A new healthcare paradigm: Integration of the environment in value-based health care. EROMs: Environment-related outcome measures
Distal infusion stomal enteroclysis: An effective technique to manage postoperative enterostomal output
High output enterostomy leads to malnutrition and fluid/electrolyte loss which may be challenging to manage despite dietary modification, anti-motility, anti-secretory drugs, and parenteral nutrition. Distal infusion stomal enteroclysis (DISE) is an alternative to restore nutritional deficit and replace parenteral nutrition in resource-limited settings where treatment cost and availability of trained nurses are limiting factors.
Risk factors for local recurrence of rectal cancer after curative surgery: A single-center retrospective study
Approximately 7% of patients with rectal cancer experience local recurrence within 5 years of curative surgery. A positive circumferential resection margin (CRM) is among the most significant risk factors. Other reported risk factors include histopathologic type, anastomotic leakage, positive distal margins, and more recently, the anterior localization of the tumor. In this retrospective cohort study, we aimed to assess risk factors for local recurrence in our institution, with a focus on tumor localization as an independent negative predictive factor.
Resuscitative thoracotomy in France: For whom? By whom?
Resuscitative thoracotomy is preferentially addressed to patients with penetrating thoracic injury and suffering from severe treatment-resistant hemodynamic instability, without pulse or in cardiopulmonary arrest for at most 15minutes. It is practicable in an emergency room, or ideally, in an operating theater. The procedure always begins with left anterolateral thoracotomy and can be prolonged through transversal bi-thoracotomy or, more rarely and according to the presumed origin of the hemorrhage, through median sternotomy. In most cases the procedures to be carried out are relatively simple, and when they are more complex, it is possible to effectuate temporary hemostasis while awaiting the assistance of a second surgeon. We are persuaded that the above procedure should imperatively be learned and become part and parcel of the therapeutic arsenal of the surgeon tasked with management of trauma patients.
Left hepatectomy extended to segments 1, 5 and 8 with reconstruction of the right branch of the hepatic artery for Rennes type X perihilar cholangiocarcinoma
Surgical management of penetrating neck wounds. An update on surgical management. Part n°2 - in-hospital management
Robotic-assisted parastomal hernia repair using a modified Pauli technique (with video)
Professional practice guidelines: Optimization of energy efficiency in controlled environment zones in operating theaters and interventional sectors
To issue recommendations for reduced energy consumption in controlled environment zones (CEZ) in operating theaters and interventional sectors.
Robotic lateral resection of inferior vena cava extended to liver segment 7 for adrenocortical carcinoma recurrence (with video)
Construction of J-shaped ileal reservoir and manual or stapled ileo-anal anastomosis
Management of Boerhaave syndrome by right thoracoscopy in prone position (with video)
Single-port sleeve gastrectomy with parietal prophylactic mesh placement performed (with video)
An atypical mesenteric tumor: The intestinal mesenteric lipophagic granuloma
The intestinal mesenteric lipophagic granuloma is a rare and benign mesenteric tumor originating from the differentiation of mesenteric nodes that evolve toward a characteristic volume increase that is responsible for a compressive effect on the adjacent structures.
Robotic living donor left lateral sectionectomy for liver transplantation (with video)
Anterior bi-thoracotomy for resuscitation - The Clamshell incision (with video)
Retroperitoneal soft tissue sarcomas: Predictive factors for incomplete resection
Curative management of retroperitoneal sarcoma relies on surgery, and complete monoblock resection is one of the main prognostic factors. The goal of this study was to search predictive factors for incomplete resection.