International Journal of Surgery Science最新文献_第3页

Chronic venous ulcers with different approaches for treatment 慢性静脉溃疡的不同治疗方法

International Journal of Surgery Science Pub Date : 2023-07-01 DOI: 10.33545/surgery.2023.v7.i3a.997

Khaled Hamada Khalifa, M. I. Eleissawy, Abd Elmoteleb Effat Ebeid, M. Elheniedy

引用次数: 0

The benefits of VATS technique for diagnostic and treatment of paediatric thoracic problems VATS技术在儿科胸科疾病诊断和治疗中的益处

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.985

LM Lumban Gaol, I. Fadhila, M. Anita

{"title":"The benefits of VATS technique for diagnostic and treatment of paediatric thoracic problems","authors":"LM Lumban Gaol, I. Fadhila, M. Anita","doi":"10.33545/surgery.2023.v7.i2a.985","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.985","url":null,"abstract":"Background: A minimally invasive surgery such as video-assisted thoracic surgery (VATS) has been used for diagnostic and therapeutic procedure in children for the last decade. This study described the VATS surgical technique used in the treatment of pediatric thoracic cases and highlighted the benefit of surgical treatment for thoracic problems in pediatric, mainly in empyema thoracis, pneumothorax, and congenital diaphragmatic hernia. Result: We used thoracoscopic approach, which is video-assisted thoracic surgery (VATS) as the surgical approach for cases such as recurrent primary spontaneous pneumothorax (PSP), recurrent empyema thoracis, and congenital diaphragmatic hernia (CDH) in our institution. All children received general anaesthesia. Selective ventilation of the left or right bronchus was used to allow ipsilateral lung collapse for better visualization. The patient was positioned in swimmer position or lateral decubitus position with the ipsilateral side up and in a slight reverse Trendelenburg position. A 5 mm incision was made on the ipsilateral of the apex of scapula, and a 5 mm trocar was used. For empyema thoracis we used two trocars, which were 5 mm for camera and 3 mm trocar. The fibrotic tissue was excised and the pleural space was debrided. In recurrent pneumothorax case, we used the 5mm trocar for the camera. An fibrotic tissue excision was done to facilitate better drainage for the chest tube. We used the VATS approach for the CDH case in a full-term neonates, using 5 mm and 3 mm trocars with low flow insufflation. Conclusion: The use of minimally invasive surgery such as video-assisted thoracoscopic surgery can be a valuable choice in the management of selected thoracic conditions. There is evidence that VATS provides an advantage compared to thoracotomy. It is beneficial to minimalized the surgical wound and shortened the time of operation.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91380320","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 report of kissing ulcers, post-trauma 创伤后接吻溃疡1例

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.988

Meriem Gridda, Mohamed Anejar, Mohamed Benlahsen, Meriem Ainane, Younes Sadqi, M. Absi

引用次数: 0

A rare case of ciliated foregut cyst of gall bladder 胆囊纤毛前肠囊肿1例

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.996

Dr. Arvind Ghanghoria, Dr. Ramendra Gurjar, Dr. Abhay Brahamane, D. G. Garg

引用次数: 0

Head injury patterns and outcome at tertiary care center in central India: A prospective observational study 印度中部三级保健中心的头部损伤模式和结果:一项前瞻性观察研究

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.992

Dr. Sanjay Changole, D. J. B. Hedawoo, Dr. Kishor Dukare, Dr. Asmita Dhurve, Dr. Maheshkumar Soni, Dr. Vipin Kursunge, Dr. Nayan Bonde

{"title":"Head injury patterns and outcome at tertiary care center in central India: A prospective observational study","authors":"Dr. Sanjay Changole, D. J. B. Hedawoo, Dr. Kishor Dukare, Dr. Asmita Dhurve, Dr. Maheshkumar Soni, Dr. Vipin Kursunge, Dr. Nayan Bonde","doi":"10.33545/surgery.2023.v7.i2a.992","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.992","url":null,"abstract":"Background: Head injury is significant public health problem and it is one of leading causes of death worldwide. Our aim of this study is to study various patterns, epidemiological aspects, radiological findings and treatment modalities of head injury. Material and Method: A total of 250 cases of head injuries satisfying inclusion criteria were included in the study using convenience non-random sampling method reporting period from October 2020 to November 2022 attending Casualty of Trauma care center of Tertiary Care hospital of Central India. Patients were observed for their outcome and appropriate statistical procedure was performed. Results: Majority of patients reach hospitals by around 1-3 hours (43.2%) followed by <1 hour (28%). Majority of patients had road traffic accident (62%) followed by H/O fall. (25.2%), assault (8.4%) and others (4.4%). Majority of patients had mild GCS score (62%) followed by moderate (21.2%) and severe among 42 (16.8%) patients. Majority of patients managed conservatively (81.2%) followed by operative procedures. (18.8%). Majority of patients survived with minimal or no disability 176(70.4%) while some patients survived with Moderate to severe disability are 38(15.2%) and 31 patients (12.4%) lost their life after head injury. Conclusion: The study showed that most head injury victims, brought to a tertiary care hospital, were due to road traffic accidents. This emphasizes on a need to develop preventive measures like awareness about traffic rules, the use of seat belts and helmets, an improved construction and the maintenance of the roads, better traffic monitoring, the prevention of drunken driving amongst the automobile drivers, and increased road traffic sense in the road.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81561289","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

To study the conversion rate of laparoscopic cholecystectomy to open cholecystectomy and its causes 目的:探讨腹腔镜胆囊切除术对开腹胆囊切除术的转换率及其原因

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.995

Dr. Harish R, Dr. Hari Prasath, Dr. Abdul Majeed

{"title":"To study the conversion rate of laparoscopic cholecystectomy to open cholecystectomy and its causes","authors":"Dr. Harish R, Dr. Hari Prasath, Dr. Abdul Majeed","doi":"10.33545/surgery.2023.v7.i2a.995","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.995","url":null,"abstract":"Background: Laparoscopic cholecystectomy has replaced open cholecystectomy as the preferred treatment for symptomatic gallbladder stones. However, a certain percentage of laparoscopic cases require conversion to open surgery. This study aimed to evaluate the conversion rate and identify the factors associated with this conversion. Methods: A retrospective analysis was conducted on patients who underwent laparoscopic cholecystectomy for cholelithiasis at a medical college and hospital over a 12 month period. Demographic data, clinical details, laboratory investigations, surgical indications, and intraoperative findings were collected and analyzed. Statistical analysis was performed using SPSS software. Results: A total of 50 patients were included in the study. The mean age was 44.26 years, with the majority in the 41-50 age group. Females constituted 70% of the cases. Higher BMI, male gender, the presence of diabetes, and a thickened gallbladder wall were identified as factors associated with an increased risk of conversion to open cholecystectomy. The overall conversion rate was 10%, with adhesions and bleeding being the main reasons for conversion. Conclusion: This retrospective study provides insights into the conversion rate and associated factors in laparoscopic cholecystectomy. Male gender, higher BMI, the presence of diabetes, and a thickened gallbladder wall were found to increase the likelihood of conversion to open surgery. These findings highlight the importance of careful patient selection, preoperative assessment, and informed consent discussions to optimize surgical outcomes and minimize the need for open procedures. Further research with larger sample sizes is recommended to validate these findings.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76074013","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 hospital based observational study to evaluate the common etiological factor related to small bowel obstruction in adult patients 一项以医院为基础的观察性研究，评估与成人患者小肠梗阻相关的常见病因

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.989

Fuzeil Dhebar, Dr.Nida Khan

引用次数: 0

Short-term clinical and paraclinical evaluation of the treatment of benign prostatic hypertrophy by phytotherapy with Plantago major and Solanum aculeastrum 车前草、龙葵植物疗法治疗良性前列腺肥大的近期临床及临床评价

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.990

Munyantwari Ae, Swedi Me, Kibonge Ma, Saleh Mj, Tsongo Vs, Tshilombo Kf, Odimba Be, Bakary As, Banza Cl, Arung Kw

引用次数: 0

Study of clinical profile of peripheral vascular disease in department of surgery 外科周围血管疾病的临床概况研究

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.993

Dr. Ritvik Jaykar, Dr. Sneha Deshmukh, Dr. Sagar Sawant, Dr. Nitin Nalatwadmath

引用次数: 0

The role of total leucocyte count and C reactive protein in assisting with the diagnosis of acute appendicitis 白细胞计数和C反应蛋白在急性阑尾炎诊断中的作用

International Journal of Surgery Science Pub Date : 2023-04-01 DOI: 10.33545/surgery.2023.v7.i2a.994

D. Goutham, Dr. Najeem Fazil, Dr. Natasha Mathias

{"title":"The role of total leucocyte count and C reactive protein in assisting with the diagnosis of acute appendicitis","authors":"D. Goutham, Dr. Najeem Fazil, Dr. Natasha Mathias","doi":"10.33545/surgery.2023.v7.i2a.994","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.994","url":null,"abstract":"Introduction: Once patients present with pain in the right lower quadrant, one of the most common surgical conditions that they have to treat is acute appendicitis. Our aim is to study the value of preoperative C - reactive protein and total leucocyte count in diagnosing acute appendicitis and to correlate its value in grading of acute appendicitis as compared to Histopathological reports. Material and Methods: This is hospital based retrospective comparative study conducted in the Department of General Surgery at Yenepoya Medical College and Hospitals, Mangalore, a period of 5 years from, 2014-2019, to evaluate the accuracy of total leukocyte count and C - Reactive Protein (CRP) in the diagnosis of acute appendicitis. All patients above the age of 15 years diagnosed clinically to have acute appendicitis and subjected to appendicectomy were included. Patients with history of recurrent pain in right iliac fossa, patients with appendicular mass or peritonitis and concomitant conditions where C-reactive protein or Leukocyte Count is elevated were excluded. Results: There are about 80.6% cases of acute appendicitis, 2.3% appendicular mass, 8.4% complicated acute appendicitis, 8.0% malignancy and 0.8% others. CRP level had a sensitivity of 86.27% and specificity of 66.67% in predicting acute appendicitis. Total leucocyte count had a sensitivity of 87.65% and specificity of 100% in predicting acute appendicitis. Conclusion: Inflammation is known to cause an increase in CRP, but after complications have occurred, this increase is much more pronounced. The measurement of CRP or the counting of leucocytes on their own could be sufficient to prevent negative appendectomies.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74874311","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