International Surgery Journal最新文献_第7页

Negative pressure wound therapy: our experience of a polytrauma with degloving injury 负压伤口疗法：我们在多发性创伤和脱骨损伤中的经验

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240587

Mangipudi Surya Pratap, Mahak Goel, Janitta Kundaikar, Kusum Meena

引用次数: 0

Application of Meek micro-grafting technique in severe burn injury: a case report 在严重烧伤中应用 Meek 微移植技术：病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240578

Benjamin Choo Wee Keat, Salmi Binti Mohamed Sukur

引用次数: 0

Biliary ascariasis: an unusual cause of acute cholecystitis 胆道蛔虫病：急性胆囊炎的不寻常病因

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240581

Guillermo A. Macías-González, Alberto Santillán-Arroyo

引用次数: 0

Internal hernia a preoperative diagnostic challenge in virgin abdomen: case report 处女腹部术前诊断难题之内疝：病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240577

Jesús A. Montero-Puga, Francisco J. Pat-Cruz, Guillermo Padrón Arredondo

{"title":"Internal hernia a preoperative diagnostic challenge in virgin abdomen: case report","authors":"Jesús A. Montero-Puga, Francisco J. Pat-Cruz, Guillermo Padrón Arredondo","doi":"10.18203/2349-2902.isj20240577","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240577","url":null,"abstract":"Internal hernias are classified in congenital or acquired. Congenital arises from abnormalities during embryonic development, whereas acquired result from trauma, surgical procedures, or another. Gastric surgical procedures can increase susceptibility to internal hernias. A 85-year-old female, denies previous surgeries. Went to the emergency department due to vomiting, adding colicky abdominal pain. Was discharged with a diagnosis of acute gastroenteritis. Came back 12 hours after discharge due to mesogastric pain accompanied by general malaise, abdominal distention and hyporexia, reporting a lack of evacuation. She was algid, pale, abdomen globose, distended, tympanic colonic frame, peristalsis increased. An evaluation was requested from general surgery for probable appendicitis in the elderly vs. secondary ileus. Went to operation room, finding an internal hernia. Transomental herniations are rare conditions. An abnormal omental opening can be either acquired following abdominal surgery, trauma, inflammatory conditions, low body mass index (BMI) and be associated with a long mesentery, intestinal malrotation, or abnormal peritoneal attachments. Although internal hernias are extremely rare (between 1 and 4% of acute or intermittent intestinal obstructions) it is essential not to miss this diagnosis, even in patient whit no previous surgeries. Management of omental hernias are critical as the postoperative mortality rate is over 30% and even 50% if strangulation is present. The lack of current literature on this rare condition, particularly for lesser omental hernias (because can present with nonspecific signs and symptoms) makes diagnosis and management difficult.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414751","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

Evaluation of unenhanced three-dimensional endoanal ultrasound scan in preoperative assessment of perianal sepsis 评估肛周败血症术前评估中的未增强三维肛内超声扫描

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240569

Someswara Rao Meegada, K. Alapati, Mathai Varughese

{"title":"Evaluation of unenhanced three-dimensional endoanal ultrasound scan in preoperative assessment of perianal sepsis","authors":"Someswara Rao Meegada, K. Alapati, Mathai Varughese","doi":"10.18203/2349-2902.isj20240569","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240569","url":null,"abstract":"Background: Perianal sepsis which includes perianal fistula and abscess is a common clinical condition that requires thorough preoperative evaluation to decrease the recurrence rate and to plan relevant surgery according to the anatomy of the fistula. MRI and 3D EAUS are two important preoperative investigations that delineate the anatomy of simple and complex fistula tracts. Due to lower cost and easier use 3D EAUS is a safe and reliable first-line investigation in evaluating perianal abscess.\u0000Methods: This is a retrospective and prospective analysis of patients with perianal sepsis who underwent pre-operative unenhanced 3D-EAUS in the departments of Colorectal surgery, Gastrointestinal surgery, and General surgery in our hospital. A B-K medical 2052 transducer was used for the study and the surgical assessment was done by multiple surgeons from multiple departments.\u0000Results: A total of 255 patients were assessed. The accuracy for primary fistula tracts and internal opening was 83.53% and 88.62% respectively. The kappa coefficient of correlation was k=0.70 (substantial agreement) for the fistula tract and k=0.81 (near perfect agreement) for the internal opening. The sensitivity, and specificity of primary tracts and internal openings were calculated. Transphincteric fistulas were 57% in our study.\u0000Conclusions: Unenhanced 3D EAUS is a reliable first-line investigation in preoperative evaluation of perianal fistula and abscess. Transphincteric fistula is the most common type of fistula. There is a high chance of correlation for the primary tract if a non-colorectal specialist performs the fistula surgery after 3D-EAUS without blinding.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415729","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

Association of salted tea (noon chai), Helicobacter pylori infection and gastric carcinoma 咸茶（午茶）、幽门螺旋杆菌感染与胃癌的关系

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240570

Mir Fazil Illahi, Mubashir Gani, Sameer H. Naqash, Mubashir A. Shah

{"title":"Association of salted tea (noon chai), Helicobacter pylori infection and gastric carcinoma","authors":"Mir Fazil Illahi, Mubashir Gani, Sameer H. Naqash, Mubashir A. Shah","doi":"10.18203/2349-2902.isj20240570","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240570","url":null,"abstract":"Background: Gastric cancer remains the second leading cause of cancer-related deaths worldwide. Various dietary and environmental factors have been implicated in the pathogenesis of gastric cancer. Helicobacter pylori has strong association with peptic ulcer disease and gastric cancer.\u0000Methods: This study was conducted in department of general and minimal invasive surgery SKIMS Srinagar, from May 2019 to April 2022 comprising of 50 patients. All the patients were studied prospectively using set of questionnaires about the quantity and quality of salted tea. Final inferences were drawn after analysing the data using various statistical tools.\u0000Results: The most common age group was >60 years of age with male preponderance. Majority of patients had no comorbidity. About 50% of the patients were smokers. The most common histology found was intestinal type. 20% patients had proximal (cardia) tumor and 80% had distal location. Only 14% of the patients came positive for intra-operative H. pylori testing. Among the H. pylori positive patients, 14.3% were <40 years of age and 85.7% were >40 years of age. The most common histological grade found in H. pylori positive patients was poorly differentiated with signet ring cell type. About 88% of all the patients had a history of Noon chai intake with 14% positive and 86% negative for H. Pylori.\u0000Conclusions: There is a positive relation between Noon chai and gastric carcinoma and an inverse relation between ca stomach and presence of H. pylori intraoperatively at the time of surgical intervention.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415778","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 ectopic localization of pleomorphic adenoma of lip 罕见的异位唇多形性腺瘤

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240588

Birbal Kumar, Balkishan Gupta, D. Mitra

引用次数: 0

Silent neuroendocrine tumor of biliary confluence 胆道汇合处无声神经内分泌肿瘤

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240586

Supreet Kumar, Rigved Gupta, Neerav Goyal, A. Pandey, Vivek Tandon

引用次数: 0

Percutaneous nephrolithotomy in case of crossed fused renal ectopia: a case report 交叉融合性肾外翻病例中的经皮肾镜碎石术：病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240596

Ankit Anand, Prakriti Gupta, Sumit Gupta, Arpit Tripathi, Shailja Mishra

引用次数: 0

Clonorchis sinensis: a mimic of hepatic mucinous cystic neoplasm or just a fluke? 中华克隆氏虫：肝粘液性囊肿的模拟物，还是一种侥幸心理？

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240574

Tushar L. Agrawal, Brielle E. Williams, Bryan M. Tran, Ramesh Damodaran Prabha, Sooraj Pillai, Craig Sommerville

{"title":"Clonorchis sinensis: a mimic of hepatic mucinous cystic neoplasm or just a fluke?","authors":"Tushar L. Agrawal, Brielle E. Williams, Bryan M. Tran, Ramesh Damodaran Prabha, Sooraj Pillai, Craig Sommerville","doi":"10.18203/2349-2902.isj20240574","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240574","url":null,"abstract":"Liver flukes, endemic in East Asia, are parasites that can infect humans and cause liver and bile duct disease. While most infected individuals are asymptomatic, chronic infection can lead to structural hepatobiliary manifestations including hepatomegaly, intrahepatic bile duct dilatation, epithelial hyperplasia, periductal fibrosis, and potentially cholangiocarcinoma. There are no reports of human cases of liver fluke infection presenting as a hepatic cystic lesion. We present the case of a 52-year-old asymptomatic Chinese immigrant presenting with a suspected mucinous cystic neoplasm of the liver. CT and Ultrasound examinations demonstrated an enlarging complex cyst involving segments II and III. Liver function tests, hydatid serology and tumour markers were normal. He underwent elective laparoscopic left hemi-hepatectomy with liver fluke discovered on histology. Subsequent genetic testing confirmed Clonorchis sinensis infection. The patient made an uneventful recovery from surgery and was treated with anthelminthic therapy. This case highlights the importance of considering liver fluke as a differential diagnosis for hepatic cystic lesions in patients from endemic regions. Appropriate diagnosis could avoid surgery, whilst targeted anthelminthic therapy minimises the risk of chronic infection and associated complications, including cholangiocarcinoma.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"2020 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140416174","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