration of diabetes and HbA1c. Understanding factors that predict diabetes remission can help to select patients who will benefit most from bariatric surgery. Methods: We retrospectively reviewed all T2DM patients who underwent laparoscopic sleeve gastrectomy (LSG) or LRYGB between Ja...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Dang JT, Sheppard C, Kim D, Switzer N, Shi X, Tian C, de Gara C, Karmali S, Birch DW Tags: Can J Surg Source Type: research

Association between socioeconomic deprivation and surgical complications in adults undergoing ankle fracture fixation: a population-based analysis
Abstract Background: Few studies have investigated the outcomes of surgical fracture care among socially deprived patients despite the increased incidence of fractures and the inequality of care received in this group. We evaluated whether socioeconomic deprivation affected the complications and subsequent management of marginalized/homeless patients following surgery for ankle fracture. Methods: In this retrospective, population-based cohort study involving 202 hospitals in Ontario, Canada, we evaluated 45 444 patients who underwent open reduction and internal fixation (ORIF) for ankle fracture performed by ...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Wolfstadt JI, Pincus D, Kreder HJ, Wasserstein D Tags: Can J Surg Source Type: research

The fate of laparoscopic adjustable gastric band removal
Conclusion: The number of LAGB removals is increasing. Revision bariatric surgery leads to improved weight loss; however, revision surgery is associated with complications. PMID: 31550094 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Falk V, Sheppard C, Kanji A, Birch D, Karmali S, de Gara C Tags: Can J Surg Source Type: research

Tumour budding predicts increased recurrence after curative resection for T2N0 colorectal cancer
This study aimed to determine the prognostic value of tumour budding in pT2N0 colorectal cancer. Methods: This was a retrospective cohort study with prospective assessment of tumour budding by 2 pathologists. We included all patients who underwent elective curative resection for pT2N0 colorectal cancer except those with hereditary colorectal cancer syndromes, inflammatory bowel disease or positive resection margins, those who received neoadjuvant or adjuvant therapy and those who died within 90 days of operation. Patients were classified as having high-grade tumour budding (≥ 10 budding foci per high-power field) o...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Garfinkle R, Lee L, Boutros M, Cardin MJ, Spatz A, Morin N Tags: Can J Surg Source Type: research

How accurate are we? A comparison of resident and staff physician billing knowledge and exposure to billing education during residency training
Abstract Background: Practice management is an overlooked and undertaught subject in medical education. Many physicians feel that their exposure to billing education during residency training was inadequate. The purpose of this study was to compare resident and staff physicians in terms of their billing knowledge and exposure to billing education during residency training. Methods: Senior residents and staff physicians completed a scenario-based clinical billing assessment. Posttest surveys were completed to determine exposure to practice management and billing education during training. Results: A total...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Austin RE, von Schroeder HP Tags: Can J Surg Source Type: research

Selective nonoperative management of penetrating abdominal trauma at a level 1 Canadian trauma centre: a quest for perfection
Conclusion: Our study demonstrates a high rate of compliance with the EAST SNOM guidelines, including minimal failure rate of SNOM and an efficient use of resources as demonstrated by reduced length of stay and minimal use of reimaging. We identified 2 opportunities for improvement: improved use of luminal contrast CT in patients with flank/back wounds and improved use of diagnostic laparoscopy in patients with left thoracoabdominal wounds. PMID: 31550102 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Habashi R, Coates A, Engels PT Tags: Can J Surg Source Type: research

Association of recreational drug consumption, cardiac toxicity and heart transplantation
We report the cases of 3 young patients who were hospitalized for cardiogenic shock. All were bridged to transplantation with implantation of a left ventricular assist device (LVAD). They underwent uneventful heart transplantation. The patients did not have any significant personal or family medical history, but all admitted consuming large quantities of recreational drugs daily. Histological examination of the native heart did not show any inflammation or infiltrative myocardial disease. In this series of young patients presenting in cardiogenic shock with minimal histologic findings on examination of the native hearts, t...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Carrier M, Giraldeau, G, Parent MC, Ducharme A Tags: Can J Surg Source Type: research

A survey of Canadian breast health professionals ’ recommendations for high-risk benign breast disease
A survey of Canadian breast health professionals’ recommendations for high-risk benign breast disease Can J Surg. 2019 Oct 01;62(5):358-360 Authors: Kappel C, Seely J, Watters J, Arnaout A, Cordeiro E Abstract Summary: The management of high-risk benign breast disease (BBD) is changing because of improvements in radiological and pathological analysis. We sought to determine the current practice recommendations of breast health professionals in managing patients with high-risk BBD. We surveyed members of the Canadian Society of Surgical Oncology, Canadian Association of General Surgeons and Canad...
Source: Canadian Journal of Surgery - September 26, 2019 Category: Surgery Authors: Kappel C, Seely J, Watters J, Arnaout A, Cordeiro E Tags: Can J Surg Source Type: research

Bethune Round Table 2019 Conference on Global Surgery: Abstracts
Authors: PMID: 31433603 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - August 23, 2019 Category: Surgery Tags: Can J Surg Source Type: research

The importance of Canadian guidelines for cancer care
PMID: 31364829 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - August 1, 2019 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Pan-Canadian standards for cancer surgery
Abstract About the Canadian Partnership Against Cancer: The Canadian Partnership Against Cancer (CPAC) is an independent organization funded by the federal government to accelerate action on cancer control for all Canadians. As the steward of the Canadian Strategy for Cancer Control (the Strategy), the Partnership works with Canada’s cancer community to take action to ensure fewer people get cancer, more people survive cancer and those living with the disease have a better quality of life. This work is guided by the Strategy, which was refreshed for 2019 to 2029, and will help drive measurable change for all...
Source: Canadian Journal of Surgery - August 1, 2019 Category: Surgery Authors: Prashad A, Mitchell M, Argent-Katwala M, Daly C, Earle CC, Finley C Tags: Can J Surg Source Type: research

Surgeons as advocates for opioid control
PMID: 31348625 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Les chirurgiens pour le contr ôle des opioïdes
Les chirurgiens pour le contrôle des opioïdes Can J Surg. 2019 Aug 01;62(4):222-223 Authors: Ball CG PMID: 31348626 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Determining the appropriateness of requests for outpatient magnetic resonance imaging of the hip
s J Abstract Summary: In Ontario, Canada, wait times for magnetic resonance imaging (MRI) scans continue to exceed provincial targets. We sought to determine the incidence of inappropriate hip MRI scan referrals, based on accepted indications for hip MRI. We developed an algorithm to appraise each MRI referral based on a prescan patient questionnaire and the interpretation of the MRI by a musculoskeletal radiologist. After reviewing 84 patient questionnaires, we considered 32.1% of MRI referrals to be inappropriate; 25.9% of the inappropriate MRI referrals were ordered as a preoperative test for potential hip arth...
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Manta A, O’Grady J, Bleakney R, Theodoropoulos J Tags: Can J Surg Source Type: research

Teaching simulated arthroscopic Bankart repair: residents ’ assessment at the Annual Shoulder Course
This study’s aim was to evaluate the performance of senior orthopedic residents during simulated arthroscopic anterior stabilization (Bankart repair) before and after a national shoulder review course. Methods: Participants were assessed before and after the Annual Shoulder Review Course over a 3-day period, using a multiple-choice examination and surgery performance assessment. The surgical evaluation was completed by fellowship-trained surgeons using a standardized procedure checklist and a global rating scale. All Canadian senior orthopedic residents were invited to participate in the course. Results: Th...
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Rouleau DM, Bedard R, Canet F, Petit Y, Canadian Shoulder and Elbow Society Tags: Can J Surg Source Type: research

The impact of a new hepatopancreatobiliary surgery program on the management of pancreatic cancer at Health Sciences North
Abstract Background: Centralization of specialist services to urban centres presents a challenge to patients living in rural communities. The hepatopancreatobiliary surgery (HPB) program at Health Sciences North (HSN) is the tenth and newest HPB centre by Cancer Care Ontario and presents a unique opportunity to evaluate the barriers to delivering HPB cancer care to patients in northern Ontario. Methods: We retrospectively reviewed the cases of patients referred to the Northeastern Ontario Cancer Centre and HSN with a pancreatic cancer diagnosis between 2009 and 2015. July 2013 marked the inception of the HPB ...
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Hartford L, Doucet V, Ramkumar J, Leslie K, Shum J, Asai K Tags: Can J Surg Source Type: research

Burnout, resilience and moral injury: How the wicked problems of health care defy solutions, yet require innovative strategies in the modern era
Abstract Summary: Physician burnout is an increasingly concerning issue that affects patient care, costs and the sustainability of our health care system. Burnout is not solely related to personal resilience; it is important to recognize the major role of the institution of health care in creating this wicked problem. Only this way can we fully understand the shared responsibility required to develop local strategies to tilt the fulcrum in our favour. PMID: 31348630 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Rozario D Tags: Can J Surg Source Type: research

Crash testing the dummy: a review of in situ trauma simulation at a Canadian tertiary centre
Conclusion: In situ trauma simulations are feasible in a Canadian centre and provide a safe environment to identify and rectify errors. PMID: 31348631 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Minor S, Green R, Jessula S Tags: Can J Surg Source Type: research

Long-term outcomes of total hip arthroplasty in patients younger than 55 years: a systematic review of the contemporary literature
Conclusion: Total hip arthroplasty in patients younger than 55 years provides reliable outcomes at up to 10 years. Future studies should evaluate the outcomes of THA in this population at 15–20 years’ follow-up. PMID: 31348632 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Mei XY, Gong YJ, Safir O, Gross A, Kuzyk P Tags: Can J Surg Source Type: research

Effect of Roux-en-Y gastric bypass on pharmacologic dependence in obese patients with type 2 diabetes
Abstract Background: More than half the diabetes-related health care costs in Canada relate to drug costs. We aimed to determine the effect of Roux-en-Y gastric bypass (RYGB) on the use of insulin and orally administered hypoglycemic medications in patients with diabetes. We also looked to determine overall cost savings with the procedure. Methods: We reviewed the bariatric clinic records of all patients with a confirmed diagnosis of type 2 diabetes mellitus who underwent RYGB between 2010/11 and 2014/15. Percentage estimated weight loss was recorded at 1 year, along with reductions in glycated hemoglobin (Hb...
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Sharples AJQ, Mullan M, Hardy K, Vergis A Tags: Can J Surg Source Type: research

Surgeon identification of pain catastrophizing versus the Pain Catastrophizing Scale in orthopedic patients after routine surgical consultation
Conclusion: Surgeons were not able to accurately identify patients with high levels of pain catastrophizing during routine initial consultation. In considering which patients may most benefit from interventions to improve coping and reduce catastrophizing, explicitly measuring pain catastrophizing will be required. PMID: 31348634 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Sabo MT, Roy M Tags: Can J Surg Source Type: research

Morbidity and mortality following pelvic ramus fractures in an older Atlantic Canadian cohort
Conclusion: The results suggest that there may be increased mortality and morbidity following low-energy pattern pelvic ramus fractures in an older population compared to age- and sex-matched uninjured control subjects. PMID: 31348635 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 29, 2019 Category: Surgery Authors: Hamilton CB, Harnett JD, Stone NC, Furey AJ Tags: Can J Surg Source Type: research

2019 Canadian Surgery Forum Abstracts.
Authors: PMID: 31328908 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 24, 2019 Category: Surgery Tags: Can J Surg Source Type: research

2019 Canadian Spine Society Abstracts
Authors: PMID: 31290642 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - July 11, 2019 Category: Surgery Tags: Can J Surg Source Type: research

Impact of acute care surgery on timeliness of care and patient outcomes: a systematic review of the literature
Conclusion: Development of standardized metrics and comprehensive EGS databases would support quality control and performance improvement in EGS systems. PMID: 31148441 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - June 1, 2019 Category: Surgery Authors: Vergis A, Metcalfe J, Stogryn SE, Clouston K, Hardy K Tags: Can J Surg Source Type: research

mHealth and the change it represents
PMID: 31134781 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 30, 2019 Category: Surgery Authors: Harvey EJ Tags: Can J Surg Source Type: research

La m édecine mobile et les changements qu’elle représente
La médecine mobile et les changements qu’elle représente Can J Surg. 2019 Jun 01;62(3):149 Authors: Harvey EJ PMID: 31134782 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 30, 2019 Category: Surgery Authors: Harvey EJ Tags: Can J Surg Source Type: research

The impact of delayed source control and antimicrobial therapy in 196 patients with cholecystitis-associated septic shock: a cohort analysis
Abstract Background: Cholecystitis-associated septic shock carries a significant mortality. Our aim was to determine whether timing of source control affects survival in cholecystitis patients with septic shock. Methods: We conducted a nested cohort study of all patients with cholecystitis-associated septic shock from an international, multicentre database (1996–2015). Multivariable logistic regression was performed to determine associations between clinical factors and in-hospital mortality. The results were used to inform a classification and regression tree (CART) analysis that modelled the associati...
Source: Canadian Journal of Surgery - May 30, 2019 Category: Surgery Authors: Karvellas CJ, Dong V, Abraldes JG, Lester EL, Kumar A Tags: Can J Surg Source Type: research

The road to gender equity in surgery is long
PMID: 31134785 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 30, 2019 Category: Surgery Authors: Tannenbaum E, Farrugia M Tags: Can J Surg Source Type: research

Author response to “the road to gender equity in surgery is long”
Author response to “the road to gender equity in surgery is long” Can J Surg. 2019 Jun 01;62(3):E4-E5 Authors: Acai A, Reid SE, Sonnadara RR PMID: 31134786 [PubMed - in process] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 30, 2019 Category: Surgery Authors: Acai A, Reid SE, Sonnadara RR Tags: Can J Surg Source Type: research

2019 Trauma Association of Canada Annual Scientific Meeting Abstracts
Authors: PMID: 31091053 [PubMed] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 17, 2019 Category: Surgery Tags: Can J Surg Source Type: research

2019 Canadian Society of Surgical Oncology Annual Scientific Meeting Abstracts
Authors: PMID: 31091054 [PubMed] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - May 17, 2019 Category: Surgery Tags: Can J Surg Source Type: research

Are morbidity and mortality conferences becoming a lost art?
PMID: 30907559 [PubMed] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Les revues de morbidit é et mortalité sont-elles un art qui se perd?
Les revues de morbidité et mortalité sont-elles un art qui se perd? Can J Surg. 2019 Apr 01;62(2):77 Authors: Ball CG PMID: 30907560 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Ball CG Tags: Can J Surg Source Type: research

Use of the Corail stem for revision total hip arthroplasty: evaluation of clinical outcomes and cost
Conclusion: We found similar clinical outcomes and significant institutional cost savings with a primary femoral stem in revision THA. This suggests a role for a primary femoral stem such as a collared, fully hydroxyapatite-coated stem for revision THA. PMID: 30907561 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Wood TJ, Alzahrani M, Marsh JD, Somerville LE, Vasarhelyi EM, Lanting BA Tags: Can J Surg Source Type: research

Relation between socioeconomic variables and surgical, systemic and radiation treatment in a cohort of patients with breast cancer in an urban Canadian centre
Conclusion: Employment consistently predicted systemic and radiation treatment, and age and income were predictors of breast reconstruction in a universal health care system. Further research is required to determine precisely how socioeconomic factors affect care and to minimize possible disparities in delivery of health care services. PMID: 30907563 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Li J, Cornacchi SD, Farrokhyar F, Johnston N, Forbes S, Reid S, Hodgson N, Lovrics, Lucibello K, Lovrics P Tags: Can J Surg Source Type: research

Predictors of dysplastic and neoplastic progression of Barrett ’s esophagus
Conclusion: Increased age, longer Barrett’s segment and presence of mucosal irregularities were associated with increased risk of dysplastic and neoplastic progression. In addition to dysplasia, these factors may help stratify patients according to risk of neoplastic progression and be used to individualize surveillance. More prospective studies with larger samples are required to validate these results. PMID: 30907564 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Alnasser S, Agnihotram R, Martel M, Mayrand S, Franco E, Ferri L Tags: Can J Surg Source Type: research

High-risk medications in older patients with trauma: a cross-sectional study of risk mitigation
Conclusion: Beers Criteria medications were not discontinued during trauma admissions. Using the Beers Criteria as a process indicator for quality improvement in trauma care may provide interdisciplinary trauma teams an opportunity to audit patient medications and stop potentially harmful medications in a vulnerable population. PMID: 30907565 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Lester E, Dykstra M, Grant C, Fawcett V, Tsang B, Widder S Tags: Can J Surg Source Type: research

Prevalence of obstructive sleep apnea in male patients with surgically treated maxillary and zygomatic fractures
Abstract Background: Midface fractures can cause airway obstruction and breathing disturbances. The purpose of the present study was to determine the prevalence of undiagnosed obstructive sleep apnea (OSA) among patients with surgically treated maxillary and zygomatic fractures. Methods: We retrospectively analyzed the medical records of 44 patients who had undergone surgical treatment of maxillary or zygomatic fractures between Jan. 1, 2003, and Dec. 31, 2013 at a single centre. All participants underwent polygraphy testing and were asked to complete the STOP (snoring, tiredness, observed apnea and high bloo...
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Lupi-Ferandin S, Galic T, Ivkovic N, Pecotic R, Dogas ` Tags: Can J Surg Source Type: research

Surgical site infection following abdominal surgery: a prospective cohort study
Abstract Background: Surgical site infection (SSI) is one of the most common complications of abdominal surgery and is associated with substantial discomfort, morbidity and cost. The goal of this study was to describe the incidence, bacteriology and risk factors associated with SSI in patients undergoing abdominal surgery. Methods: In this prospective cohort study, all patients aged 14 years or more undergoing abdominal surgery between Feb. 1 and July 31, 2016, at a single large academic hospital were included. Patients undergoing vascular, gynecological, urological or plastic procedures were excluded. Patien...
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Alkaaki A, Al-Radi OO, Khoja A, Alnawawi A, Alnawawi A, Maghrabi A, Altaf A, Aljiffry M Tags: Can J Surg Source Type: research

Does oxidized zirconium make a difference? Midterm cohort survivorship of symmetric posterior condyle posterior-stabilized total knee arthroplasty
Abstract Background: A novel symmetric posterior condylar design and option of a femoral component with an outer zirconium oxide layer were introduced to a successful asymmetric condylar total knee arthroplasty system in 2005. Given the paucity of information on this modified design, we performed a study to determine its early to midterm survivorship and performance. Methods: Patients who received the Genesis II Symmetric Posterior Condyle or Legion Primary total knee (cobalt–chromium [CoCr] or oxidized zirconium–niobium [OxZr]) (Smith & Nephew) implanted at the study centre between March 2007...
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Demcoe AR, Bohm ER, Hedden DR, Burnell CD, Turgeon TR Tags: Can J Surg Source Type: research

Effect of predicted travel time to trauma care on mortality in major trauma patients in Nova Scotia
Conclusion: Predicted travel times greater than 30 minutes were associated with worse outcomes for victims of MVCs and penetrating injuries. Improving communication across the trauma system and reducing prehospital times may help optimize outcomes for rural trauma patients. PMID: 30907993 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Tansley G, Schuurman N, Bowes M, Erdogan M, Green R, Asbridge M, Yanchar N Tags: Can J Surg Source Type: research

Laparoscopic colectomy: trends in implementation in Canada and globally
Abstract Summary: Comparisons with other high-income countries suggest that Canada has been slower to adopt laparoscopic colectomy (LC). The Canadian Association of General Surgeons sought to evaluate the barriers to adoption of laparoscopic colon surgery and to propose potential intervention strategies to enhance the use of the procedure. Given the clinical benefits of laparoscopic surgery for patients, the increasing needs for surgical care and the desire of Canadian general surgeons to advance their specialty and enhance the care of their patients, it is an important priority to improve the utilization of LC. ...
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Hoogerboord M, Ellsmere J, Caycedo-Marulanda A, Brown C, Jayaraman S, Urbach D, Cleary S Tags: Can J Surg Source Type: research

Deployment of second-generation resuscitative endovascular balloon occlusion of the aorta for unresponsive hypotension in a polytrauma patient
Abstract Summary: Noncompressible hemorrhagic control remains one of the most challenging areas in damage control medicine and continues to be a leading cause of preventable death. For decades, emergency thoracotomy or laparotomy and aortic cross clamping have remained the gold standard intervention. Recently, there has been a movement toward less invasive techniques for noncompressible hemorrhagic control, such as resuscitative endovascular balloon occlusion of the aorta (REBOA). The REBOA technique involves inflation of an endovascular balloon within the abdominal aorta proximal to the vascular injury to tempora...
Source: Canadian Journal of Surgery - March 27, 2019 Category: Surgery Authors: Paradis T, Bekdache O, Bracco D, Grushka J, Razek T, Lasry D, Beckett A Tags: Can J Surg Source Type: research

Complex abdominal wall hernias as a barrier to quality of life in cancer survivors
Conclusion: Our findings show the all-encompassing impact of a CAWH on the life of cancer survivors. They strongly suggest that hernia management should be viewed as an integral part in the continuum of cancer treatment to improve the quality of life of cancer survivors with hernias. PMID: 30900432 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 22, 2019 Category: Surgery Authors: Nenshi R, Bensimon C, Wood T, Wright F, Smith AJ, Brenneman F Tags: Can J Surg Source Type: research

Variability among Canadian pediatric surgeons and pediatric urologists in the management of cryptorchidism in boys before the publication of major guidelines: a retrospective review of a single tertiary centre
Abstract Background: Before 2014, there was a lack of recommendations on managing cryptorchidism, or undescended testis (UDT), from a large pediatric urological or surgical organization. We assessed the variability in management of UDT among pediatric urologists and pediatric surgeons at a single tertiary pediatric referral centre before publication of major guidelines. Methods: We performed a retrospective review of the electronic records of patients who underwent primary unilateral or bilateral orchidopexy at our centre between January 2012 and January 2014. Results: A total of 488 patients (616 testes...
Source: Canadian Journal of Surgery - March 22, 2019 Category: Surgery Authors: Kim JK, Chua ME, Ming JM, Lee MJ, Kesavan A, Kahn N, Langer JC, Lorenzo A, Bagli D, Farhat WA, Papanikolaou F, Koyle MA Tags: Can J Surg Source Type: research