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Hidden hernias hurt: a plea for early diagnosis and treatment of occult inguinal hernias.
Surg Endosc
December 2024
Beverly Hills Hernia Center, 450 N Roxbury Drive, #224, Beverly Hills, CA, 90210, USA.
Introduction: Hidden or occult inguinal hernias are symptomatic hernias that do not present with a bulge. For some surgeons, if a bulge is not present, then no hernia repair is contemplated. We report preoperative findings of patients with occult inguinal hernias and outcomes after repair to assist in early detection and treatment of this special population.
View Article and Find Full Text PDFLocally advanced NSCLC: a plea for sparing the ipsilateral normal lung-prospective, clinical trial with DART-bid (dose-differentiated accelerated radiation therapy, 1.8 Gy twice daily) by VMAT.
Radiat Oncol
July 2022
Department for Radiation Oncology, Academic Teaching Hospital, Carinagasse 47, 6800, Feldkirch, Austria.
Background: In radiation treatment of locally advanced non-small cell lung cancer (LA-NSCLC), 'margins' from internal target volumes to planning target volumes in the range of 12 to 23 mm are reported, and avoiding exposure of the contralateral lung is common practice. We investigated prospectively an approach with tight margins (7 mm) and maximal sparing of the ipsilateral normal lung. Mature results for the first endpoint (pneumonitis) and further toxicities are reported.
View Article and Find Full Text PDFRisk Factors for Tumor Positive Resection Margins After Neoadjuvant Chemoradiotherapy for Esophageal Cancer: Results From the Dutch Upper GI Cancer Audit: A Nationwide Population-Based Study.
Ann Surg
February 2023
Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Objective: To identify risk factors for tumor positive resection margins after neoadjuvant chemoradiotherapy (nCRT) followed by esophagectomy for esophageal cancer.
Summary Background Data: Esophagectomy after nCRT is associated with tumor positive resection margins in 4% to 9% of patients. This study evaluates potential risk factors for positive resection margins after nCRT followed by esophagectomy.
Cerebral Function and Perfusion during Cardiopulmonary Bypass: A Plea for a Multimodal Monitoring Approach.
Heart Surg Forum
January 2018
Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Germany.
Background: Postoperative neurological injury still represents a major cause of morbidity after cardiac surgery. Our objective was to compare the limits as well as advantages of routine monitoring tools for the detection of cerebral function and perfusion deficits during cardiopulmonary bypass in a daily clinical setting.
Methods: Adult patients undergoing elective cardiac surgery with use of cardiopulmonary bypass were included.
Let our fellows go: a plea for allowing global surgery electives during pediatric surgical training.
J Pediatr Surg
December 2017
Department of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre; Montreal, Quebec.
Unlabelled: In the last 2 years, a coalescence of forces has brought the needs of surgical patients in low resource settings to the top of the international healthcare policy agenda. This same dynamic has propelled academic global surgery, and particularly education, to the forefront. The proportion of surgical trainees seeking global surgical experiences, and interested in incorporating global surgery into their clinical and academic career, has risen sharply.
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