Indian Journal of Surgery最新文献_第9页

A Rare Cause of Acute Abdomen in Children: Segmental Absence of the Intestinal Musculature, a Case Report and Literature Review 儿童急性腹部的罕见病因：肠道肌肉节段性缺失，病例报告和文献综述

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-14 DOI: 10.1007/s12262-024-04052-7

引用次数: 0

Substitution Urethroplasty in Female Urethral Stricture — Our Initial Experience 替代尿道成形术治疗女性尿道狭窄--我们的初步经验

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-14 DOI: 10.1007/s12262-024-04036-7

Shabbir Hussain, Fanindra Singh Solanki, Deepti B. Sharma, Pawan Agarwal, Dhananjay Sharma

{"title":"Substitution Urethroplasty in Female Urethral Stricture — Our Initial Experience","authors":"Shabbir Hussain, Fanindra Singh Solanki, Deepti B. Sharma, Pawan Agarwal, Dhananjay Sharma","doi":"10.1007/s12262-024-04036-7","DOIUrl":"https://doi.org/10.1007/s12262-024-04036-7","url":null,"abstract":"This study is to compare different substitutional urethroplasties in female urethral stricture (FUS). FUS constitutes 4–13% of patients, with voiding symptoms, commonly treated by urethral dilatation or internal urethrotomy with a poor success rate. A urethral reconstruction is a viable option. We compared the results of different substitutional urethroplasty for the stricture urethra in females. Symptoms identified FUS. Urethral calibration (unable to pass 8 Fr catheter) and urinary flow rate of less than 12 ml per second were taken as inclusion criteria. Substitution urethroplasty was performed using vaginal ventral onlay flap vaginal dorsal graft (n = 8), dorsal buccal mucosa (n = 8), and labial skin grafts (n = 4) over 3 years. Twenty patients with urethral stricture were identified (mean age of 49.9 years). We found a good stream immediately after removing the catheter in all vaginal flap patients with post-void dribbling. With the three vaginal graft patients (75%), six buccal mucosa graft patients (75%), and two patients (50%) in the labia minora graft, 14 Fr catheter calibration is accessible in all patients except 50% of patients of the labia minora group on 1st follow-up. They require repeated dilatation. Uroflowmetry at six months showed normal flow in all vaginal flap/ graft patients and buccal mucosa grafts, while only 50% of labia minora grafts showed mild improvement. Urethroplasty using dorsal onlay buccal mucosa and vaginal graft gives the best results in women. The vaginal wall can be used safely in nonavailability of buccal mucosa. Labia minora grafts showed poor results.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"157 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139764258","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

Open Pancreatic Duct Stenting in Pancreatic Trauma: A Bridge in the Path of Pancreatic Preservation 胰腺创伤中的开放式胰腺导管支架植入术：胰腺保存之路的桥梁

IF 0.4 4区医学

Indian Journal of Surgery Pub Date : 2024-02-13 DOI: 10.1007/s12262-024-04047-4

Shardool Vikram Gupta, Apoorva Mardi, Srishti Bishnoi, Lalit Kumar Bansal, Achint Agarwal, Neeti Kapur

{"title":"Open Pancreatic Duct Stenting in Pancreatic Trauma: A Bridge in the Path of Pancreatic Preservation","authors":"Shardool Vikram Gupta, Apoorva Mardi, Srishti Bishnoi, Lalit Kumar Bansal, Achint Agarwal, Neeti Kapur","doi":"10.1007/s12262-024-04047-4","DOIUrl":"https://doi.org/10.1007/s12262-024-04047-4","url":null,"abstract":"Pancreatic trauma is often associated with high mortality and morbidity. Current management protocol advises conservative management when the duct is not involved but if there are higher-grade injuries with duct disruption it requires major pancreatic surgeries. These surgeries are technically challenging and carry a significant risk of morbidity and mortality. In this article, we propose open pancreatic duct stenting as the open counterpart of endoscopic retrograde cholangiopancreatography (ERCP) in open surgeries for pancreatic preservation. A 20-year-old male presented to emergency 3 days after blunt trauma abdomen with the chief complaint of upper abdominal pain and vomiting. Lab parameters were normal except S. amylase was − 1563 IU/L. Contrast-enhanced computerised tomography (CECT) abdomen shows almost complete transection at the level of the neck of the pancreas with complete disruption of the main pancreatic duct (MPD). Exploratory laparotomy with stenting of the pancreatic duct with pancreatic tissue repair with feeding jejunostomy was done instead of major pancreatic resection and anastomosis. The recovery period was uneventful, and the patient was discharged on the 8th postoperative day. In the literature, there are very few reports available where intraoperative pancreatic duct stenting was done without ductal repair in the trauma setting. Until now, ten cases have been reported in which a pancreatic duct could be approximated and was repaired over a stent. In recent years, there has been a paradigm shift in trauma management that advocates organ preservation. Existing pancreatic trauma guidelines still recommend morbid surgeries such as distal pancreatectomy or pancreaticoduodenectomy for severe-grade pancreatic trauma. However, there is an obvious need to consider organ preservation because pancreatic resection procedures have inherent complications as well as high morbidity and mortality.","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"15 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139764118","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

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":"2 1","pages":""},"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":"48 1","pages":""},"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

引用次数: 0

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":"9 1","pages":""},"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}

引用次数: 0