Indian Journal of Surgery最新文献_第10页

Long-term Mortality and Intestinal Obstruction after Open Cholecystectomy: A Systematic Review and Meta-analysis 开腹胆囊切除术后的长期死亡率和肠梗阻：系统回顾和元分析

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-13 DOI: 10.1007/s12262-024-04054-5

Sofie Anne-Marie Skovbo Jensen, Siv Fonnes, Anders Gram-Hanssen, Jacob Rosenberg

{"title":"Long-term Mortality and Intestinal Obstruction after Open Cholecystectomy: A Systematic Review and Meta-analysis","authors":"Sofie Anne-Marie Skovbo Jensen, Siv Fonnes, Anders Gram-Hanssen, Jacob Rosenberg","doi":"10.1007/s12262-024-04054-5","DOIUrl":"https://doi.org/10.1007/s12262-024-04054-5","url":null,"abstract":"Long-term outcomes after open cholecystectomy are largely unknown. We aimed to investigate long-term mortality rate and incidence of intestinal obstruction after open cholecystectomy. Reporting of this systematic review and meta-analysis was according to the PRISMA 2020 guideline. A protocol was registered at PROSPERO (CRD42020178906). We searched the databases PubMed, Embase, and Cochrane CENTRAL in February 2022 for studies on long-term complications with n > 40 and follow-up ≥ 6 months. Outcomes included mortality and intestinal obstruction. Meta-analyses were conducted, and results were presented in forest plots. Risk of bias was assessed with the Newcastle–Ottawa Scale or Cochrane risk-of-bias tool 1. We included 21 studies. Long-term mortality after open cholecystectomy was reported in 17 studies including 125,222 patients, and it ranged from 0–35%. Follow-up ranged from six months to ten years. Meta-analysis estimated a long-term mortality rate of 9.2% (95% CI 6.8–11.6). One study with 90 patients reported on mini-laparotomy and none died during the 12 months follow-up. Three studies with 66,257 patients reported on intestinal obstruction after open cholecystectomy with an incidence ranging from 0.5% to 2.6%. Follow-up ranged from 36 to 67 months. Meta-analysis estimated a long-term rate of intestinal obstruction of 2.0% (95% CI 1.0–3.0). After a follow-up of six months to ten years, long-term mortality was 9.2%, and long-term incidence of intestinal obstruction was 2% up to 67 months after open cholecystectomy.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139763992","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

Recent Advances in the Understanding and Management of Anal Fistula from India 印度在肛瘘的认识和管理方面取得的最新进展

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-13 DOI: 10.1007/s12262-024-04050-9

Vipul D. Yagnik, Sandeep Kumar, Anshul Thakur, Kaushik Bhattacharya, Sushil Dawka, Pankaj Garg

引用次数: 0

Day of Surgery Admission (DOSA): Thirteen Years’ Experience in a Resource-Limited Hospital in East Sudan-Kassala 手术入院日（DOSA）：东苏丹卡萨拉一家资源有限医院的十三年经验

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-10 DOI: 10.1007/s12262-024-04051-8

Abdel Latif K. Elnaim, Mohammed Mahmoud Ali Osheik, Awad Allah Omer Mohamed Ahmed, Rawah Suliman Mohamed Ahmed

{"title":"Day of Surgery Admission (DOSA): Thirteen Years’ Experience in a Resource-Limited Hospital in East Sudan-Kassala","authors":"Abdel Latif K. Elnaim, Mohammed Mahmoud Ali Osheik, Awad Allah Omer Mohamed Ahmed, Rawah Suliman Mohamed Ahmed","doi":"10.1007/s12262-024-04051-8","DOIUrl":"https://doi.org/10.1007/s12262-024-04051-8","url":null,"abstract":"With the growing need for health services, proper bed capacity management is mandatory to avoid patient rejection or cancellation of a procedure. Hence, the day of surgery admission (DOSA) protocol is gaining popularity with safety concerns. We conducted this study in a 120-bed hospital. Our unit has four operating lists per week for elective cases. All patients who planned for elective surgery, with no medical illness or who had a controlled medical illness, were recruited. Every patient was seen in the surgical clinic with his plan of management written in his admission paper. Patients were admitted from 07:00 to 11:00 am through the special admission counter. We evaluated hospital stay, postoperative complications, and mortality. The total number of patients was 18,500 in a 13-year duration. The total number of case cancellations was 396 patients (2.1%). The general surgical procedures were 6987 (38%), the GIT procedures were 5469 (30%), the endocrine and breast procedures were 3545 (18%), the pediatric surgery procedures were 1431(8%), while urology procedures were 1068 (6%). The hospital stay was 1 day or less in 10,305 (56%) patients. The total number of patients who developed postoperative complications was 491 (2.6%). The mortality rate was 0.05% (10 patients). DOSA is a valid and safe protocol for selected patients. It minimizes hospital stays, reducing expenses. Adoption of DOSA will increase bed availability and avoid case cancellation.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139764115","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

Vision 2024—Raising the Bar for Excellence, Efficiency and Empathy 2024 年愿景--提升卓越、效率和同理心的标准

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-09 DOI: 10.1007/s12262-024-04046-5

Probal Neogi

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Intestinal Behcet’s Disease 肠白塞氏病

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-07 DOI: 10.1007/s12262-024-04045-6

Jian-Xin Zhang, Xiao-Xia Wang, Wei Liu

引用次数: 0

Routine Use of Indocyanine Green Fluorescence Cholangiography in Cholecystectomy at Marginal Cost and High Dividends: Subvesical Duct Identified 在胆囊切除术中常规使用吲哚青绿荧光胆管造影术，成本低，收益高：发现膀胱下导管

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-03 DOI: 10.1007/s12262-024-04034-9

引用次数: 0

A Rare Case of Nicolau’s Syndrome (Embolia Cutis Medicamentosa) Following Intramuscular Diclofenac Sodium Injection in a Young Adult 一名年轻成人肌肉注射双氯芬酸钠后出现尼科劳氏综合征（药物性切口栓塞）的罕见病例

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-03 DOI: 10.1007/s12262-023-04011-8

M. S. Kotennavar, Aravind V. Patil, Pradeep Jaju, Narendra Ballal

{"title":"A Rare Case of Nicolau’s Syndrome (Embolia Cutis Medicamentosa) Following Intramuscular Diclofenac Sodium Injection in a Young Adult","authors":"M. S. Kotennavar, Aravind V. Patil, Pradeep Jaju, Narendra Ballal","doi":"10.1007/s12262-023-04011-8","DOIUrl":"https://doi.org/10.1007/s12262-023-04011-8","url":null,"abstract":"Nicolau syndrome (embolia cutis medicamentosa) is a condition where we see variable degrees of tissue necrosis including the skin and deeper tissues, due to an iatrogenic cause, intramuscular, subcutaneous, intra-articular injections, could be some of them. It occurs due to intravascular inoculation leading to crystal embolization causing thrombotic occlusion, vasospasm, and marked inflammation and surrounding necrosis. Here, we present a case of a 35-year-old gentleman who presented to us with bluish-purple discoloration of the skin followed by a necrotic patch and ulceration with multiple hyperpigmented spots over the back and lower limb post intramuscular diclofenac sodium injection. Routine investigation showed neutrophilia and thrombocytosis with increased creatinine. A diagnosis of Nicolau’s syndrome (embolia cutis medicamentosa) was made clinically, which was confirmed by histopathology following biopsy. Adequate surgical debridement and a combination therapy of analgesics, intravenous antibiotics, intravenous anticoagulants, and vasoactive therapy were administered. Split thickness skin grafting was done once the wound was healthy with rich granulation tissue, after 4 weeks of index surgery in this case. Patient recovered uneventfully.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139678294","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}

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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