Europe's premier surgical journal
We are delighted to announce from the first issue of 2014 (Special Issue on Emergency Surgery, 101:1) Spanish translations of all abstracts are included in a translation section at the end of each issue. We acknowledge the excellent translation work of Manuel Pera, Marta Pulido, Luis Grande, Sebastiano Biondo, Joana Ferrer and Miguel Pera.
Click here to read the latest issue of BJS, which includes a number of articles on the treatment of varicose veins. Highlights include a leader on new evidence on treatments for varicose veins and an article on patient-reported outcomes 5-8 years after ultrasound-guided sclerotherapy for varicose veins.
BJS publishes original articles, reviews, meta-analyses, systematic reviews and randomized clinical trials, all of which are submitted to rigorous peer review. Click here for full Instructions to Authors.
Featuring updated taxonomy to make it more intuitive and searchable, this database of randomized clinical trials in surgery allows you to browse by subject or search by date, making Scientific Surgery your first stop for surgical RCTs.
BJS welcomes proposals that might lead to the publication of evidence-based guidelines relevant to surgical practice, acknowledging that the best available evidence might be no more than consensus views. Potential authors are encouraged to submit initial ideas for consideration, and not completed documents, to assess whether publication in BJS is possible. Full instructions here.
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To access articles published as Early View in advance of inclusion in an issue, please click here.
- Remember we now publish Spanish translations of all abstracts; they can be found in the translation section at the end of each issue.
- If you subscribe to BJS you can access content on the BJS app for iPad, iPhone and iPod Touch (instructions for syncing are available here).
Tourniquet modification of the associating liver partition and portal ligation for staged hepatectomy procedure. R. Robles, P. Parrilla, A. López-Conesa, R. Brusadin, J. de la Peña, M. Fuster, J. A. García-López and E. Hernández. Br J Surg 2014; 101: 1129-1134
Currently, one of the most hotly debated topics in hepatopancreatobiliary surgery is the ALPPS (Associating Liver Partition and Portal vein ligation for Staged hepatectomy) procedure for treating primary and secondary liver tumours. In this two-staged procedure, the portal vein to the side of the liver (usually the right side) that has to be removed is ligated and the liver is transected in the first stage of the procedure. The part of the liver to be removed is left in situ, perfused only via the hepatic artery. The intact biliary tree and hepatic veins warrant adequate biliary and venous drainage. In the second stage, usually conducted about 1 week later, the de-portalized, tumour-containing liver part is removed.
The key issue of the ALPPS procedure is that it induces rapid and considerable hypertrophy of the future remnant liver by redirecting portal blood flow and prohibiting cross-recirculation from the future remnant liver to the part to be removed. The latter is a well known problem in the classical two-stage hepatectomy, where the portal vein to one side is also ligated, but the liver is not split and the second stage is performed 4 to 6 weeks later. The hypertrophy induced by the ALPPS procedure is undoubtedly more pronounced than that induced by the classical two-stage hepatectomy. This advantage of the ALPPS technique is counterbalanced by considerable morbidity and mortality, which far exceed that of the classical two-stage hepatectomy. In this context, any modification that may contribute to a reduction in morbidity and mortality in the ALPPS procedure should be welcomed.
In the present paper, the authors report a tourniquet modification, which implies that the liver is not split in the first stage of the ALPPS technique. The tourniquet prohibits cross-recirculation from left to right across the future transection plane. This approach reduces operating time and blood loss and may help improve outcome.
- New evidence on treatments for varicose veins. B. Campbell. This article is free to access.
- Outcome and complications after intra-arterial thrombolysis for lower limb ischaemia with or without continuous heparin infusion. O. Grip, M. Kuoppala, S. Acosta, A. Wanhainen, J Åkeson and M. Björk. This article is free to access.
- Patient-reported outcomes 5-8 years after ultrasound-guided foam sclerotherapy for varicose veins. K. A. L. Darvall, G. R. Bate and A. W Bradbury.
- Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniques versus surgery for varicose veins. C. Carroll, S. Hummel, J. Leaviss, S. Ren, J. W. Stevens, A. Cantrell and J. Michaels
- Small bowel obstruction, incisional hernia and survival after laparoscopic and open resection (LAFA study). S. A. L. Bartels, M. S. Vlug, M. W. Hollmann, M. G. W. Dijkgraaf, D. T. Ubbink, H. A. Cense, B. A. van Wagensveld, A. F. Engel, M. F. Gerhards, W. A. Bemelman and the Collaborative LAFA Study Group
S. M. Pilgrim, S. Loibl and T. Sørlie
B. Stewart, C. Mock, S. Acosta and K Søreide
U. Shiralkar, A. Pinto and C. Bicknell
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Background Serial transverse enteroplasty (STEP) was first described in 2003 as a method for lengthening and tapering of the bowel in short bowel syndrome. The aim of this multicentre study was to review the outcome of a Swedish cohort of children who underwent STEP. Methods All children who had a STEP procedure at one of the four centres of paediatric...