Formosan Journal of Surgery最新文献

{"title":"Tongue peeling as an adverse reaction with use of micronised purified flavonoid: a case report","authors":"Devendu Rajesh, A. V. Pillai, Riju Ramachandran Menon, Uday kumar Rangaswamy","doi":"10.1097/fs9.0000000000000149","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000149","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Changes in Segmented Neutrophil-to-Monocyte Ratio in Trauma Patients with Stress-Induced Hyperglycemia: A Retrospective Study","authors":"Ching-Ya Huang, Shiun-Yuan Hsu, Ching-Hua Tsai, Wei-Ti Su, Ko-Chien Lin, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000139","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000139","url":null,"abstract":"\u0000 \u0000 \u0000 Stress-induced hyperglycemia (SIH) is commonly observed in patients with trauma and is associated with increased morbidity and mortality. The segmented neutrophil-to-monocyte ratio (SeMo) serves as a biomarker of inflammation and potentially reflects the severity of the stress response to trauma. This study investigated the relationships between SIH, dynamic changes in SeMo, and patient outcomes in a trauma intensive care unit (ICU).\u0000 \u0000 \u0000 \u0000 A retrospective analysis was conducted using data from adult patients with trauma admitted to a Level I trauma center in Southern Taiwan over 13 years. Patients were divided into two groups based on the presence of SIH or non-diabetic normoglycemia (NDN). The dynamic SeMo was calculated as the difference in the SeMo from admission to 48-72 hours after admission. Outcomes were compared using descriptive statistics, chi-square tests, and Student's t-tests.\u0000 \u0000 \u0000 \u0000 Of the 1,030 included patients, those with SIH had a significantly higher SeMo (20.3 vs. 15.2, P = 0.001) and a greater change in dynamic SeMo (1.2 vs. -4.0, P = 0.017) than those with NDN. Among patients with SIH, the deceased group had a higher SeMo (26.4 vs. 18.4, P = 0.022), but there was no difference in dynamic SeMo among the survivors. In the overall cohort and the NDN subgroups, dynamic SeMo was not associated with mortality. However, factors such as older age, lower Glasgow Coma Scale score, higher Injury Severity Score, and presence of end-stage renal disease were more strongly associated with increased mortality.\u0000 \u0000 \u0000 \u0000 In patients with trauma in ICU, SIH was linked to an increased SeMo and greater changes in dynamic SeMo; however, these changes did not directly predict mortality. It is important to note that an elevated SeMo may be observed in patients with SIH, but not in patients with NDN. This finding should be considered to avoid unnecessary therapies.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the risk of bowel obstruction after laparoscopic vs. open surgery for rectal cancer: A systematic review","authors":"Rajarshi Mitra","doi":"10.1097/fs9.0000000000000137","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000137","url":null,"abstract":"\u0000 \u0000 \u0000 This systematic review aimed to evaluate the incidence of adhesion-related readmissions and surgery for adhesive bowel obstruction (BO) in patients who underwent laparoscopic or open surgery for rectal cancer. Laparoscopic surgery is generally believed to be associated with a lower rate of postoperative adhesion formation compared to open surgery.\u0000 \u0000 \u0000 \u0000 A thorough and systematic search was conducted across multiple comprehensive databases to identify relevant studies for inclusion in this systematic review. The purpose of this search was to ensure a comprehensive and unbiased selection of studies to provide a robust foundation for the subsequent analysis.\u0000 \u0000 \u0000 \u0000 In this review, a total of 10 studies were involved on bowel obstruction risk in laparoscopic and open surgery for rectal cancer. This study consistently showed that laparoscopic surgery carried a lower risk of postoperative bowel obstruction compared to open surgery. Six studies in the review supported this finding.\u0000 \u0000 \u0000 \u0000 Laparoscopic surgery shows a significant reduction in adhesive bowel obstruction compared to open surgery, as indicated by this systematic review. However, more well-designed randomized trials involving diverse patients are needed to confirm these benefits. Further research is necessary to gain a clearer understanding of the advantages of laparoscopic surgery in reducing the risk of bowel obstruction.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life and Spiritual Health in Motorcycle Accident Survivors: An Analysis Using the SF-36 Questionnaire and Spiritual Scale","authors":"Ching-Ya Huang, Shu-Hui Peng, Hui-Ping Lin, Shiun-Yuan Hsu, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000138","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000138","url":null,"abstract":"\u0000 \u0000 \u0000 Motorcycle traffic accidents rate remained high in Taiwan letting post-trauma care an imperative issue. This study investigates the spiritual, psychological, and physical impacts of motorcycle traffic accidents in Taiwan, focusing on the role of the Injury Severity Score (ISS) in influencing quality of life (QOL) and spiritual well-being outcomes, aiming to enhance holistic recovery strategies for trauma survivors.\u0000 \u0000 \u0000 \u0000 A prospective study was conducted from April 2022 to March 2024 in a level I trauma center. Patients aged 20 and above with trauma from motorcycle accidents were enrolled and divided into major (ISS ≥ 16) and non-major (ISS < 16) trauma groups. QOL and spiritual health were assessed using 36-item short-form general health survey measures (SF-36) and spiritual scale before discharge and six months later.\u0000 \u0000 \u0000 \u0000 Of 98 patients, we observed significant post-discharge declines in both physical and mental QOL scores, regardless of ISS. However, spiritual scores improved significantly after discharge, with notable enhancements in interpersonal relationships and adversity transcendence observed in patients with ISS < 16, but not in those with ISS ≥ 16. SF-36 analysis revealed that non-religious groups experienced significant declines in mental health scores post-discharge, unlike religious groups, which remained stable. Additionally, religious individuals showed significant post-discharge improvements in interpersonal relationships and adversity transcendence, while non-religious showed no improvement. This suggests a beneficial link between religious adherence and enhanced spiritual well-being.\u0000 \u0000 \u0000 \u0000 Motorcycle accidents reduce QOL and heighten spiritual needs for survivors, regardless of accident severity categorized by ISS score. Integrating spirituality into rehabilitation processes can positively impact overall well-being. Holistic care, addressing physical, psychological, social, and spiritual needs, is vital for optimizing long-term recovery and improving prognosis in trauma survivors, especially in regions with high rates of traffic accidents like Taiwan.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Mortality Probability Model II (MPM II) Predictive Accuracy with the Lethal Triad in ICU Trauma Patients","authors":"Ching-Ya Huang, Pao‐Jen Kuo, J. Yang, Wei-Ti Su, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000140","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000140","url":null,"abstract":"\u0000 \u0000 \u0000 The Mortality Probability Model II (MPM II) is a well-recognized predictive tool in the intensive care unit (ICU) scoring system. The presence of a lethal triad, including hypothermia, acidosis, and coagulopathy, is associated with a worse outcome for trauma patients. This study aimed to assess whether integrating the lethal triad could enhance the MPM II predictive accuracy for trauma patients in the ICU.\u0000 \u0000 \u0000 \u0000 The study conducted a retrospective analysis of adult trauma patients admitted to an ICU from January 1, 2016, to December 31, 2022, in a Level I trauma center in southern Taiwan. It assessed the impact of the lethal triad variables incorporated into MPM II scores using the area under the receiver operating characteristic curve (AUC of ROC).\u0000 \u0000 \u0000 \u0000 Of the 3,410 patients included, 257 had the lethal triad and 3,153 do not. The mortality rate was significantly higher in patients presenting the lethal triad than those without (46.7% vs. 8%, p < 0.001). However, there was no significant improvement in predictive accuracy with both the MPM II with or without incorporating the variable of lethal triad having an area under the Receiver Operating Characteristic curve of 0.893.\u0000 \u0000 \u0000 \u0000 While the lethal triad is important for understanding trauma-induced physiological changes, straight inclusion into MPM II has no substantial prognostic value. These findings indicate that the existing variables in the MPM II may already be indirectly capturing the impacts of the lethal triad, emphasizing the intricate interplay of physiological components in trauma patients. This underscores the importance of continued study in improving the prognostic modeling to ultimately predicting outcomes for trauma patients.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of subcapsular hematoma after living doner liver transplant","authors":"Fang-Sheng Cheng, Chuang Shih-Chang, Wang Shen-Nien, Yao-Li Chen, Liang Hsin-Rou","doi":"10.1097/fs9.0000000000000145","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000145","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emerging robot-guided techniques in endodontic microsurgery","authors":"He Liu, Ya Shen","doi":"10.1097/fs9.0000000000000148","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000148","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial of Propofol and Midazolam in Patients with Moderate/ Severe Traumatic Brain Injury after Neurosurgery","authors":"Yun-Cong Zheng, Yung-Hsin Hsu, Yen-Min Huang, Pin-Yuan Chen, Chih-Lung Lin","doi":"10.1097/fs9.0000000000000109","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000109","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Syndactyly in a 2-year-old child on all limbs","authors":"Pavel Shklyaev, Olga Neganova, Ilnur Yagudin, Timur Pastushkov, Viloriy Ivanov, Aliya Gabdrakhimova","doi":"10.1097/fs9.0000000000000118","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000118","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvicalyceal system rupture due to obstruction by lower ureteric calculus","authors":"Naveen Kumar, Keshaw Kumar, Kashif Rizwi","doi":"10.1097/fs9.0000000000000112","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000112","url":null,"abstract":"\u0000 The most common cause of spontaneous non traumatic pelvicalyceal system rupture is distal obstruction by a ureteric calculus and should be included in the differential diagnosis of patients with acute flank pain and perinephric fluid on ultrasound and Contrast enhanced CT scan with delayed images should be done to confirm the diagnosis. We present a case of spontaneous non traumatic pelvicalyceal system rupture due to a tiny ureteric calculus managed with primary ureteroscopic lithotripsy.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141364809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}