Formosan Journal of Surgery最新文献

{"title":"Sapovirus infection: an emerging problem to be concerned in post transplant cases","authors":"Amnuay Kleebayoon, Rujittika Mungmunpuntipantip, Viroj Wiwanitkit","doi":"10.1097/fs9.0000000000000087","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000087","url":null,"abstract":"Kleebayoon, Amnuay1; Mungmunpuntipantip, Rujittika2; Wiwanitkit, Viroj3 Author Information","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351861","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":"Wildfire problem and impact on clinical surgery","authors":"Rujittika Mungmunpuntipantip, Viroj Wiwanitkit","doi":"10.1097/fs9.0000000000000088","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000088","url":null,"abstract":"1Private Academic Consultant, Bangkok Thailand 2Chandigarh University, Punjab, India Correspondence: Rujittika Mungmunpuntipantip, Private Academic Consultant, Bangkok Thailand. Email: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134944435","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":"Nylon Cable Ties Assisted Delay Primary-Closure of Fasciotomy Wound in Patients of Forearm Compartment Syndrome","authors":"Chiung Hui Hsieh, Chun Yee Ho, Tyng Luen Roan, Che Wei Chang","doi":"10.1097/fs9.0000000000000086","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000086","url":null,"abstract":"Abstract Background Forearm compartment syndrome is a rare condition that requires forearm fasciotomy to release compartment pressure. In most cases, there is little to no skin damage initially, but after the fasciotomy, the skin flap may gradually retract. Traditional methods for reconstructing fasciotomy wounds, such as skin grafts or flaps, often result in an unpleasant appearance and require donor sites. Material and Methods We present a method utilizing nylon cable ties for delayed primary closure of forearm fasciotomy wounds. We retrospectively reviewed patients who underwent fasciotomy of forearms for compartment syndrome and nylon cable ties-assisted closure in a medical center from January 2017 to December 2022. Results Out of the seven eligible patients, four suffered from compartment syndrome of the forearm due to iatrogenic vascular rupture after procedures, while the other reasons included open-type fracture and fasciitis. For all the patients, nylon cable ties were applied for delayed primary wound closure after emergent fasciotomy. Six of them achieved successful wound closure by nylon cable ties without skin grafts or flaps on median day 12 (day 6 – 19). Only one patient required skin graft reconstruction after the application of nylon cable ties for 10 days. Conclusions Nylon cable ties, which are inexpensive and readily available, can be adjusted according to the different tension along the wound edges. They provide a simple, effective, and safe way to close difficult forearm fasciotomy wounds, which often result in a retracting skin flap after the procedure.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346558","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":"Optimal Surgical techniques for curative resection of the Rectal cancer","authors":"Hyeon Woo Bae, Nam Kyu Kim","doi":"10.1097/fs9.0000000000000090","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000090","url":null,"abstract":"Abstract The aim of rectal cancer surgery is to achieve a curative resection by completely removing the rectum involved with cancer surrounding the mesorectum, obtaining a safe adequate resection margin, and preserving important structures crucial for the patient's quality of life. Optimal dissection along the avascular embryological fusion line and among deep invisible structures is essential. While a minimally invasive surgical approach allows for better visibility of deep pelvic structures compared to the open surgery period, the sequence of dissection and anatomical knowledge about pelvic fascia and relevant nerve structures are crucial for safe pelvic dissection in terms of oncologic and functional outcomes. In this review, we represent practical technical tips based on personal experience and previous studies to achieve the mentioned goals.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135352175","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":"Aortic Valve Myxoma presenting with sudden visual loss","authors":"Po-Yu Wu, Chon-Chao Hsieh","doi":"10.1097/fs9.0000000000000063","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000063","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135885319","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":"Jejunojujunal intussusception as a rare complication of feeding jejunostomy","authors":"I-Chieh Lee, Hsiang-Lin Tsai, Ching-Wen Huang, Jaw-Yuan Wang","doi":"10.1097/fs9.0000000000000062","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000062","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135879115","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":"Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases","authors":"Min-Jie Yang, Hao-Kuang Wang","doi":"10.1097/fs9.0000000000000084","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000084","url":null,"abstract":"\u0000 \u0000 \u0000 Several recent studies have highlighted the advantages of early decompressive surgery for patients with spinal epidural abscesses, specifically in terms of neurological function and overall quality of life. However, these studies predominantly advocate for surgery within 24 hours of admission, a timeframe that may prove challenging for many hospitals due to limited operating room availability and bed occupancy. Consequently, it is pertinent to investigate whether a more flexible definition of \"early surgery\" yields observable benefits for patients to address these practical constraints.\u0000 \u0000 \u0000 \u0000 In this 10-year retrospective study, we analyzed the electronic medical records of 130 patients who underwent decompressive surgery for epidural abscess. Patients were categorized into three groups based on the time intervals between admission and surgery: ≤ 24 hours (n = 24), 24 to 72 hours (n = 26), and > 72 hours (n = 80). Comparative assessments of demographic data, clinical presentations, and preoperative imaging characteristics revealed no statistically significant differences. We conducted separate analyses at 24 hours (n = 24 vs n = 106) and 72 hours (n = 50 vs n = 80) to explore the effects of different cutoff times. Neurological improvement (AIS grade), daily living function (modified Prolo scale) changes 6 months post-discharge, and financial burden (hospitalization and postoperative stay duration, total expenditure) were evaluated as outcome measures. Additionally, we compared the outcomes of patients within the 24 to 72-hour time range with those in the ≤24 hours and > 72-hours group to determine any differences among the three groups.\u0000 \u0000 \u0000 \u0000 Significant changes in AIS grade (1.17 vs 0.66, p = 0.019) and modified Prolo scale (4.21 vs. 2.90, p = 0.011) were observed in the 24-hour group, while no such changes were seen in the 72-hour group. However, both groups showed reductions in financial burden, including hospitalization duration (24-hour group: 27.8 vs 46.8 days, p < 0.001; 72-hour group: 31.3 vs 50.7 days, p < 0.001) and total cost (24-hour group: $6551 vs $11024, p = < 0.001; 72-hour group: $6709 vs $12406, p < 0.001).\u0000 When analyzing the subgroup of patients with a time interval between 24 and 72 hours, we observed a loss of beneficial effects on AIS grade changes (1.2 vs 0.6, p = 0.045) and modified Prolo scale improvement (4.2 vs 3.1, p = 0.044) compared to the ≤24-hours group. However, this subgroup still exhibited positive effects in terms of reduced financial burden, including hospitalization duration (34.6 vs 50.7 days, p = 0.002) and total cost ($6851 vs $12406, p < 0.001), when compared to the >72-hours group.\u0000 \u0000 \u0000 \u0000 Our findings indicate that delaying decompressive surgery up to 72 hours after admission negates its benefits in enhancing neurological recovery and restoring daily life capacity. Nonetheless, this surgical approach continues to provide financial advantages by alleviating the financial burden on patients and th","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48923853","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":"Pre-fabricated Venous Flap, An Advanced Free Venous Flap for - distant Transfer --- an Experimental Rat Study","authors":"David Chwei-Chin Chuang, Frank Fang, J. Lu, Yen-Lin Huang, T. Chang","doi":"10.1097/fs9.0000000000000085","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000085","url":null,"abstract":"\u0000 \u0000 \u0000 Arterialized venous flap (AVF) can improve the survival of traditional free venous flap. AVFs are, however, still not popularly selected as the first choice for microsurgical reconstruction due to its nutrient insufficiency.\u0000 \u0000 \u0000 \u0000 Eighty-four Lewis rats (10-12 weeks old, 350-400 grams) were used. Left hemi-vertical chest-and- abdominal skin flap (4x14 cm2) was the experimental model. Five protocols were designed and performed: Protocol I (n = 18): nutrition territory study; Protocol II (n = 18): immediate A-V anastomosis; Protocol III (n = 12): pre-fabricated venous flap (PFVF) transformed from pedicle-based skin flap; Protocol IV (n = 18): PFVF transformed from perforator-based skin flap; and Protocol V (n = 18) PFVF transformed from capillary-based skin flap. The all transformed PFVFs had a two week delay procedure from the original skin flaps.\u0000 \u0000 \u0000 \u0000 The hemi-vertical chest-abdomen skin flap contains three nutrient vessels: superior, inferior and mid-abdominal. The PFVF coming from the perforator-based skin flap showed significantly superior than other two methods with the best survival rates after arterialization, then capillary-based, and then pedicle-based skin flap.\u0000 \u0000 \u0000 \u0000 The PFVFs after delay procedure and arterialization have been proved to much increase the flap survival than traditional free venous flap. Delay procedure has benefits for the transformation from the nutritional skin flaps into PFVFs, which is especially true in perforator-based skin flaps. Such transformation is a two stage procedure. PFVFs might offer a “last case scenario” surgery as an option to reconstruct wound defects where no other suitable skin flaps are available. Further investigation is warranted.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46596116","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":"Reflections on the Association between Cholecystectomy, Cholelithiasis, and Colorectal Cancer","authors":"Ming-Yu Hsieh","doi":"10.1097/fs9.0000000000000081","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000081","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49305359","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":"Role of clinical surgery in management of adverse effect of COVID-19 vaccine","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000082","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000082","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61688254","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}