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Visceral and general surgery

Section edited by René Fahrner

This section publishes articles covering all aspects of visceral surgery and general surgeries not covered by other sections. Submissions can cover training, practice and basic research. Randomized controlled trials are particularly encouraged.

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  1. Content type: Research article

    Anastomotic leak is the most common and serious complication following esophagectomy. Endoscopic vacuum-assisted closure (EVAC) is a promising method for treating anastomotic leak. We aimed to evaluate the eff...

    Authors: Yang Won Min, Taewan Kim, Hyuk Lee, Byung-Hoon Min, Hong Kwan Kim, Yong Soo Choi, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim, Jae Ill Zo and Young Mog Shim

    Citation: BMC Surgery 2019 19:37

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  3. Content type: Research article

    We developed a dedicated blunt straight needle with No. 2 polydioxanone sutures (2-Monodiox®) for uterine compression sutures (UCSs) and aimed to assess the outcomes and complication rates of UCSs for postpart...

    Authors: Shinya Matsuzaki, Masayuki Endo, Takuji Tomimatsu, Satoshi Nakagawa, Satoko Matsuzaki, Tatsuya Miyake, Tsuyoshi Takiuchi, Aiko Kakigano, Kazuya Mimura, Yutaka Ueda and Tadashi Kimura

    Citation: BMC Surgery 2019 19:33

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  4. Content type: Study protocol

    The current standard treatment for resectable pancreatic cancer is surgical resection followed by adjuvant chemotherapy. Local recurrence rates are high even after curative resection; thus, the long-term outco...

    Authors: Jun Won Kim, Yeona Cho, Hyung Sun Kim, Won Hoon Choi, Joon Seong Park and Ik Jae Lee

    Citation: BMC Surgery 2019 19:31

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  5. Content type: Research article

    Percutaneous transhepatic portal embolization (PTPE) is useful for safe major hepatectomy. This study investigated the correlation between hepatic hypertrophy and hemodynamics of portal venous flow by ultrasou...

    Authors: Shingo Shimada, Toshiya Kamiyama, Hideki Yokoo, Tatsuya Orimo, Kenji Wakayama, Akihisa Nagatsu, Tatsuhiko Kakisaka, Hirofumi Kamachi, Daisuke Abo, Yusuke Sakuhara and Akinobu Taketomi

    Citation: BMC Surgery 2019 19:23

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  6. Content type: Research article

    Although the effect of the recent Greek economic crisis and austerity on the population’s health and the health system effectiveness have been discussed a lot recently, data on common surgical conditions affec...

    Authors: Ioannis G. Karavokyros, George I. Kirkilessis, Demetrios Schizas, Georgios Chelidonis, Emmanouil Pikoulis and John Griniatsos

    Citation: BMC Surgery 2019 19:18

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  7. Content type: Research article

    To evaluate the perioperative and long-term results of intrahepatic bile duct exploration lithotomy (IHBDIL) combined with hepatectomy for patients with complicated bilateral primary hepatolithiasis.

    Authors: En-liang Li, Rong-fa Yuan, Wen-jun Liao, Qian Feng, Jun Lei, Xiang-bao Yin, Lin-quan Wu and Jiang-hua Shao

    Citation: BMC Surgery 2019 19:16

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  8. Content type: Research article

    This study evaluated the perioperative complications and the long-term pancreatic survival outcomes in patients treated with radical antegrade modular pancreatosplenectomy (RAMPS) and distal pancreatectomy (DP).

    Authors: Quanyu Zhou, Fengwei-Gao, Jie Gong, Qingyun Xie, Yu Liu, Qing Wang and Zehua Lei

    Citation: BMC Surgery 2019 19:12

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  9. Content type: Research article

    Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negativ...

    Authors: Ngee-Soon Lau, Nima Ahmadi and Deborah Verran

    Citation: BMC Surgery 2019 19:10

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  10. Content type: Research article

    Ileal ureter replacement is an alternative treatment for various length ureter defects. We present our experience and outcome of ileal ureter replacement in China.

    Authors: Wenlong Zhong, Peng Hong, Guangpu Ding, Kunlin Yang, Xuesong Li, Junsheng Bao, Guochang Bao, Liang Cui, Changping Men, Zhe Li, Peng Zhang, Ning Chu and Liqun Zhou

    Citation: BMC Surgery 2019 19:9

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  11. Content type: Research article

    Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC...

    Authors: Soichi Shibuya, Naho Fujiwara, Takanori Ochi, Momoko Wada, Toshiaki Takahashi, Kyeong Deok Lee and Eiji Miyazaki

    Citation: BMC Surgery 2019 19:6

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  12. Content type: Research article

    Primary hepatic angiosarcoma (PHA) is a rare tumor entity. Radical surgical resection is currently considered the best treatment choice. The aim of this analysis is to report our experience with surgery for PHA.

    Authors: Verena Tripke, Stefan Heinrich, Tobias Huber, Jens Mittler, Maria Hoppe-Lotichius, Beate K. Straub and Hauke Lang

    Citation: BMC Surgery 2019 19:5

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  13. Content type: Research article

    A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conven...

    Authors: V. Popov, A. Yonkov, E. Arabadzhieva, E. Zhivkov, S. Bonev, D. Bulanov, V. Tasev, G. Korukov, L. Simonova, N. Kandilarov, A. Taseva and V. Dimitrova

    Citation: BMC Surgery 2019 19:4

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  14. Content type: Research article

    The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier’s rectosigmoidectomy for complete rectal prolapse in a referral...

    Authors: Mario Trompetto, Roberta Tutino, Alberto Realis Luc, Eugenio Novelli, Gaetano Gallo and Giuseppe Clerico

    Citation: BMC Surgery 2019 19:1

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  15. Content type: Study protocol

    Liver transplantation is the best treatment for end-stage liver disease. The interruption of the blood supply to the donor liver during cold storage damages the liver, affecting how well the liver will functio...

    Authors: Duilio Pagano, Elisabetta Oliva, Simone Khouzam, Fabio Tuzzolino, Davide Cintorino, Sergio Li Petri, Fabrizio di Francesco, Calogero Ricotta, Pasquale Bonsignore, Alessandro Tropea, Sergio Calamia, Federico Costanzo, Angelo Luca and Salvatore Gruttadauria

    Citation: BMC Surgery 2018 18:122

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  16. Content type: Research article

    Laparoscopic hepatectomy (LH) has been identified to be effective and safe for elderly patients (≥70 years). This study aims to assess the short-and long-term outcome of totally laparoscopic liver resection fo...

    Authors: Xin Yu, Yan Chun Yan, Gang Chen and Hong Yu

    Citation: BMC Surgery 2018 18:118

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  17. Content type: Study protocol

    Based on epidemiological and clinical data acute appendicitis can present either as uncomplicated (70–80%) or complicated (20–30%) disease. Recent studies have shown that antibiotic therapy is both safe and co...

    Authors: J. Haijanen, S. Sippola, J. Grönroos, T. Rautio, P. Nordström, T. Rantanen, M. Aarnio, I. Ilves, S. Hurme, H. Marttila, J. Virtanen, A. Mattila, H. Paajanen and P. Salminen

    Citation: BMC Surgery 2018 18:117

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  18. Content type: Research article

    The timing of laparoscopic cholecystectomy (LC) performed after the mild acute biliary pancreatitis (MABP) is still controversial. We conducted a review to compare same-admission laparoscopic cholecystectomy (...

    Authors: Yun-Xiao Lyu, Yun-Xiao Cheng, Hang-Fei Jin, Xin Jin, Bin Cheng and Dian Lu

    Citation: BMC Surgery 2018 18:111

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  19. Content type: Research article

    Laparoscopic splenectomy (LS) is regarded as a second-line treatment for medically refractory idiopathic thrombocytopenic purpura (ITP), but the predictive factors for the long-term postoperative responses to ...

    Authors: Rui Liao, Pei-Yuan Tang, Jun-Feng Song, Ke-Le Qin, Xun Wang and Xiong Yan

    Citation: BMC Surgery 2018 18:108

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  20. Content type: Research article

    Laparoscopic Kasai portoenterostomy (LKPE) is performed for biliary atresia (BA). As LKPE is a technically demanding operation, a learning curve should be defined to guide training. The aim of this study was t...

    Authors: Yi Ji, Kaiying Yang, Xuepeng Zhang, Siyuan Chen and Zhicheng Xu

    Citation: BMC Surgery 2018 18:107

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  21. Content type: Study protocol

    Incisional heia is a frequent complication of midline laparotomy. The use of mesh in hernia repair has been reported to lead to fewer recurrences compared to primary repair. However, in Ventral Hernia Working ...

    Authors: M. M. J. van Rooijen, A. P. Jairam, T. Tollens, L. N. Jørgensen, T. S. de Vries Reilingh, G. Piessen, F. Köckerling, M. Miserez, A. C. J. Windsor, F. Berrevoet, R. H. Fortelny, B. Dousset, G. Woeste, H. L. van Westreenen, F. Gossetti, J. F. Lange…

    Citation: BMC Surgery 2018 18:104

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  22. Content type: Research article

    Surgical site infections complicate elective laparoscopic cholecystectomies in 2,4-3,2% of cases. During the operation the gallbladder is commonly extracted with a retrieval bag. We conducted a meta-analysis t...

    Authors: Davide La Regina, Francesco Mongelli, Stefano Cafarotti, Andrea Saporito, Marcello Ceppi, Matteo Di Giuseppe and Antonjacopo Ferrario di Tor Vajana

    Citation: BMC Surgery 2018 18:102

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  23. Content type: Research article

    Early relaparotomy is defined as relaparotomy within the first 30 days following surgery. The aim of this study is to explore the indications, outcomes and factors associated with relaparotomy in our pediatric...

    Authors: Tihitena Negussie, Abay Gosaye and Belachew Dejene

    Citation: BMC Surgery 2018 18:99

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  26. Content type: Research article

    Surgical management of complex perianal fistula associated with pararectal cavities can be challenging. We hypothesised that healing of the pararectal cavities prior to healing of the fistula leads to a better...

    Authors: Supul Banagala, Umesh Jayarajah, Isuru Almeida and Dharmabandhu Nandadeva Samarasekera

    Citation: BMC Surgery 2018 18:95

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  27. Content type: Research article

    The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the p...

    Authors: Hannah Bergström, Lars-Göran Larsson and Erik Stenberg

    Citation: BMC Surgery 2018 18:92

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  28. Content type: Research article

    TNF-α plays a role in angiogenesis and collagen synthesis, both essential in the wound healing process. There are concerns that pre-operative anti-TNF-α treatment may influence the surgical stress response and...

    Authors: Alaa El-Hussuna, Niels Qvist, Marie Strøm Zangenberg, Anne Langkilde, Volkert Siersma, Sara Hjort and Ismail Gögenur

    Citation: BMC Surgery 2018 18:91

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  29. Content type: Study protocol

    One of the most important aspects of designing a clinical trial is selecting appropriate outcomes. Patient-reported outcomes (PROs) can provide a personal assessment of the burden and impact of a malignant dis...

    Authors: Christoph A. Fink, Mirco Friedrich, Pia-Elena Frey, Lukas Rädeker, Alexander Leuck, Thomas Bruckner, Manuel Feisst, Solveig Tenckhoff, Christina Klose, Colette Dörr-Harim, Jens Neudecker and André L. Mihaljevic

    Citation: BMC Surgery 2018 18:90

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  30. Content type: Research article

    The indication for hepatic resection (HR) in patients suffering from liver metastases (LM) other than colorectal and neuroendocrine tumors is one focus of current multidisciplinary, oncologic considerations. T...

    Authors: Philipp Anton Holzner, Frank Makowiec, Andrea Klock, Torben Glatz, Stefan Fichtner-Feigl, Sven Arke Lang and Hannes Philipp Neeff

    Citation: BMC Surgery 2018 18:89

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  31. Content type: Research article

    Postoperative pancreatic fistula (PF) is the main cause of operative mortality in patients who undergo pancreatoduodenectomy. Various pancreatoenteric anastomosis techniques have been reported to minimize the ...

    Authors: Shoji Kawakatsu, Yosuke Inoue, Yoshihiro Mise, Takeaki Ishizawa, Hiromichi Ito, Yu Takahashi and Akio Saiura

    Citation: BMC Surgery 2018 18:88

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  32. Content type: Research article

    Postoperative complications (POCs) after the resection of locally advanced colorectal cancer (CRC) may influence adjuvant treatment timing, outcomes, and survival. This study aimed to evaluate the impact of PO...

    Authors: Michael Osseis, Francesco Esposito, Chetana Lim, Alexandre Doussot, Eylon Lahat, Liliana Fuentes, Toufic Moussallem, Chady Salloum and Daniel Azoulay

    Citation: BMC Surgery 2018 18:87

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  33. Content type: Research article

    THUNDERBEAT® (TB) (Olympus Medical Systems Corp., Tokyo, Japan) is a dynamic energy system device that simultaneously delivers ultrasonically generated frictional heat energy and electrically generated bipolar...

    Authors: Bibek Aryal, Teruo Komokata, Hiroto Yasumura, Daisaku Kamiimabeppu, Maki Inoue, Kota Yoshikawa, Mamoru Kaieda and Yutaka Imoto

    Citation: BMC Surgery 2018 18:86

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  34. Content type: Research article

    Hepaticojejunostomy is commonly used in hepato-bilio-pancreatic surgery and a crucial step in many surgical procedures, including pancreaticoduodenectomy. The most frequently used techniques are the interrupte...

    Authors: Maximilian Brunner, Jessica Stockheim, Christian Krautz, Dimitrios Raptis, Stephan Kersting, Georg F. Weber and Robert Grützmann

    Citation: BMC Surgery 2018 18:84

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  35. Content type: Research article

    Video surgery requires acquisition of psychomotor skills that are different from those required for open surgery. The aim of this study was to assess the EndoSuture Trainer Box Simulator (ESTBS), a new bariatr...

    Authors: Luiz Gonzaga de Moura Júnior, Paulo Roberto Leitão de Vasconcelos, Francisco Vagnaldo Fechine, Mayra Sabiá de Moura, Régis Luiz Sabiá de Moura, Hermano Alexandre Lima Rocha and Manoel Odorico de Moraes Filho

    Citation: BMC Surgery 2018 18:83

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  36. Content type: Research article

    The lymph node ratio (LNR), i.e. the number of positive lymph nodes (LN) divided by the total number of analyzed LN, has been described as a strong outcome predictor in node-positive colon cancer patients. How...

    Authors: Manuel O Jakob, Ulrich Guller, Alex Ochsner, Daniel Oertli, Markus Zuber and Carsten T Viehl

    Citation: BMC Surgery 2018 18:81

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  37. Content type: Research article

    Endoscopic resection is widely accepted treatment option for early gastric cancer if tumors meet the standard or expanded indications. However, the safety of expanded criteria is still under investigation. Fur...

    Authors: Rimantas Bausys, Augustinas Bausys, Kazimieras Maneikis, Viktorija Belogorceva, Eugenijus Stratilatovas and Kestutis Strupas

    Citation: BMC Surgery 2018 18:79

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  38. Content type: Research article

    Perforated peptic ulcers (PPU) remain one of the most frequent causes of death. Their incidence are largely unchanged accounting for 2–4% of peptic ulcers and remain the second most frequent abdominal cause of...

    Authors: Antonino Mirabella, Tiziana Fiorentini, Roberta Tutino, Nicolò Falco, Tommaso Fontana, Paolino De Marco, Eliana Gulotta, Leonardo Gulotta, Leo Licari, Giuseppe Salamone, Irene Melfa, Gregorio Scerrino, Massimo Lupo, Armando Speciale and Gianfranco Cocorullo

    Citation: BMC Surgery 2018 18:78

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  39. Content type: Research article

    During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, there...

    Authors: Umberto Bracale, Jacopo Andreuccetti, Maurizio Sodo, Giovanni Merola and Giusto Pignata

    Citation: BMC Surgery 2018 18:75

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  40. Content type: Research article

    Laparoscopic metabolic surgery has been previously shown to be an effective treatment for obese patients with type 2 diabetes (T2DM). The objective of this scoping review is to determine the impact of metaboli...

    Authors: Zhiyong Dong, Sheikh Mohammed Shariful Islam, Ashley M. Yu, Rui Qu, Bingsheng Guan, Junchang Zhang, Zhao Hong and Cunchuang Wang

    Citation: BMC Surgery 2018 18:73

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  41. Content type: Research article

    Primary antireflux surgery has high success rates but 5 to 20% of patients undergoing antireflux operations can experience recurrent reflux and dysphagia, requiring reoperation. Different surgical approaches a...

    Authors: Apostolos Analatos, Mats Lindblad, Ioannis Rouvelas, Peter Elbe, Lars Lundell, Magnus Nilsson, Andrianos Tsekrekos and Jon A. Tsai

    Citation: BMC Surgery 2018 18:70

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  43. Content type: Research article

    Epidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitat...

    Authors: Mehmet Bayrak and Yasemin Altıntas

    Citation: BMC Surgery 2018 18:65

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  44. Content type: Research article

    No consensus exists regarding the best reconstruction style after total gastrectomy (TG). Roux-en-Y oesophagojejunostomy is a simple option for gastrointestinal tract reconstruction. Recently, jejunal pouch re...

    Authors: Wei Chen, Xumian Jiang, Hui Huang, Zao Ding and Chihua Li

    Citation: BMC Surgery 2018 18:63

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    The Correction to this article has been published in BMC Surgery 2018 18:72

  46. Content type: Research article

    Total colonic aganglionosis (TCA) is a rare variant of Hirschsprung’s disease occurring in 3–10% of the cases. Only few studies reported the long-term clinical and metabolic outcomes of patients with TCA. The ...

    Authors: Cristian Urla, Justus Lieber, Florian Obermayr, Andreas Busch, Roland Schweizer, Steven W. Warmann, Hans-Joachim Kirschner and Jörg Fuchs

    Citation: BMC Surgery 2018 18:58

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  47. Content type: Research article

    Distal cholangiocarcinoma (DCC) is a rare but over the last decade increasing malignancy and is associated with poor prognosis. According to the present knowledge curative surgery is the only chance for long t...

    Authors: Oliver Beetz, Michael Klein, Harald Schrem, Jill Gwiasda, Florian W. R. Vondran, Felix Oldhafer, Sebastian Cammann, Jürgen Klempnauer, Karl J. Oldhafer and Moritz Kleine

    Citation: BMC Surgery 2018 18:56

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  48. Content type: Research article

    Thyroid surgeries are among the most common operations performed in the world. Hypocalcemia following total thyroidectomy is a common complication that is sometimes difficult to correct. The aim of this study ...

    Authors: Vitalijus Eismontas, Algirdas Slepavicius, Vinsas Janusonis, Paulius Zeromskas, Virgilijus Beisa, Kestutis Strupas, Zilvinas Dambrauskas, Antanas Gulbinas and Arvydas Martinkenas

    Citation: BMC Surgery 2018 18:55

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  49. Content type: Research article

    Previous gastrectomy can lead to an increased incidence of cholecystocholedocholithiasis (CCL) and increased morbidity rate. However, the appropriate treatment strategy for patients with CCL and a history of g...

    Authors: Mingjie Zhang, Jianxin Zhang, Xu Sun, Jie Xu, Jing Zhu, Wenbin Yuan and Qiang Yan

    Citation: BMC Surgery 2018 18:54

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  50. Content type: Research article

    The optimal treatment of sleeve strictures has not been agreed upon at the current time. At our institution, we began using pneumatic balloon dilation to help resolve these obstructions in 2010. Herein we repo...

    Authors: Aneesh Shrihari Dhorepatil, Daniel Cottam, Amit Surve, Walter Medlin, Hinali Zaveri, Christina Richards and Austin Cottam

    Citation: BMC Surgery 2018 18:52

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