Utility of Multidetector-Row Computed Tomography and Ultrasonography for Preoperative Planning in a Patient with a History of a Right Gastroepiploic Artery CABG undergoing a Laparoscopic Cholecystectomy

Introduction  

Laparoscopic cholecystectomy has become the standard procedure for acute cholecystitis.     

Do patients perceive a link between a fragility fracture and osteoporosis?

Background  

To evaluate factors associated with whether patients associate their fracture with future fracture risk.     

Perioperative infusion of dexmedetomidine at a high dose reduces postoperative analgesic requirements: a randomized control trial

Purpose  

We hypothesized that a high dose of dexmedetomidine (1 μg/kg/h) could reduce postoperative analgesic requirements of patients.     

Management of gastro-bronchial fistula complicating a subtotal esophagectomy: a case report

Background  

The development of a fistula between the tracheobronchial tree and the gastric conduit post esophagectomy is a rare and often fatal complication.     

Successful excision of a rare cervical neurofibroma arising from the phrenic nerve: a case report

Introduction  

The patient had an enlarging left-side neck mass without neurological symptoms.     

Emergency versus elective living-donor liver transplantation: a comparison of a single center analysis

Purpose  

We studied the risk factors for postoperative mortality between patients who underwent emergency or elective living-donor liver transplantation (LDLT).     

Spontaneous chylous cardiac tamponade: a case report

Background  

Chylous cardiac tamponade is a rare condition with little known cause.     

Towards a diagnostic and therapeutic consensus in male osteoporosis

Summary  

The consensus views on osteoporosis in men are reported.     

Comparison of a simple and a standard method for inulin renal clearance

Background  

The standard method of renal inulin clearance consists of three sets of 30-min clearances. We previously proposed a simple method with a single urine collection for 1 h and two blood samples. In this study, we compared the two methods.     

Day-case inguinal hernia repair in the elderly: a surgical priority

Purpose  

To compare patients over 70 years old with those under 50 years old undergoing inguinal hernia repair.     

Treatment of bronchial airway obstruction using a rotating tip microdebrider: a case report

Background  

Central airway obstruction is a common complication of lung cancer. The microdebrider is a new device available for treatment of central airway obstruction.     

Large aneurysmal bone cyst of iliac bone in a female child: a case report

Background  

Symptomatic aneurysmal bone cysts in pediatric age group with an expansile lesion in ilium is a rare occurrence.     

Laparoscopic pancreaticoduodenectomy and distal pancreatectomy: a UK experience and a systematic review of the literature

Background  

Advances in operative techniques and technology have facilitated laparoscopic distal pancreatectomy (LDP) and laparoscopic pancreaticoduodenectomy (LPD).     

Wound dehiscence: is still a problem in the 21th century: a retrospective study

Background  

The aim of this study was to evaluate the risk factors of wound dehiscence and determine which of them can be reverted.     

Mentorship in surgical training: a systematic review

Objective  

This review systematically examines the literature regarding mentor–mentee relationships in surgery.     

Single-incision laparoscopic cholecystectomy: a cost comparison

Background  

Single-incision laparoscopic cholecystectomy (SILC) should not cost more or less than traditional laparoscopic cholecystectomy (LC).     

Is There a Risk in Placing a Ceramic Head on a Previously Implanted Trunion?

Background  

Strategies for revising a ceramic-on-ceramic total hip prosthesis are controversial. Some consider reimplantation of a ceramic head on a well-fixed femoral stem inadvisable as it may lead to a fracture of the newly implanted head.     

Gallbladder Carcinoma as a Long-Term Complication of Cholecystojejunostomy

Introduction  

Development of gallbladder cancer following cholecystojejunostomy has not previously been described.     

Acute diverticulitis in immunosuppressed patients: a 12-year management experience

Background

Diverticular disease of the colon occurs commonly in developed countries. Immunosuppressed patients are thought to be more at risk of developing acute diverticulitis, worse disease, and higher complications secondary to therapy. This study aimed to assess outcomes for immunosuppressed patients with acute diverticulitis.

Method

A retrospective single-centre review was conducted of all patients presenting with acute diverticulitis at a major tertiary Australian hospital from 2006 to 2018.

Result

A total of 751 patients, comprising of 46 immunosuppressed patients, were included. Immunosuppressed patients were found to be older (62.25 versus 55.96, p = 0.016), have more comorbidities (median Charlson Index 3 versus 1, P < 0.001), and undergo more operative management (13.3% versus 5.1%, P = 0.020). Immunosuppressed patients with paracolic/pelvic abscesses (Modified Hinchey 1b/2) were more likely to undergo surgery (56% versus 24%, P = 0.046), while in patients with uncomplicated diverticulitis, there was no difference in immunosuppressed patients undergoing surgery (6.1% versus 5.1% P = 0.815). Immunosuppressed patients were more likely to have Grade III-IV Clavien-Dindo complication (P < 0.001).

Conclusion

Immunosuppressed patients with uncomplicated diverticulitis can be treated safely with non-operative management. Immunosuppressed patients were more likely to have operative management for Hinchey 1b/II and more likely to have grade III/IV complications.     

Percutaneous nephrolithotomy in renal transplants: a safe approach with a high stone-free rate

Objectives  

The purpose of this report is to assess the safety and efficacy of percutaneous nephrolithotomies (PNL) in transplanted kidneys.