Improving patient and staff safety by minimising radiation exposure during trauma surgery: A simple and validated predictive model
ConclusionThis study has demonstrated a workable and externally validated model for accurately predicting the likely radiation exposure using common and easily collectable variables. These models could be used to modify practuce and minimise the radiation exposure to patients and staff. (Source: The Surgeon)
Source: The Surgeon - August 14, 2019 Category: Surgery Source Type: research
The effect of tranexamic acid on wound complications in primary total Hip Arthroplasty: A meta-analysis
ConclusionTXA reduced blood loss and transfusion rates after primary THA surgery. It also reduced wound complication rates but the clinical significance of this needs further investigation through well designed and adequately powered RCTs. (Source: The Surgeon)
Source: The Surgeon - August 11, 2019 Category: Surgery Source Type: research
Prognosis following surgical resection versus local excision of stage pT1 colorectal cancer: A population-based cohort study
ConclusionsPatients with stage pT1 CRC undergoing formal surgery had a reduced risk of all-cause mortality compared with those treated by local excision only. However, this was not explained by a reduced risk of recurrence/disease-free survival or CRC death, and suggests that the observed benefits may simply reflect selection of a healthier patient population in the formal surgery group. (Source: The Surgeon)
Source: The Surgeon - August 10, 2019 Category: Surgery Source Type: research
A systematic review of the safety and efficacy of non-operative management in patients with high grade liver injury
ConclusionNon-operative management of liver trauma is safe and effective in hemodynamically stable patients with high-grade liver injury. It is associated with significantly lower mortality compared with operative management. More studies are required to evaluate complications of non-operative management in high-grade liver injury. (Source: The Surgeon)
Source: The Surgeon - August 7, 2019 Category: Surgery Source Type: research
Emergency laparotomy research methodology: A systematic review
ConclusionThe heterogeneity in EL research, demonstrated by this review must be considered when EL outcomes are compared. A standardized approach with respect to case definition, outcome measurement, and data analysis would provide for more valid and comparable evaluation of EL outcomes. Future EL research should include more patient centred outcomes (Source: The Surgeon)
Source: The Surgeon - July 23, 2019 Category: Surgery Source Type: research
Aberrant left hepatic arteries arising from left gastric arteries and their clinical importance
DiscussionSome of the studies included did not distinguish between the ‘‘replaced’’ and ‘‘accessory’’ ALHA (34.25%). Some surgical dissection techniques proved insufficient for the localization of other hepatic arteries. These results suggest that an accurate preoperative radiological evaluation is needed to localize replaced arteries. (Source: The Surgeon)
Source: The Surgeon - July 21, 2019 Category: Surgery Source Type: research
What can we learn from the last 20 years: A review of litigation trends in otolaryngology
ConclusionThese results highlight areas that local units can focus on to reduce their litigation burden. Targeted initiatives aimed at improving patient-clinician communication, the consent process and improving local organisational efficiency will address a significant proportion of claims. Re-examination of this data on a regular basis can serve as a useful adjunct in assessing the impact of quality improvement initiatives and implementation of best practiseswithin the speciality. (Source: The Surgeon)
Source: The Surgeon - July 20, 2019 Category: Surgery Source Type: research
Factors affecting the number of lymph nodes retrieved after colo-rectal cancer surgery: A prospective single-centre study
ConclusionBoth the surgical technique and procedure regimen did not affect the number of lymphnodes retrieved. Age>80 and ASA score ≥3 and Hartmann's procedure or rectal resection showed to be risk factors related to inadequate lymphadenectomy in colorectal cancer surgery. (Source: The Surgeon)
Source: The Surgeon - July 17, 2019 Category: Surgery Source Type: research
List of editors
Publication date: August 2019Source: The Surgeon, Volume 17, Issue 4Author(s): (Source: The Surgeon)
Source: The Surgeon - July 13, 2019 Category: Surgery Source Type: research
Contents list
Publication date: August 2019Source: The Surgeon, Volume 17, Issue 4Author(s): (Source: The Surgeon)
Source: The Surgeon - July 13, 2019 Category: Surgery Source Type: research
In response: Long-term outcomes of en-bloc renal transplantation from paediatric donors into adult recipients S.W. Considine*, N.F. Davis, L.C. McLoughlin, P. Mohan, J.C. Forde, R. Power, G. Smyth, D.M. Little Surgeon 2019 Feb; 17(1):1–5
Publication date: Available online 15 June 2019Source: The SurgeonAuthor(s): Ming He, David Talbot (Source: The Surgeon)
Source: The Surgeon - June 16, 2019 Category: Surgery Source Type: research
Letter to authors of article: Mode of presentation rather than the 'weekend effect' is a major determinant of in-hospital mortality
Publication date: Available online 13 June 2019Source: The SurgeonAuthor(s): Ross C. McLean, Leo R. Brown, Iain JD. McCallum (Source: The Surgeon)
Source: The Surgeon - June 13, 2019 Category: Surgery Source Type: research
A systematic review of the presentation of scan-negative suspected cauda equina syndrome
ConclusionA psychogenic hypothesis is plausible and warrants further investigation. The need for additional studies is essential to scheming a potential treatment protocol for the scan-negative population, which currently does not exist. (Source: The Surgeon)
Source: The Surgeon - June 12, 2019 Category: Surgery Source Type: research
A growing challenge: The rise of femoral periprosthetic fractures – An 11-year observational study
ConclusionsPPF occur in an elderly comorbid cohort of patients. Care of these patients now makes up a considerable part of the orthopaedic workload and consumes a significant portion of healthcare resources. Patients should be treated in tertiary referral centres with surgeons skilled in their management. Better access to rehabilitation is needed. (Source: The Surgeon)
Source: The Surgeon - June 11, 2019 Category: Surgery Source Type: research
List of editors
Publication date: June 2019Source: The Surgeon, Volume 17, Issue 3Author(s): (Source: The Surgeon)
Source: The Surgeon - May 25, 2019 Category: Surgery Source Type: research
