Contents list
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
Breast infections – Microbiology and treatment in an era of antibiotic resistance
ConclusionBreast infections are frequently polymicrobial with a wide variety of organisms isolated, suggesting the need for broad spectrum coverage until culture results become available. Based on our local culture results, the addition of clindamycin to flucloxacillin would provide excellent empiric coverage for all categories of breast infection. An evidence-based treatment guideline is required and should be formulated in close collaboration with microbiology specialists. (Source: The Surgeon)
Source: The Surgeon - May 8, 2019 Category: Surgery Source Type: research
Timing of surgical fixation in traumatic spinal fractures: A systematic review
ConclusionDue to limited studies and a small overall cohort, the authors would cautiously recommend the early surgical fixation of unstable spine fractures in the stable trauma patient. For severely injured patients, the discordance among literature warrants the need for further investigation. (Source: The Surgeon)
Source: The Surgeon - May 5, 2019 Category: Surgery Source Type: research
Predictors of discharge against medical advice in adult trauma patients
ConclusionIn adult trauma patients, male gender, stab mechanism of injury, being uninsured, and alcohol/drug use were strong predictors of leaving AMA. The risk factors identified may help in developing strategies aimed at preventing trauma patients from leaving AMA. (Source: The Surgeon)
Source: The Surgeon - May 3, 2019 Category: Surgery Source Type: research
Dubious answers to unimportant questions in the treatment of perforated diverticular disease
Publication date: Available online 2 May 2019Source: The SurgeonAuthor(s): Darren Leonard Scroggie (Source: The Surgeon)
Source: The Surgeon - May 3, 2019 Category: Surgery Source Type: research
Understanding primary parotid squamous cell carcinoma – A systematic review
ConclusionPrimary parotid SCC is rare and it is currently a diagnosis of exclusion. Thorough clinical assessment including endoscopy, preoperative imaging and the scrutiny of histopathological findings allow for differentiation between primary and secondary SCC within the parotid. This thus affects both initial treatment and subsequent follow-up. (Source: The Surgeon)
Source: The Surgeon - April 29, 2019 Category: Surgery Source Type: research
Are we neglecting sexual function assessment in suspected cauda equina syndrome?
ConclusionCertain clinical features of CES are well documented. Increasing awareness may improve documentation of certain symptoms/signs in patients with suspected cauda equina syndrome. Sexual function was poorly documented and increasing awareness alone is an inadequate intervention. (Source: The Surgeon)
Source: The Surgeon - April 27, 2019 Category: Surgery Source Type: research
NT-proBNP incorporated in prediction rule of major peri-operative adverse cardiac event in non-cardiac surgery
ConclusionsHigher preoperative NT-proBNP level leads to the increased risk of PMCE in patients undergoing non-cardiac surgery. Compared to NT-proBNP alone, the combination of NT-proBNP with the RCRI and other factors does not improve the accuracy in predicting PMCE. Future large studies are required to build a more accurate risk score. (Source: The Surgeon)
Source: The Surgeon - April 17, 2019 Category: Surgery Source Type: research
The absence of the common hepatic artery and its implications for surgical practice: Results of a systematic review and meta-analysis
ConclusionsThe overall PPE of an absent CHA was 3.1%, a result representing a significant, common anatomical variation. Our study revealed that an absence of a CHA was associated with a replaced CHA. The most common arterial variant was a replaced CHA originating from the Superior Mesenteric Artery and running across the anterior or posterior side of the pancreas (i.e., Types I and II). (Source: The Surgeon)
Source: The Surgeon - April 2, 2019 Category: Surgery Source Type: research
Does using anatomical models improve patient satisfaction in orthopaedic consenting? Single-blinded randomised controlled trial
ConclusionAnatomical models as visual aids significantly increased patient satisfaction during the consenting process and played an integral part of the surgeon's explanation. Patients exposed to anatomical models also claimed to be more satisfied with the surgeon's inter-personal skills. This study recommends the use of anatomical models, which are both cost-effective and easily implementable, during explanation and consent for orthopaedic procedures. (Source: The Surgeon)
Source: The Surgeon - April 1, 2019 Category: Surgery Source Type: research
Management of genetically determined colorectal cancer
Publication date: Available online 29 March 2019Source: The SurgeonAuthor(s): S.K. ClarkAbstractSurgeons are increasingly treating patients for colorectal cancer who are known to have a genetic predisposition to develop the disease; this may modify the surgical and oncological management of the patient.In this review the approach to the patient with colorectal cancer on a background of Lynch syndrome or familial adenomatous polyposis is explored. (Source: The Surgeon)
Source: The Surgeon - March 30, 2019 Category: Surgery Source Type: research
Can we accurately predict nerve conduction study outcome using a carpal tunnel syndrome questionnaire?
Publication date: Available online 29 March 2019Source: The SurgeonAuthor(s): Belagodu S. Sangram, Alistair I.W. Mayne, Arpit C. JariwalaAbstractNCS are often routinely performed for CTS despite recommendations from the BOA, BSSH and NICE that they are associated with increased costs and prolonged waiting times. This prospective study aimed to assess if the Kamath and Stothard clinical questionnaire could accurately predict nerve conduction study (NCS) results when diagnosing carpal tunnel syndrome (CTS).Eighty-eight patients referred with signs and symptoms of CTS from September 2016 to February 2017 were included. All pa...
Source: The Surgeon - March 30, 2019 Category: Surgery Source Type: research
Education website and social media to increase video-based learning of surgical trainees
Publication date: Available online 29 March 2019Source: The SurgeonAuthor(s): Aashish Rajesh, Mohamed S. Baloul, Nizamuddin Shaikh, Rafael U. de Azevedo, David R. Farley (Source: The Surgeon)
Source: The Surgeon - March 29, 2019 Category: Surgery Source Type: research
List of editors
Publication date: April 2019Source: The Surgeon, Volume 17, Issue 2Author(s): (Source: The Surgeon)
Source: The Surgeon - March 9, 2019 Category: Surgery Source Type: research
Contents list
Publication date: April 2019Source: The Surgeon, Volume 17, Issue 2Author(s): (Source: The Surgeon)
Source: The Surgeon - March 9, 2019 Category: Surgery Source Type: research
