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Introduction of a bleepless intern on-call era Surgeon (IF 2.5) Pub Date : 2024-03-13 Daniah Alsaadi, Alexandra Tierney, Kate McErlean, Liz Moran, Orla Kavanagh, Morgan McMonagle
The current bleep communication system between nurses and interns on-call in most Irish hospitals has been linked with interruption in patient care, disruption to workflow, inefficiency, increased burden and stress to the on-call health staff. A new electronic system was introduced in a University Hospital to replace and eliminate bleep usage during on-call hours. An Intern on-call task electronic
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The hidden costs of the intercollegiate membership of the Royal College of surgeons examinations: Can trainees afford it? Surgeon (IF 2.5) Pub Date : 2024-02-17 Ziyan Sheng, Ryan Laloo, Sophie Lewis, Lola Giwa, Josh Burke, Peter A. Brennan, Ricky Ellis
The Intercollegiate Membership of the Royal College of Surgeons (MRCS) examination is a mandatory requirement for higher specialty surgical training in the UK. However, there is a significant economic impact on trainees which raises the question of whether the costs of this exam hinder surgical career progression. This study explores the burden of these exams on trainees. A 37-point questionnaire was
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Post-thyroidectomy pain relief is enhanced by wound infiltration. A systematic review of randomized controlled trials Surgeon (IF 2.5) Pub Date : 2024-02-14 Carlos Betancourt, Alvaro Sanabria
Thyroidectomy is a common surgical procedure. Traditional options for pain management, such as analgesics and nonsteroidal anti-inflammatory medications (NSAIDs), are limited by their side effects. Surgical wound infiltration with local anesthetics has the potential to reduce the need for analgesics in a number of surgical procedures. This systematic review and meta-analysis wanted to resolve these
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Contemporary modern total ankle arthroplasty (TAA): A systematic review and meta-analysis of indications, survivorship and complication rates Surgeon (IF 2.5) Pub Date : 2024-02-14 Jean-Pierre St Mart, En Lin Goh, Daniel Hay, Isobel Pilkington, Nadja Bednarczuk, Raju Ahluwalia
This study evaluates the clinical outcomes of contemporary total ankle arthroplasty (TAAs) to primarily establish the current benefits and risks to facilitate informed decision making to secondarily establish if improvements are seen between subsequent generations of implants, bearing philosophy, and associated surgical technique. A systematic review and meta-analysis of published data from January
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Striking a balance: Work-life balance an ethical dilemma Surgeon (IF 2.5) Pub Date : 2024-02-08 Suresh Annamalai
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Demographics of deceased donor renal transplants in Ireland: A 10 year review showing the worrying increase of suicide as a source for organ donation Surgeon (IF 2.5) Pub Date : 2024-02-07 A. Naughton, K. Ringrose, I. Robertson, D. Little, N.F. Davis
Kidney transplantation is the treatment of choice for patients with end stage renal disease. The primary aim of this study was to assess the demographics of deceased kidney donors over the last ten years and to assess for gender variations in deceased donor demographics over an extended period. A retrospective data analysis was carried out using data from the national renal transplant database. All
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Environmentally sustainable kidney care through transplantation: Current status and future challenges Surgeon (IF 2.5) Pub Date : 2024-02-01 Nikolaos-Andreas Anastasopoulos, Vassilios Papalois
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AI generated literature reviews in musculoskeletal radiology: Comment Surgeon (IF 2.5) Pub Date : 2024-02-02 Hinpetch Daungsupawong, Viroj Wiwanitkit
Abstract not available
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Examining the transition from print to electronic journals through the lens of sustainability Surgeon (IF 2.5) Pub Date : 2024-01-20 Niall Khan, Dawn Deacy, David Healy
This paper presents a comparative analysis of the sustainability aspects between print and electronic journals. A narrative synthesis is presented under the three key areas of environmental impact, social impact, and impact on research practices. Over the past decades, the gradual transition from print to electronic media has facilitated greater global access to academic research, reshaped research
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An evaluation of AI generated literature reviews in musculoskeletal radiology Surgeon (IF 2.5) Pub Date : 2024-01-12 N. Jenko, S. Ariyaratne, L. Jeys, S. Evans, K.P. Iyengar, R. Botchu
Purpose The use of artificial intelligence (AI) tools to aid in summarizing information in medicine and research has recently garnered a huge amount of interest. While tools such as ChatGPT produce convincing and naturally sounding output, the answers are sometimes incorrect. Some of these drawbacks, it is hoped, can be avoided by using programmes trained for a more specific scope. In this study we
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Posterior cruciate-retaining versus posterior stabilising prostheses for primary total knee arthroplasty in treating osteoarthritis: A systematic review and meta-analysis of randomised controlled trials Surgeon (IF 2.5) Pub Date : 2024-01-03 Siraj Benbarka, Saja Benbarka
Background Total knee replacements (TKRs) are successful operations that utilities several operative techniques including cruciate retaining (CR) and posterior stabilising (PS) prostheses. To date, neither approach has proved superior. Techniques and implants are under constant evolution and new trials are published. The purpose of this meta-analysis is to determine the current risks and benefits of
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A 10-year experience with anastomotic leaks in upper gastrointestinal surgery–Retrospective cohort study Surgeon (IF 2.5) Pub Date : 2024-01-02 Jia-Hao Law, Charmaine Zhi-Mei Ng, Sarah-Kei Lauw, Jimmy Bok Yan So, Guowei Kim, Asim Shabbir
Background Anastomotic leak (AL) in upper gastrointestinal (UGI) surgery continues to be a diagnostic challenge. We seek to identify clinical parameters that predict AL and examine the effectiveness of investigations in evaluating AL following UGI surgeries. Methods 592 patients underwent UGI surgeries with an anastomosis between January 2011 and January 2021. Data on patient characteristics, surgery
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Modified oncoplastic lift, lymphatic excision, and reconstruction: Introduction of a novel technique in oncoplastic breast surgery with simple surgical principles Surgeon (IF 2.5) Pub Date : 2023-12-30 Gabriel De la Cruz Ku, Anshumi Desai, Alexis R. Narvaez-Rojas, Caiwei Zheng, Amber Collier, Lee Weber, Wrood Kassira, Eli Avisar, Mecker G. Möller
Introduction Oncoplastic surgery is an important component of the management of breast cancer. As prognosis has improved, the need for proficient techniques to achieve disease eradication while maintaining cosmesis for naturally appearing breasts has gained importance. This study describes an easy-to-learn modified oncoplastic technique for patients undergoing breast-conserving treatment. Description
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Perceptions of online surgical-focused learning amongst surgeons during the COVID pandemic: A scoping review 2020–22 Surgeon (IF 2.5) Pub Date : 2023-12-23 S.M. McHugh, E. Kheirelseid, S. Hyde, P.F. Conway
Introduction During the COVID pandemic many centres adopted e-learning as a tool to adhere to social distancing recommendations while continuing to provide ongoing postgraduate medical education. We aimed to complete this scoping review in order to map experience and perceptions amongst surgeons and surgical trainees to remote learning during the COVID pandemic. Methods Using Arksey and O'Malley's
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A rare presentation of mesenteric cyst as persistent ascites: A case report Surgeon (IF 2.5) Pub Date : 2023-12-22 Muhammad Danial Khan, Iqra Nawaz, Arooba Niazi, Adil Mahmood
Background Mesenteric cysts have been typically described as cystic lesions of mesentery or omentum occurring either intra-abdominally or in the retroperitoneum. With no typical symptoms, the preoperative diagnosis of mesenteric cyst becomes challenging to establish. Patient and methods In this case report, we describe the case of a 29-year-old female who presented with abdominal distension for seven
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Time to retire the term “high volume” and replace with “high quality” for HPB centers: A position statement from Caribbean chapter of AHPBA Surgeon (IF 2.5) Pub Date : 2023-12-22 Shamir O. Cawich, Parul J. Shukla, Shailesh V. Shrikhande, Elijah Dixon, Neil W. Pearce, Rahul Deshpande, Wesley Francis
Abstract not available
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Intracapsular hip fractures: A comparative study of cemented and uncemented hemiarthroplasties in the Irish hip fracture database Surgeon (IF 2.5) Pub Date : 2023-12-21 Joss Moore, Mark Berney, Mary Walsh, Conor Hurson, Fiachra Rowan, May Cleary, Louise Brent
Background The aim of this study was to analyse the association between use of cement for stem fixation in hip hemiarthroplasty and the outcomes of mobility, mortality, and discharge destination. Methods The Irish Hip Fracture Database was examined from 2016 to 2020 to assess for any difference in post op mobility, 7-day, 14-day and inpatient mortality, and discharge destination. Results A total of
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Trainees as primary operators do not significantly impact perioperative complication rates in breast surgery Surgeon (IF 2.5) Pub Date : 2023-12-16 Linda Vu, Chaithanya Jeganathan, Kallyani Ponniah, Adam Ofri
Background There is a trend for specialist care in breast surgery resulting in fewer primary operative cases for general surgery trainees; and subsequently that trainees performing advanced oncoplastic techniques in breast surgery may negatively impact patient morbidity. We have reviewed the complication rates between Australian general surgery trainees and Breast Consultants. Methods A retrospective
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Life expectancy of patients with diabetic foot sepsis post-lower extremity amputation at a regional hospital in a South African setting. A retrospective cohort study Surgeon (IF 2.5) Pub Date : 2023-12-14 Thoriso C. Mokoala, Vhusani Sididzha, Etsumang D. Molefe, Thifhelimbilu E. Luvhengo
Background Diabetes foot sepsis (DFS) is the leading cause of amputation of lower extremities. Over 50 % of patients who have had major lower extremity amputation due to DFS are dead within 4 years following the procedure. Aim To determine the life expectancy of patients following amputation for DFS at a regional hospital in South Africa. Methods We conducted an audit of patients who had DFS and were
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Surgical trainee experiences from 2013 to 2023 within the United Kingdom as reported by the General Medical Council National Training Survey Surgeon (IF 2.5) Pub Date : 2023-12-11 Neil Donald, Tim Lindsay
Introduction The General Medical Council (GMC) issues annual surveys to all doctors within the United Kingdom (UK) in a formal postgraduate training scheme. This facilitates the monitoring of experiences for quality assurance purposes. Low job satisfaction has been associated with heightened levels of burnout and staff turnover, alongside deteriorating clinical care and productivity levels. Methods
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Comparison of post-hepatectomy long-term survival outcome between non-colorectal non-neuroendocrine and colorectal liver metastases: A population-based propensity-score matching analysis Surgeon (IF 2.5) Pub Date : 2023-12-11 Kelvin K.C. Ng, Hon-Ting Lok, Kit-Fai Lee, Tan-To Cheung, Nam-Hung Chia, Wai-Kuen Ng, Cho-Kwan Law, Chung-Yeung Cheung, Kai-Chi Cheng, Sunny Y.S. Cheung, Paul B.S. Lai
Background Hepatectomy is an established treatment for colorectal liver metastasis (CLM) or neuroendocrine liver metastasis. However, its role in non-colorectal non-neuroendocrine liver metastasis (NCNNLM) is controversial. This study aims to compare long-term survival outcomes after hepatectomy between NCNNLM and CLM in a population-based cohort. Methods From 2009 to 2018, curative hepatectomy were
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Evaluation of severe traumatic brain injury referrals to the National Tertiary Neurosurgical Centre in the Republic of Ireland Surgeon (IF 2.5) Pub Date : 2023-12-09 Ahmad I Kamaludin, Michael Amoo, Jack Henry, Pierce Geoghegan, Gerard F Curley, David P. O'Brien, Mohsen Javadpour
Background Transfer of all severe TBI patients to a neurosurgical unit (NSU) has been advocated irrespective of levels of complexity and prognostic factors. Previous publications have suggested that only 50% of severe TBI patients in Ireland were managed in NSUs. Aims This study aims to audit severe TBI referrals to the National Neurosurgical Centre, to evaluate reasons for nonacceptance, assess for
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Making fracture fixation teaching Child's play Surgeon (IF 2.5) Pub Date : 2023-12-09 C. Spolton-Dean, C. Hunter, O. Donaldson
Abstract not available
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Readmission rates following major colorectal surgery Surgeon (IF 2.5) Pub Date : 2023-12-02 Aoife Shorten, Matthew G. Davey, William P. Joyce
Background Readmissions following colorectal surgery (CRS) have negative clinical, psychological and financial implications. Identifying patients at risk of readmission remains challenging. Aims To determine factors predictive of those likely to require readmission at 40-days following major CRS and to identify novel strategies capable of reducing readmissions. Methods Consecutive patients were studied
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Awake craniotomy for high-grade gliomas – a prospective cohort study in a UK tertiary-centre Surgeon (IF 2.5) Pub Date : 2023-11-25 Piravin Kumar Ramakrishnan, Fozia Saeed, Simon Thomson, Robert Corns, Ryan K. Mathew, Gnanamurthy Sivakumar
Background Studies from the UK reporting on awake craniotomy (AC) include a heterogenous group of patients which limit the evaluation of the true impact of AC in high-grade glioma (HGG) patients. This study aims to report solely the experience and outcomes of AC for HGG surgery from our centre. Methods A prospective review of all patients who underwent AC for HGG from 2013 to 2019 were performed. Data
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Risk-stratified screening for the early detection of kidney cancer Surgeon (IF 2.5) Pub Date : 2023-11-22 Sabrina H. Rossi, Hannah Harrison, Juliet A. Usher-Smith, Grant D. Stewart
Earlier detection and screening for kidney cancer has been identified as a key research priority, however the low prevalence of the disease in unselected populations limits the cost-effectiveness of screening. Risk-stratified screening for kidney cancer may improve early detection by targeting high-risk individuals whilst limiting harms in low-risk individuals, potentially increasing the cost-effectiveness
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Any infection among patients with hip fracture: Predictive ability of Charlson, Elixhauser, Rx-Risk, and Nordic comorbidity indices Surgeon (IF 2.5) Pub Date : 2023-11-20 Dorete K. Storbjerg, Nadia R. Gadgaard, Alma B. Pedersen
Background In studies on infection after hip fracture surgery, a common and serious complication, it remains unknown which comorbidity index is best for case-mix confounder adjustment. We evaluated the predictive ability of Charlson Comorbidity Index (CCI), Elixhauser Comorbidity Index (ECI), Rx-Risk Index (Rx-Risk), and Nordic Multimorbidity Index (NMI) for any infection up to 1 year from discharge
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Time to consider blunt needles for implant surgery? A systematic review and meta-analysis shows that blunt suture needles reduce glove perforation Surgeon (IF 2.5) Pub Date : 2023-11-10 Oisín O'Donnell, Clodagh Gallagher, Ali Muhammad Chaudhary, Asif Iqbal
Background Despite a recent Cochrane Review demonstrating blunt suture needles are safer for surgeons, the use of blunt suture needles has not become widely adopted. In the ‘Implant Era’, with the value of medical implant companies to surpass $145 billion by 2027, should we re-examine the use of blunt suture needles, especially to reduce infection in implant surgery? We performed a systematic review
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Surgeons' personality, characteristics and presence of meaning in life Surgeon (IF 2.5) Pub Date : 2023-11-03 Michael El Boghdady, Béatrice Marianne Ewalds-Kvist
Background Surgeons work long shifts and are frequently on call. Pressure to make quick and accurate decisions along with the responsibility of performing complex procedures contribute to surgeons' high stress-levels, anxiety and altered empathy level. We aimed to study surgeons' personality and meaning in life at two different centres. Methods General surgeons completed 47 questions. Visual analogous
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Sick-leave duration after elective day case surgery in ENT: Is it affected by the type of employment? Surgeon (IF 2.5) Pub Date : 2023-11-03 Christopher Heining, Hiro Ishii, Linnea Cheung, Matthew Clark
Background Many ENT day-case procedures are performed on otherwise healthy individuals in employment. We hypothesised patients’ type of employment may affect the amount of time taken off work following such procedures. We aimed to disprove the hypothesis that there is no difference in time taken off between employees and self-employed individuals. Materials and methods We prospectively collected data
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An assessment of sustainable transport infrastructure in a national healthcare system Surgeon (IF 2.5) Pub Date : 2023-11-02 Sophia Angelov, Clare Keaveney Jimenez, Vincent Wall, Dónall O'Croínin
Introduction Healthcare contributes significantly to carbon dioxide emissions, which can be reduced by promoting sustainable mobility amongst staff commuting. This study aims to investigate the national sustainable transport infrastructure for staff of healthcare facilities and utilise this data to develop a novel scoring and ranking system. Methods This was an empirical retrospective observational
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Results from an expedited spinal nerve root block clinic at a UK tertiary neurosurgical centre Surgeon (IF 2.5) Pub Date : 2023-10-30 Iain Feeley, Ahmed Shahin, Aoife Feeley, Martin Wilby, Andreas Goebel, Maneesh Bhojak, Manish Gupta, Sumit Gulati
Study design Retrospective Observational Study. Introduction Lumbar radicular pain has a prevalence of 3–5%. Level 1 evidence has demonstrated equivalence between surgical and injection treatment. We assess the outcomes from a transforaminal epidural steroid injection clinic in a tertiary neuroscience referral centre. Methods We performed an analysis of data from consecutive patients entered into a
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Increased team familiarity for surgical time savings: Effective primarily in complex surgical cases Surgeon (IF 2.5) Pub Date : 2023-10-23 Yao Zhang, Yun Wu, Xinming Li, Simon R. Turner, Bin Zheng
Background Cohesion between team members is critical for surgical performance. Our previous study has shown that the experience of working together (measured by Team Familiarity Score, TFS) helps reduce procedure time (PT). However, that conclusion was found in a relatively small sample size. With a large dataset including mixed general surgical procedures, we hypothesize that team familiarity makes
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In-hospital complications and readmission patterns in 13,937 patients with developmental dysplasia of the hip undergoing total hip arthroplasty: Evidence from the Chinese national database Surgeon (IF 2.5) Pub Date : 2023-10-21 Yuqing Wang, Qiao Jiang, Dongxing Xie, Xiaoxiao Li, Haibo Wang, Chao Zeng, Guanghua Lei, Tuo Yang
Purpose Clarifying the prognosis and readmission patterns of patients with developmental dysplasia of the hip (DDH) following total hip arthroplasty (THA) would provide important references for clinical management for this population. Using the Chinese national inpatient database (i.e., Hospital Quality Monitoring System [HQMS]), we aimed to compare in-hospital complications and readmission patterns
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Management of the intraoperative loss of microsurgical needles: A literature review and clinical survey Surgeon (IF 2.5) Pub Date : 2023-10-21 Mary Ellen McMahon, Lukas O'Brien, Thomas Heary, Shirley Potter, Barry O'Sullivan
Data on the incidence, management, and consequences of retained microsurgical needles in plastic and reconstructive surgery remains sparse. Research suggests that a mobile C-arm x-ray has a low detection rate for needles of size 8-0 or smaller. By means of a literature review, and survey, we aimed to investigate the current practice employed in the event of the intraoperative loss of a microsurgical
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Anaplastic thyroid cancer:Improved understanding of what remains a deadly disease Surgeon (IF 2.5) Pub Date : 2023-10-20 Eoin F. Cleere, Sarah Prunty, James P. O'Neill
Background Anaplastic thyroid cancer (ATC) is a rare, undifferentiated form of thyroid cancer accounting for less that 2 % of thyroid cancers. Here we provide an overview of the contemporary understanding of ATC as well as discussing in detail any pertinent updates in the molecular understanding and treatment of this disease with reference to the 2021 American Thyroid Association (ATA) guidelines.
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Locoregional therapy containing surgery in metastatic breast cancer: Systematic review and meta-analysis Surgeon (IF 2.5) Pub Date : 2023-10-17 Jamal Rahmani, Ala Elhelali, Morteza Yousefi, Yanin Chavarri-Guerra, Matin Ghanavati, Mahdi Shadnoush, Mohammad Esmaeil Akbari, Seyed Hossein Ardehali, Atieh Akbari, Regina Barragan-Carrillo, Mohammad Hadizadeh
Introduction The role of locoregional therapy (LRT) containing surgery and systematic therapy in metastatic breast cancer patients remains controversial. This study investigated the effect of LRT in patients who were initially diagnosed with metastatic breast cancer (MBC) on overall survival (OS), locoregional progression-free survival (PFS), and distant systemic PFS. Methods The related keywords were
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Anxiety and depression in surgeons: A systematic review Surgeon (IF 2.5) Pub Date : 2023-10-16 Azelle Egbe, Michael El Boghdady
Introduction The unique pressures of a surgical career put surgeons at particular risk of mental health conditions, including anxiety and depression. Surgeons have previously been shown to have a high prevalence of psychological distress. This study aimed to systematically review the prevalence of anxiety and depression amongst surgeons, and to identify factors that can modify the risk of anxiety and
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Parastomal hernia repairs: A nationwide cohort study in the Republic of Ireland Surgeon (IF 2.5) Pub Date : 2023-10-12 Kin Yik Chan, Nicola Raftery, Tarig Abdelhafiz, Abubakr Rayis, Sean Johnston
Background In the context of improving colorectal cancer outcomes, post-survivorship quality of life has become an important outcome measure. Parastomal hernias and their associated morbidity remain largely under-reported and under-appreciated. Despite their burden, conservative management is common. This study aims to provide a national overview on the current trends in parastomal hernia repairs (PHRs)
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A risk stratification system developed to predict contralateral incidental malignant foci in early papillary thyroid carcinoma preoperatively Surgeon (IF 2.5) Pub Date : 2023-10-12 Peiliang Lin, Faya Liang, Jianwei Liao, Jingliang Ruan, Huiqian Wu, Ping Han, Renhui Chen, Baoming Luo, Nengtai Ouyang, Xiaoming Huang
Background In clinical practice, contralateral incidental malignant foci (CIMFs) can be found in some early (cT1N0M0) papillary thyroid carcinomas (PTCs) on postoperative pathological examination. To screen out the patients with high risk of CIMF preoperatively would help in determining the extent of thyroid surgery. Methods From October 2016 to February 2021, 332 patients diagnosed with early (cT1N0M0)
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Practice patterns in management of differentiated thyroid cancer since the 2014 British Thyroid Association (BTA) guidelines Surgeon (IF 2.5) Pub Date : 2023-10-09 P. Maniam, S.Y. Hey, N. Evans-Harding, L. Li, B. Conn, R.M. Adamson, A.J. Hay, M. Lyall, I.J. Nixon
Background The updated 2014 BTA guidelines emphasised a more conservative, risk adapted model for the management of low-risk differentiated thyroid cancer (DTC). In comparison to historical approach of total thyroidectomy combined with radioactive iodine, treatment de-escalation is increasingly supported. Aims To evaluate the impact of the updated BTA guidelines on the management of DTC cases at regional
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The quest for excellence in surgical research Surgeon (IF 2.5) Pub Date : 2023-10-05 Mina Sarofim
Abstract not available
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The correlation between altmetric score and traditional measures of article impact for studies published within the Surgeon Journal Surgeon (IF 2.5) Pub Date : 2023-10-04 Edward S. Fox, Jake M. McDonnell, Julia Wall, Stacey Darwish, David Healy, Joseph S. Butler
Alternative metrics, or altmetrics, have emerged as a promising tool for measuring the social impact of research, which is increasingly important in today's digital and social media-driven world. Altmetric Attention Score (AAS) is a weighted count of all the online attention garnered by a study, and it is currently unclear whether a relationship with traditional bibliometrics exists. The purpose of
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How much time do surgeons spend operating? Surgeon (IF 2.5) Pub Date : 2023-10-03 Kathryn Fu, James Walmsley, Mohamed Abdelrahman, David S.Y. Chan
Background Worldwide, there is significant variation in the amount of time surgeons spend performing elective surgery. The degree of variation is unknown. The aim of this study was to assess the variation in amount of time that surgeons spend operating worldwide. Methods An anonymised electronic survey was sent via email to members of The Upper Gastrointestinal Surgeons (TUGS) and shared via social
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Is the increased use of intramedullary nailing over DHS for intertrochanteric hip fractures justified? – A review of the Irish hip fracture database 2016 –2020 Surgeon (IF 2.5) Pub Date : 2023-10-03 Mark Berney, Joss Moore, Mary Walsh, Fiachra Rowan, May Cleary, Conor Hurson, Louise Brent
Purpose Intertrochanteric hip fractures are significant and costly injuries and there remains controversy within the orthopaedic literature over the best method of fixation. The Irish Hip Fracture Database (IHFD) was established in 2012 to drive improvements in clinical outcomes and the quality of hip fracture care. This paper will review the outcomes of dynamic hip screw (DHS) versus intra-medullary
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Patients’ frailty and co-morbidities do not affect short-term mortality following emergency colorectal cancer surgery Surgeon (IF 2.5) Pub Date : 2023-09-25 Richard Mak, Nico Deckmann, Danielle Collins, Yasuko Maeda
Aim To investigate the effects of frailty and co-morbidities on short and medium-term outcome following emergency colorectal cancer surgery. Methods Data of patients who underwent emergency colorectal cancer operations between January 2013 and December 2016 were reviewed retrospectively. Collected data included demographic and operative variables, clinical frailty scale (CFS), Charlson comorbidity
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Sustainable surgical practices: A comprehensive approach to reducing environmental impact Surgeon (IF 2.5) Pub Date : 2023-09-15 Conor McNamee, Ana Rakovac, Derek T. Cawley
This paper presents a comprehensive overview of the environmental impact of surgical procedures and highlights potential strategies to reduce the associated greenhouse gas emissions. We discuss procurement, waste management, and energy consumption, providing examples of successful interventions in each area. We also emphasize the importance of adopting the Green Theatre Checklist as a useful tool for
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Efficacy of mesh coverage in surgical bullectomy for primary spontaneous pneumothorax: A systematic review and meta-analysis Surgeon (IF 2.5) Pub Date : 2023-09-14 Selvie Yeo, Jianye Chen, Lowell Leow, Haidong Luo, John Kit Chung Tam
Background and purpose Thoracic surgeons are now adopting a new method of using a mesh covering to reduce recurrence in surgical pleurodesis for pneumothorax. We aimed to review the literature and compare the outcomes of using mesh covering as an additional procedure during surgical pleurodesis. Methods A comprehensive search was performed from inception to October 2022 on PubMed, Embase, Cochrane
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Meta-analysis of laparoscopic spleen-preserving distal pancreatectomy versus laparoscopic distal pancreatectomy with splenectomy: An insight into confounding by indication Surgeon (IF 2.5) Pub Date : 2023-09-04 Shahin Hajibandeh, Nader Ghassemi, Shahab Hajibandeh, Saleh Romman, Ali Ghassemi, Richard W. Laing, Anand Bhatt, Tejinderjit S. Athwal, Damien Durkin
Aims To evaluate comparative outcomes of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) and laparoscopic distal pancreatectomy with splenectomy (LDPS). Methods A systematic search of multiple electronic data sources and bibliographic reference lists were conducted. Comparative studies reporting outcomes of LSPDP and LDPS were considered followed by evaluation of the associated risk of
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The geographic diversity of authorship in leading general surgery journals; A study of 24,332 authors Surgeon (IF 2.5) Pub Date : 2023-08-31 Jed O. Campbell, Aashray K. Gupta, Amy Lu, Ye Fang Lim, Neel Mishra, Joseph N. Hewitt, Christopher D. Ovenden, Joshua G. Kovoor, Stephen Bacchi, Markus Trochsler, Adam Wells
Background Research guides evidence-based general surgery practice, advocacy, policy and resource allocation, but is seemingly lacking representation from those countries with greatest disease burden and mortality. Accordingly, we conducted a geographic study of publications in the most impactful general surgery journals worldwide. Methods The six general surgery journals with the highest 2020 impact
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International registry on aortic balloon occlusion in major trauma: Partial inflation does not improve outcomes in abdominal trauma Surgeon (IF 2.5) Pub Date : 2023-08-30 Maya Paran, David McGreevy, Tal M. Hörer, Mansoor Khan, Mickey Dudkiewicz, Boris Kessel
Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a method for temporary hemorrhage control used in haemodynamically unwell patients with severe bleeding. In haemodynamically unwell abdominal trauma patients, laparotomy remains the initial procedure of choice. Using REBOA in patients as a bridge to laparotomy is a novel option whose feasibility and efficacy remain unclear
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The effect of population density on outcomes of major trauma patients in Ireland Surgeon (IF 2.5) Pub Date : 2023-08-29 Cathal O'Reilly, Sean Gordon, Andrew J. Simpkin, Sandra Hembrecht, Micheál Ó Móráin, Kevin Barry
Background Time-sensitive emergencies in areas of low population density have statistically poorer outcomes. This includes incidents of major trauma. This study assesses the effect that population density at a receiving hospital of a major trauma patient has on survival. Methods Patients meeting Trauma Audit Research Network criteria for major trauma from 2016 to 2020 in Ireland were included in this
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The virtual knee clinic – A tool to streamline new outpatient referrals Surgeon (IF 2.5) Pub Date : 2023-08-26 A. Jabbal, T. Carter, I.J. Brenkel, P. Walmsley
Introduction Traditionally it has been the case for orthopaedic consultants to review GP referrals for the orthopaedic outpatient clinic where possible in amongst other clinical commitments. This could sometimes lead to unsuitable patients being reviewed and both patients and clinicians becoming frustrated. Building on the virtual fracture clinic, a new screening tool was implemented to streamline
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Assessing ChatGPT's ability to pass the FRCS orthopaedic part A exam: Correspondence Surgeon (IF 2.5) Pub Date : 2023-08-24 Amnuay Kleebayoon, Viroj Wiwanitkit
Abstract not available
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Complications and predictors associated with moderate to severe obstructive sleep apnoea in bariatric surgery: Evaluation of routine obstructive sleep apnoea screening Surgeon (IF 2.5) Pub Date : 2023-08-14 L.M.G. Nijland, S.L. van Veldhuisen, R.N. van Veen, E.J. Hazebroek, H.J. Bonjer, S.M.M. de Castro
Purpose Obstructive sleep apnoea (OSA) is a breathing disorder resulting in blockage of airflow and hypo-oxygenation. The incidence of OSA in patients with class 2 or 3 obesity (Body Mass index, BMI >35) is 60–70%. Unfortunately, most bariatric patients are unaware they suffer from OSA. Untreated OSA can lead to perioperative cardiopulmonary complications. The aim of this study was to identify predictors