World Journal of Surgery

http://link.springer.com/journal/268

List of Papers (Total 767)

Risk Factors for Abdominal Wound Dehiscence in Children: A Case-Control Study

Background In the limited literature concerning abdominal wound dehiscence after laparotomy in children, reported incidences range between 0.2–1.2% with associated mortality rates of 8–45%. The goal of this retrospective case-control study was to identify major risk factors for abdominal wound dehiscence in the pediatric population. Methods Patients younger than aged 18 years who...

Randomized Clinical Trial of Laparoscopic Versus Open Repair of the Perforated Peptic Ulcer: The LAMA Trial

Background Laparoscopic surgery has become popular during the last decade, mainly because it is associated with fewer postoperative complications than the conventional open approach. It remains unclear, however, if this benefit is observed after laparoscopic correction of perforated peptic ulcer (PPU). The goal of the present study was to evaluate whether laparoscopic closure of...

Total Pelvic Exenteration for Primary and Recurrent Malignancies

Introduction Complete resection is the most important prognostic factor in surgery for pelvic tumors. In locally advanced and recurrent pelvic malignancies, radical margins are sometimes difficult to obtain because of close relation to or growth in adjacent organs/structures. Total pelvic exenteration (TPE) is an exenterative operation for these advanced tumors and involves en...

Operative Debridement of Pressure Ulcers

Background Infection in severe pressure ulcers can lead to sepsis with a 6-month mortality as high as 68%. Methods Operative records of 142 consecutive operative debridements on 60 patients in a dedicated wound healing inpatient unit were reviewed, from the Wound Electronic Medical Record, for identification of key steps in debridement technique, mortality, unexpected returns...

Endoscopic Total Parathyroidectomy and Partial Parathyroid Tissue Autotransplantation for Patients with Secondary Hyperparathyroidism: A New Surgical Approach

BackgroundSecondary hyperparathyroidism (SHPT) (i.e., renal hyperparathyroidism) is one of the most serious complications in long-term hemodialysis patients. The purpose of this retrospective study was to explore the feasibility of a new surgical approach—endoscopic total parathyroidectomy with autotransplantation (ETP+AT)—and evaluate its practical application for patients with...

Acute Care Surgery. A Guide for General Surgeons, V. H. Gracias, M. G. McKenney, P. M. Reilly, G. C. Velmahos

Acute care surgery has certainly come of age, at least in North America. Trauma and emergency adult general surgery make up the core of this new surgical specialty. The boundaries, however, may remain undefined for a long time: Must intensive care or burns management expertise be part of the package? What about basic emergency pediatric surgery? Should a trauma and acute care...

Attitudes, Awareness, and Barriers Regarding Evidence-Based Surgery Among Surgeons and Surgical Nurses

Background Evidence-based surgery (EBS) is stressed to increase efficiency and health care quality, but not all surgeons and surgical nurses use EBS in clinical practice. To define future tailor-made interventions to improve evidence-based behavior, the aim of this study was to determine the attitude and awareness among surgeons and surgical nurses as to the paradigm of EBS and...

Smoking Knowledge, Attitudes, Behavior, and Associated Factors Among Chinese Male Surgeons

Background The purpose of this study was to understand and assess the smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons. Methods A total of 823 Chinese male surgeons from six cities in China participated in a survey of smoking knowledge, attitudes, and behaviors in 2004. This study presents descriptive statistics and logistic regression...