Indian Journal of Surgery最新文献_第2页

Projectile Ballistic Injury to the Right Chest: A Life-Threatening Complication of a Firecracker 右胸部弹丸伤：危及生命的爆竹并发症

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-07 DOI: 10.1007/s12262-024-04150-6

Nitish Kumar, Harkant Singh, Mohamed Irshad M.R.

引用次数: 0

The Prognostic Role of Lymph Node Dissection for High-Risk Localized Prostate Cancer Patients: A Population-Based, Retrospective Cohort Study 淋巴结清扫对高危局部前列腺癌患者的预后作用：基于人群的回顾性队列研究

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-06 DOI: 10.1007/s12262-024-04153-3

Jieping Hu, Sheng Huang, Yanyan Hong, Weipeng Liu

{"title":"The Prognostic Role of Lymph Node Dissection for High-Risk Localized Prostate Cancer Patients: A Population-Based, Retrospective Cohort Study","authors":"Jieping Hu, Sheng Huang, Yanyan Hong, Weipeng Liu","doi":"10.1007/s12262-024-04153-3","DOIUrl":"https://doi.org/10.1007/s12262-024-04153-3","url":null,"abstract":"<p>The role of lymph node dissection in radical prostatectomy in the survival of patients with clinical N0 high-risk localized prostate cancer, has not yet been elucidated. Patients with high-risk localized prostate cancer who underwent radical prostatectomy ± lymph node dissection were identified in the Surveillance Epidemiology and End Results (SEER) (2010–2015). Patients were divided into two groups: no lymph node dissection (LNN group) and lymph node dissection (LND group). Propensity score matching (PSM) was used to balance the baseline characteristics. Overall survival and cancer-specific survival were analyzed using Kaplan–Meier's method and cox multivariate analyses, and subgroup analyses according to the Gleason score were performed. After PSM, there were 12,309 pairs of White patients in the LNN and LND group, age (odds ratio [OR] = 1.076, 95% confidence interval, CI 1.066–1.087, <i>p</i> < 0.001), Gleason score 7 (OR = 0.542, 95% CI 0.432–0.680, <i>p</i> < 0.001), and Gleason score > 7 (OR = 0.531, 95% CI 0.441–0.640, <i>p</i> < 0.001) were associated with overall survival. Subgroup analysis indicated that LND contributed to a limited 2 months better prognosis for patients with a Gleason score > 7 (101.97 VS 99.33 months, <i>p</i> = 0.013), but not for patients with a Gleason score of 7 (103.90 VS 104.16 months, <i>p</i> = 0.24), comparing to these LNN groups. No significant difference was found in subgroup analysis for the Black population when OS and CSS were compared between the no lymph node dissection and lymph node dissection groups. Patients with high-risk prostate cancer should be carefully selected for lymph node dissection. Only some patients can obtain short-term survival benefits, while other patients cannot benefit from lymph node dissection but have the risk of increased complications.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178119","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

Hiatal Repair Using Non-absorbable Mesh: Short-Term Outcome Analysis of 393 Consecutive Cases with a Focus on Prosthetic-Specific Complications 使用非吸收网片进行膈修补术：393 例连续病例的短期效果分析，重点关注假体特有的并发症

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-04 DOI: 10.1007/s12262-024-04147-1

Andrew Drane, Nazim Bhimani, Peter Sarich, Priscilla Chan, Steven Leibman, Garett Smith

{"title":"Hiatal Repair Using Non-absorbable Mesh: Short-Term Outcome Analysis of 393 Consecutive Cases with a Focus on Prosthetic-Specific Complications","authors":"Andrew Drane, Nazim Bhimani, Peter Sarich, Priscilla Chan, Steven Leibman, Garett Smith","doi":"10.1007/s12262-024-04147-1","DOIUrl":"https://doi.org/10.1007/s12262-024-04147-1","url":null,"abstract":"<p>The use of prosthetic mesh to augment suture repair of large paraoesophageal hernias is widespread but controversial. Our aim was to identify the risk of mesh-specific complications from a large series of consecutive patients undergoing hiatal hernia repair augmented with a lightweight polypropylene mesh (TiMesh) over a 12-year period. A case series review of patients who have had prosthesis-reinforced hiatal repair with TiMesh between February 2005 and October 2017. Pre-operative, intra-operative, and post-operative data were collected for all patients undergoing hiatal repair. In total, 393 patients had TiMesh augmented hiatal repair between February 2005 and October 2017. There were no intraoperative mesh-specific complications. Mesh was explanted in one patient (1/393, 0.25%) who underwent emergency paraoesophageal hernia repair complicated by sepsis. Asymptomatic mesh erosion was found in two patients (2/393, 0.51%) at endoscopy 3 and 9 years following surgery, respectively. No cases of oesophageal or hiatal strictures were identified. From our large series, albeit without routine endoscopic and radiological follow-up, we demonstrate acceptably low rates of mesh-related complications. We identified two cases of asymptomatic erosion during 393 TiMesh repairs, and the rate of mesh-specific complications in this patient series is low. This unit will continue to perform selective TiMesh hiatal repair in cases where a suture repair only is felt to be inadequate at the time of surgery. For the purposes of patient consent and ongoing discussion, we report the risk of mesh erosion and mesh explantation to be 0.51% and 0.25%, respectively.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178127","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

Revealing Roadblocks: Determinants Influencing Diagnostic Delays in Geriatric Cancer Patients – A Case Series Analysis at a Tertiary Cancer Center 揭示路障：影响老年癌症患者诊断延误的决定因素--一家三级癌症中心的病例系列分析

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-04 DOI: 10.1007/s12262-024-04119-5

Nidhi Gupta, Dev Kumar Yadav, Arun Kumar Yadav, Vinay Kumar Pandey, Virendra Singh

{"title":"Revealing Roadblocks: Determinants Influencing Diagnostic Delays in Geriatric Cancer Patients – A Case Series Analysis at a Tertiary Cancer Center","authors":"Nidhi Gupta, Dev Kumar Yadav, Arun Kumar Yadav, Vinay Kumar Pandey, Virendra Singh","doi":"10.1007/s12262-024-04119-5","DOIUrl":"https://doi.org/10.1007/s12262-024-04119-5","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>This study delves into the critical issues related to delay in diagnosis and associated factors surrounding cancer care in the elderly, particularly focusing on the Indian demographic. The research approved by an institutional ethics committee, involved analyzing patient records and conducting interviews at a hospital to understand the time taken for cancer diagnosis and initiation of treatment in older patients.</p><h3 data-test=\"abstract-sub-heading\">Method and Result</h3><p>A total of 80 study participants with histologically confirmed cancers were included in this study. The majority of patients belonged to the 65–75 years age group (<i>n</i> = 62, 77.5%). Only 18 (22.5%) were in the age group of 76–85 years. Of the total patients, the disease was confined to the primary site in 45 (56.2%) and it had nodal spread or metastasized in 35 (43.7%) at the time of first diagnosis. After treatment completion, during the first month of follow-up, 2 cases of gastrointestinal cancer died, and 1 case of genitourinary and other cancers died. During the second month of follow-up, 3 cases of gastrointestinal cancer died, 4 cases of genitourinary cancer died, and 2 cases of other cancers died. During the sixth month of follow-up, 2 cases of head & neck and genitourinary cancer died, and 5 cases of gastrointestinal and other cancers died.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The study highlights the need for increased awareness of delays in diagnosis and treatment of cancer in the geriatric age group and government intervention in the form of setting up geriatric cancer units to provide affordable cancer treatment aiming to improve the quality of life survival rates in this vulnerable population.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178126","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

Recurrent Urinary Retention caused by Unsuspected Hydatid Cyst in Urinary Bladder 疑似膀胱水囊引起的复发性尿潴留

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-04 DOI: 10.1007/s12262-024-04136-4

Kailash Chander Barwal, Digvijay Singh Tanwar, Aaryan Vashisht, Manjeet Kumar, Pamposh Raina

引用次数: 0

Optimal Follow-up Time Before Discharge in Patients with Penetrating Anterior Abdominal Stab Wound Not Requiring Laparotomy 无需开腹手术的穿透性前腹刺伤患者出院前的最佳随访时间

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-04 DOI: 10.1007/s12262-024-04148-0

Metin Yucel, Muhammed Taha Demirpolat, Fikret Ezberci

{"title":"Optimal Follow-up Time Before Discharge in Patients with Penetrating Anterior Abdominal Stab Wound Not Requiring Laparotomy","authors":"Metin Yucel, Muhammed Taha Demirpolat, Fikret Ezberci","doi":"10.1007/s12262-024-04148-0","DOIUrl":"https://doi.org/10.1007/s12262-024-04148-0","url":null,"abstract":"<p>Patients with penetrating abdominal stab wounds who do not require emergency laparotomy should be followed up for a certain period of time for the possible need for laparotomy. The aim of this study was to determine the optimal duration of nonoperative follow-up of patients with penetrating anterior abdominal stab wounds before discharge. Emergency laparotomy was performed in patients with penetrating anterior abdominal stab wounds who were hemodynamically unstable and had signs of peritonitis on initial admission. Patients who did not require emergency laparotomy in the initial evaluation were hospitalized for observation and followed up with a physical examination for 48 h due to possible peritonitis. At the end of this period, patients who did not require laparotomy were discharged nonoperatively. Demographic characteristics of the patients and the time from admission to laparotomy were investigated and the data were analyzed. The study included 481 patients, 440(91.48%) of whom were men. Of these patients, 143(29.73%) underwent laparotomy and the remaining 338 patients were discharged nonoperatively. Of the 143 laparotomies, 67 (46.85%) were emergency, 91 (63.63%) within 4 h (including emergency laparotomy), 115 (80.42%) within 8 h, 126 (88.11%) within 12 h, 137 (95.80%) within 24 h, and 141 (98.60%) within 48 h. Two (1.40%) patients underwent laparotomy beyond 48 h. Asymptomatic patients with penetrating anterior abdominal stab wounds not requiring laparotomy can be discharged after 48 h of observation with a small missed risk of intra-abdominal injury.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142178129","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 Complex Case of Lemierre’s Syndrome: Challenges in Diagnosis and Management 一个复杂的莱米埃尔综合征病例：诊断和管理的挑战

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-03 DOI: 10.1007/s12262-024-04142-6

Sayantan Bose

引用次数: 0

Reflections on Surgical Care in the Twenty-First Century—The Missing Elements in Surgical Training 对二十一世纪外科护理的思考--外科培训中缺失的元素

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-09-03 DOI: 10.1007/s12262-024-04144-4

Shubham Kumar Gupta, Sanjeev Kumar Gupta, Ajay Kumar Khanna

引用次数: 0

A Case Report of Obturator Hernia: Surgical Management of a Rare Scenario in a Tertiary Care Hospital of North Eastern India 闭孔疝病例报告：印度东北部一家三级医院罕见病例的手术治疗

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-08-30 DOI: 10.1007/s12262-024-04143-5

Kishore Kumar Das, Mehdi Hassan

引用次数: 0

The Hand KISS Protocol: Clinical Application of Smartphone in the Early Management of Hand Trauma 手部 KISS 协议：智能手机在手部创伤早期管理中的临床应用

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-08-30 DOI: 10.1007/s12262-024-04139-1

Michela Schettino, Giuseppe Diluiso, Luigi Losco, Alberto Bolletta, Emanuele Cigna

引用次数: 0