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  1. In children, fracture non-union is uncommon yet, curiously, non-union of distal fibula fractures are rarely reported. Historically, the most common treatment of a lateral malleolus fracture after an ankle spra...

    Authors: Marco Turati, Giulio Leone, Nicolò Zanchi, Robert J. Omeljaniuk, Lilia Brahim, Giovanni Zatti, Aurélien Courvoisier and Marco Bigoni

    Citation: BMC Surgery 2020 20:125

    Content type: Case report

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  2. Weight loss outcomes after bariatric surgery are less favorable in super morbidly obese patients (BMI ≥50 kg/m2). Non-response, either defined as insufficient weight loss or weight regain after initial successful...

    Authors: M. M. Romeijn, W. K. G. Leclercq, A. A. P. M. Luijten, L. Janssen and F. M. H. van Dielen

    Citation: BMC Surgery 2020 20:122

    Content type: Study protocol

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  3. Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tra...

    Authors: Seiji Natsuki, Yasuhito Iseki, Hishashi Nagahara, Tatsunari Fukuoka, Masatsune Shibutani and Masaichi Ohira

    Citation: BMC Surgery 2020 20:121

    Content type: Case report

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  4. To explore the safety and effectiveness of a modified surgical technique which could shorten the time of renal ischemia in left renal cancer and Mayo level II to IV inferior vena cava (IVC) tumor thrombus.

    Authors: Liu Zhuo, Zhu Guodong, Zhao Xun, Tang Shiying, Hong Peng, Zhang Li, Li Liwei, Zhang Shudong, Wang Guoliang, Tian Xiaojun, Liu Cheng, Zhang Hongxian and Ma Lulin

    Citation: BMC Surgery 2020 20:120

    Content type: Research article

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  5. Donor safety is the top priority in living-donor liver transplantation. Splenic hypertrophy and platelet count decrease after donor surgery are reported to correlate with the extent of hepatectomy, but other a...

    Authors: Rihito Nagata, Nobuhisa Akamatsu, Akiko Nakazawa, Junichi Kaneko, Takeaki Ishizawa, Junichi Arita and Kiyoshi Hasegawa

    Citation: BMC Surgery 2020 20:119

    Content type: Research article

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  6. Adult pancreatic hemangioma is an extremely rare type of benign vascular tumor. To date, about 20 cases have been reported in the English literature. Adult patients with pancreatic hemangiomas usually have no ...

    Authors: Chong Jin, Jing-gang Mo, Hao Jiang, Lie-zhi Wang, Heng Zou and Kun-Peng Wang

    Citation: BMC Surgery 2020 20:118

    Content type: Case report

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  7. Recent data support the use of bariatric surgery in adolescents with severe obesity following unsuccessful non-surgical treatments. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) have demonstrated...

    Authors: Daniëlle S. Bonouvrie, Andrew J. Beamish, Wouter K. G. Leclercq, Edgar G. A. H. van Mil, Arijan A. P. M. Luijten, Eric J. Hazebroek, Anita C. E. Vreugdenhil, Torsten Olbers and François M. H. van Dielen

    Citation: BMC Surgery 2020 20:117

    Content type: Study protocol

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  8. Monopolar energy (ME) is routinely used in appendectomy. This study aimed to investigate the degree of lateral thermal spread generated by ME and to evaluate the thermal injury sustained by the close-lying tis...

    Authors: Taras V. Nechay, Svetlana M. Titkova, Mikhail V. Anurov, Elena V. Mikhalchik, Kirill Y. Melnikov-Makarchyk, Ekaterina A. Ivanova, Alexander E. Tyagunov, Abe Fingerhut and Alexander V. Sazhin

    Citation: BMC Surgery 2020 20:116

    Content type: Research article

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  9. Treatments for perimembranous ventricular septal defects (pmVSD) mainly include conventional surgical repair (CSR), transcatheter device closure (TDC), and perventricular device closure (PDC). We aimed to perf...

    Authors: Dongxu Li, Xu Zhou, Mengsi Li and Qi An

    Citation: BMC Surgery 2020 20:115

    Content type: Research article

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  10. Both tibial plateau fractures and extensor apparatus injuries are serious injuries to the knee joint that generally do not occur in the same patient. We report a rare case of open tibial plateau fracture combi...

    Authors: Daohong Zhao, Weiqiang Li, Luping Liu, Ning Lu, Leijie Chen and Jun Zhang

    Citation: BMC Surgery 2020 20:114

    Content type: Case report

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  11. Ewing’s sarcoma usually presents in paediatric patients with its primary location being bone tissue. Nevertheless, we present such an adult case which arises from the small intestine. We registered thirty one ...

    Authors: Andrej Kolosov, Audrius Dulskas, Kastytis Pauza, Veslava Selichova, Dmitrij Seinin and Eugenijus Stratilatovas

    Citation: BMC Surgery 2020 20:113

    Content type: Case report

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  12. Metronidazole (MNZ) has been clearly established as a medication for amebic liver abscess. In uncomplicated cases, surgical drainage should be avoided. We report a case of amebic liver abscess refractory to MN...

    Authors: Keita Kouzu, Takahiro Einama, Makoto Nishikawa, Makiko Fukumura, Hiromi Nagata, Toshimitsu Iwasaki, Yoichi Miyata, Yasuhiro Obuchi, Kazuo Hase, Hideki Ueno, Yoji Kishi and Junji Yamamoto

    Citation: BMC Surgery 2020 20:112

    Content type: Case report

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  13. Laparoscopy induces adhesion due to ischemia-reperfusion injury. However, the detail pathomechanism is poorly understood. This study aimed to investigate the impact of laparoscopy on mast cell and mesothelium ...

    Authors: Hery Poerwosusanta, Gunadi, Zairin Noor, Ika Kustiyah Oktaviyanti, Karyono Mintaroem, Bambang Pardjianto, Moch Aris Widodo and Edi Widjajanto

    Citation: BMC Surgery 2020 20:111

    Content type: Research article

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  14. Computed tomography (CT) is widely used in the diagnosis of giant paraesophageal hernias (GPEH) but has not been utilised systematically for follow-up. We performed a cross-sectional observational study to ass...

    Authors: Henriikka Hietaniemi, Ilkka Ilonen, Tommi Järvinen, Juha Kauppi, Saana Andersson, Harri Sintonen and Jari Räsänen

    Citation: BMC Surgery 2020 20:109

    Content type: Research article

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  15. Breast cancer is the most common cancer in women worldwide. Major breast cancer surgery especially with axillary lymph node dissection (ALND), is associated with upper limb functional decline. Majority of stud...

    Authors: Kai Siang Chan, Ding Zeng, Joelle Hoi Ting Leung, Belinda Si Yin Ooi, Kit Teng Kong, Yi Heng Yeo, Jerry Tiong Thye Goo and Clement Luck Khng Chia

    Citation: BMC Surgery 2020 20:108

    Content type: Research article

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  16. Despite being a preventable complication of surgical procedures, surgical site infections (SSIs) continue to threaten public health with significant impacts on the patients and the health-care human and financ...

    Authors: Wondimeneh Shibabaw Shiferaw, Yared Asmare Aynalem, Tadesse Yirga Akalu and Pammla Margaret Petrucka

    Citation: BMC Surgery 2020 20:107

    Content type: Research article

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  17. A large plexiform neurofibroma in patients with neurofibromatosis type I can be life threatening due to possible massive bleeding within the lesion. Although the literature includes many reports that describe ...

    Authors: Taro Mikami, Yuki Honma-Koretsune, Yui Tsunoda, Shintaro Kagimoto, Yuichiro Yabuki, Jiro Maegawa, Takashi Terauchi, Shintaro Nawata, Hiroyuki Kamide, Yoshinobu Ishiwata, Tabito Kino and Teruyasu Sugano

    Citation: BMC Surgery 2020 20:106

    Content type: Case report

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  18. A daily algorithm for hospital discharge (DAHD) is a key point in the concept of Enhanced Recovery After Surgery (ERAS) protocol. We aimed to evaluate the length of stay (LOS), rate of complications, and hospi...

    Authors: Iuri Santana Neville, Francisco Matos Ureña, Danilo Gomes Quadros, Davi J. F. Solla, Mariana Fontes Lima, Claudia Marquez Simões, Eduardo Vicentin, Ulysses Ribeiro Jr, Robson Luis Oliveira Amorim, Wellingson Silva Paiva and Manoel Jacobsen Teixeira

    Citation: BMC Surgery 2020 20:105

    Content type: Research article

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  19. Long term results of endovascular coiling are yet scarce. This study reviews the impact of comorbidities on the success of endovascular coiling of both ruptured and unruptured intracranial aneurysms. Endovascu...

    Authors: Saima Ahmad

    Citation: BMC Surgery 2020 20:104

    Content type: Research article

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  20. To retrospectively evaluate the feasibility and safety of intraoperative assessment of bowel perfusion in totally laparoscopic surgery for colon cancer using indocyanine green fluorescence imaging (IGFI).

    Authors: Hao Su, Hongliang Wu, Mandula Bao, Shou Luo, Xuewei Wang, Chuanduo Zhao, Qian Liu, Xishan Wang, Zhixiang Zhou and Haitao Zhou

    Citation: BMC Surgery 2020 20:102

    Content type: Research article

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  21. Laparoscopic total gastrectomy for gastric cancer is feasible but less commonly performed compared to laparoscopic distal gastrectomy due to technical difficulties such as reconstruction. There is no standard ...

    Authors: Sejin Lee, Harim Lee, Jeong Ho Song, Seohee Choi, Minah Cho, Taeil Son, Hyoung-Il Kim and Woo Jin Hyung

    Citation: BMC Surgery 2020 20:100

    Content type: Research article

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  22. Most contemporary studies suggested that intersegmental parameters including disc height and local lordosis contribute to the sagittal balance of fused lumbar. Although similar clinical outcomes following MIS-...

    Authors: Fuping Li, Chen Li, Xin Xi, Zhili Zeng, Bin Ma, Ning Xie, Hang Wang, Yan Yu and Liming Cheng

    Citation: BMC Surgery 2020 20:97

    Content type: Research article

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  23. Osteoporotic thoracolumbar burst fracture (OTLBF) is common in seniors. Due to the fracture of the posterior vertebra and spinal canal occupancy, the risk of cement leakage and spine injury is high in OTLBF pa...

    Authors: Xuan-geng Deng, Xiao-ming Xiong, Dun Wan, Hua-gang Shi, Guo-long Mei and Wei Cui

    Citation: BMC Surgery 2020 20:96

    Content type: Research article

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  24. Cancer cells are often found postoperatively at surgical resection margins (RM) in patients with gastric cancer because of submucosal infiltration or hesitation to secure adequate RM. This study was designed t...

    Authors: Yuta Kumazu, Tsutomu Hayashi, Takaki Yoshikawa, Takanobu Yamada, Kentaro Hara, Yota Shimoda, Masato Nakazono, Shinsuke Nagasawa, Manabu Shiozawa, Soichiro Morinaga, Yasushi Rino, Munetaka Masuda, Takashi Ogata and Takashi Oshima

    Citation: BMC Surgery 2020 20:95

    Content type: Research article

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  25. The choice of surgery for perianal sepsis is currently controversial. Some people advocate one-time radical surgery for perianal sepsis, while others advocate incision and drainage. The objective of this study...

    Authors: Zongqi He, Jun Du, Kaiwen Wu, Jiajia Chen, Bensheng Wu, Jianhua Yang, Zhizhong Xu, Zhihui Fu, Li Pan, Ke Wen and Xiaopeng Wang

    Citation: BMC Surgery 2020 20:94

    Content type: Research article

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  26. Endoscopic retrograde cholangiopancreatography (ERCP) is essential for managing biliary and pancreatic disorders. Infection is the most morbid complication of ERCP and among the most common causes of ERCP-rela...

    Authors: Fahed Merei, Galina Shapiro, Ibrahim Abu Shakra, Amitai Bickel, Samer Ganam, Maxim Bez and Eli Kakiashvili

    Citation: BMC Surgery 2020 20:92

    Content type: Case report

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  27. One anastomosis gastric bypass- minigastric bypass (OAGB-MGB) is an emerging bariatric surgery that is being endorsed by surgeons worldwide. Internal herniation is a rare and dreaded complication after malabso...

    Authors: Ibrahim Abu Shakra, Maxim Bez, Amitai Bickel, Walid Kassis, Samer Ganam, Fahed Merei, Nour Karra, Khatib Kamal, Doron Fischer and Eli Kakiashvili

    Citation: BMC Surgery 2020 20:91

    Content type: Case report

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  28. The safety of total laparoscopic pancreaticoduodenectomy still remains controversial. Laparoscopic assisted pancreaticoduodenectomy (LAPD) may be an alternative selection. The purpose of the present study is t...

    Authors: Feng Tian, Yi-zhi Wang, Su-rong Hua, Qiao-fei Liu and Jun-chao Guo

    Citation: BMC Surgery 2020 20:89

    Content type: Research article

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  29. Mediastinal venous aneurysm is a very rare disease and can be easily misdiagnosed. Patients are often asymptomatic while venous aneurysm of large size with adjacent structures oppressed can lead to discomfort....

    Authors: Cheng Fang, Hui Pan, Zhoubin Li, Liang Ma and Weili Han

    Citation: BMC Surgery 2020 20:88

    Content type: Case report

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  30. Double aortic arch (DAA) is a congenital anomaly of the aorta. Esophageal cancer with DAA is rare, and consequently, the appropriate surgical approach has not been standardized. Herein, we report the utilizati...

    Authors: Shu Mushiake, Kohei Taniguchi, Sang-Woong Lee, Tetsunosuke Shimizu, Yoshiro Imai, Ryo Tanaka, Kotaro Honda, Keitaro Tashiro, Masaru Kawai and Kazuhisa Uchiyama

    Citation: BMC Surgery 2020 20:86

    Content type: Case report

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  31. Synchronous cancer in patients with abdominal aortic aneurysm (AAA) increases morbidity and mortality after AAA repair. However, little is known about the impact of the history of cancer on mortality after AAA...

    Authors: Sanghyun Ahn, Jin-Young Min, Hyunyoung G. Kim, Hyejin Mo, Seung-Kee Min, Sangil Min, Jongwon Ha and Kyoung-Bok Min

    Citation: BMC Surgery 2020 20:85

    Content type: Research article

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  32. Papillary thyroid cancer (PTC) is the most common form of well-differentiated endocrine malignancy. Distant metastases of PTC are rare and usually occur in the bones, lungs, and thoracic lymph nodes despite th...

    Authors: Haoyuan Ren, Nengwen Ke, Chunlu Tan, Xing Wang, Wen Cao and Xubao Liu

    Citation: BMC Surgery 2020 20:82

    Content type: Case report

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  33. Rhabdomyosarcoma (RMS), a malignant neoplasm that normally differentiates to form striated muscle, is the most common type of childhood soft tissue sarcoma. However, it infrequently occurs in adults and is unc...

    Authors: Mitsuyoshi Okazaki, Hidehiro Tajima, Yoshinao Ohbatake, Hiroyuki Shinbashi, Shinichi Nakanuma, Isamu Makino, Itasu Ninomiya, Sachio Fushida, Koushiro Ohtsubo and Tetsuo Ohta

    Citation: BMC Surgery 2020 20:81

    Content type: Case report

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  34. The Fontan procedure has become the standard operation for patients with single ventricle physiology. Due to cardiac hypokinesis and high central venous pressure, laparoscopic approach, especially in hepatecto...

    Authors: Yuki Yokota, Takehiro Noda, Shogo Kobayashi, Kenichi Matsumoto, Yoshihiro Sakano, Yoshifumi Iwagami, Yoshito Tomimaru, Hirofumi Akita, Kunihito Gotoh, Koji Umeshita, Yuichiro Doki and Hidetoshi Eguchi

    Citation: BMC Surgery 2020 20:80

    Content type: Case report

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  35. Perforation of a marginal peptic ulcer after pancreaticoduodenectomy (PD) can lead to severe conditions, although its clinical features have not been well reported. In this article, we present three cases of m...

    Authors: Ikuma Shioi, Naoyuki Yokoyama, Motoharu Hirai, Masaru Komatsu, Akira Kubota, Makoto Aoki, Daisuke Sato and Tetsuya Otani

    Citation: BMC Surgery 2020 20:79

    Content type: Case report

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  36. The reverse treatment of patients with synchronous colorectal liver metastases (CRLM) is a sequential approach with systemic chemotherapy first, followed by liver resection, and finally, primary tumor resectio...

    Authors: Céline Du Pasquier, Didier Roulin, Pierre Bize, Christine Sempoux, Caterina Rebecchini, Michael Montemurro, Markus Schäfer, Nermin Halkic and Nicolas Demartines

    Citation: BMC Surgery 2020 20:78

    Content type: Research article

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  37. Percutaneous kyphoplasty (PKP) has become an important minimally invasive surgical technique for fracture stabilization and pain relief in patients with vertebral compression fractures. However, intraspinal ce...

    Authors: Ziquan Li, Keyi Yu, Xiao Chang, Siyi Cai, Jun Gao and Yipeng Wang

    Citation: BMC Surgery 2020 20:74

    Content type: Case report

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