Indian Journal of Surgery最新文献_第10页

Ultrasound-Guided Methylene Blue Delineated and Ioban-Immobilized Excision of Discrete Breast Cancer: A Novel Technique for Breast Conserving Surgery 超声引导下亚甲蓝划线和伊班固定切除离散性乳腺癌：保乳手术的新技术

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-02 DOI: 10.1007/s12262-024-04044-7

Kamal Kataria, Ankita Singh, Karan Pao, Nelson T., Piyush Ranjan, Anita Dhar, Anurag Srivastava, Smriti Hari, Hari Shankar Shukla

引用次数: 0

Novel Use of Laparoscopic Totally Extraperitoneal (TEP) Approach for Removal of Abdominal Wall Foreign Bodies 腹腔镜完全腹膜外（TEP）方法在清除腹壁异物中的新应用

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-31 DOI: 10.1007/s12262-024-04041-w

Ho Min Yun, Jeremy Tian Hui Tan, Benjamin Ruimin Poh

引用次数: 0

Gallbladder Disease and Cholelithiasis in Mesopotamian Cuneiform Documents 美索不达米亚楔形文字文献中的胆囊疾病和胆石症

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-29 DOI: 10.1007/s12262-023-04012-7

Bülent Diri, Okay Pekşen, Zeynep Sena Diri

引用次数: 0

Global Surgery: Quo Vadis? 全球外科手术：何去何从？

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-29 DOI: 10.1007/s12262-024-04035-8

Dhananjaya Sharma

引用次数: 0

Successful Surgical Management of a Perforated Duodenal Ulcer Within an Incarcerated Paraesophageal Hernia 嵌顿性食管旁疝内十二指肠溃疡穿孔的成功手术治疗

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-24 DOI: 10.1007/s12262-024-04037-6

引用次数: 0

Transanal Minimally Invasive Surgery in the Treatment of Large Polyps and Early Rectal Carcinoma 经肛门微创手术治疗大息肉和早期直肠癌

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-24 DOI: 10.1007/s12262-024-04039-4

Dejan Stevanović, Nebojša Mitrović, Damir Jašarović, Aleksandar Lazić, Branko Lukić

{"title":"Transanal Minimally Invasive Surgery in the Treatment of Large Polyps and Early Rectal Carcinoma","authors":"Dejan Stevanović, Nebojša Mitrović, Damir Jašarović, Aleksandar Lazić, Branko Lukić","doi":"10.1007/s12262-024-04039-4","DOIUrl":"https://doi.org/10.1007/s12262-024-04039-4","url":null,"abstract":"Transanal minimally invasive surgery is a relatively new diagnostic and therapeutic approach for removing pathological lesions localized in the mid-rectum and its distal third. The availability of laparoscopic equipment and its low cost made this procedure dominant over others. A total of 12 patients underwent afore-mentioned procedure at the Clinical Hospital Center of Zemun. Patients were diagnosed with either benign adenomas or early rectal carcinoma, all verified by histopathological analysis, which could not be removed using endoscopic methods. During the research, we examined the procedure’s feasibility, the margin’s negativity, length of hospital stays, and early complications. The average distance of lesions from the anocutaneous line was 8.1 cm. Mucosectomy was most often performed, followed by full-thickness resection of the rectal wall and resection of the rectal wall with part of the mesorectal tissue. The average size of polypoid lesions was 3 cm. We had positive margins in only one case. The postoperative hospital stay was average 1.8 days. Regarding early postoperative complications, we had one case of postoperative bleeding, which was treated with endoscopic hemostasis. All transanal resection techniques aim to obtain adequate, negative margins of resected pathological lesion. A high percentage of patients with negative margins and a low level of postoperative complications make this procedure applicable in modern practice. This procedure has proven to be a safe, effective and reproducible technique. With the development of the surgical technique, it will be increasingly used to perform more complex colorectal operations in our center.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"31 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139558834","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

A Randomised Controlled Study to Reduce the Incidence of Umbilical Port Site Complications in Laparoscopic Cholecystectomy Using Uniform Methods of Umbilical Hygiene 使用统一脐带卫生方法降低腹腔镜胆囊切除术中脐带端口部位并发症发生率的随机对照研究

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-23 DOI: 10.1007/s12262-024-04033-w

Richa Garg, Yashwant S. Rathore, Sunil Chumber, Kamal Kataria, Vikram Saini, Ajay Mohan

{"title":"A Randomised Controlled Study to Reduce the Incidence of Umbilical Port Site Complications in Laparoscopic Cholecystectomy Using Uniform Methods of Umbilical Hygiene","authors":"Richa Garg, Yashwant S. Rathore, Sunil Chumber, Kamal Kataria, Vikram Saini, Ajay Mohan","doi":"10.1007/s12262-024-04033-w","DOIUrl":"https://doi.org/10.1007/s12262-024-04033-w","url":null,"abstract":"Port site infection causes significant morbidity in patients undergoing laparoscopic cholecystectomy. The umbilicus, the most common location for creating pneumoperitoneum, frequently harbours resident microflora, which can render a patient susceptible to subsequent port site infections. Umbilical hygiene and its role in preventing surgical site infections have not yet been studied. Our study aimed to bridge this gap by proposing a method for umbilical hygiene. Five hundred two patients planned for laparoscopic cholecystectomy were randomised. In the intervention arm, the umbilicus was cleaned with 2–3 drops of coconut oil and patients were instructed to take a bath, with an emphasis on umbilicus cleaning. Patients in the control group were asked to bathe before surgery, without applying coconut oil. In both arms, the abdomen was painted using chlorhexidine, and a standard laparoscopic cholecystectomy was done with the gall bladder being extracted through the epigastric port. Eight (or 1.5%) of the 480 patients had port site infections. Five of them had infections at the umbilical port site, of which four (p = 0.200) belonged to the control group. Our study showed no statistically significant association between preoperative umbilical hygiene and port site infection. This might be due to the fact that patients in both arms bathed prior to the surgery and had their abdomen painted and deep cleaned with chlorhexidine. Hence, we would like to emphasise the significance of deep cleaning of the umbilicus with chlorhexidine during the painting of the abdomen. Further studies with a larger sample size are needed.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139559007","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

Debridement using Piezosurgical Device and Incorporation of Autologous Platelet-Rich Fibrin in Management of Stage III Medication-Related Osteonecrosis of the Jaw — A Case study and Review of Literature 使用压电手术器械进行清创并加入自体血小板富集纤维蛋白治疗 III 期药物相关性颌骨坏死--病例研究与文献综述

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-23 DOI: 10.1007/s12262-024-04040-x

Aishwarya Chatterjee, Manish Sahni, Suresh Singh, Sandeep Jain, Sandeep Jasuja, Rajgovind Sharma, Sudhir Bhandari

{"title":"Debridement using Piezosurgical Device and Incorporation of Autologous Platelet-Rich Fibrin in Management of Stage III Medication-Related Osteonecrosis of the Jaw — A Case study and Review of Literature","authors":"Aishwarya Chatterjee, Manish Sahni, Suresh Singh, Sandeep Jain, Sandeep Jasuja, Rajgovind Sharma, Sudhir Bhandari","doi":"10.1007/s12262-024-04040-x","DOIUrl":"https://doi.org/10.1007/s12262-024-04040-x","url":null,"abstract":"Medication-related osteonecrosis of the jaw (MRONJ) is a condition of persistent exposure of bone or an introral/extraoral fistula through which the bone can be probed for more than 8 weeks in a patient who is under treatment with antiresorptive or antiangiogenic agents (bisphosphonates, denosumab, antiangiogenic agents, tyrosine kinase inhibitors, and monoclonal antibody targeting vascular endothelial growth factors) in the maxillofacial region without any previous history radiation therapy to the jaws or obvious metastatic disease to the jaws. High index of suspicion is required to identify this entity and treat them accordingly. We hereby present a case report where we highlighted the methods to establish the diagnosis of medication-related osteonecrosis of the jaw and its complex management from medical management to surgical management with debridement using piezosurgical device along with the incorporation of autologous platelet concentrate and review the literature of this entity.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"6 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139558830","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

Role of MDCT Scan-Based Volumetric Assessment Post Decortication in Cases of Chronic Tubercular Empyema Thoracis Patients 基于 MDCT 扫描的体积评估在慢性结核性胸腔积液患者去骨瓣术后的作用

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-22 DOI: 10.1007/s12262-024-04032-x

Suresh Kumar, Pankaj Singh, Sanjeev Kumar, Devanshu Mishra, Ajay Kumar Pal, Manoj Kumar, Ajay Kumar Verma

{"title":"Role of MDCT Scan-Based Volumetric Assessment Post Decortication in Cases of Chronic Tubercular Empyema Thoracis Patients","authors":"Suresh Kumar, Pankaj Singh, Sanjeev Kumar, Devanshu Mishra, Ajay Kumar Pal, Manoj Kumar, Ajay Kumar Verma","doi":"10.1007/s12262-024-04032-x","DOIUrl":"https://doi.org/10.1007/s12262-024-04032-x","url":null,"abstract":"To evaluate the recovery of vital lung tissue after organ restoration decortication procedure open or video endoscopically, an objective parameter was required. Hitherto, less described multidetector computed tomography (MDCT) scan-based assessment of volumetric parameters in patients of chronic empyema thoracis was done before and after surgery. A total of 35 patients of chronic tubercular empyema thoracis were studied. MDCT-based various volumes diseased pleura in pre- and postoperative period were measured. Spirometric findings (FEV1, FVC, FEV1/FVC) before and after intervention were also compared. In this study, there were 35 patients (men = 25, women = 10), with a mean age of 27.91 SD 8.18 years. Mean value of increase in volume of lung from preoperative 493.57 SD 79.47 cc to postoperative was 845.21 SD 40.83 cc (71.24% increase) with a p-value < 0.001. The mean value of decrease in thickness of diseased lung pleura from preoperative 52.60 SD 12.69 mm to postoperative was 3.82 SD 1.59 mm (93.80% decrease) with a p-value < 0.001. Mean value of decrease in the volume of diseased lung pleura from preoperative 335.52 SD 108.07 cc to post-intervention was 9.51 SD 5.74 cc (97.31% decrease) with a p-value < 0.001. MDCT scan from preoperative to postoperative period is additional tool to objectively assess recovery and correlates well with spirometric lung volume measurements.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"6 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139558846","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

Identification of Anomalous Asc. A2 Using Three-Dimensional Chest Computed Tomography Reconstruction 利用三维胸部计算机断层扫描重建技术识别异常Asc.利用三维胸部计算机断层扫描重建识别异常升结肠 A2

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-01-18 DOI: 10.1007/s12262-024-04031-y

Dario Amore, Emanuele Muto, Dino Casazza, Carlo Bergaminelli

引用次数: 0