A5102961658- Trauma and Emergency Care Studies
- Abdominal Surgery and Complications
- Abdominal Trauma and Injuries
- Pancreatic and Hepatic Oncology Research
- Trauma Management and Diagnosis
- Gallbladder and Bile Duct Disorders
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Appendicitis Diagnosis and Management
- Pancreatitis Pathology and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hernia repair and management
- Cardiac Arrest and Resuscitation
- Pleural and Pulmonary Diseases
- Muscle and Compartmental Disorders
- Hepatocellular Carcinoma Treatment and Prognosis
- Surgical Simulation and Training
- Diversity and Career in Medicine
- Healthcare Systems and Practices
- Radiology practices and education
- Emergency and Acute Care Studies
- Radiation Dose and Imaging
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Spaceflight effects on biology
Foothills Medical Centre
2016-2025
University of Calgary
2016-2025
McGill University
2006-2025
McMaster University
2016-2025
University of Toronto
2002-2025
Deleted Institution
2019-2025
University of British Columbia
2014-2025
University of Alberta
2013-2025
Western University
2016-2025
Dalhousie University
2020-2025
To update the World Society of Abdominal Compartment Syndrome (WSACS) consensus definitions and management statements relating to intra-abdominal hypertension (IAH) abdominal compartment syndrome (ACS). We conducted systematic or structured reviews identify relevant studies IAH ACS. Updated were then derived using a modified Delphi method Grading Recommendations, Assessment, Development, Evaluation (GRADE) guidelines, respectively. Quality evidence was graded from high (A) very low (D)...
Background: Thoracic ultrasound (EFAST) has shown promise in inferring the presence of post-traumatic pneumothoraces (PTXs) and may have a particular value identifying occult (OPTXs) missed by AP supine chest radiograph (CXR). However, diagnostic utility hand-held US not been previously evaluated this role. Methods: examinations were performed during initial resuscitation injured patients at provincial trauma referral center. A high frequency linear transducer 2.4 kg attached to...
To evaluate surgical performance in pancreatoduodenectomy using clinically relevant postoperative pancreatic fistula (CR-POPF) occurrence as a quality indicator.Accurate assessment of surgeon and institutional requires (1) standardized definitions for the outcome interest (2) comprehensive risk-adjustment process to control differences patient risk.This multinational, retrospective study 4301 pancreatoduodenectomies involved 55 surgeons at 15 institutions. Risk CR-POPF was assessed...
Objective: The objective of this study was to test the hypothesis that distal pancreatectomy (DP) without intraperitoneal drainage does not affect frequency grade 2 or higher complications. Background: use routine drains during DP is controversial. Prior study, no prospective trial focusing on has been reported. Methods: Patients undergoing for all causes at 14 high-volume pancreas centers were preoperatively randomized placement a drain drain. Complications and their severity tracked 60...
Objective: The aim of this study was to identify the optimal fistula mitigation strategy following pancreaticoduodenectomy. Background: utility technical strategies prevent clinically relevant postoperative pancreatic (CR-POPF) pancreatoduodenectomy (PD) may vary by circumstances anastomosis. Fistula Risk Score (FRS) identifies a distinct high-risk cohort (FRS 7 10) that demonstrates substantially worse clinical outcomes. value various in these particular high-stakes cases has not been...
Introduction Pancreatic and periampullary adenocarcinomas are associated with abnormal body composition visible on CT scans, including low muscle mass (sarcopenia) radiodensity due to fat infiltration in (myosteatosis). The biological clinical correlates these features poorly understood. Methods Clinical characteristics outcomes were studied 123 patients who underwent pancreaticoduodenectomy for pancreatic or non-pancreatic adenocarcinoma had available preoperative scans. In a subgroup of...
To review the history of innovation damage control (DC) for management trauma patients.DC is an important development in care that provides a valuable case study surgical innovation.We searched bibliographic databases (1950-2015), conference abstracts (2009-2013), Web sites, textbooks, and bibliographies articles relating to DC. The DC was then classified according Innovation, Development, Exploration, Assessment, Long-term model innovation.The "innovation" originated from use therapeutic...
To characterize and evaluate indications for use of damage control (DC) surgery in civilian trauma patients.Although DC may improve survival select, severely injured patients, the procedure is associated with significant morbidity, suggesting that it should be used only when appropriately indicated.Two investigators an abbreviated grounded theory method to synthesize reported peer-reviewed articles between 1983 2014 into a reduced number named, content-characteristic codes representing...
To determine whether active negative pressure peritoneal therapy with the ABThera temporary abdominal closure device reduces systemic inflammation after abbreviated laparotomy.Excessive injury or intra-abdominal sepsis is associated poor outcomes.We conducted a single-center, randomized controlled trial. Forty-five adults (46.7%) (52.3%) were randomly allocated to (n = 23) Barker's vacuum pack 22). On study days 1, 2, 3, 7, and 28, blood fluid collected. The primary endpoint was difference...
This multicenter study sought to evaluate the accuracy of American College Surgeons National Surgical Quality Improvement Program's (ACS-NSQIP) surgical risk calculator for predicting outcomes after pancreatoduodenectomy (PD) and determine whether incorporating other factors improves its predictive capacity.The ACS-NSQIP has been proposed as a decision-support tool predict complication various operations. Although it considers 21 preoperative factors, does not include procedure-specific...
Variation in the use of damage control (DC) surgery across trauma centers may partially be driven by uncertainty as to when procedure is indicated. We sought scope literature on DC and interventions, identify their reported indications, examine content evidence upon which they are based.We searched MEDLINE, EMBASE, PubMed, Scopus, Web Science, Cochrane Library (1950-February 14, 2014) grey for original nonoriginal citations reporting indications or interventions civilian patients.Among...
Severe complicated intra-abdominal sepsis (SCIAS) has an increasing incidence with mortality rates over 80% in some settings. Mortality typically results from disruption of the gastrointestinal tract, progressive and self-perpetuating bio-mediator generation, systemic inflammation, multiple organ failure. Principles treatment include early antibiotic administration operative source control. A further therapeutic option may be open abdomen (OA) management active negative peritoneal pressure...