Abstract：
:Giant colonic diverticulum is a rare complication of diverticular disease of the colon and is thought to result, in most cases, from a "ball-valve" effect. The presentation and clinical course can be variable and confusing. The most common symptoms are abdominal pain and a palpable abdominal lump, with many patients presenting acutely with complications such as perforation and peritonitis. Preoperative diagnosis requires a high degree of suspicion and needs to be differentiated from sigmoid volvulus, caecal volvulus, intestinal duplication cyst, pneumatosis cystoidis intestinalis, and similar conditions. A plain x-ray and computed tomography (CT) scan of the abdomen shows a huge air-filled cyst termed "balloon sign" and confirms the diagnosis. The barium enema shows a communication with the bowel in most cases. In view of the high incidence of complications, treatment is advised even in asymptomatic cases and consists of excision of the cyst with resection of the adjacent colon with primary anastomosis. This treatment would, in most cases, be a sigmoid colectomy. Percutaneous drainage and Hartmann's procedure may be appropriate in some cases who present with a well-formed abscess or gross fecal peritonitis, respectively. A case is described, and the literature is reviewed.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Praveen BV,Suraparaju L,Jaunoo SS,Tang T,Walsh SR,Ogunbiyi OAdoi
10.1016/j.jsurg.2006.10.007subject
Has Abstractpub_date
2007-03-01 00:00:00pages
97-100issue
2eissn
1931-7204issn
1878-7452pii
S1931-7204(06)00195-4journal_volume
64pub_type
杂志文章,评审abstract：OBJECTIVE:The objective of this study was to explore the views and expectations that practicing general surgeons have of their junior colleagues who have recently finished training. DESIGN:This is a qualitative study performed using focus group data consisting of open-ended questions concentrating on essential qualiti...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.09.010
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:In academic settings, surgical residents often serve as co-surgeon in complex operations such as pancreatic resections. These operations are typically performed by fellowship-trained primary surgeons with extensive experience in the field. Our study aimed to evaluate how the participation of general surgery r...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.04.006
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Humanitarian surgeons face many ethical challenges. Despite increasing resident participation during humanitarian activities, minimal literature exists describing premission ethics training. METHODS:A systematic literature review was conducted to identify publications on humanitarian surgery. A 3-tiered rev...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.11.015
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVES:To assure that orthopaedic residents have the knowledge needed to critically appraise the medical/surgical literature and the skills needed to design and conduct musculoskeletal and orthopaedic research. SETTING:Residency program of the Department of Orthopaedic Surgery, Sports Medicine and Rehabilitation a...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.04.002
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Medical graduates are required to be competent in many domains of professional practice when joining the health care workforce. Current undergraduate examination methods robustly assess up to 5 of these 8 required skills. This study sought to evaluate an alternative certification examination ("ACE") in asses...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.05.011
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION:Autonomy is of foremost concern in the current era of surgical residency, and it is especially important to trainees when considering their surgical education. Factors impacting trainee independence include the restriction of clinical work hours and the development of advanced minimally invasive techniques...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.08.004
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Physician satisfaction is an important and timely issue in health care. A paucity of literature addresses this question among general surgeons. PURPOSE:To review employment patterns and job satisfaction among general surgery residents from a single university-affiliated institution. METHODS:All general sur...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2007.07.004
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:The Neurosurgical Atlas is a popular world-wide multimedia website in neurosurgery with informative chapters and videos to promote excellence and safety in neurosurgical techniques. Here, we present our analysis of the viewing data of this website. This is intended to describe how online neurosurgical resourc...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.05.001
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:Explore the methods used and costs necessary for the creation and maintenance of a surgical video library with an emphasis on its applications in surgical education and scholarship. DESIGN:A methodology paper highlighting how to develop and utilize a surgical video library for trainee operative preparation, ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.10.011
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To evaluate whether implementing the formal Surgical Research Methodology (SRM) Program in the surgical residency curriculum improved research productivity compared with the preceding informal Research Seminar Series (RSS). METHODS:The SRM Program replaced the RSS in July 2009. In the SRM Program, the curric...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.01.012
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To conduct a needs assessment to identify gaps in communication skills training in ophthalmology residency programs and to use these results to pilot a communication workshop that prepares residents for difficult conversations. DESIGN:A mixed-methods design was used to perform the needs assessment. A pre-and...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.08.011
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Evaluation of fundamental surgical skills is invaluable to the training of medical students and junior residents. This study assessed the effectiveness of crowdsourcing nonmedical personnel to evaluate technical proficiency at simulated vessel ligation. STUDY DESIGN:Fifteen videos were captured of participa...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.09.030
更新日期：2018-01-01 00:00:00
abstract：PROBLEM:The COVID-19 pandemic has suspended the surgery clinical clerkship for third-year medical students at numerous institutions across the world. As a result, educators and students have adapted rapidly. There is a paucity of precedents regarding urgent and brusque formal curricular changes for medical students enr...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.009
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:In North America, the number of craniofacial surgery fellowship graduates is increasing, yet an analysis of practice settings upon graduation is lacking. We characterize the practice types of recent graduates of craniofacial fellowship programs in the United States and Canada. DESIGN:A 6-year cohort of crani...
journal_title：Journal of surgical education
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jsurg.2016.08.014
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVES:To compare career choices of residency graduates from Independent Academic Medical Center (IAMC) and University Academic Medical Center (UAMC) programs and evaluate program directors' perceptions of residents' motivations for pursuing general surgery or fellowships. DESIGN:From May to August 2011, an electr...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2012.05.006
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide. DESIGN:A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.036
更新日期：2020-07-25 00:00:00
abstract：BACKGROUND:There is an increasing demand for physicians to possess strong personal and social qualities embodied in the concept of emotional intelligence (EI). However, the residency selection process emphasizes mainly academic accomplishments. In this system, the faculty interview is the primary means of evaluating th...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.03.010
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:A fundamental premise of establishing collaborative relationships between residents and nurses is a basic understanding of the attributes of each group. The intent of this study was to determine what surgical nurses know about surgical residents. DESIGN:A piloted survey tool was administered to a cross-secti...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2009.08.001
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:Attrition rates in general surgery training are higher than other surgical disciplines. We sought to determine the prevalence with which Canadian general surgery residents consider leaving their training and the contributing factors. DESIGN, SETTING, AND PARTICIPANTS:An anonymous survey was administered to a...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.008
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:The purpose of the study was to determine the optimal number of throws to ensure knot security. STUDY DESIGN:Knots were tied with 3, 4, 5, or 6 square throws with 0-gauge coated polyester, polydioxanone, polypropylene, and polyglactin 910. The suture was soaked in 0.9% sodium chloride and subsequently transf...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.11.001
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine whether students' performance evaluations by faculty were influenced by the clinical service on which the student was evaluated. METHODS:Third-year medical students spent 8 weeks rotating on 3 (or 2) surgical services. Typically, students rotate on one 4-week genera...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.03.003
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Anatomy education has long been considered fundamental to the medical profession. Recently, Australasian medical schools have favored prosected human material, models and medical imaging in their anatomy curriculum with only 3 medical schools offering whole-body dissection. The aim of this study was to explo...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.041
更新日期：2020-09-18 00:00:00
abstract：OBJECTIVE:The practice of obstetrics and gynecology poses specific ethical challenges for informed consent (IC). Data regarding resident confidence with the IC process are lacking. Our objective was to evaluate obstetrics and gynecology residents' education, experience, and confidence related to IC. DESIGN:This was a ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.12.005
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To evaluate tension at the failure of 3 commonly used sutures when suture ends were cut to 3 lengths. STUDY DESIGN:Knots were tied using U.S. Pharmacopeia Size 0-0 polyglactin 910, silk, or polydioxanone sutures. The knots were tied randomly on a jig by the same surgeon. End lengths were then cut to random l...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2009.10.003
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:To1 describe the development and evaluate the feasibility of a surgical objective structured clinical examination (OSCE) for the purpose of competency assessment based on the Royal College of Canada's CanMEDS framework. DESIGN:A unique surgical OSCE was developed to evaluate the clinical and surgical managem...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.02.018
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgi...
journal_title：Journal of surgical education
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jsurg.2019.03.002
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Given limitations in surgical educational resources, more efficient teaching methods are needed. We sought to evaluate 3 strategies for improving skills in subcuticular suturing-practice with an instructional video, practice with expert instructor supervision, and independent practice. DESIGN:Fifty-eight med...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2011.04.006
更新日期：2011-09-01 00:00:00
abstract：PURPOSE:Despite the overall shift in care delivery to an ambulatory setting, the majority of general surgical education still relies on the experience of caring for inpatients. We aimed to investigate how the inpatient practice patterns of newly minted general surgeons (GS) have changed since 2008, in order to better i...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.12.005
更新日期：2020-12-23 00:00:00
abstract：OBJECTIVES:During the last 2 decades, the advent of new technologies in trauma patient care may have resulted in a decreased number of diagnostic peritoneal lavage (DPL) evaluations. In this study, it is hypothesized that fewer DPL are being performed at a midwestern trauma center. Such negative trends may make the inc...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.02.003
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:Few tasks are more ingrained within the minds of practicing surgeons than the dictation of the narrative report of an operation. However, the construct of these reports varies widely among surgeons and is rarely formally taught and not tested formally during surgical training or board certification. DESIGN:A...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.06.015
更新日期：2011-11-01 00:00:00
