International Surgery Journal最新文献_第10页

The association between complementary and alternative medicine use with breast cancer recurrence in Taif city, Saudi Arabia 沙特阿拉伯塔伊夫市使用补充和替代药物与乳腺癌复发之间的关系

International Surgery Journal Pub Date : 2024-02-08 DOI: 10.18203/2349-2902.isj20240314

Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami

{"title":"The association between complementary and alternative medicine use with breast cancer recurrence in Taif city, Saudi Arabia","authors":"Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami","doi":"10.18203/2349-2902.isj20240314","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240314","url":null,"abstract":"Background: Breast cancer (BC) is the most common cancer among women worldwide. Among all types of cancer, 11.7% of cases diagnosed in 2020 were BC. Compare this to Saudi Arabia, where 28.8 out of every 100,000 women were diagnosed with BC. Furthermore, BC patients are more likely than other cancer survivors to use complementary and alternative medicine (CAM). Study aimed to investigate association between CAM use and BC recurrence rates in Saudi Arabia.\u0000Methods: A cross-sectional study was conducted on 106 participants recruited from breast surgery clinics. Targeted women were diagnosed with BC and treated at Al Hada armed forces hospital. The data were collected by interviewing the patients using a validated questionnaire.\u0000Results: The prevalence of CAM usage among BC patients was 35.8%. The recurrence rate of BC was 26.4%. CAM users accounted for 28.57% of the total, while non-CAM users comprised 71.43%. In addition, 50% of recurrences were distant metastases, and 50% occurred more than two years after diagnosis. \u0000Conclusions: In conclusion, more than one-third of BC patients in this region incorporate CAM into their treatment regimen. Our findings reveal a practical but not statistical significance of a lower recurrence rate of BC among CAM users compared to non-CAM. These results emphasize the importance of healthcare providers engaging in detailed discussions with BC patients regarding CAM usage in conjunction with planned medical and surgical therapies. \u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choledocholithiasis secondary to a remnant gallbladder post cholecystectomy more than 20 years ago 继发于 20 多年前胆囊切除术后残余胆囊的胆总管结石

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240306

James N. Sellars, Ryan Green, Omar Mouline

引用次数: 0

Perforated mucinous diverticulitis of the appendix: a case report 阑尾穿孔性粘液性憩室炎：病例报告

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240307

Matthew L. Basa, Andrew Riddell

{"title":"Perforated mucinous diverticulitis of the appendix: a case report","authors":"Matthew L. Basa, Andrew Riddell","doi":"10.18203/2349-2902.isj20240307","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240307","url":null,"abstract":"Acute right lower quadrant (RLQ) abdominal pain typically raises the suspicion of appendicitis and must be ruled out, as the treatment is primarily surgical. Other differentials, many of which are medically treated, ought to also be considered. Right sided diverticulitis, although uncommon, often mimics appendicitis due to its inflammatory nature and its location of pain. A 37-year-old woman with a history of recurrent right-sided diverticulitis presented with rapidly escalating RLQ pain. While appendicitis was a prime suspect, additional imaging was refused due to radiation concerns, hence clinical judgement had to be aptly applied. Facing diagnostic ambiguity, Hickam's dictum (seeking the most probable cause) pointed towards appendicitis, while Ockham's razor (favouring the simplest explanation) supported recurrent right sided diverticulitis. This uncertainty necessitated a definitive approach, weighing up the risks and benefits of medical vs surgical treatment for an unconfirmed pathology. To resolve the uncertainty, a diagnostic laparoscopy was performed. Contrary to expectations, it revealed a perforated diverticulum of the appendix with a mucinous tip and free-floating mucin, making both leading differentials, that is, right sided diverticulitis and appendicitis, correct. We explore the diagnostic reasoning used in the case, including the anticipated management strategies and outcomes, if other differentials were encountered. This case aims to support clinicians in pursuing further investigations, or need be, a diagnostic laparoscopy, in order to prioritise patient safety, if clinical concern is present.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"212 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choledocholithiasis secondary to a remnant gallbladder post cholecystectomy more than 20 years ago 继发于 20 多年前胆囊切除术后残余胆囊的胆总管结石

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240306

James N. Sellars, Ryan Green, Omar Mouline

引用次数: 0

Perforated mucinous diverticulitis of the appendix: a case report 阑尾穿孔性粘液性憩室炎：病例报告

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240307

Matthew L. Basa, Andrew Riddell

{"title":"Perforated mucinous diverticulitis of the appendix: a case report","authors":"Matthew L. Basa, Andrew Riddell","doi":"10.18203/2349-2902.isj20240307","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240307","url":null,"abstract":"Acute right lower quadrant (RLQ) abdominal pain typically raises the suspicion of appendicitis and must be ruled out, as the treatment is primarily surgical. Other differentials, many of which are medically treated, ought to also be considered. Right sided diverticulitis, although uncommon, often mimics appendicitis due to its inflammatory nature and its location of pain. A 37-year-old woman with a history of recurrent right-sided diverticulitis presented with rapidly escalating RLQ pain. While appendicitis was a prime suspect, additional imaging was refused due to radiation concerns, hence clinical judgement had to be aptly applied. Facing diagnostic ambiguity, Hickam's dictum (seeking the most probable cause) pointed towards appendicitis, while Ockham's razor (favouring the simplest explanation) supported recurrent right sided diverticulitis. This uncertainty necessitated a definitive approach, weighing up the risks and benefits of medical vs surgical treatment for an unconfirmed pathology. To resolve the uncertainty, a diagnostic laparoscopy was performed. Contrary to expectations, it revealed a perforated diverticulum of the appendix with a mucinous tip and free-floating mucin, making both leading differentials, that is, right sided diverticulitis and appendicitis, correct. We explore the diagnostic reasoning used in the case, including the anticipated management strategies and outcomes, if other differentials were encountered. This case aims to support clinicians in pursuing further investigations, or need be, a diagnostic laparoscopy, in order to prioritise patient safety, if clinical concern is present.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139802680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resolution of halitosis following repair of a primary parahiatal diaphragmatic hernia 原发性膈旁疝修补术后口臭的缓解

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240305

James N. Sellars, Ryan Green, E. Jeyarajan

引用次数: 0

Resolution of halitosis following repair of a primary parahiatal diaphragmatic hernia 原发性膈旁疝修补术后口臭的缓解

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240305

James N. Sellars, Ryan Green, E. Jeyarajan

引用次数: 0

Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia 40 岁或以下乳腺癌患者的发病率和特征：对沙特阿拉伯一家三级中心的研究

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240308

Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi

{"title":"Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia","authors":"Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi","doi":"10.18203/2349-2902.isj20240308","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240308","url":null,"abstract":"Background: Breast cancer in young women has a higher mortality rate, can show adverse outcomes, and is more likely to recur after treatment. This study evaluated the incidence and characteristics of breast cancer in female patients 40 years of age or younger.\u0000Methods: This is a descriptive study of 234 patients, 40 years of age or younger, diagnosed with breast cancer in the period January 2010–December 2015.\u0000Results: We included 234 out of 1026 patients (22%) that met our inclusion criteria. At the time of the diagnosis, the mean age of the patients was 34±5 years; 32 (14%) of them had a positive family history of breast cancer, and more than a fifth were found to have advanced stages of the disease. One-third of our patients were hormone receptor (HR)-positive with HER2 negative, 61 (26%) were triple negative, and a total of 98 (42%) of our patients had HER2 overexpression. Lumpectomy was performed for 89 (38%) of them. Recurrence was documented for 40 (17.4%), and approximately half of the patients, 105 (45%), had recurrence in their first two years of diagnosis.\u0000Conclusions: Breast cancer in young patients is a very challenging entity, as they tend to be more aggressive than the older age group. The incidence of breast cancer in female patients younger than 40 is higher than that in Western countries. However, our findings align with regards to their pathology type and hormonal status.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"31 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia 40 岁或以下乳腺癌患者的发病率和特征：对沙特阿拉伯一家三级中心的研究

International Surgery Journal Pub Date : 2024-02-05 DOI: 10.18203/2349-2902.isj20240308

Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi

{"title":"Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia","authors":"Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi","doi":"10.18203/2349-2902.isj20240308","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240308","url":null,"abstract":"Background: Breast cancer in young women has a higher mortality rate, can show adverse outcomes, and is more likely to recur after treatment. This study evaluated the incidence and characteristics of breast cancer in female patients 40 years of age or younger.\u0000Methods: This is a descriptive study of 234 patients, 40 years of age or younger, diagnosed with breast cancer in the period January 2010–December 2015.\u0000Results: We included 234 out of 1026 patients (22%) that met our inclusion criteria. At the time of the diagnosis, the mean age of the patients was 34±5 years; 32 (14%) of them had a positive family history of breast cancer, and more than a fifth were found to have advanced stages of the disease. One-third of our patients were hormone receptor (HR)-positive with HER2 negative, 61 (26%) were triple negative, and a total of 98 (42%) of our patients had HER2 overexpression. Lumpectomy was performed for 89 (38%) of them. Recurrence was documented for 40 (17.4%), and approximately half of the patients, 105 (45%), had recurrence in their first two years of diagnosis.\u0000Conclusions: Breast cancer in young patients is a very challenging entity, as they tend to be more aggressive than the older age group. The incidence of breast cancer in female patients younger than 40 is higher than that in Western countries. However, our findings align with regards to their pathology type and hormonal status.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Study of alteration in testicular perfusion after Lichtenstein hernia repair 利希滕斯坦疝修补术后睾丸灌注变化研究

International Surgery Journal Pub Date : 2024-01-30 DOI: 10.18203/2349-2902.isj20240172

Hansraj Ranga, Vinit Mishra, Vidit Vidit, Mahavir Griwan, B. Arora

{"title":"Study of alteration in testicular perfusion after Lichtenstein hernia repair","authors":"Hansraj Ranga, Vinit Mishra, Vidit Vidit, Mahavir Griwan, B. Arora","doi":"10.18203/2349-2902.isj20240172","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240172","url":null,"abstract":"Background: Inguinal hernia affects both men and women but is much more common in men who comprise over 90% of the operated patients. Considering both the operated and the non-operated inguinal hernias, the lifetime prevalence rate is 47% for men upto and including the age of 75. Repair of an inguinal hernia is one of the most common operations among adults in the western world today. Aims and objectives were to compare the alteration in testicular perfusion following Lichtenstein hernia repair.\u0000Methods: Thirty patients diagnosed with inguinal hernia admitted in our hospital with study period of 12 months were included in the study. Color Doppler ultrasound evaluation of testicular blood flow was done for all cases. Comparisons of results between groups were done using independent t test and Pearson correlation test.\u0000Results: The mean age of patients in the study was 46.10±17.27 years. Twenty three percent of patients had COPD as comorbidity. Mean peak systolic volume (PSV) of testicular artery in preop, at 24 hours, 1 week and 3 months are 18.36±2.21, 20.27±3.25, 19.21±2.31 and 18.98±2.06 respectively with a p=0.001. On further observations, no significant difference was found in the PSV of Capsular and intratesticular artery and EDV and RI of testicular, capsular and intratesticular artery.\u0000Conclusions: Testicular perfusion following hernioplasty can be easily monitored and evaluated with Duplex ultrasonography; the flow in the spermatic artery and testicular artery and its branches is of low resistance, with a relatively broad systolic part and holodiastolic flow. There is no evidence for a significant impairment of cord structures after open hernia repair using tension free techniques. It is clear that fine surgical dissection","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"130 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140485151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0