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DIG Mitchell

Guidelines on Management of the Patient with Breast Cancer

Management of Breast Abscesses in Jamaican Women Is There Need for a Paradigm Shift?

Issue: 
Pages: 
245–8
Synopsis: 
The traditional management of breast abscesses results in significant patient morbidity, prolonged hospital stay, increased expense and loss of productive work hours. Non-operative management has not traditionally been undertaken in our institution and prospective protocolbased trials are necessary to identify the patients most suitable for this line of management in a setting with limited resources.

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e-Published: 21 Aug, 2013

Clinicopathologic Features of Breast Disease in Jamaica: Findings of The Jamaican Breast Disease Study, 2000–2002

Issue: 
Pages: 
90–4
Synopsis: 
The majority of patients presenting with breast disease at the University Hospital of the West Indies are young women with clinically benign disease. A low prevalence of clinically significant premalignant disease supports the need for improved breast cancer screening in the population.

 

ABSTRACT

Objective: To describe the clinicopathologic profile of breast disease in Jamaica.

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e-Published: 18 Jul, 2013

Bile Duct Injuries in the Laparoscopic Era: The University Hospital of the West Indies Experience

Issue: 
Pages: 
228–31
Synopsis: 
A review of all the cases of bile duct injuries seen at the University Hospital of the West Indies since the introduction of laparoscopic cholecystectomy reveals that 60% of all cases resulted from open cholecystectomy and Roux en Y hepaticojejunostomy was the most common surgery offered for major bile duct injury.

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e-Published: 10 Jun, 2013

Laparoscopic Cholecystectomy for Chronic Cholecystitis in Jamaican Patients with Sickle Cell Disease: Preliminary Experience

Issue: 
Pages: 
22–4
Synopsis: 
Acute chest syndrome remains a significant problem in patients with sickle cell disease subjected to laparoscopic cholecystectomy.

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e-Published: 06 Jun, 2013

Duodenal Fibrosarcoma Mimicking Franz Tumour Complicated by Post-resection Chylous Ascites: A Case Report

Issue: 
Pages: 
84–7

ABSTRACT

This case report presents a young woman who underwent a Whipples resection for a large pan-creatoduodenal tumour. Pathology and immunohistochemical analysis of the tumour suggest duodenal fibrosarcoma. The patient’s postoperative management was complicated by chylous ascites. A brief literature review is given to highlight this unusual case.

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e-Published: 01 Oct, 2013

A Comparison of Open and Laparoscopic Cholecystectomy done by a Surgeon in Training

Issue: 
Pages: 
103–9
Synopsis: 
A comparative review of the first 52 cholecystectomies performed by surgery residents reveals that this operation is performed with acceptable complication rates, testifying to the efficacy of the training programme at the University Hospital of the West Indies. with small adjustments in hospital policies, an additional 77% of patients can enjoy the proven benefits of laparoscopic cholecystectomy.

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e-Published: 10 Jun, 2013

Postoperative Nausea and Vomiting in Laparoscopic Versus Open Cholecystectomy at two Major Hospitals in Jamaica

Issue: 
Pages: 
130–7
Synopsis: 
The risk of postoperative nausea and vomiting was determined retrospectively and compared for 180 and 175 patients having elective laparoscopic and open cholecystectomy respectively at two major hospitals in Jamaica.

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e-Published: 18 Sep, 2013

Management of Obstetric Anal Sphincter Injuries at the University Hospital of the West Indies

Beyond Cholecystectomy: Advanced Laparoscopic Surgery in Practice and Training in the Caribbean

Issue: 
Pages: 
275–7
Synopsis: 
The introduction of advanced laparoscopic surgery at the University Hospital of the West Indies will enhance surgical care throughout the region.
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e-Published: 02 Jul, 2013

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