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Propofol Decreases Early Postoperative Nausea and Vomiting in Patients Undergoing Thyroid and Parathyroid OperationsJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  As the practice of parathyroid and thyroid surgery shifts toward short stay and outpatient treatment, the occurrence and management of postoperative nausea and vomiting (PONV) increases in importance due to its potential to delay discharge. PONV also may contribute negatively to the patient?s experience and thus their level of satisfaction. The purpose of thi


Intraoperative Monitoring of the Recurrent Laryngeal Nerve in Thyroid SurgeryJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  Recurrent laryngeal nerve (RLN) palsy ranks among the leading reasons for medicolegal litigation of surgeons because of its attendant reduction in quality of life. As a risk minimization tool, intraoperative nerve monitoring (IONM) has been introduced to verify RLN function integrity intraoperatively. Nevertheless, a systematic evidence-based assessment of th


Acute Care Surgery: The European ModelJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  This study was designed to determine whether there is in fact a European model of acute care surgery and to describe the different care systems in the individual European countries. Methods  Questionnaires were sent to experts


Minimally Invasive Video-Assisted Thyroidectomy for Benign Thyroid Disease: An Evidence-Based ReviewJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  A decade after nearly all surgical disciplines developed minimally invasive techniques, the first report of a single case of minimally invasive thyroidectomy was published. Minimally invasive video-assisted thyroidectomy (MIVAT) is now considered the most widely practiced and most easily reproducible minimally invasive procedure for thyroidectomy. The aim of


Predictive Value of Procalcitonin for the Diagnosis of Bowel StrangulationJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Predictive Value of Procalcitonin for the Diagnosis of Bowel Strangulation

Thyroid Incidentaloma: An Evidence-based Assessment of Management StrategyJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  Palpable thyroid nodules are present in 4?7% of the population and their prevalence increases with age. Thyroid incidentalomas?impalpable nodules detected fortuitously during a radiological investigation?may be found in up to 50% of patients. Although numerous guidelines exist that indicate the appropriate management of palpable thyroid nodules, there are no


Treatment and Prevention of Recurrence of Multinodular Goiter: An Evidence-based Review of the LiteratureJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  Reportedly, 10?15% of patients with goiters ultimately require operative intervention, and recurrences of multinodular goiter (MNG) account for up to 12% of all thyroid operations. Methods  We performed an evidence-based revie


Surgical ComplicationsJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Surgical Complications

Malignant Liver Tumors in South African Children: A National AuditJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  Malignant liver tumors (mostly hepatoblastoma [HB] and hepatocellular carcinoma [HCC]) are uncommon, representing 0.5%?2% of childhood malignancies worldwide. The pattern of liver tumors appears to differ in Southern Africa as a result of infectious factors (e.g., hepatitis B/retroviral disease (HIV). This study aimed to assess recent changes in the prevalenc


Prolonged Postoperative Ileus?Definition, Risk Factors, and Predictors after SurgeryJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract Background  Postoperative ileus (POI) remains an inevitable consequence of abdominal surgery. Although the pathogenesis of delayed gastrointestinal transit in the postoperative period has been the subject of considerable study, a clinically useful definition of what constitutes a pathologically prolonged ileus has yet to be established. The objectives of this study were


Hashimoto?s ThyroiditisJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Abstract  Goiters were often associated with iodine deficiency in European mountain areas, with some goiters being quite disfiguring. However, some goiters seem not to be related to iodine deficiency. One of the types of goiter that are unrelated to iodine deficiency is the disease described by Hakaru Hashimoto in 1912. Hashimoto described it as a special characteristic of a new type of lymphomatous thyroid tumor in Japan, and this entity was recognized as an autoimmune disease of the


Sternocleidomastoid Muscle Myocutaneous Flap for Corrosive Esophageal StricturesJump to Original Source

10:51 February 28, 2008Home/Health/Surgery

Sternocleidomastoid Muscle Myocutaneous Flap for Corrosive Esophageal Strictures

The Fate of Homograft Tracheal Transplants in SheepJump to Original Source

10:42 February 27, 2008Home/Health/Surgery

Abstract Objective  An established method of tracheal substitution is not yet available, but homograft tracheal transplantation might provide a realistic tracheal replacement. With the objective of sequentially examining the healing of tracheal homografts, we have established a suitable large-animal model.


Two Different Surgical Approaches in the Treatment of Adenocarcinoma at the Gastroesophageal JunctionJump to Original Source

10:46 February 26, 2008Home/Health/Surgery

Abstract Background  Adenocarcinoma at the gastroesophageal junction may be regarded as of esophageal or of gastric origin, and tumor removal may follow the principles of esophagectomy or extended gastrectomy. We determined the impact of this strategy on our patients with tumors at this site.

The Neglect of the Global Surgical Workforce: Experience and Evidence from UgandaJump to Original Source

10:46 February 26, 2008Home/Health/Surgery

Abstract Background  Africa?s health workforce crisis has recently been emphasized by major international organizations. As a part of this discussion, it has become apparent that the workforce required to deliver surgical services has been significantly neglected.


Can a Light Bulb Sestamibi SPECT Accurately Predict Single-Gland Disease in Sporadic Primary Hyperparathyroidism?Jump to Original Source

16:19 February 23, 2008Home/Health/Surgery

Can a Light Bulb Sestamibi SPECT Accurately Predict Single-Gland Disease in Sporadic Primary Hyperparathyroidism?

High Success Rate of Parathyroid Reoperation May Be Achieved with Improved Localization DiagnosisJump to Original Source

16:19 February 23, 2008Home/Health/Surgery

High Success Rate of Parathyroid Reoperation May Be Achieved with Improved Localization Diagnosis

ReplyJump to Original Source

16:19 February 23, 2008Home/Health/Surgery

Reply

ReplyJump to Original Source

10:58 February 20, 2008Home/Health/Surgery

Reply

Standardized Algorithms for Management of Anastomotic Leaks and Related Abdominal and Pelvic Abscesses After Colorectal SurgeryJump to Original Source

10:39 February 19, 2008Home/Health/Surgery

Abstract Background  The risk factors and incidence of anastomotic leak following colorectal surgery are well reported in the literature. However, the management of the multiple clinical scenarios that may be encountered has not been standardized. Methods &nb


Breast Cancer Issues in Developing Countries: An Overview of the Breast Health Global InitiativeJump to Original Source

10:39 February 19, 2008Home/Health/Surgery

Abstract Background  Of the 411,000 breast cancer deaths around the world in 2002, 221,000 (54%) occurred in low- and middle-income countries (LMCs). Guidelines for breast health care (early detection, diagnosis, and treatment) that were developed in high-resource countries cannot be directly applied in LMCs, because these guidelines do not consider real world resource constraint


Invited CommentaryJump to Original Source

16:38 February 18, 2008Home/Health/Surgery

Invited Commentary

Thoracic Aortic Aneurysm: Reading ttable he Enemy?s PlaybookJump to Original Source

11:13 February 14, 2008Home/Health/Surgery

Abstract Background  The purpose of the present study was to use the clinical database at the Yale University Center for Thoracic Aortic Disease to shed light on the pathophysiology of thoracic aortic aneurysm (TAA), the clinical behavior of thoracic aortic aneurysm, and the optimal clinical management.

Is a T-tube Necessary after Common Bile Duct Exploration?Jump to Original Source

11:09 February 13, 2008Home/Health/Surgery

Abstract Background  T-tube drainage used to be standard practice after surgical choledocholithotomy, but there is now a tendency in some centers to close the common bile duct (CBD) primarily. This study was designed to review the complications associated with T-tube drainage after CBD exploration and to determine whether primary closure of the bile duct reduces postoperative mor


What is a Surgical Complication?Jump to Original Source

12:16 February 12, 2008Home/Health/Surgery

What is a Surgical Complication?


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