Indian Journal of Surgery最新文献

‘Mid-term Reflections of the President’—Charting Progress and Future Directions for the Association of Surgeons of India

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-19 DOI: 10.1007/s12262-024-04135-5

Probal Neogi

引用次数: 0

Bleeding Jejunal Diverticula: Always a Timely Reminder

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-16 DOI: 10.1007/s12262-024-04137-3

Pranesh Rambarran, Juhi Priyam Singh, Suman Mewa Kinoo, Bhugwan Singh

引用次数: 0

Clinico-Radiological Features of Acute and Chronic Superior Mesenteric Artery Occlusion (SMAO)

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-16 DOI: 10.1007/s12262-024-04149-z

Kulumani M. Sivasubramaniyan, Venkateswara Gomathi Shankar, Kramadhari Harshith, Krishnan Nagarajan, Mohan Amuthabharathi, Sekar Sabarish

{"title":"Clinico-Radiological Features of Acute and Chronic Superior Mesenteric Artery Occlusion (SMAO)","authors":"Kulumani M. Sivasubramaniyan, Venkateswara Gomathi Shankar, Kramadhari Harshith, Krishnan Nagarajan, Mohan Amuthabharathi, Sekar Sabarish","doi":"10.1007/s12262-024-04149-z","DOIUrl":"https://doi.org/10.1007/s12262-024-04149-z","url":null,"abstract":"Superior mesenteric artery occlusion (SMAO) can present as acute mesenteric ischemia (AMI) with bowel necrosis or as mesenteric vascular narrowing with collateral formation, resulting in chronic mesenteric ischemia (CMI). The diagnosis is often delayed due to a low clinical index of suspicion, leading to a high mortality rate. We aimed to characterize the clinical and radiological features of SMAO. This retrospective study included 39 patients with SMAO reported on CT for 3 years. We compared the clinical features from medical records with imaging and intraoperative findings. The CT features of vessel occlusion, status of collaterals, bowel changes, and other intra-abdominal findings apart from involvement of other vessels (celiac, renal, aortic, neck vessels) were analyzed. Out of 39 patients, 12 had acute SMAO, and the remaining 27 patients had chronic SMAO and were sub-classified into Takayasu (n = 13) and non-Takayasu (n = 14) sub-groups. The acute group had proximal and distal occlusions equally and bowel gangrene changes but without collaterals, whereas chronic group had mainly proximal stenosis/occlusion and no bowel changes with well-formed collaterals. Involvement of other abdominal and peripheral vessels was noted in the chronic group (both Takayasu and non-Takayasu) but less in acute group patients. Early surgery in the acute group was associated with a better prognosis and CT-detected bowel ischemia changes correlated well with intraoperative findings. Acute and chronic SMAO have distinct features in terms of level and type of occlusion, bowel ischemic changes and collaterals. Takayasu arteritis may be a subset of chronic SMAO with associated changes, which warrant further elucidation.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing Hysteroscopic Mesh Resection for Presacral Mesh Infection Following Sacrocolpopexy

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-16 DOI: 10.1007/s12262-024-04161-3

Zhenzhen Wu, Chunxiao He, Xudong Han, Bin Ma, Huiling Wang, Yaqin Zhao, Futang Ma, Fang Wang, Qing Liu

{"title":"Utilizing Hysteroscopic Mesh Resection for Presacral Mesh Infection Following Sacrocolpopexy","authors":"Zhenzhen Wu, Chunxiao He, Xudong Han, Bin Ma, Huiling Wang, Yaqin Zhao, Futang Ma, Fang Wang, Qing Liu","doi":"10.1007/s12262-024-04161-3","DOIUrl":"https://doi.org/10.1007/s12262-024-04161-3","url":null,"abstract":"This study assessed the feasibility and efficacy of hysteroscopic mesh resection in managing presacral mesh infection following sacrocolpopexy. A retrospective analysis was conducted on three cases of presacral mesh infection treated with hysteroscopic total mesh resection between January 2020 and December 2021. The cases were classified and diagnosed using category-time-site (CTS) coding for complications, and perioperative indicators were evaluated. The mean age of the patients was 61.67 years (SD 4.44). Surgical time averaged 37.33 min (SD 5.11), with an intraoperative bleeding volume of 13.33 ml (SD 4.44). The hospitalization cost was 12,436.43 yuan (SD 2281.79), and the postoperative hospitalization duration was 6.25 days (SD 0.88). The preoperative frailty index was 0.18 in two out of three cases, indicating favorable surgical tolerance. There were no 30-day unplanned readmissions. At 3 months post-operation, the Patient Global Impression of Improvement (PGI-I) score was 100%, indicating good outcomes with a subjective cure rate of 100%. These findings indicate that hysteroscopic mesh resection could be a viable and effective treatment modality for presacral mesh infection following sacrocolpopexy.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Execution of Ipsilateral Radical Tonsillectomy and Tongue Base Mucosal Wedge Biopsy with Trans Oral Robotic Surgery (TORS) in the Setting of Carcinoma Unknown Primary (CUP): Insights into Surgical Techniques and Instrumentation 在原发癌不明（CUP）的情况下使用经口腔机器人手术（TORS）实施同侧根治性扁桃体切除术和舌根部黏膜楔形活检：对手术技术和器械的见解

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-13 DOI: 10.1007/s12262-024-04154-2

Naresh Kumar Panda, Karthika Chettuvatti, Jaimanti B. Bakshi

引用次数: 0

Emphysematous Pyelonephritis on X-ray Abdomen X 射线腹部显示气肿性肾盂肾炎

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-13 DOI: 10.1007/s12262-024-04156-0

Himanshu Agrawal, Nitin Agarwal, Nikhil Gupta

引用次数: 0

Indications for Enteric Stoma Creation in Emergency Laparotomy for Acute Abdomen: Insights from a Retrospective Descriptive Study

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-13 DOI: 10.1007/s12262-024-04162-2

Krishna Prakash, Saurav Manna, Dibakar Halder, Utpal De

{"title":"Indications for Enteric Stoma Creation in Emergency Laparotomy for Acute Abdomen: Insights from a Retrospective Descriptive Study","authors":"Krishna Prakash, Saurav Manna, Dibakar Halder, Utpal De","doi":"10.1007/s12262-024-04162-2","DOIUrl":"https://doi.org/10.1007/s12262-024-04162-2","url":null,"abstract":"The rise in stoma creation after emergency laparotomy has surged significantly in recent years, contrasting sharply with earlier practices of resection and anastomosis. Despite advances in management, which were expected to reduce this trend, it has instead escalated, imposing a burden on healthcare costs and impacting the quality of life for stoma patients. This study seeks to examine the factors influencing the necessity for enteric stomas during emergency laparotomies for acute abdominal conditions. This descriptive observational study was conducted in the Department of General Surgery at a Medical College & Hospital, from November 2022 to January 2024, analyzing data from March 2019 to March 2021. It included 70 patients aged 18 to 60 who underwent enteric stoma creation during emergency laparotomy. Data were collected retrospectively from medical records and analyzed using descriptive statistics. The study included 70 patients with an average age of 43.7 ± 14.4 years; 43 males and 27 females. The primary indications for stoma creation were obstructing colonic cancer (38.5%), non-traumatic small bowel perforation (14.2%), and sigmoid volvulus (11.4%). Ileostomies were predominant (58.5%), with double-barrel ileostomy being the most common (31.4%). Short-term complications occurred in 28.5% of patients, with surgical site infections being the most common (55%). The study highlights a paradoxical increase in enteric stoma creation despite advancements in surgical care. The findings underscore the need for further research into the factors influencing the decision to create a stoma, beyond immediate surgical considerations.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contribution of Nobel Laureate and Physicist Sir CV Raman in Oncosurgery 诺贝尔奖获得者、物理学家 CV 拉曼爵士对肿瘤外科的贡献

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-12 DOI: 10.1007/s12262-024-04158-y

Kaushik Bhattacharya, Sandeep Kumar, Santhosh John Abraham, Probal Neogi, Sanjay Kumar Jain, G Siddesh

引用次数: 0

Association between Gastric Cancer and Vitamin D in Kashmiri Population: A 2 Year Case–Control Study at a Tertiary Care Hospital 克什米尔人口中胃癌与维生素 D 的关系：一家三级医院为期两年的病例对照研究

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-10 DOI: 10.1007/s12262-024-04152-4

Younis Mushtaq, Shariq Rashid Masoodi, Mubashir Shah, Ajaz Qadir

{"title":"Association between Gastric Cancer and Vitamin D in Kashmiri Population: A 2 Year Case–Control Study at a Tertiary Care Hospital","authors":"Younis Mushtaq, Shariq Rashid Masoodi, Mubashir Shah, Ajaz Qadir","doi":"10.1007/s12262-024-04152-4","DOIUrl":"https://doi.org/10.1007/s12262-024-04152-4","url":null,"abstract":"Introduction: The association between vitamin D level and gastric cancer has not been studied in our population despite the high prevalence of vitamin D deficiency and gastric cancer. Patients and Methods: This was a 26-month case series analysis study in which 59 patients with histologically confirmed gastric cancer and age and sex-matched 60 patients with suspicion of Helicobacter Pylori infection were taken as controls to find out any association between low 25 hydroxy vitamin D level and malignancy. Results: The mean age of the cases and controls was 57 SD (standard deviation)10 and 56 SD 9 years, respectively. The mean vitamin D levels in cases and controls were 20.15 ng/ml and 32.21 ng/ml, which was statistically significant (p < 0.0001). Only 3 (5%) controls showed vitamin D deficiency (< 20 ng/ml), compared to 30 (50.84%) cases, which was statistically significant (p < 0.001). The mean vitamin D levels in well differentiated, moderately differentiated and poorly differentiated adenocarcinoma were 26.10, 23.25 and 14.88 ng/ml, respectively, which was statistically significant (p < 0.001). Stage III gastric adenocarcinoma (50.8%) was the most common, followed by stage II (42.4%), stage I (5.08%) and stage IV (1.7%); however, vitamin D levels did not statistically differ among these stages. All these patients except stage IV underwent surgery, were followed for two years, and had a survival rate of 90 percent. Conclusion: There was a positive association between vitamin D deficiency and the occurrence of gastric cancer. Vitamin D levels were significantly associated with different tumour differentiation grades but not with clinical staging.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Urogenital Functions after Transanal and Laparoscopic Total Mesorectal Excision 经肛门和腹腔镜中直肠全切除术后泌尿系统功能的比较

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-07 DOI: 10.1007/s12262-024-04151-5

Jinchun Cong, Hong Zhang, Chunsheng Chen, Kun Xu

{"title":"Comparison of Urogenital Functions after Transanal and Laparoscopic Total Mesorectal Excision","authors":"Jinchun Cong, Hong Zhang, Chunsheng Chen, Kun Xu","doi":"10.1007/s12262-024-04151-5","DOIUrl":"https://doi.org/10.1007/s12262-024-04151-5","url":null,"abstract":"Urogenital dysfunction after rectal surgery is associated with neurovascular bundle (NVB) injury. We compared urinary and sexual functions after transanal total mesorectal excision (taTME) and laparoscopic total mesorectal excision (laTME), and analysed the impact of the differences in NVB injuries on the functional outcomes of these treatments. Overall, 187 patients with rectal cancer who underwent taTME (n = 94) or laTME (n = 93) at the Shengjing Hospital of China Medical University between March 2018 and June 2021 were included. Ninety-seven patients (taTME, n = 52; laTME, n = 45) with NVB injuries were classified as bleeding subgroups and the others as non-bleeding subgroups. Urinary function was compared 6 and 12 months postoperatively using the International Prostate Symptom Score (IPSS). Sexual function was compared 12 months postoperatively using the five-item International Index of Erectile Function (IIEF-5). The IPSS of all groups at 6 months postoperatively was higher than that preoperatively. All postoperative scores in the bleeding subgroup of the taTME group were significantly higher than the preoperative scores. The bleeding subgroup of the taTME group had higher IPSS and significantly lower IIEF-5 scores than the non-bleeding subgroup of the taTME group and the bleeding subgroup of the laTME group postoperatively. The IIEF-5 scores of all groups at 12 months postoperatively were lower than those preoperatively. This study confirmed impaired urinary and sexual functions after taTME and laTME, and patients with NVB injuries in the taTME group had worse urinary and sexual dysfunction.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0