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  1. Article ; Online: Factors affecting the rates of incidental parathyroidectomy during thyroidectomy.

    Arslan, H E / Zeren, S / Yildirim, A C / Ekici, M F / Arik, O / Algin, M C

    Annals of the Royal College of Surgeons of England

    2024  Volume 106, Issue 5, Page(s) 454–460

    Abstract: Background: The most important factors affecting the development of postoperative hypocalcaemia (PH) include intraoperative trauma to the parathyroid glands, incidental parathyroidectomy (IP), and the surgeon's experience. In this study, we aimed to ... ...

    Abstract Background: The most important factors affecting the development of postoperative hypocalcaemia (PH) include intraoperative trauma to the parathyroid glands, incidental parathyroidectomy (IP), and the surgeon's experience. In this study, we aimed to determine the incidence of IP, evaluate its effect on postoperative calcium levels and investigate the effect of surgeon experience and volume on IP incidence and postoperative calcium levels.
    Methods: This retrospective study included 645 patients who underwent thyroid surgery at the Department of General Surgery, Kütahya Health Sciences University between September 2016 and March 2020. All patients underwent surgery at a single clinic by general surgeons experienced in thyroid surgery and their residents (3-5 years).
    Results: Normal parathyroid glands were reported in 58 (8.9%) of 645 patients. In 5 (8.6%) of 58 patients the parathyroid gland was detected in the intrathyroidal region. PH developed in ten patients (17.2%) with incidental removal of the parathyroid glands. A statistically significant difference was found between the number of incidentally removed parathyroid glands and the development of hypocalcaemia (
    Conclusions: We found that the complication rate during the resident training process was the same as that of experienced general surgeons. A thyroidectomy can be safely performed by senior residents during residential training.
    MeSH term(s) Humans ; Thyroidectomy/adverse effects ; Thyroidectomy/statistics & numerical data ; Retrospective Studies ; Hypocalcemia/etiology ; Hypocalcemia/epidemiology ; Female ; Parathyroidectomy/statistics & numerical data ; Parathyroidectomy/adverse effects ; Middle Aged ; Male ; Adult ; Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Incidence ; Incidental Findings ; Clinical Competence/statistics & numerical data ; Parathyroid Glands/injuries ; Parathyroid Glands/surgery ; Calcium/blood ; Young Adult ; Intraoperative Complications/epidemiology ; Intraoperative Complications/etiology
    Chemical Substances Calcium (SY7Q814VUP)
    Language English
    Publishing date 2024-03-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2024.0019
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  2. Article: Multiple intestinal perforation in a patient with Wegener's granulomatosis: a case report and review of the literature.

    Yildirim, A C / Koçak, E / Yildiz, P / Yildiz, M / Karakayali, A Ş / Kaptanoglu, B / Köklü, S

    Gastroenterologie clinique et biologique

    2010  Volume 34, Issue 12, Page(s) 712–715

    Abstract: Wegener's granulomatosis is a necrotizing vasculitis of unknown etiology characterized mainly by inflammation of the small- and medium-sized arteries and veins that affect any viscera. It may rarely involve the gastrointestinal tract. Only a few cases of ...

    Abstract Wegener's granulomatosis is a necrotizing vasculitis of unknown etiology characterized mainly by inflammation of the small- and medium-sized arteries and veins that affect any viscera. It may rarely involve the gastrointestinal tract. Only a few cases of multiple focus ileal perforation due to ulcers associated with Wegener's granulomatosis have been reported. Herein we report a case of a 32-year-old man with extensive intestinal small bowel ischaemic perforation due to Wegener's granulomatosis.
    MeSH term(s) Adult ; Granulomatosis with Polyangiitis/complications ; Humans ; Ileal Diseases/etiology ; Ileal Diseases/pathology ; Intestinal Perforation/etiology ; Intestinal Perforation/pathology ; Male
    Language English
    Publishing date 2010-12
    Publishing country France
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 752002-5
    ISSN 0399-8320
    ISSN 0399-8320
    DOI 10.1016/j.gcb.2010.08.009
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  3. Article ; Online: Global attitudes in the management of acute appendicitis during COVID-19 pandemic

    Ielpo, B. / Podda, M. / Pellino, G. / Pata, F. / Caruso, R. / Gravante, G. / Di Saverio, S. / Gallo, G. / Lui, R. / Orengia, A. / Chowdary, A. / Kulkarni, A. / Kuvvetli, A. / Navarro, A. / Pisanu, A. / Smith, A. / Ibiricu, A. C. / Nacion, A. J. D. / Alsaleh, A. /
    Alhazmi, A. / Elmabri, A. / Wani, A. / Rencuzogullari, A. / Lasarte, A. S. / Rubio, A. V. / Bavikatte, A. / Kumar, A. / Jamiri, A. -R. / Padilla, A. M. A. / Cacurri, A. / de San Ildefonso, A. / Porcu, A. / Sartori, A. / Rocca, A. / Yanez, A. P. / Becaria, A. / Solis-Pena, A. / Sretenovic, A. / Urbistondo, A. / Bandin, A. / Najar, A. / De Luca, A. / Boddy, A. / Charalabopoulos, A. / Tzivanakis, A. / Amendola, A. / de Velasco, A. R. -G. / Yildirim, A. C. / Frontali, A. / Toure, A. O. / Garcia-Granero, A. / Roldan, A. M. / Larrainzar, A. S. / Ratnayake, A. S. / Gonzalez-Ganso, A. M. / Minaya-Bravo, A. M. / Das, A. / Bondurri, A. / Costanzi, A. / Lucchi, A. / Mazzari, A. / Musig, A. / Peloso, A. / Piano, A. / Police, A. / Mihailescu, A. / Pouy, A. / Romano, A. / Iossa, A. / Leonetti, A. C. / Guariniello, A. / Isaac, A. / Bovi, A. P. D. / Chessa, A. / Tromba, A. / Martinez, A. A. / Brillantino, A. / Caira, A. / Castaldi, A. / Ferronetti, A. / Giuliani, A. / Prestera, A. / la Medina, A. R. -D. / Tarasconi, A. / Tornambe, A. / Picciariello, A. / Ioannidis, A. / Leppaniemi, A. / Khan, A. / Rashid, A. / Perez-Sanchez, A. L. E. / Mittal, A. / Mitul, A. R. / Mehraj, A. / Laharwal, A. / Dorisme, A. / Marinis, A. / Iqbal, A. / Moncada, A. / Braccio, B. / Alkhafaji, B. / de Andres Asenjo, B. / Martin-Perez, B. / Perez, B. S. / Creavin, B. / Cali, B. / Pascotto, B. / Stubbs, B. / Retes, B. Z. / Jovanovic, B. / Goh, B. K. P. / Sensi, B. / Biddau, C. / Gazia, C. / Vallicelli, C. / Fagundes, C. A. / Santacruz, C. C. / Chirico, C. / Diaz, C. J. G. / Petrola, C. / Rodriguez, C. S. / Benitez, C. Y. / Dammaro, C. / Faro, C. L. / Reinke, C. / Paez, C. D. / Oliva, C. / Paranjape, C. / Thomas, C. / Chia, C. F. / Kong, C. K. / De Lucia, C. / Chao, C. O. / Arcudi, C. / Guerci, C. / Chia, C. / Parise, C. / Folliero, C. / Varela, C. / Ferguson, D. M. / Camacho, D. / Popowich, D. / Lima, D. S. / Rega, D. / Delogu, D. / Zigiotto, D. / Vinci, D. / D'Antonio, D. / Parini, D. / Merlini, D. A. / Zimmerman, D. D. E. / Moro-Valdezate, D. / Pertile, D. / Giusti, D. M. / Keller, D. S. / Tarik, D. / Kalivaci, D. / Mazingi, D. / Maldonado-Pintado, D. G. / Sasia, D. / Linardoutsos, D. / Osilli, D. / Murrone, D. / Russello, D. / Rodas, E. / Roa, E. A. A. / Ricciardi, E. / Rosso, E. / Saladino, E. / Flores-Villalba, E. / Ajs, E. R. / Smith-Singares, E. / Baili, E. / Kouroumpas, E. / Bourmpouteli, E. / Douka, E. / Martin-Perez, E. / Guaitoli, E. / Samadov, E. / Francone, E. / Vaterlini, E. / Morales, E. / Pena, E. / Zhao, E. / Andres, E. D. P. / Benzoni, E. / Erdas, E. / Pinotti, E. / Colas-Ruiz, E. / Aytac, E. / Laterza, E. / Agastra, E. / Foianini, E. / Moscoso, E. / Laviano, E. / Marra, E. / Cardamone, E. / Licardie, E. / Mpaili, E. / Pinna, E. / Varo, E. / Navarro, F. M. / Marino, F. / Medas, F. / Romano, F. / Maraska, F. / Saliu, F. / Madrid, F. / Rosa, F. / Mastella, F. / Gheza, F. / Luvisetto, F. / Alconchel, F. / Vieira, F. M. / Pareja, F. / Agresta, F. / Luna, F. / Bonilla, F. / Cordera, F. / Burdio, F. / Mendoza-Moreno, F. / Flores, F. M. / Aranda, F. P. / Taylor, F. / Ramos, F. L. / Fernandes, F. / Tropeano, F. P. / Balestra, F. / Bianco, F. / Ceci, F. / Colombo, F. / Di Marzo, F. / Ferrara, F. / Lancellotti, F. / Lazzarin, F. / Litta, F. / Martini, F. / Pizza, F. / Roscio, F. / Virdis, F. / Antona, F. B. / Ramirez, F. C. / Fernandez, F. M. / Llinares, F. O. / Quezada, F. / Schlottmann, F. / Herrera-Almario, G. / Massaferro, G. / Bislenghi, G. / van Ramshorst, G. / Luglio, G. / Bointas, G. / Kampouroglou, G. / Papadopoulos, G. / Manrique, G. A. / Calini, G. / Nastri, G. / Formisano, G. / Galiffa, G. / Palini, G. M. / Colucci, G. / Pagano, G. / Vanni, G. / Pattacini, G. C. / De Paola, G. / Lisi, G. / Partida, G. / Bellanova, G. / De Nobili, G. / Necchi, G. S. / Sinibaldi, G. / Tebala, G. / Bagaglini, G. / Izzo, G. / Argenio, G. / Brisinda, G. / Candilio, G. / Di Grezia, G. / Esposito, G. / Faillace, G. / Frazzetta, G. / La Gumina, G. / Nigri, G. / Romeo, G. / Amatriain, G. C. / Ortega, G. / Martin-Martin, G. / Stavrou, G. A. / Gunadi, / Ugon, G. A. / Machain, G. / Marcucci, G. / Martinez-Mier, G. / Machain, G. M. / Nari, G. / Calvo, H. / Fathy, H. / Hamilto, / Ahmed, H. / Faraj, H. / Nava, H. / Macias, H. O. / Nikaj, H. / Solano, H. / Khan, H. A. / Alarcon, H. S. / Ebied, H. / Giani, I. / Ateca, I. V. / Neri, I. / Roman, I. A. S. / Fidoshev, I. / Rodriguez, I. M. / Negoi, I. / Ortega, I. / Bernescu, I. / Russo, I. S. / Rodriguez, I. V. / Palomares, I. / Baltazar, I. / Torrejimeno, I. J. / Jurado, I. M. C. / Reccia, I. / Hussain, I. / Toledo, I. B. / Mora-Guzman, I. / Dogaru, I. / Romic, I. / Balciscueta, I. / Kenington, J. C. / Sagolsem, J. / Jang, J. Y. / Olivier, J. / Lammel-Lindemann, J. / Dziakova, J. / Villavicencio, J. I. R. / Salinas, J. / Parreira, J. P. J. G. / Jovanovic, / Perez, J. R. / Reyes, J. A. S. / Luque, J. A. M. / Mak, J. / Rodriguez, J. S. / Kok, J. H. H. / Krook, J. / Diaz-Elizondo, J. A. / Castell, J. / Garcia-Flores, J. E. / Navalon, J. M. J. / Rodrigues, J. M. S. / Pereira, J. / Gomez, J. T. C. / Luque, J. B. / del Olmo, J. C. M. / Salamea, J. C. / Olivier, J. F. C. / Laina, J. L. B. / Ordonez, J. M. / Gutierrez, J. / Abba, J. / Sofi, J. A. / Sherafgan, K. / Sahnan, K. / Yanaga, K. / Beatson, K. / Asim, L. / Alvarez, L. / Siragusa, L. / Farber, L. / Ong, L. / Athanasios, L. / Garcia-Bruna, L. / De Martino, L. / Ferrario, L. / Giordano, L. / Gordini, L. / Pio, L. / Ponchietti, L. / Moletta, L. / Curella, L. / Poggi, L. / Taglietti, L. / Bonavina, L. / Conti, L. / Goffredi, L. / Ruiz, L. A. G. / Barrionuevo, L. / Fregoso, L. E. / Cabrera, L. F. / Rodriguez, L. G. / Grande, L. / Osoria, L. G. / Gonzalez, L. J. K. / Sanchez-Guillen, L. / Tallon-Aguilar, L. / Tresierra, L. / Giavarini, L. / Hasabelnabi, M. / Odovic, M. / Uemura, M. / Khan, M. / Artiles-Armas, M. / David, M. / Di Martino, M. / Spampinato, M. G. / Ribeiro, M. A. F. / Viola, M. / Angrisani, M. / Calussi, M. / Cannistra, M. / Catarci, M. / Cereda, M. / Conte, M. / Giordano, M. / Pellicciaro, M. / Marino, M. V. / Vaterlini, M. E. / Jimenez, M. F. / Lolli, M. G. / Bellini, M. I. / Lemma, M. / Chiarello, M. M. / Nicola, M. / Arrigo, M. / Mejia, M. C. / Manrique, M. M. / Rodriguez-Lopez, M. / Serradilla-Martin, M. / Lara, M. Z. / Martinez, M. / Bagnall, M. / Peter, M. / Lara, M. C. / Gomez, M. J. / Paniagua-Garcia-Senorans, M. / Gonzalez, M. P. / Rutegard, M. / Salo, M. / Franceschilli, M. / Silveri, M. / Veroux, M. / Pezzulo, M. / Nardi, M. / Rottoli, M. / Tolonen, M. / Ciro, M. P. / Zuluagua, M. / Cannavo, M. / Cervellera, M. / Iacobone, M. / Montuori, M. / Dominguez, M. G. / Bingol-Kologlu, M. / Tahir, M. / Lim, M. / Wilson, M. S. / Wilson, M. / Campanelli, M. / Bisaccia, M. / De Rosa, M. / Maruccia, M. / Paterno, M. / Pisano, M. / Torre, M. / Trevino, M. / Zuolo, M. / Hernandez Bartolome, M. A. / Farina, M. / Pera, M. / Calvo, M. P. / Sotelo, M. / Thway, M. M. / Hassan, M. / Hassan, M. S. E. / Azfar, M. / Bouhuwaish, M. / Taha, M. / Zaieem, M. / Korkoman, M. / Guraieb, M. / Shalaby, M. / Raza, M. A. / Younis, M. U. / Elhadi, M. / Ali, M. Z. / Quazi, N. / Dudi-Venkata, N. N. / Alselaim, N. / Loria, N. / Ramirez, N. V. / Than, N. W. / Smart, N. / Trelles, N. / Pinto, N. / Allievi, N. / Petrucciani, N. / Antonacci, N. / Cillara, N. / Gica, N. / Cristiana, N. D. / Krystek, N. / Falco, N. / Pecorelli, N. / Tamini, N. / Dallas, N. A. / Machairas, N. / Brito, N. / Fieturi, N. A. / Ortega, N. / Mercado, O. A. / Irkorucu, O. / Alsherif, O. / Valles, O. / Ioannidis, O. / Palmas, O. H. / Palmas, O. I. H. / Guadarrama, O. S. / Bozbiyik, O. / Omelanczuk, P. / Ottolino, P. / Rodrigues, P. / Ruiz, P. / Campenni, P. / Chiarade, P. / Olivares, P. P. / Baroffio, P. / Panaccio, P. / Wintringer, P. / Di Fronzo, P. / Talento, P. / Favoriti, P. / Sendino, P. / Marsanic, P. / Mifsut, P. / Andrade, P. / Ajawin, P. / Abadia-Barno, P. / Castaneda, P. A. N. / Arevalos, P. O. S. / Bellver, P. P. / Koh, P. S. / Souza, P. / Major, P. / Bali, R. S. / Khattar, R. M. / Melo, R. B. / Ebrahiminia, R. / Azar, R. / Murga, R. L. / Pirolo, R. / Brady, R. / Davies, R. J. / Dholakia, R. / Rattan, R. / Singhal, R. / Lim, R. / Angelico, R. / Isernia, R. M. / Tutino, R. / Faccincani, R. / Peltrini, R. / Carrera-Ceron, R. / Tejos, R. / Kashyap, R. / Fajardo, R. / Lozito, R. / Pareja, R. M. / Garbarino, S. / Morales-Conde, S. / Benli, S. / Mansour, S. / Flores, S. / Suarez, S. L. / Ben, S. L. / Fuentes, S. / Napetti, S. / de Guzman, S. O. / Awad, S. / Weckmann Lujan, S. A. / Gentilli, S. / Grimaldi, S. / Pizarro, S. O. / Tayar, S. / Nabi, S. / Chan, S. M. / Junaid, S. / Rojas, S. / Monetti, S. / Garcia, S. / Salvans, S. / Tenconi, S. / Shaw, S. / Santoni, S. / Parra, S. A. / Cardenas, S. / Perez-Bertolez, S. / Chiappetta, S. / Dessureault, S. / Delis, S. / Bonapasta, S. A. / Rausei, S. / Scaringi, S. / Keswani, S. / Ali, S. M. / Cetinkunar, S. / Fung, T. L. D. / Rawashdeh, T. / Lopez, T. N. / De Campos, T. / Duque, T. C. / Perra, T. / Liakakos, T. / Daskalakis, T. / Barnes, T. / Koeter, T. / Zalla, T. / Gonzalez, T. E. / Elosua, T. / Campagnaro, T. / Brown, T. / Luoto, T. / Oumar, T. A. / Giustizieri, U. / Grossi, U. / Bracale, U. / Rivas, U. / Sosa, V. / Testa, V. / Andriola, V. / Tonini, V. / Balassone, V. / Celentano, V. / Progno, V. / Raju, V. / Carroni, V. / Cavallaro, V. / Katta, V. R. / De Simone, V. / Romaguera, V. P. / Orozco, V. H. G. / Luraschi, V. / Rachkov, V. / Turrado-L, V. / Visag-Castillo, V. / Dowling, V. / Graham, V. / Papagni, V. / Vigorita, V. / Fonseca, V. C. / Carneros, V. J. / Bellato, V. / Goncalves, W. / Powers, W. F. / Grigg, W. / Bechstein, W. O. / Lim, Y. B. / Altinel, Y. / Golubovic, Z. / Balciscueta, Z.

    ACIE Appy Study

    2020  

    Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a ... ...

    Abstract Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
    Keywords covid19
    Subject code 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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