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JM Plummer

Non-operative Management of Non-destructive Extra-peritoneal Rectal Injury

Issue: 
Pages: 
344–5

ABSTRACT

This is a case report of extra-peritoneal rectal injury, secondary to a gunshot, that was managed non-operatively. A 57-year old male presented with a single gunshot to the right buttock and had blood per rectum. Extra-peritoneal rectal injuries were seen on proctoscopy but he had no genitourinary injury. He was managed successfully without rectal injury repair or faecal stream diversion.

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e-Published: 31 Jan, 2014

Radiation Therapy for Rectal Cancer: Toward an Evidence-based Approach Suitable to the Region

Issue: 
DOI: 
10.7727/wimj.2012.299
Pages: 
649–50
Synopsis: 
Rectal cancer is the most common site in the colorectal spectrum and many patients present at an advanced stage. Short course radiotherapy is proposed as neo-adjuvant therapy to qualified patients as it is less expensive, requires less time, has greater compliance and less acute toxity, without compromising efficacy.
INTRODUCTION
 
Accepted: 
30 Nov, 2012
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e-Published: 22 Jan, 2014

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

Trauma: The Burden of a Preventable Problem

Issue: 
Pages: 
26–8
Synopsis: 
Jamaica Trauma Registry data analysis shows that the majority of hospitalized patients were males suffering from penetrating trauma. Their care were largely state funded.

ABSTRACT

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e-Published: 01 Oct, 2013

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.

ABSTRACT

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e-Published: 21 Aug, 2013

Adequacy of Lymph Node Harvesting in Colorectal Cancer Management Improving Standards, Ensuring Quality

Issue: 
Pages: 
134–8
Synopsis: 
The adequacy of lymph node resection at the University Hospital of the West Indies meets accepted standards for right-sided colon cancers but is less than adequate for left-sided cancers. Ensuring adequate node sampling is a dual responsibility of the reporting pathologist and attending surgeon as this has important implications for treatment, prognosis and quality of care.


ABSTRACT

Objective: The aim of this study was to determine the adequacy of nodal sampling in resection specimens for colorectal carcinoma in a Jamaican population.

Methods: The pathology records of all patients who underwent operation for colorectal carcinoma at the University Hospital of the West Indies (UHWI) during the five-year period, 2003−2007, were reviewed. Pertinent clinical and pathologic data were obtained and analysed.

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e-Published: 19 Aug, 2013

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

Session 1

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Pages: 
14
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e-Published: 21 Jun, 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.

ABSTRACT

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e-Published: 10 Jun, 2013

Splenic Flexure Volvulus associated with Systemic Lupus Erythematosus

Issue: 
Pages: 
125–26

INTRODUCTION

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e-Published: 10 Jun, 2013

Pages

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