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  1. Article ; Online: Gunshot wounds to the colon: predictive risk factors for the development of postoperative complications, an experience of 172 cases in 4 years.

    Elfaedy, Osama / Elgazwi, Khaled / Alsharif, Jamal / Mansor, Salah

    ANZ journal of surgery

    2019  Volume 90, Issue 4, Page(s) 486–490

    Abstract: Background: In our study, we have defined and evaluated risk factors for the development of post-operative complications in patients with gunshot wounds to the colon. The purpose of the study is to identify the most influential risk factors.: Methods!# ...

    Abstract Background: In our study, we have defined and evaluated risk factors for the development of post-operative complications in patients with gunshot wounds to the colon. The purpose of the study is to identify the most influential risk factors.
    Methods: A retrospective study of 172 patients admitted with gunshot wounds to the colon from 17 February 2011 to 31 December 2014. Age, gender, shock upon admission defined by vital signs and haemoglobin level, blood transfusion, injured site of the colon, the colon injury score, faecal contamination, surgical procedure, colon diversion, multiple organ injuries, delay time pre-operation and duration of the operation were considered as risk factors. All patients were observed for any postoperative complications.
    Results: One hundred and sixty-six patients (96.5%) were males, and six (3.5%) were female. The mean age was 28.5 years. On admission 104 (60.5%) patients were in shock, 89 (51.7%) required blood transfusion. Forty-four (25.5%) patients had an injury to the ascending colon, while 53 (30.8%), 13 (7.6%), 23 (13.4%), 21 (12.2%) and 18 (10.5%) patients had an injury in transverse, descending, sigmoid, rectum and multiple colon injuries respectively. A colon diversion was used in 64 patients (37.2%). Post-operative complications documented in 67 (38.9%) patients, 35 (20.3%) required re-exploratory laparotomy, while the disability occurred in 18 (10.4%)) cases, and post-operative mortality was 12 (6.9%).
    Conclusion: Surgeons should be aware that shock state upon admission and blood transfusion are risk factors for postoperative complications in a patient with a gunshot penetrating injury to the colon.
    MeSH term(s) Adult ; Colon/injuries ; Colon/surgery ; Female ; Humans ; Male ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Factors ; Wounds, Gunshot/surgery ; Wounds, Penetrating
    Language English
    Publishing date 2019-12-11
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.15575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Donning and Doffing of Personal Protective Equipment: Perceived Effectiveness of Virtual Simulation Training to Decrease COVID-19 Transmission and Contraction.

    Mosher, Cynthia / Mukhtar, Fareeda / Alnaami, Nuha / Akkielah, Yara A / Alsharif, Joud / Khan, Tariq / Taskiran, Huseyin Cahit / Zafar, Muhammad

    Cureus

    2022  Volume 14, Issue 3, Page(s) e22943

    Abstract: Introduction The COVID-19 pandemic exposed gaps in the knowledge of correct donning and doffing of personal protective equipment (PPE) among healthcare workers, causing hospitals to ramp up training. However, social distancing measures forced most ... ...

    Abstract Introduction The COVID-19 pandemic exposed gaps in the knowledge of correct donning and doffing of personal protective equipment (PPE) among healthcare workers, causing hospitals to ramp up training. However, social distancing measures forced most institutions and workplaces to shift to remote operations, allowing only essential personnel onsite. Virtual simulation is a growing trend in healthcare simulation education, even more so in this pandemic era. Yet, we have found no evidence of the perceived effectiveness of virtual simulation for training healthcare providers in the proper donning and doffing of PPE. This study aims to determine learner perceptions of the effectiveness of a virtual simulation PPE training module. Methods To address this gap, we used a virtual simulation training module in an online format to determine the perceived efficacy of this method of instruction with the contribution of a variety of healthcare providers and trainees, including physicians, surgeons, pharmacists, dentists, and nurses. Results We found a statistically significant difference in the confidence level of observing best practices of donning and doffing PPE before and after the training sessions. We also found that participants believe virtual simulation can be an effective educational tool for clinical skills. Conclusions This paper presents an international, guideline-based virtual simulation training module that can serve to educate, train, and assess healthcare workers in the proper sequence and technique of donning (putting on), doffing (removing), and disposing of PPE without contaminating themselves or others.
    Language English
    Publishing date 2022-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.22943
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  3. Article: Appendiceal necrosis resulting from cecal lipoma-induced ileocolic intussusception

    Alsharif, Jamal / Abdulrahman, Abdugadir / Asfor, Melad / Suwalem, Munir / Benhsona, Ahmed

    Ibnosina Journal of Medicine and Biomedical Sciences

    2019  Volume 11, Issue 01, Page(s) 32–34

    Abstract: Ileocolic and colocolic intussusception with an inflamed appendix is a rare clinical entity in adults, particularly when caused by lipoma. A 48-year-old female nurse presented with recurrent, intermittent, central, colicky abdominal pain for 2 months. It ...

    Abstract Ileocolic and colocolic intussusception with an inflamed appendix is a rare clinical entity in adults, particularly when caused by lipoma. A 48-year-old female nurse presented with recurrent, intermittent, central, colicky abdominal pain for 2 months. It became constant the night before admission and was associated with abdominal distension and large palpable mass at the right lower quadrant. An exploratory laparotomy was carried out and. The operative findings were ileocolic and colocolic intussusceptions with large cecal mass (lipoma) about 5 cm × 5 cm as a lead point just close to the ileocecal valve with an inflamed appendix, ileocolic resection was performed. Assessment of the resected specimen confirmed the diagnosis. Cecal lipoma should be considered in the differential diagnosis of cecal mass causing ileocecal intussusception.
    Keywords Adult intussusception ; cecal lipoma ; colocolic ; ileocolic ; inflamed appendix
    Language English
    Publishing date 2019-03-01
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2585341-7
    ISSN 1947-489X ; 1947-489X
    ISSN (online) 1947-489X
    ISSN 1947-489X
    DOI 10.4103/ijmbs.ijmbs_89_18
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  4. Article ; Online: The management of hepatobiliary cystadenomas: lessons learned.

    Martel, Guillaume / Alsharif, Jamal / Aubin, Jean-Michel / Marginean, Celia / Mimeault, Richard / Fairfull-Smith, Robert J / Mohammad, Waleed M / Balaa, Fady K

    HPB : the official journal of the International Hepato Pancreato Biliary Association

    2012  Volume 15, Issue 8, Page(s) 617–622

    Abstract: Background: Mucinous cystic neoplasms of the liver (hepatobiliary cystadenomas) are rare neoplastic lesions. Such cysts are often incorrectly diagnosed and managed, and carry a risk of malignancy. The objective of this study was to review the surgical ... ...

    Abstract Background: Mucinous cystic neoplasms of the liver (hepatobiliary cystadenomas) are rare neoplastic lesions. Such cysts are often incorrectly diagnosed and managed, and carry a risk of malignancy. The objective of this study was to review the surgical experience with these lesions over 15 years.
    Methods: A retrospective chart review identified consecutive patients undergoing surgery for liver cystadenomas from 1997-2011. Clinical data were collected and summarized.
    Results: Thirteen patients (mean age 51 years, 12/13 females) with cysts 4.6-18.1 cm were identified. Most cysts were located in the left lobe/centrally (11/12) and had septations (8/13). Mural nodularity was infrequent (3/13). Nine patients had liver resection/enucleation, whereas four had unroofing. Frozen section analysis had a high false-negative rate (4/6). All patients had cystadenomas, of which two had foci of invasive carcinoma (cystadenocarcinoma) within mural nodules. There was no 90-day mortality. All but one patient (myocardial infarction) were alive at a median follow-up of 23.1 months. No patient with unroofing has developed malignancy to date.
    Conclusions: Non-invasive hepatobiliary cystadenomas present as large central/left-sided cysts in young or middle-aged women. Associated malignancy was relatively uncommon and found within mural nodules. Intra-operative frozen section analysis was ineffective at ruling out cystadenomas. Complete excision is recommended, but close follow-up might be considered in patients with a prohibitive technical or medical risk, in the absence of nodularity on high-quality imaging.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cystadenoma, Mucinous/diagnosis ; Cystadenoma, Mucinous/surgery ; Female ; Humans ; Liver Neoplasms/diagnosis ; Liver Neoplasms/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2012-12-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2131251-5
    ISSN 1477-2574 ; 1365-182X
    ISSN (online) 1477-2574
    ISSN 1365-182X
    DOI 10.1111/hpb.12026
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  5. Article ; Online: Abstracts of presentations to the Annual Meetings of the Canadian Association of General Surgeons Canadian Association of Thoracic Surgeons Canadian Hepato-Pancreato-Biliary Society Canadian Society of Surgical Oncology Canadian Society of Colon and Rectal Surgeons: Victoria, BC Sept. 10-13, 2009.

    Nenshi, R / Kennedy, E / Baxter, N N / Saskin, R / Sutradhar, R / Urbach, D R / Sroka, G / Feldman, L S / Vassiliou, M C / Kaneva, P A / Fayez, R / Fried, G M / Krajewski, S A / Brown, C J / Hur, C / McCrea, P H / Mitchell, A / Porter, G / Grushka, J /
    Razek, T / Khwaja, K / Fata, P / Martel, G / Moloo, H / Picciano, G / Boushey, R P / Poulin, E C / Mamazza, J / Haas, B / Xiong, W / Brennan-Barnes, M / Gomez, D / Nathens, A B / Yang, I / Forbes, S S / Stephen, W J / Loeb, M / Smith, R / Christoffersen, E P / McLean, R F / Westerholm, J / Garcia-Osogobio, S / Farrokhyar, F / Cadeddu, M / Anvari, M / Ponton-Carss, A / Hutchison, C / Violato, C / Segedi, M / Mittleman, M / Fisman, D / Kinlin, L / Rousseau, M / Saleh, W / Ferri, L E / Stanbridge, D D / Mayrand, S / Pandya, A / Gagliardi, A / Nathens, A / Ahmed, N / Tran, T / Demyttenaere, S V / Polyhronopoulos, G / Seguin, C / Artho, G P / Kaneva, P / Bergman, S / Anderson, J / Mikami, D J / Melvin, W S / Racz, J M / Dubois, L / Katchky, A / Wall, W J / Faryniuk, A / Hochman, D / Clarkson, C A / Rubiano, A M / Boone, D / Ball, C G / Dixon, E / Kirkpatrick, A W / Sutherland, F R / Feliciano, D V / Wyrzykowski, A D / Nicholas, J M / Dente, C J / Ullah, S M / McAlister, V C / Malik, S / 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Huynh, H / Soto, C M / Jamal, M H / Meterissian, S / Snell, L / Davies, E / Aminazadeh, N / Reid, S / Naeeni, A / Naeeni, M / Kashfi, A / Martin, K / Weir, M / Taylor, B / Martin, K M / Girotti, M J / Parry, N G / Hanna, W C / Fraser, S / Weissglas, I / Ghitulescu, G / Bilek, A / Marek, J / Galatas, C / Chiu, C G / Nguyen, N H / Bloom, S W / Wiebe, S / Bonjer, J / Lawlor, D / Plowman, J / Ransom, T / Vallis, M / Menezes, A C / Karmali, S / Eskicioglu, C / Brenneman, F D / McLeod, R S / Fraser, S A / Garzon, J / Lawless, B / Lumb, K J / Harkness, L / Williamson, J / Malthaner, R A / Van Koughnett, J A / Gray, D K / Swain, P / Chackungal, S / Yoshy, C / Cunningham, I / Scott, L / Vinden, C / Henao, O / Azzie, G / Deen, S / Hameed, M / Ramirez, V / Veillette, C / Bray, P / Jewett, M / Pagliarello, G / Brenneman, F / Buczkowski, A / Widder, S / Anderson, I / Saadia, R / Johner, A / Hameed, S M / Qureshi, A P / Jimenez, C M / Green, J / Pryor, A D / Perri, M T / Trejos, A L / Naish, M D / 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/ Goldberg, S M / Alsharif, J / Ramsay, C R / Richardson, D / Johnson, P / Al-Sukhni, E / Ridgway, P F / O'Connor, B / Paszat, L / Rabeneck, L / Chung, W / Ko, D / Sun, C / Raval, M / Pao, J S / Power, A / Kelly, S / Stephen, W / Simunovic, M / Coates, A / Goldsmith, C H / Thabane, L / Reeson, D / DeNardi, F / Whelan, T J / Levine, M N / Al-Khayal, K A / Buie, W D / Wallace, L / Sigalet, D

    Canadian journal of surgery. Journal canadien de chirurgie

    2022  Volume 52, Issue Suppl, Page(s) S1–S48

    Language English
    Publishing date 2022-04-07
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 410651-9
    ISSN 1488-2310 ; 0008-428X
    ISSN (online) 1488-2310
    ISSN 0008-428X
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