International Surgery Journal最新文献_第2页

International Surgery Journal Pub Date : 2024-05-14 DOI: 10.18203/2349-2902.isj20241301

E. F. Hernández, Sofia Barrientos Villegas, Daniel E. Aguilera-Callejas, José Manuel Gómez González, Ana Paula Cortés-Contreras, Jorge Gómez-González, Baltazar Barrera Mera, Fernando Rosas López Portillo, Cinthia Nayeli Arguelles Castillo, Alan Isaac Valderrama-Treviño

{"title":"Le Fort fractures: a review","authors":"E. F. Hernández, Sofia Barrientos Villegas, Daniel E. Aguilera-Callejas, José Manuel Gómez González, Ana Paula Cortés-Contreras, Jorge Gómez-González, Baltazar Barrera Mera, Fernando Rosas López Portillo, Cinthia Nayeli Arguelles Castillo, Alan Isaac Valderrama-Treviño","doi":"10.18203/2349-2902.isj20241301","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20241301","url":null,"abstract":"Rene Le Fort proposed 3 classifications to determine the type of facial fracture based on the main facial lines with the least resistance, these being the places where facial fractures are most located. These fractures occur mainly because of high-velocity impact mechanisms. Le Fort fractures are difficult to manage and at the same time challenging, although it is not a common pathology, it is potentially lethal, and its initial approach and resuscitation are critical in the first hours. As in any other trauma, an initial evaluation must be carried out exhaustively and following the ABC, which mainly includes evaluation of the airway, breathing and circulation. Once a facial fracture is suspected, its extension and location must be determined through images such as x-ray or computed tomography. CT being the gold standard. Once the patient is stabilized, reconstructive surgery will be the indicated approach in most cases, with the main objective being the restoration of occlusion, direct exposure and manual reduction of the fractures, reconstruction of the medial and lateral bone buttresses, restoring the projection of the face and restore the width of the maxillary arch, nose and orbit. In general, some of the most frequently described postoperative complications are hemorrhage, infection, foreign body reaction, malunion, among others; however, these will vary depending on their classification.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"13 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980880","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

Uterine fibroids: a review 子宫肌瘤：综述

International Surgery Journal Pub Date : 2024-05-07 DOI: 10.18203/2349-2902.isj20241288

Cinthia N. Arguelles-Castillo, Juan A. Reyes Pérez, Yazmin Urbano Rojas, Gerardo G. Montero Flores, Noe A. Juárez Menéndez, Luis M. Arenas Montes de Oca, Tonalmitl Arzola Maldonado, David Sánchez Paredes, Carolina Tapia Navarro, Yoliztli Hernández Cruz, E. F. Hernández, Nalleli Durán-López, Sofia Barrientos-Villegas, A. I. Valderrama-Treviño

{"title":"Uterine fibroids: a review","authors":"Cinthia N. Arguelles-Castillo, Juan A. Reyes Pérez, Yazmin Urbano Rojas, Gerardo G. Montero Flores, Noe A. Juárez Menéndez, Luis M. Arenas Montes de Oca, Tonalmitl Arzola Maldonado, David Sánchez Paredes, Carolina Tapia Navarro, Yoliztli Hernández Cruz, E. F. Hernández, Nalleli Durán-López, Sofia Barrientos-Villegas, A. I. Valderrama-Treviño","doi":"10.18203/2349-2902.isj20241288","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20241288","url":null,"abstract":"Myomatosis of large elements are benign tumors resulting from the growth of muscular and fibrous tissue, which can be embedded or adhered to the uterine wall and their classification varies between submucosal, intramural or subserous depending on the depth they reach. More frequently, symptomatic patients report the presence of abundant abnormal uterine bleeding, dysmenorrhea, dyspareunia and infertility. This pathology represents 40-60% of all hysterectomies, of the total, 30% in women of childbearing age. Different possible triggers of uterine fibroids have been described, which is why it is considered to be of multifactorial origin. Ultrasound is usually used frequently due to its high availability and low cost, this being the first diagnostic image of choice and the gold standard, through transvaginal ultrasound. The management of myomastomas entails a great social problem, since therapy seeks treatment methods that prevent the recurrence of the disease, and in case of satisfied parity, hysterectomy is the ideal option, but in those patients still of fertile age and with desire of pregnancy, less drastic procedures such as myomectomy will be carried out. Finally, some post-surgical complications have been discussed, among which the generation of adhesions due to the scarring resulting from the surgical intervention was described, which could generate infertility or greater difficulty in conceiving.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"29 S89","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003786","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

Thromboangiitis obliterans: a review 血栓闭塞性脉管炎：综述

International Surgery Journal Pub Date : 2024-05-04 DOI: 10.18203/2349-2902.isj20241283

Martha O. Correa-Posada, John F. García-Velez, Orestes André Hurtado-Mosquera, M. A. Sierra-Juárez, Erick Fernando Hernández, Cinthia N. Argüelles Castillo, German E. Mendoza Barrera, A. I. Valderrama-Treviño

{"title":"Thromboangiitis obliterans: a review","authors":"Martha O. Correa-Posada, John F. García-Velez, Orestes André Hurtado-Mosquera, M. A. Sierra-Juárez, Erick Fernando Hernández, Cinthia N. Argüelles Castillo, German E. Mendoza Barrera, A. I. Valderrama-Treviño","doi":"10.18203/2349-2902.isj20241283","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20241283","url":null,"abstract":"Buerger's disease was initially described by von Winiwarter in 1879 where he described it as thromboangiitis obliterans (TAO), detailing the case of spontaneous gangrene secondary to intimal proliferation. In 1908, Leo Buerger published a complete pathological description based on the amputation of a group of people who later suffered short-term gangrene. Buerger's disease or TAO is defined as a non-atherosclerotic inflammatory vasculitis that affects the small and medium vessels (including arteries and veins) of the lower and upper extremities. Although there are hypotheses about its etiopathogenesis such as the association with exposure to tobacco, few biomedical investigations have been carried out, so its direct causality remains unknown. Diagnosis continues to be a challenge, since the findings tend to be non-specific or inconsistent with suspicion, which is why it is currently based on ruling out other causes such as atherosclerosis and vasculopathies. With current evidence, there are many types of treatments, both pharmacological and non-pharmacological, with the cessation of tobacco consumption having greater evidence of results. It is essential to strengthen basic research as well as clinical trials to standardize management in this type of patient, since it is a disease with a high impact on quality of life.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"43 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014014","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

Boston carpal tunnel syndrome questionnaire clinical function assessment outcomes of carpal tunnel injection for carpal tunnel syndrome 波士顿腕管综合征问卷调查：腕管注射治疗腕管综合征的临床功能评估结果

International Surgery Journal Pub Date : 2024-04-15 DOI: 10.18203/2349-2902.isj20240959

Nino Nasution, Benny, Didi Fitriadi

{"title":"Boston carpal tunnel syndrome questionnaire clinical function assessment outcomes of carpal tunnel injection for carpal tunnel syndrome","authors":"Nino Nasution, Benny, Didi Fitriadi","doi":"10.18203/2349-2902.isj20240959","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240959","url":null,"abstract":"Carpal tunnel syndrome is the most common compressive neuropathy. Risk factors include hereditary, obesity, pregnancy, hypothyroidism, rheumatoid arthritis, and work related. With treatment ranging from simple lifestyle changes, up until surgery. Studies have shown that local steroid injection improve symptoms by at least one month and up to one year after injection, which allows for the delay of surgical treatment. In this study, BCTQ was chosen as a measuring tool because it can objectively assess functional improvement in functional status and disease severity. An analytical study design with a quasi-experimental pretest post-test one group only design approach was used in this study. Primary data and secondary data were used to measure the symptom severity scale and functional status based on the BCTQ. The research subjects were taken from populations that fulfilled the inclusion and exclusion criteria. Based on the Friedman test analysis of differences in the severity scale of symptoms of clinical function assessment outcome data and functional status on the BCTQ from the action of carpal tunnel injection on carpal tunnel syndrome, the results of the BCTQ value show that there is a significant difference before and after injection at one month and three months assessment post injection with a P-value of 0.00 (p<0.05) on both. Carpal tunnel injection with Triamcinolone acetonide 20 mg can provide good clinical outcomes in cases of carpal tunnel syndrome and can reduce the severity of symptoms and provide a good functional status scale of the hand.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"72 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140699990","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

A three-year retrospective analysis of variables and their relationships as outcome indicators following emergency laparotomies in octogenarians: insights from a single institutional experience 对八旬老人紧急开腹手术后作为结果指标的变量及其关系的三年回顾性分析：从一家机构的经验中获得的启示

International Surgery Journal Pub Date : 2024-04-09 DOI: 10.18203/2349-2902.isj20240940

A. Haji, Sadaf Zehra, Mohamed Zohdy, Najma Manzarai, Abraham R. John, Syed I. Haider, B. Piramanayagam, Kalimuthu Marimuthu, Selvam Lourdusamy

{"title":"A three-year retrospective analysis of variables and their relationships as outcome indicators following emergency laparotomies in octogenarians: insights from a single institutional experience","authors":"A. Haji, Sadaf Zehra, Mohamed Zohdy, Najma Manzarai, Abraham R. John, Syed I. Haider, B. Piramanayagam, Kalimuthu Marimuthu, Selvam Lourdusamy","doi":"10.18203/2349-2902.isj20240940","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240940","url":null,"abstract":"Background: This retrospective study aims to specifically assess the morbidity and mortality outcomes linked to emergency laparotomies in a subset of patients aged 80 years and above, referred to as octogenarians. The objective is to gain insights into the specific challenges and outcomes faced by this elderly population undergoing emergency laparotomies.\u0000Methods: This retrospective analysis focused on emergency laparotomies in octogenarians between June 2020 and June 2023, involving 62 cases out of 370 total emergency laparotomies conducted across various age groups. Using a standardized proforma, data was collected, and statistical analysis was performed with statistical package for the social sciences (SPSS).\u0000Results: In this study involving 62 elderly patients (mean age 84) undergoing emergency laparotomies, common diagnoses included adhesional small bowel obstruction (32.3%)and large bowel obstruction due to diverticular disease (21.0%). Approximately 22.6% of cases were malignant, emphasizing the diverse nature of the cohort. A significant portion (56.5%) underwent bowel resection, and 16.1% had a stoma. Notably, 100% of patients were not seen by geriatrics, indicating potential gaps in comprehensive assessment despite the absence of geriatrician involvement, the overall mortality rate was 21%, emphasizing the potential impact of geriatrician reviews.\u0000Conclusions: In summary, emergency major abdominal surgery poses significant risks, particularly for frail and elderly individuals with multiple co-morbidities. Recognizing frailty as an independent risk factor is crucial and highlights areas of potential improvement in this area with early involvement of geriatricians.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"24 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140722809","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

Improved semen parameters and sperm deoxyribonucleic acid fragmentation following microscopic varicocelectomy: short term results of a prospective study 显微镜下精索静脉曲张切除术后精液参数和精子脱氧核糖核酸碎片的改善：一项前瞻性研究的短期结果

International Surgery Journal Pub Date : 2024-04-04 DOI: 10.18203/2349-2902.isj20240928

Manu K. Nagabhaiarav, Vivek Meyyappan, Manasa Thimmegowda, Tarun Javali, Gopal K. S. Rao

{"title":"Improved semen parameters and sperm deoxyribonucleic acid fragmentation following microscopic varicocelectomy: short term results of a prospective study","authors":"Manu K. Nagabhaiarav, Vivek Meyyappan, Manasa Thimmegowda, Tarun Javali, Gopal K. S. Rao","doi":"10.18203/2349-2902.isj20240928","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240928","url":null,"abstract":"Background: Assessment of sperm deoxyribonucleic acid (DNA) damage post varicocelectomy, has brought about new prospects in treating men with infertility. Improvements in spermatogenesis with decrease in sperm DNA damage has been demonstrated which has led to significant enhancement in fertility rates. Therefore, we evaluated the efficacy of microscopic varicocelectomy on the reduction in sperm DNA damage in concurrence to the conventional improvement of semen parameters.\u0000Methods: All patients with a diagnosis of varicocele leading to infertility and planned for microscopic varicocelectomy from January 2013 through September 2019, were included in the study. Sperm chromatin structure assay (SCSA) was done preoperatively and at 3 and 6 months postoperatively for sperm DNA integrity assessment and the results expressed as sperm percentage DFI were compared. A p value <0.05 was considered statistically significant.\u0000Results: 105 infertile men underwent microscopic varicocelectomy. Mean age and infertility period from the date of unprotected sex were 26.5±5.6 years and 30 months respectively. Baseline mean sperm concentration was 29 million/ml, mean progressive motility 24% and a percentage DFI ranged from 5–36% with a mean of 16%. Sperm DNA integrity improved significantly with a DFI decrease from 25±11% to 18±6%, 3 months post-surgery which was consistent at 6 months (13±5%). Sperm concentration and progressive motility increased with a mean sperm count improvement by 21.9 million/ml and mean motility by 20.3%.\u0000Conclusions: Microscopic varicocelectomy provides durable improvement in DNA integrity and semen parameters. Sperm DNA integrity assessment using SCSA is a useful tool to demonstrate change in the semen quality post treatment.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744268","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

Double faced buccal mucosal graft urethroplasty for near obliterative inflammatory urethral stricture: a retrospective study comparing two different techniques 双面颊粘膜移植尿道成形术治疗近闭塞性炎性尿道狭窄：比较两种不同技术的回顾性研究

International Surgery Journal Pub Date : 2024-04-04 DOI: 10.18203/2349-2902.isj20240927

Manu K. Nagabhairava, Tarun Javali, Dokania Kanishk, Manasa Thimmegowda, Ameya R. Sangle, Amit Patil

{"title":"Double faced buccal mucosal graft urethroplasty for near obliterative inflammatory urethral stricture: a retrospective study comparing two different techniques","authors":"Manu K. Nagabhairava, Tarun Javali, Dokania Kanishk, Manasa Thimmegowda, Ameya R. Sangle, Amit Patil","doi":"10.18203/2349-2902.isj20240927","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240927","url":null,"abstract":"Background: Double-faced urethroplasty offers improved outcomes for the management of complex urethral strictures. In our study, we compared two different techniques of double faced buccal mucosal graft (BMG) urethroplasty.\u0000Methods: 46 patients who underwent double faced BMG urethroplasty at Ramaiah Medical College were retrospectively reviewed and grouped into A (Enzo Palminteri technique) and B (Joel Gelman technique). Post operatively, patients were followed up with AUA-SS, uroflowmetry and postvoid residual assessment. The data analysis was done using the statistical package for the social sciences (SPSS) version 21.0. A p<0.05 was considered statistically significant.\u0000Results: 24 patients belonged to group A and 22 patients belonged to group B. The mean stricture length measured was 4.42±1.632 cm in group A and 4.11±1.634 cm in group B with the preoperative mean Qmax and AUA score was 7±1.318 ml/s and 19.75±3.286 in group A and 7.3±1.497 ml/s and 18.68±3.469 in group B. Mean operative time was 162.7±12.156 minutes versus 181.36±7.429 minutes. Group A patients had significant intraoperative blood loss. Recurrence was noted in two patients, one from each group. Mean Qmax and mean AUA score at recent follow up was 19.3±1.63 ml/s and 6.4±2.10 versus 19.8±1.59 ml/s and 6.6±2.03 for group A and group B with a mean follow up of 36.6±12.63 months and 36.8±11.48 months respectively.\u0000Conclusions: Double faced BMG urethroplasty for near obliterative urethral stricture is safe, efficacious with ventral onlay associated with lesser operative time.\u0000 \u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"13 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745532","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

Neurotized first dorsal metacarpal artery flap for reconstruction of thumb defects: does it helps to improve sensory outcomes? 重建拇指缺损的神经化第一掌背动脉皮瓣：它有助于改善感觉效果吗？

International Surgery Journal Pub Date : 2024-04-04 DOI: 10.18203/2349-2902.isj20240926

Mahesh Jangra, A. Parashar, Tarush Gupta

{"title":"Neurotized first dorsal metacarpal artery flap for reconstruction of thumb defects: does it helps to improve sensory outcomes?","authors":"Mahesh Jangra, A. Parashar, Tarush Gupta","doi":"10.18203/2349-2902.isj20240926","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240926","url":null,"abstract":"Restoration of tactile sensation after reconstruction of a thumb pulp defect is important for hand function. We have evaluated the functional, sensory and aesthetic outcomes of neurotized first dorsal metacarpal artery (FDMA) flap in reconstruction of various soft tissue defects of the thumb. For a period of 18 months (January 2021 to June 2022), a total of 20 patients were considered for the study and divided into two groups that is neurotized (group A) and conventional (group B) FDMA flaps. One flap in each group underwent complete necrosis. Results were compared with patients treated by the conventional Foucher’s FDMA flap without nerve repair. At the final follow-up, flap sensation was assessed using static two-point discrimination and Semmes–Weinstein monofilament (SWM) testing. The mean values for active range of motion, total time for procedure, average time to return to routine work and time period of cortical reorientation were statistically significantly different from the values in the control group (p value <0.05). 2-PD, SWM and cold severity score were found to be statistically non-significant. Neurotized FDMA island flap provides a stable, sensate and reliable option for sensory reconstruction of thumb pulp defects with earlier cortical reorientation that allows easier physical rehabilitation and earlier ability to return to previous work to the patients.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741134","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

Knowledge, awareness, and attitudes toward hemorrhoids and related surgical treatments among the general population in the Western region, Saudi Arabia: a cross-sectional study 沙特阿拉伯西部地区普通民众对痔疮和相关手术治疗的知识、认识和态度：横断面研究

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240747

Abdullah Al Sawat, Hanan S. Althobaiti, Ayman S. Almukhlifi, Zainab B. Alkhmis, Mohammed M. Alqarni, A. M. Aljohani, Emad S. Alhazmi, S. S. Aljohani

{"title":"Knowledge, awareness, and attitudes toward hemorrhoids and related surgical treatments among the general population in the Western region, Saudi Arabia: a cross-sectional study","authors":"Abdullah Al Sawat, Hanan S. Althobaiti, Ayman S. Almukhlifi, Zainab B. Alkhmis, Mohammed M. Alqarni, A. M. Aljohani, Emad S. Alhazmi, S. S. Aljohani","doi":"10.18203/2349-2902.isj20240747","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240747","url":null,"abstract":"Background: Hemorrhoids, or swollen veins in the anal canal, can result from factors such as chronic straining during bowel movements. While categorized as internal or external, they typically manifest as painless rectal bleeding, swelling, or a lump. Despite their significant global prevalence and impact, research on hemorrhoids in Saudi Arabia remains limited. This cross-sectional study aimed to evaluate public knowledge and attitudes toward hemorrhoids, anticipating prevalent misconceptions.\u0000Methods: It is a cross-sectional study conducted in the Western region of Saudi Arabia. Self-administered questionnaires will assess demographic data and perceptions about hemorrhoids. Data is analyzed by IBM SPSS 29.\u0000Results: Our study indicated that 97.7% were aware of hemorrhoids, with 18.9% citing pushing during excretion and 16.4% mentioning prolonged sitting as the leading cause. 30.1% perceived surgery as the primary treatment, and 85.9% agreed on hemorrhoids' negative impact on quality of life. Significant predictors of better knowledge included (OR=1.726) for the 21-40 age group, (OR=2.024) for Taif residents, (OR=3.393) for Ph. D. holders, (OR=1.567) for an income of 5000-10000 SAR, and (OR=8.542) for participants with prior knowledge of hemorrhoids.\u0000Conclusions: Our study sheds light on the knowledge, attitudes, and perceptions about hemorrhoids among the general population in the Western region of Saudi Arabia. There is good awareness but inadequate knowledge regarding hemorrhoids and their surgical treatment in the Western region of Saudi Arabia. The findings underscore the need for targeted educational interventions.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"5 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374946","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

Acute appendicitis in pregnancy, is there a role for conservative management? 妊娠期急性阑尾炎，保守治疗有用吗？

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240746

Jane Tian, Tabark Altai, S. Bhatia, Youssef Mourad, Andrew Miele, R. Robitsek, Katherine Mckenzie, Martine A. Louis, N. Mandava

{"title":"Acute appendicitis in pregnancy, is there a role for conservative management?","authors":"Jane Tian, Tabark Altai, S. Bhatia, Youssef Mourad, Andrew Miele, R. Robitsek, Katherine Mckenzie, Martine A. Louis, N. Mandava","doi":"10.18203/2349-2902.isj20240746","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240746","url":null,"abstract":"Background: Although rare, acute appendicitis is the most common general surgery problem encountered in pregnancy. A chief concern is timely and accurate diagnosis. Traditionally, delayed diagnosis of appendicitis in pregnant patients can quickly lead to appendiceal rupture associated with miscarriage, premature delivery, or even fetal loss. Hence, appendectomy has been the gold standard. However, emerging evidence suggests conservative management may be more effective than previously thought, after accounting for maternal and fetal characteristics.\u0000Methods: This retrospective study included a sample of pregnant women diagnosed with acute appendicitis presenting for treatment to two hospitals in Queens, NY, between Jan 2012 and Dec 2021. The characteristics, presentation, and outcomes of conservatively versus surgically treated patients were compared.\u0000Results: The cumulative incidence of acute appendicitis was 0.11% (n=44/28,000). Forty were treated surgically: 78% underwent laparoscopic appendectomy, 15% open appendectomy, and 8% underwent an initial laparoscopy which was converted to an open appendectomy. Four (14%) patients were managed conservatively with IV antibiotics. Eight percent of patients treated surgically had postoperative complications. Neither surgical nor conservatively treated groups reported any instance of mortality or fetal demise.\u0000Conclusions: Our study adds to the literature on treatment decisions for pregnant patients with acute appendicitis. Although surgical intervention remains the gold standard, it carries the potential risk of peri- and postoperative complications. These findings suggest conservative management with antibiotics can sometimes be used without a negative impact on maternal or fetal outcomes.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"14 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374298","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