Comparison of OnabotulinumtoxinA versus Sacral neuromodulation for refractory urinary urge incontinence: a systematic review and meta-analysis of randomized controlled trials
Both intradetrusor OnabotulinumtoxinA (BTX) and Sacral neuromodulation (SNM) as third-line therapies for urgency urinary incontinence (UUI) are increasingly being utilized. However, there are differences in preference between patients and medical personnel in clinical practice. This meta-analysis was designed to compare BTX versus SNM in treatment of UUI. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 8, 2018 Category: Surgery Authors: Heng-Li Niu, Yun-Hai Ma, Cheng-Jun Zhang Tags: Review Source Type: research

Trans-anal or Trans-abdominal total mesorectal excision? A systematic review and meta-analysis of recent comparative studies on perioperative outcomes and pathological result
Trans-anal total mesorectal resection (TaTME) is a novel approach for rectal cancer. However, the perioperative and pathological outcomes of this procedure remain controversial. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 8, 2018 Category: Surgery Authors: PuRun Lei, Ying Ruan, Xiaofeng Yang, Jiafeng Fang, Tufeng Chen Tags: Review Source Type: research

Management of distal radius fracture: a comparison of actual and theoretical treatments
The objective of this study was to explore whether there were any differences between the theoretical operative treatment of distal radius fractures according to AAOS guideline on basis of measurement of radiographs and the treatment they actually received in our institution. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 8, 2018 Category: Surgery Authors: Linzhen Xie, Chunhui Chen, Xianbin Yu, Wei Hu, Hua Chen, Liaojun Sun Tags: Original Research Source Type: research

Increasing the participation of medical students in surgical research: The Italian case and the role of research collaboratives
Research collaboratives represent an innovative and effective platform to deliver multicentric prospective studies that impact clinical practice. Over the past 10 years, student- and trainee-led surgical research collaboratives have flourished in the UK and allowed the completion of high-quality multicentre studies, with rapid recruitment of large numbers of patients [1]. Following this model, the first pan-European student- and trainee-led surgical research collaborative (EuroSurg) was established in 2015. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 7, 2018 Category: Surgery Authors: A. Sgr ò, A. Simioni, V. Farina, S. Pasquali, G. Pellino, F. Pata Tags: Letter to the Editor Source Type: research

Evaluation of Fowler –Stephens orchiopexy for high-level intra-abdominal cryptorchidism: A systematic review and meta-analysis
What Is Already Known On This Topic: Laparoscopy is the gold standard for accurate diagnosis of undescended intra-abdominal testes (IATs). Laparoscopy or primary orchiopexy, performed in a single stage, are both acceptable for low-level IATs. However, the surgical strategy for high-level IATs remains controversial. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 5, 2018 Category: Surgery Authors: Chengjun Yu, Chunlan Long, Yi Wei, Xiangliang Tang, Bin Liu, Lianju Shen, Xueyi Dong, Tao Lin, Dawei He, Shengde Wu, Guanghui Wei Tags: Review Source Type: research

Relationship between Clavien –Dindo classification and long-term survival outcomes after curative resection for gastric cancer: a propensity score-matched analysis
The impact of postoperative complications (POCs) on the long-term survival outcomes after curative resection for gastric cancer has seldom been reported. The purpose of this study was to evaluate the relationship between the severity of POCs and long-term survival outcomes after curative resection for gastric cancer. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 3, 2018 Category: Surgery Authors: Zhengyan Li, Bin Bai, Gang Ji, Jipeng Li, Qingchuan Zhao Tags: Original Research Source Type: research

Development of a Malawi Intensive care Mortality risk Evaluation (MIME) Model, a Prospective Cohort Study
Intensive care medicine can contribute to population health in low-income countries by reducing premature mortality related to surgery, trauma, obstetrical and other medical emergencies. Quality improvement is guided by risk stratification models, which are developed primarily within high-income settings. Models validated for use in low-income countries are needed. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 2, 2018 Category: Surgery Authors: Meghan Prin, Stephanie Pan, Clement Kadyaudzu, Guohua Li, Anthony Charles Tags: Original Research Source Type: research

#1 Reinforcement of Closure of Stoma Site (ROCSS) randomized controlled trial: A multicentre, international evaluation of biological mesh reinforcement of stoma (oral presentation)
Background: Closure of complex and contaminated abdominal wounds is challenging, with high complication rates, including wound dehiscence and incisional hernias. Stoma closure is a controlled example of such a wound. The Reinforcement of Closure of Stoma Site (ROCSS) trial aimed to assess whether a biologic mesh (collagen tissue matrix) safely reduces the incidence of stoma closure incisional hernias. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: J. Glasbey, the Reinforcement of Closure of Stoma Site (ROCSS) Collaborative and the West Midlands Research Collaborative Source Type: research

#2 Let ’s not talk about it: a conceptual study of surgical innovation (oral presentation)
Background: Effective evaluation and governance of surgical innovation is impeded by difficulties in defining surgical innovation. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: G. Birchley, R. Huxtable, J. Ives, J.M. Blazeby Source Type: research

#3 PIRRIST: A patient and public involvement (PPI) intervention to enhance recruitment and retention in surgical trials (oral presentation)
Background: Poor recruitment and retention are common challenges to the successful delivery of surgical trials. Patient and public involvement (PPI) has the potential to improve recruitment and retention in surgical trials but there have been few attempts to investigate this. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: J. Crocker, S. Rees, L. Locock, S. Petit-Zeman, A. Chant, S. Treweek, J. Cook, N. Farrar, K. Woolfall, J. Bostock, R. Harmston, A. Ferrey, R. Bulbulia Source Type: research

#4 Development and delivery of a standardised investigator training package for an IDEAL phase 3 multicentre interventional trial across low and middle income settings (oral presentation)
This study describes the development and delivery of a standardised investigator training package for an IDEAL phase 3 interventional surgical randomised trial across low and middle income countries (LMICs). (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: J. Glasbey Source Type: research

#5 Scottish Health Technologies Group Experience of Using IDEAL (oral presentation)
Background: The Scottish Health Technologies Group (SHTG) provides evidence-based advice to the Scottish NHS on the clinical and cost-effectiveness of health technologies, which are defined to include devices, diagnostics, medical and surgical procedures and organizational systems used in health and social care. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: J. Hislop, L. Gaianu, J. Harbour, J. Kelly, K. MacPherson, L. Thompson, E. Clifton Source Type: research

#6 Learning curve bias can significantly influence results of high quality surgical RCTs: the case of the Dutch D1-D2 trial (oral presentation)
Background: Learning curves are often observed after introduction of innovative surgical techniques, but it is currently unknown whether learning curves can influence the outcome of high quality surgical randomised controlled trials (RCTs). (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: F. Van Workum, G. Hannink, J.J. Bonenkamp, C. Van de Velde, I. Nagtegaal, M. Rovers, C. Rosman Source Type: research

#7 A systematic review of the ethical, legal and regulatory issues pertaining to surgical innovation (oral presentation)
Background: There are a number of ethical concerns when discussing surgical innovation including accountability, harms to patients and conflicts of interest. Whilst some preliminary research has been undertaken to conceptualise surgical innovation, and its identifiable ethical issues, and some discussion has arisen as a result of new surgical procedures going wrong, it is unclear if innovation has been discussed in sufficient detail. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: A. Toms Source Type: research

#8 Introducing innovative invasive procedures and devices into clinical practice: an in-depth analysis of NHS Trusts ’ New Invasive Procedure governance (oral presentation)
Background: The introduction of pharmaceutical products into clinical practice is strictly governed, however regulation surrounding new invasive procedures and devices is less clear. Invasive procedures and devices may be introduced with research approvals, and NHS Trusts may also allow introduction using local Trust policies. The latter have not been previously studied. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 1, 2018 Category: Surgery Authors: S. Cousins, H. Richards, J. Zahra, D. Elliott, K. Avery, H. Robertson, S. Paramasivan, N. Wilson, J. Mathews, Z. Tolkein, B. Main, N.S. Blencowe, R. Hinchliffe, J.M. Blazeby Source Type: research