International Surgery Journal最新文献_第9页

Spontaneous common bile duct perforation: a rare case report 自发性胆总管穿孔：罕见病例报告

International Surgery Journal Pub Date : 2024-02-29 DOI: 10.18203/2349-2902.isj20240592

Manish Jangra, Hansraj Ranga, B. Arora, Dr. Vidit

引用次数: 0

Prevalence and predictors of hypercoagulability detected by rotational thromboelastometry in peritoneal malignancy patients undergoing cytoreductive surgery 通过旋转血栓弹性测定法检测接受细胞再生手术的腹膜恶性肿瘤患者高凝状态的发生率和预测因素

International Surgery Journal Pub Date : 2024-02-19 DOI: 10.18203/2349-2902.isj20240333

Elizabeth Skalkos, Mina Sarofim, Stephany Game, Ruwanthi Wijayawardana, Nima Ahmadi, David L Morris

{"title":"Prevalence and predictors of hypercoagulability detected by rotational thromboelastometry in peritoneal malignancy patients undergoing cytoreductive surgery","authors":"Elizabeth Skalkos, Mina Sarofim, Stephany Game, Ruwanthi Wijayawardana, Nima Ahmadi, David L Morris","doi":"10.18203/2349-2902.isj20240333","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240333","url":null,"abstract":"Background: Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an established treatment for peritoneal malignancy. A hypercoagulable state in these patients and the associated risk of venous thromboembolism (VTE), remains the most common cause of 30-day mortality. This study aimed to evaluate the prevalence and perioperative factors associated with baseline hypercoagulability detected by rotational thromboelastometry (ROTEM), a point-of-care haemostatic assay, in peritoneal malignancy patients.\u0000Methods: A retrospective cohort study was performed in a peritoneal malignancy unit on patients undergoing CRS between 2019 and 2023, who underwent preoperative ROTEM testing. Patients were divided into group A (hypercoagulable) and Group B (normal coagulation). Baseline characteristics, pathology results, operative details and post operative outcomes were reviewed. Univariate and multivariate analysis were used to identify factors associated with baseline hypercoagulability.\u0000Results: The 70 patients were included, 23 patients in group A (32.9%) and 47 patients in group B (67.1%). Group A had a lower preoperative haemoglobin (p<0.001), higher platelet count (p<0.001) and median peritoneal carcinomatosis index (33 vs 10, p=0.003). Appendiceal primary was associated with hypercoagulability (47.8% vs 23.4%, p=0.039). Group A required more intraoperative transfusion with red blood cells (p=0.014) but not platelets (p=0.6) or cryoprecipitate (p=0.8). Although group A had a higher incidence of VTE events (30.4% vs 23.4%) this was not statistically significant.\u0000Conclusions: Baseline hypercoagulability exists in one-third of patients with peritoneal malignancy and was associated with increased tumour burden and appendiceal primary. The increasing use of ROTEM is a valuable tool for perioperative management of complex peritoneal malignancy patients.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451507","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

Early outcomes of minimally invasive hybrid coronary revascularization 微创杂交冠状动脉血运重建术的早期疗效

International Surgery Journal Pub Date : 2024-02-19 DOI: 10.18203/2349-2902.isj20240332

Vigneshwar Bakthavachalam, M. M. Yusuf

{"title":"Early outcomes of minimally invasive hybrid coronary revascularization","authors":"Vigneshwar Bakthavachalam, M. M. Yusuf","doi":"10.18203/2349-2902.isj20240332","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240332","url":null,"abstract":"Background: Coronary artery bypass graft (CABG) surgery has been the gold standard for the treatment of coronary artery disease over the years. It is recommended for patients with multi-vessel coronary artery disease, left main disease, diabetics, severe left ventricular dysfunction, unsuitable anatomy for percutaneous coronary intervention (PCI), and failed PCI. The usage of the left internal mammary artery (LIMA) in the CABG to the left anterior descending (LAD) artery has proven to be superior compared to PCI. Minimally invasive hybrid coronary revascularization (MIHCR) is gaining growing interest.\u0000Methods: This is a hospital-based prospective observational study with 200 patients followed up for a period of 30 days. This study aims to assess the early outcomes of MIHCR in the Indian population.\u0000Results: The 30-day mortality was comparable to other studies, and the number of days in the ICU and hospital stay was shorter than the routine CABG. There was no incidence of a wound infection or stroke. Blood product usage and the need for repeat revascularization and re-exploration were less. The short-term outcomes were promising.\u0000Conclusions: MIHCR has excellent short-term results and is safer than conventional OPCABG, as it is less invasive and avoids midline sternotomy. It also reduces the incidence of stroke and lesser usage of blood products, promoting early return of patients to their routine activities.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"25 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450010","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 giant, recurrent, subpectoral breast lipoma: case report 巨大、复发性、胸骨下乳腺脂肪瘤：病例报告

International Surgery Journal Pub Date : 2024-02-14 DOI: 10.18203/2349-2902.isj20240326

Sahar M. Alnefaie

引用次数: 0

A giant, recurrent, subpectoral breast lipoma: case report 巨大、复发性、胸骨下乳腺脂肪瘤：病例报告

International Surgery Journal Pub Date : 2024-02-14 DOI: 10.18203/2349-2902.isj20240326

Sahar M. Alnefaie

引用次数: 0

Vernix caseosa peritonitis: a mimic for post-partum appendicitis 蟠尾腹膜炎：产后阑尾炎的模拟病例

International Surgery Journal Pub Date : 2024-02-09 DOI: 10.18203/2349-2902.isj20240317

James N. Sellars, Ryan Green, E. Jeyarajan

引用次数: 0

Vernix caseosa peritonitis: a mimic for post-partum appendicitis 蟠尾腹膜炎：产后阑尾炎的模拟病例

International Surgery Journal Pub Date : 2024-02-09 DOI: 10.18203/2349-2902.isj20240317

James N. Sellars, Ryan Green, E. Jeyarajan

引用次数: 0

Self-perceived preparedness of junior doctors for internship in regional far North Queensland 远北昆士兰地区初级医生对实习的自我认知准备情况

International Surgery Journal Pub Date : 2024-02-09 DOI: 10.18203/2349-2902.isj20240318

James N. Sellars, Michael Van Der Mark, Joanna Neal, Tom Palesy, Lani Palesy, E. Jeyarajan

{"title":"Self-perceived preparedness of junior doctors for internship in regional far North Queensland","authors":"James N. Sellars, Michael Van Der Mark, Joanna Neal, Tom Palesy, Lani Palesy, E. Jeyarajan","doi":"10.18203/2349-2902.isj20240318","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240318","url":null,"abstract":"Background: Objective of the study was to determine the self-perceived preparedness and concerns of newly graduated junior doctors beginning their internship year in a regional based hospital in far North Queensland.\u0000Methods: A questionnaire investigating the basic demographics, future vocational intentions, perceived medical strengths, and greatest hopes and fears for the upcoming intern year was formulated. The survey was undertaken by all interns starting work in 2023 at Cairns Hospital in regional Far North Queensland. Basic statistical analysis was conducted in Microsoft Excel.\u0000Results: There were 52 total participants. Overall, 40 (76.9%) were aged 23 to 32 years, 45 (86.5%) had graduated from a Queensland university, and 25 (48.1%) had previous exposure to the medical field prior to internship, through a family member or previous work. New interns felt least prepared for discussions regarding dying and palliative care, N=14 (26.9%) at least “prepared”, certification of death, N=11 (21.2%) at least “prepared” and nasogastric tube insertion, N=14 (26.9%) at least “prepared”. The main concerns were feeling unsupported (N=31, 59.6%), tiredness and stress (N=28, 53.8%), and interacting with rude staff or experiencing bullying (N=27, 51.9%). Overall, interns felt least prepared for surgical (N=21, 40.4%) and after-hours rotations (N=19, 36.5%).\u0000Conclusions: The intern year can be daunting for recent graduates, particularly feeling a sense of isolation and fatigue, heightened by potential staff conflict and high-pressure settings in surgery and after-hours. Better preparation and support should be provided for interns to ensure a comfortable transition from university to work to optimise safe and effective patient care.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"345 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848344","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

Self-perceived preparedness of junior doctors for internship in regional far North Queensland 远北昆士兰地区初级医生对实习的自我认知准备情况

International Surgery Journal Pub Date : 2024-02-09 DOI: 10.18203/2349-2902.isj20240318

James N. Sellars, Michael Van Der Mark, Joanna Neal, Tom Palesy, Lani Palesy, E. Jeyarajan

{"title":"Self-perceived preparedness of junior doctors for internship in regional far North Queensland","authors":"James N. Sellars, Michael Van Der Mark, Joanna Neal, Tom Palesy, Lani Palesy, E. Jeyarajan","doi":"10.18203/2349-2902.isj20240318","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240318","url":null,"abstract":"Background: Objective of the study was to determine the self-perceived preparedness and concerns of newly graduated junior doctors beginning their internship year in a regional based hospital in far North Queensland.\u0000Methods: A questionnaire investigating the basic demographics, future vocational intentions, perceived medical strengths, and greatest hopes and fears for the upcoming intern year was formulated. The survey was undertaken by all interns starting work in 2023 at Cairns Hospital in regional Far North Queensland. Basic statistical analysis was conducted in Microsoft Excel.\u0000Results: There were 52 total participants. Overall, 40 (76.9%) were aged 23 to 32 years, 45 (86.5%) had graduated from a Queensland university, and 25 (48.1%) had previous exposure to the medical field prior to internship, through a family member or previous work. New interns felt least prepared for discussions regarding dying and palliative care, N=14 (26.9%) at least “prepared”, certification of death, N=11 (21.2%) at least “prepared” and nasogastric tube insertion, N=14 (26.9%) at least “prepared”. The main concerns were feeling unsupported (N=31, 59.6%), tiredness and stress (N=28, 53.8%), and interacting with rude staff or experiencing bullying (N=27, 51.9%). Overall, interns felt least prepared for surgical (N=21, 40.4%) and after-hours rotations (N=19, 36.5%).\u0000Conclusions: The intern year can be daunting for recent graduates, particularly feeling a sense of isolation and fatigue, heightened by potential staff conflict and high-pressure settings in surgery and after-hours. Better preparation and support should be provided for interns to ensure a comfortable transition from university to work to optimise safe and effective patient care.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788454","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

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 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853393","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