International Surgery Journal最新文献_第8页

Ancient schwannoma in posterior triangle of neck: a rare tumor case report and literature review 颈后三角区古老的裂隙瘤：罕见肿瘤病例报告和文献综述

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240590

Devisha R. Gandhi, Naveenraj R.

引用次数: 0

Early or mild appendicitis on CT imaging and its correlation with a negative appendicectomy: an observational retrospective study CT 成像显示的早期或轻度阑尾炎及其与阴性阑尾切除术的相关性：一项观察性回顾研究

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240564

Matthew L. Basa, Liam Convie

{"title":"Early or mild appendicitis on CT imaging and its correlation with a negative appendicectomy: an observational retrospective study","authors":"Matthew L. Basa, Liam Convie","doi":"10.18203/2349-2902.isj20240564","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240564","url":null,"abstract":"Background: A computerized tomography scan is frequently performed to confirm or exclude appendicitis. The interpretation of such CT scans is crucial in determining which patients should be offered surgery. In a subset of patients with undifferentiated abdominal pain, the radiological diagnosis of “early” or “mild appendicitis” is encountered. It is unclear, based on the current literature, how to manage this entity and hence it may be exposing patients to unnecessary surgery. This raises the question if “early” or “mild appendicitis” on CT imaging correlates with an increased rate of negative appendicectomies.\u0000Methods: All laparoscopic appendicectomies from 2018 to 2023 at a single Australian tertiary hospital were reviewed retrospectively for pre-surgical imaging, appendix histopathology, age, gender, and white cell count. The CT early/mild appendicitis group was compared with the CT uncomplicated appendicitis group.\u0000Results: Of 599 patients who had uncomplicated appendicitis on CT imaging, 63 of these patients received a diagnosis of early or mild appendicitis. Twenty-two in this group had a normal appendix on histological assessment. The “early” or “mild” appendicitis group had a significantly increased likelihood (OR>10, p<0.001) of having a normal appendix on histology, compared to the CT uncomplicated appendicitis group. Women and lower WCC were associated with early appendicitis (p<0.05).\u0000Conclusions: Results of this study suggest that the diagnosis of “early” or “mild appendicitis” on CT imaging results in a greater number of negative laparoscopic appendicectomies.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"16 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409639","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 case of retained surgical mop in abdomen with partial intragastric migration: a case report 一例腹腔内残留手术拖把并伴有部分胃内移位的病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240583

M. M. Hossain

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Endo the line: stricturing terminal ileum endometriosis 内膜线：严格控制回肠末端子宫内膜异位症

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240576

Tushar L. Agrawal, Richard Maguire, Sooraj Pillai, Arun D. Naik

{"title":"Endo the line: stricturing terminal ileum endometriosis","authors":"Tushar L. Agrawal, Richard Maguire, Sooraj Pillai, Arun D. Naik","doi":"10.18203/2349-2902.isj20240576","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240576","url":null,"abstract":"Endometriosis is the implantation and proliferation of endometrial tissue outside the uterus, and while involvement of the small bowel is rare, it is particularly unusual for it to present with terminal ileum stricture mimicking Crohn’s ileitis. We present the case of a 38-year-old female with recurrent mechanical small bowel obstruction with transition point in the terminal ileum. She was struggling with infertility issues and was not previously known to have endometriosis. The presumptive diagnosis was Crohn’s disease due history of previous anal fissure, high faecal calprotectin level, and imaging findings of terminal ileitis with stricture, despite lacking tissue confirmation from colonoscopy. She underwent laparoscopic ileocolic resection with histology showing endometrial stricture and secondary mucosal inflammation, without any established features of Crohn’s disease. This case demonstrates the potential diversity in presentation of endometriosis, including small bowel manifestations that can mimic Crohn’s ileitis. If endometrioma can be confidently diagnosed based on characteristic imaging features or tissue sample, unnecessary treatment may be avoided, whilst appropriate specialist management improves endometriosis symptoms and fertility outcomes.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415353","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

Isolated and fistulized primary appendicular tuberculosis: when a great pretender disguises herself 孤立性和瘘管化的原发性阑尾结核：当一个伟大的伪装者伪装自己时

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240575

Riyad Abbas

引用次数: 0

Chondroma of right great toe 右脚大脚趾软骨瘤

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240593

Pushkar L. Davhale, Prachi P. Salunke, Kiran M. Patil, Ananta A. Kulkarni

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Buffalo chest in a not so high fall: a case report 不太高的坠落中的水牛胸：病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240579

Maria Gualter, Inês Gonçalves, Leandro Lajut, Margarida Rouxinol, Margarida Dupont, João A. Pinto-de-Sousa

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Post operative pancreatic fistula rate following pancreaticojejunostomy with Heidelberg technique versus classical duct to mucosa technique: a comparative study 海德堡胰腺空肠吻合术与传统管道粘膜吻合术术后胰瘘发生率的比较研究

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240573

Sumanth Subhramaniyam, Bharghav J. Kalariya, Guruprasath S., Arul Jothi R. D. R.

{"title":"Post operative pancreatic fistula rate following pancreaticojejunostomy with Heidelberg technique versus classical duct to mucosa technique: a comparative study","authors":"Sumanth Subhramaniyam, Bharghav J. Kalariya, Guruprasath S., Arul Jothi R. D. R.","doi":"10.18203/2349-2902.isj20240573","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240573","url":null,"abstract":"Background: The best technique for pancreatic anastomosis is still a debate and unanswered by multiple RCTs and meta-analyses, done over past two decades. This study intends to compare the outcomes of pancreatico-jejunostomy (PJ) using Heidelberg technique vs classical duct to mucosa technique\u0000Methods: All patients who underwent pancreaticoduodenectomy meeting criteria were included in study. Outcome of PJ done by Heidelberg technique evaluated by occurrence of POPF, as defined by ISGPF and results were compared to historical cohort of patients who had underwent PJ by classical duct to mucosa technique in our institution,\u0000Results: PJ reconstruction was done with Heidelberg and classical duct to mucosa technique in 20 patients each. POPF rates in Heidelberg and duct to mucosa techniques when calculated using ISGPS-2005 definition (30% vs. 40%, p=0.677 and 10% vs. 10%, p=0.514 respectively) and ISGPS-2016 definitions (10% vs. 10%, p=0.514). There is no statistical difference between the two techniques in terms of DGE, infection, and days of hospital stay or duration of drain requirement. But Heidelberg technique is superior to DM technique with respect to shorter operating time (p=0.0001) and lower Clavien-Dindo morbidity grades (p=0.0004). Though a statistical significance could not be reached, there is an increased tendency of higher grade POPF with respect to increased age (>57 years), softer texture and smaller duct size (<3 mm).\u0000Conclusions: There is no significant difference of CR-POPF rates between Heidelberg and classical duct to mucosa techniques of PJ. However, Heidelberg technique is better in terms of simplicity, reduced operating time and lower post-operative morbidity when compared to duct to mucosa technique.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"18 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414237","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 varicose vein surgery in a general surgical unit 普外科静脉曲张手术的结果

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240565

M. S. Rahman, M. A. Sayem, Mohammad Khayrul Bashar Khan, M. R. Alam, M. A. K. Azad

{"title":"Outcome of varicose vein surgery in a general surgical unit","authors":"M. S. Rahman, M. A. Sayem, Mohammad Khayrul Bashar Khan, M. R. Alam, M. A. K. Azad","doi":"10.18203/2349-2902.isj20240565","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240565","url":null,"abstract":"Background: Varicose veins are tortuous, widened veins in the subcutaneous tissues of the legs and are often easily visible. In our country, we do have not sufficient vascular surgery centers or vascular surgeons. So general surgeons have training in vascular surgery and performing operations of varicose veins. This study aimed to show the operative procedure, results of treatment in terms of symptom improvement, and complications of varicose vein surgery done by general surgeons in a rural medical college hospital in Bangladesh.\u0000Methods: This retrospective study was conducted at the Department of General Surgery in Sheikh Hasina Medical College, Jamalpur, Bangladesh from January 2017 to December 2022. A total of 20 patients were selected as study subjects by simple random sampling. Operative procedure depended upon pre-operative duplex imaging findings, and patients were kept under 6 months follow-up. The outcome was based on the cure and recurrence rate of varicose veins. Collected data were analyzed using descriptive statistics. Analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. After analysis, the data were presented in tables and charts.\u0000Results: It was observed that 3 (15.0%) patients experienced ulceration after surgical procedure, followed by 2 (10.0%) developed DVT, 1 (5.0%) patient had wound hematoma, and 1 (5.0%) patient showed recurrence. Concerning the outcome of varicose veins after surgical procedures, the majority (18,20.0%) of the patients showed complete cure, 1 (5.0%) patient presented with recurrence, and 1 (5.0%) patient developed complication.\u0000Conclusions: Despite the relatively low occurrence of complications and recurrence following surgery for varicose veins, the substantial 90% cure rate it offers is noteworthy. This study underscores the feasibility of conducting varicose vein surgery by general surgeons equipped with training in vascular surgery, ensuring safety and minimizing complications.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414404","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}

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International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240597

Yash Jain, Abdul Haque M. Quraishi, Pankaj Tongse

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