Unbounded Medicine

Welcome to the third edition of SurgeXperiences, the first carnival of surgery. I’m honored to bring you this surgical carnival.
This will be a practical and concise edition. The objective of blogs (in my point of view) is to answer questions as quickly as possible, so lets start with the HOW-TOs. Enjoy.

How to classify fingertip [...]

The British journal The Lancet chose as Paper of the Year an investigation published in January 2006 by Guillermo Ruiz-Palacios y Santos about rotavirus vaccine.
This study, included 63,225 breastfeeded infants and was first published by the New England Journal of Medicine.
With their conclusions, the Mexican government will change the National Vaccination Scheme, and now will [...]

Like those nice posts of Kidney Notes called Hilarious Journal Articles I have read in the September issue of Annals of Surgery an article wich concludes the following:
For some complex procedures, surgeons older than 60 years, particularly those with low procedure volumes, have higher operative mortality rates than their younger counterparts. For most procedures, however, [...]

At Quinn Lab, San Diego Supercomputer Center, doctor Quinn, has an outstanding project called Patient Notes with mobile devices.
The famous and enthusiastic project of Dr. Quinn and Dr. Wright, consists in the transmission of medical data to mobile devices such as PDAs and cell phones to enable medical workers in the field to instantaneously gain [...]

From Annals of Surgery
A randomized trial that compares (subjectively and objectively) the laparoscopic versus conventional Nissen fundoplication in 5 years.
The comparision was made with 148 (79 laparoscopic vs 69 patients who were requested to fill in a questionnarie and to undergo esophageal manometry and 24 hours pH-metry.
Results: At 5 years follow-up, 20 patients had undergone [...]

Via JAMA. 2006;296:283-291.
Migraine with aura is associated with increased risk of major cardiovascular disease (CVD), myocardial infarction, ischemic stroke, and death due to ischemic CVD, coronary revascularization and angina. Active migraine without aura was not associated with increased risk of any CVD event.
This prospective cohort-type study enrolled 27,840 women aged 45 years or older who [...]

From Annals of Surgery
This article reminds me the risk of intraabdominal infections with a drain left there more than 4 days on the PO.
For patients with pancreatic head resection, a drain should be removed as early as the 4th PO day. This reduce the incidence of PO intraabdominal infection.
Methods: A total of 104 consecutive patients [...]

Via Diabetes Care Journal.
A cohort study (made by Yaggi, Araujo and McKinlay) who enroll men from 1987-9 to 2004 showed the next results:
Men reporting short sleep duration (< =5 and 6 h of sleep per night) were twice as likely to develop diabetes, and men reporting long sleep duration (>8 h of sleep per [...]