International Surgery Journal最新文献_第4页

Skin graft on a collagen and elastin matrix fixed with negative pressure in a complicated pediatric dog bite: case report 在用负压固定的胶原蛋白和弹性蛋白基质上植皮治疗复杂的小儿被狗咬伤：病例报告

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240755

Omar S. Fattel-Servin, Osvaldo I. Guevara-Valmaña, Sebastian Trigueiros-Guzmán, Valentina Prieto-Vargas, Ximena I. Ramirez-Morales, Armando Apellaniz-campo

{"title":"Skin graft on a collagen and elastin matrix fixed with negative pressure in a complicated pediatric dog bite: case report","authors":"Omar S. Fattel-Servin, Osvaldo I. Guevara-Valmaña, Sebastian Trigueiros-Guzmán, Valentina Prieto-Vargas, Ximena I. Ramirez-Morales, Armando Apellaniz-campo","doi":"10.18203/2349-2902.isj20240755","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240755","url":null,"abstract":"Animal bites represent a significant source of morbidity in the pediatric population, with dogs being the primary cause. Highlighting the need for innovative solutions to effectively tackle the issue and enhance both functional and aesthetic outcomes. Dog bites, marked by a heightened morbidity rate, present an inherent infection risk owing to the considerable bacterial load present in saliva. The fundamental approach to treatment revolves around preventing infection through meticulous washing, debridement, and the timely implementation of early primary closure. We detail the management of a pediatric patient with a dog bite on the pelvic limb, resulting in a challenging-to-manage wound. This case was successfully treated with a skin graft on a bed of collagen matrix, secured with negative pressure therapy. The choice of the appropriate technique for reconstructing skin defects depends on their depth and size. Consequently, combining these three techniques yielded a favorable functional and aesthetic outcome for the patient. This case report emphasizes the relevance of employing different techniques in managing complicated dog bites.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374132","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

Incidental wandering gall bladder: a rare case report 意外游走胆囊：罕见病例报告

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240760

Ankita Khurana, M. S. Utaal, Anmol Singh Ahluwalia

引用次数: 0

Lessons learnt from uncommon events during robotic assisted minimally invasive oesophagectomy 从机器人辅助微创食管切除术中的不常见事件中汲取教训

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240764

Suraj B. Pawar, K. Bagul, Rishikesh D. Nilapwar, Hitesha Bhandari, Aditya S. Pawar

引用次数: 0

An unusual case report of metastatic periampullary carcinoma 转移性胰周癌的罕见病例报告

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240762

Suryalok Pratap Shah, Shahbaz Ahmad Pandit, A. Pandey, Supreet Kumar, Rahul Gautam, Vivek Tandon, Deepak Govil, Bhrigu Prajapat, Aishwarya Bhalerao

{"title":"An unusual case report of metastatic periampullary carcinoma","authors":"Suryalok Pratap Shah, Shahbaz Ahmad Pandit, A. Pandey, Supreet Kumar, Rahul Gautam, Vivek Tandon, Deepak Govil, Bhrigu Prajapat, Aishwarya Bhalerao","doi":"10.18203/2349-2902.isj20240762","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240762","url":null,"abstract":"Pancreatic cancers usually metastasize through the lymphoid system to organs such as the lung, liver, bone and spleen. Ovarian metastasis in pancreatic cancers is extremely rare, hence, it is difficult to distinguish between primary and metastatic ovarian tumors, especially in tumors with a primary source from the GIT & Hepatobiliary system. We present the case of a periampullary carcinoma with ovarian metastasis in a middle-aged female who presented with complaints of abdominal pain, constipation, yellowish discoloration of eyes and dark colored urine along with loss of appetite and weight loss for a duration of 6 to 8 weeks. Radiological examination revealed right adnexal lesion and nodular thickening along periampullary region. ERCP guided biopsy of the growth in periampullary region revealed moderately differentiated adenocarcinoma. She underwent pancreatico-duodenectomy with bilateral salpingo-oophorectomy. The histopathological examination revealed invasive carcinoma in both the ovaries, and moderately differentiated adenocarcinoma in periampullary and intra-ampullary region. As per the findings in previous studies, bilateral ovarian tumors of any size, or a unilateral tumor less than 10 cm likely represents metastatic disease rather than primary ovarian tumor. The rarity of co-presentation of pancreatic and adnexal mass makes the diagnosis tough however it is important to differentiate between primary ovarian mucinous cancers and ovarian metastasis from primaries in GIT for further treatment and follow up.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"19 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374402","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

Outcome of primary ventral hernia repair with monofilament polyester composite ventral patch in a community-based hospital 一家社区医院使用单丝聚酯复合腹腔补片进行腹股沟疝修补术的结果

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240751

Hareesh Kumar R., Alfred Arulraj Solomon, Rajakumar Veeraraghavan

{"title":"Outcome of primary ventral hernia repair with monofilament polyester composite ventral patch in a community-based hospital","authors":"Hareesh Kumar R., Alfred Arulraj Solomon, Rajakumar Veeraraghavan","doi":"10.18203/2349-2902.isj20240751","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240751","url":null,"abstract":"Background: Ventral hernia repair (VHR) is one of the common surgical procedures carried out in general surgery. This study assessed the post operative outcomes in patients with primary ventral hernia undergoing repair using monofilament polyester composite ventral patch Parietex™ Covidien (PCO-VP).\u0000Methods: A prospective single proportion observational study of 54 patients undergoing open VHR for primary ventral hernia with the PCO-VP in a community-based hospital was carried out. The patients were followed up for a period of one year from day of surgery. Primary outcome was recurrence, and secondary outcomes were reoperations and complications including seroma, hematomas, abdominal wall abscess, wound infections, and mesh infections.\u0000Results: Our sample size of (n=54) included 35 (65%) females and 19 (35%) males with a mean hernia defect diameter of 3.5±0.4 cm. 83% (45) underwent elective surgery (EL) and 17% (9) underwent emergency surgery with a mean operative time of 98.5 minutes, 11% (n=6) patients needed alteration of the technique and 20% (n=11) patients needed mesh repositioning, 12 adverse events were noted during the hospital stay. No mesh infections, early recurrences, readmissions or revision surgeries were noted. Patients had a average Carolina comfort scale score of 4/115 noted at the end of study.\u0000Conclusions: The use of PCO-VP to repair primary ventral hernia yielded nearly nil early recurrence rate, low postoperative complications and high satisfaction ratings, PCO-VP repair is a highly effective method for small and moderate size ventral hernias in both elective and emergency setting.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374653","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 rare case of gastric perforation caused by Candida infection 念珠菌感染导致胃穿孔的罕见病例

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240766

Mrugen Thakor, Subhash Chawla, M. S. Utaal, Rijuta De, Sakshi Ramnani, Dakshita Adlakha

引用次数: 0

Spontaneous superficial femoral artery pseudoaneurysm: a rare case report 自发性股浅动脉假性动脉瘤：罕见病例报告

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240758

Naveenraj R., Bhavin Patel, Hiten Patel, Ajay Tiwari

引用次数: 0

Small bowel obstruction caused by transmesosigmoid internal hernia 经膜内疝引起的小肠梗阻

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240756

Ata M. Ghaith, Ahmad A. Al-Sakarneh, Mohammad I. Al-Sakarnh, Osama M. Ghaith

引用次数: 0

Mucinous cystadenoma of both ovaries and appendix: a case report 双侧卵巢和阑尾的黏液性囊腺瘤：病例报告

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240765

Sujan N. Agrawal, Manisha Goyal, Sanjay Prasad

引用次数: 0

Massive diaphragmatic eventration: plication 大块横膈膜撕裂：切除术

International Surgery Journal Pub Date : 2024-03-27 DOI: 10.18203/2349-2902.isj20240759

A. Gajbhiye, L. V. Tamgadge, Sarita Durge, Ayyappa Sai Kumar Kolasani

{"title":"Massive diaphragmatic eventration: plication","authors":"A. Gajbhiye, L. V. Tamgadge, Sarita Durge, Ayyappa Sai Kumar Kolasani","doi":"10.18203/2349-2902.isj20240759","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240759","url":null,"abstract":"Diaphragmatic eventration (DE) is a distinctive condition characterised by the abnormal elevation or displacement of a portion of the diaphragm, often leading to a protrusion of abdominal contents into the thoracic cavity. Unlike diaphragmatic hernias, eventrations involve a congenital or acquired weakness of the diaphragmatic muscle itself rather than a structural defect. Congenital eventrations typically arise from the incomplete development or muscular hypoplasia of the diaphragm, while acquired forms may result from trauma, surgery, or neurological disorders affecting the phrenic nerve. Clinical manifestations vary widely, with some individuals remaining asymptomatic, while others may experience respiratory difficulties, especially when lying down. The case involves a 65-year-old female with a history of breathlessness exacerbated in the lying position, improved when upright. Examination revealed low oxygen saturation, absent breath sounds on the left chest, and bowel sounds in that region. Chest X-ray and HRCT indicated bowel loops in the left chest due to eventration of the left hemidiaphragm. Surgical intervention involved thoracotomy, identifying a lax left hemidiaphragm, mobilising abdominal contents, and performing plication with proline 1-0. Closure was completed with an intercostal drainage (ICD) in the left thoracic cavity. Postoperative period was uneventful. This case emphasises the significance of prompt diagnosis and surgical intervention in managing DE, showcasing the effectiveness of thoracotomy, hemidiaphragm plication, and ICD placement.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"53 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140376550","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