International Journal of Surgery Science最新文献

{"title":"Cutaneous burns in children: Clinical and therapeutic aspects in the general surgery department of Hôpital Ignace Deen, CHU de Conakry (Guinea)","authors":"Mohamed Saliou Bangoura, Dr. Ansoumane Conde, Youssouf Sow, Aboubacar Sidiki Bangoura, Emile Camara, Mariame Guirassy, Moїse Loua, Houssein Fofana ET Aboubacar Toure","doi":"10.33545/surgery.2023.v7.i3b.1019","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1019","url":null,"abstract":"Aim: To contribute to the improvement of the quality of care of children with burns in the General Surgery Department of the Ignace Deen National Hospital, CHU Conakry.Patients and Methods: This was a retrospective, descriptive study, lasting 3 years from January 2020 to December 2022, covering the consecutive records of children (0 to 15 years) with burns received in the general surgery department of the Ignace Deen National Hospital.Results: During the three (3) years, we identified 55 burn patients. The mean age was 3.16 ± 2.85 years. Males accounted for 60% of the burns, with a sex ratio of 1.5. Burns were accidental in 100% of cases, occurred at home in 92.73% of cases, and were thermal in 94.55% of cases, dominated by hot liquids (85.45%). Burns were second degree (92%). The upper extremities (58.18%) were most affected. The mean surface area burned was 12.21±3.75%, and 60% were severe burns. Patients had received dressings (100%), analgesics (100%), antibiotics (100%) and vascular filling (72.73%). The mortality rate was 12.73% (N=7). The mean hospital stay was 9.7 days.Conclusion: Skin burns in children are a common occurrence. It concerns male children under 5 years of age, burned by a hot liquid, largely related to their environment (home).","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135798926","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}

{"title":"Don’t let musculo-skeletal pain hold you back: A monumental hurdle, especially in young cardiothoracic and vascular surgeons","authors":"Dr. Mohammed Nadeem Nazim","doi":"10.33545/surgery.2023.v7.i4a.1022","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i4a.1022","url":null,"abstract":"Surgeons, especially the cardio-vascular and thoracic surgery residents have been facing this unaddressed and hazardous working conditions due to ergonomic deficits found throughout their learning and career duration in operating theatres. As a result of holding awkward or stationary positions throughout protracted surgeries throughout a career, more than 80% of surgeons have passed away from a work-related sickness or accident. While the patient is the procedure's main emphasis, good posture and spinal stability are not given much consideration at the same time. Even when discomfort is there, signs are frequently disregarded. This causes a decline in output and could ultimately jeopardise surgical careers. Often, surgeons are not aware of suggestions or instructions intended to increase their comfort while performing. Additionally, there is a notable dearth of formal ergonomic instruction.In the operating room, a number of controllable risk factors can be changed to create a safer working environment. In addition, to enhance the surgeon's posture and musculoskeletal health, strengthening, stability, and exercise programmes under the guidance of a qualified therapist may be used.It is alarming when you learn that a lot of CVTS surgeons struggle with long-term Musculo-skeletal issues because of the strenuous physical demands of our work. Similar to professional athletes, surgeons need to be in shape in order to perform at their finest. To ensure that we can perform at our best and sustain career longevity, we must enhance our working environment and maintain our physical health.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136257087","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}

{"title":"Small bowel volvulus with large mesenteric defect in paediatric patient: An unusual presentation of acute abdomen","authors":"Dr. Rohit Mittal, Dr. Vinita Chaturvedi, Dr. Neeraj Tuteja, Dr. Atul Kumar Khare","doi":"10.33545/surgery.2023.v7.i3a.1006","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3a.1006","url":null,"abstract":"Introduction: In children, internal herniation with small bowel strangulation due to the cause of a mesenteric defect is a rare cause of intestinal obstruction. So early diagnosis and early treatment in the pediatric emergency department are important factor for this disease. Aim: This case report, aim is to study the small bowel volvulus with large mesenteric defect in pediatrics patient, which is very rare. Methods and materials: A male child of 2 year and 8-month-old came to the emergency department of our institute with complains of abdominal pain, vomiting (bilious) and not passing stool for 2 days. On radiographic findings shows that, internal herniation is gaseous distension of the bowel loops in the upper abdominal area with a paucity of gas in the lower abdomen. Primarily patient vitally stabilized and plan for emergency operation. Exploratory laparotomy done and large mesenteric defect closed. Gangrenous segment resected and end ileostomy done with distal mucous fistula formation. Patient discharged successfully on 6th pod. Conclusion: Early diagnosis and treatment is very important in these patients. The most important step for this disease is early diagnosis of acute intestinal obstruction sign and symptoms like-tenderness, guarding and rigidity also vomiting and painful abdomen. So, it is very important that, Internal herniation should be considered in differential diagnoses of acute abdomen in the Pediatric Emergency Department.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78041830","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}

{"title":"The clinical study and management of operated cases of acute intestinal obstruction in adults","authors":"Dr. Zarkar Aniket Nandkumar, Dr. MY Bapaye","doi":"10.33545/surgery.2023.v7.i3a.998","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3a.998","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88968527","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}

{"title":"Hepatocellular carcinoma: A case report","authors":"Dr. Mohuarani Ashokkumar Adakk, Dr. Shushma B, D. Mh","doi":"10.33545/surgery.2023.v7.i1a.971","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i1a.971","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90038324","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}

{"title":"Lateral abdominal wall hernia: A surgeon’s dilemma","authors":"Dr. Binoy Kumar Behera, Dr. Neelanjana Ghosh, D. J. G. Bhatt, D. J. G. Vagadia","doi":"10.33545/surgery.2023.v7.i3a.999","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3a.999","url":null,"abstract":"Flank and lateral abdominal wall defects are a rare as well as challenging entity for surgeons as they differ vastly in regard to their anatomy, etiology, and pathophysiology. They remain an infrequent topic of discussion in the literature despite the potential of causing fatal consequences. Various approaches have been practiced and reviewed in details which have produced promising results. But, despite this, there is no general consensus regarding the proper method of repair of these hernias. Lateral wall defects typically result from iatrogenic causes, trauma, and are rarely congenitally acquired. In this article, we aim to highlight on the various operative methods we have performed for individual patient presenting with lateral abdominal wall hernia which have been tailored according to the patient’s requirement a nd all have shown satisfactory results","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82683756","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}

{"title":"A comparative study between bipolar cuttery and conventional suture ligation for hemostasis in total thyroidectomy for benign thyroid disease","authors":"Anmar Abdulkadhum Ajaj, Ali K Shaaeli","doi":"10.33545/surgery.2023.v7.i3b.1018","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1018","url":null,"abstract":"Background: Over the last years many surgeons have begun to use energy based devices to perform thyroid surgery, several literatures have demonstrated the benefits of these devices over traditional techniques, they can provide a combined dissection and hemostatic effect and particularly advantageous in reduction of incision length, operative time, operative blood loss and complications. Aim of study: Compare bipolar cautery to traditional suture ligation in hemostasis during complete thyroidectomy in nerve damage, operating time, hypocalcemia, post-operative blood loss and hematoma development, and hospital stay. Patients and Method: In this study 61 patients who underwent total thyroidectomy, they were divided into two groups according to the type of hemostasis: bipolar cautery hemostasis group and conventional suture ligation hemostasis group, different diseases were included (multinodular goiter, solitary thyroid nodule), these groups were compared in regard to operative time, complications and length of hospital stay. Results: The bipolar cautery hemostasis group had a shorter operation time (67.36±9.77 min) and a lower post-operative blood loss (55.78±14.45 ml) than the conventional suture ligation group (91.09±27.37 ml). Other outcomes included post-operative hematoma formation, recurrent laryngeal nerve injury, and post-operative hypoxia. Conclusion: Using bipolar cautery device in total thyroidectomy reduced the operative time and post-operative blood loss, without any change in the incidence of recurrent laryngeal nerve injury, post-operative hypocalcemia, hematoma formation, and the length of hospital stay.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135549413","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}

{"title":"A clinical study of laser fistulectomy for high and low anal fistula in ANO","authors":"Dr. Ritvik Jaykar, Dr. Pradip Kasabe, Dr. Prajakta Kamat, Dr. Tejas Mhatre","doi":"10.33545/surgery.2023.v7.i3b.1016","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1016","url":null,"abstract":"Aims1.To find the age and sex incidence of fistula in ano 2.To study the various modes of clinical presentation of fistula in ano3.To evaluate short term and long-term recovery with post-operative pain, persistence of fistula, anal incontinence and bleeding 4.To study the efficacy of laser fistulectomy Materials and Methodology: This is a prospective observational study in Shri Chhatrapati Shivaji Maharaj Sarvopchar Rugnalay, Solapur. Total 30 patients who will be treated for fistula in ano at our tertiary hospital will be analyzed in this study. Patient will undergo routine hematological and radiological investigations. Patients will be operated for laser fistulectomy. Post-operative complications like pain, discharge, fecal incontinence, length of hospital stay, recurrence will be analyzed. Patients will be followed for a period of three months.Results 1.Age distribution: Majority of the patients belonged to the age group of 30-39 years (30%). Mean age was 40.8 with standard deviation of 13.01.2.Gender distribution: 80% patients were males as opposed to 60%. 3.Type of fistula: Patients had extra-sphincteric fistula whereas 23% had inter-sphincteric fistula; 13% had trans-sphincteric fistula o 20% females concluding that fistula in ano is more common in males.4.Co-morbidities: Hypertension was the most common co-morbidity encountered, followed by Diabetes, Coronary artery disease.5.Clinical presentation: Most common presenting complaints were discharge (38%) followed by pain (34%) and itching (14%) followed by swelling (7%).6.History of previous surgery: 10% patients had a history of surgery for perianal abscess, were associated tran-sphincteric type of fistula in ano. 6% patients underwent fistulotomy for extra-sphincteric fistula.7.Hospital stay: 56% patients were discharged on Day 2 post-operatively, followed by 30% patients on day 4 and 5 and 13% on more than day 5.8.Post-operative complications: Post-operatively 63% patients experienced pain, followed by 26.6% of the patients who discharge and 13.3% had had recurrence in a period of 3 months.Conclusion: Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. For the simple and most distal fistulae, conventional surgical options such as laying open of the fistula tract seem to be relatively safe and therefore, well accepted in clinical practice. However, for the more complex fistulae where a significant proportion of the anal sphincter is involved, great concern remains about damaging the sphincter and subsequent poor functional outcomes, which is quite inevitable following conventional surgical treatment.For this reason, over the last two decades, many sphincter-preserving procedures for the treatment of anal fistula have been introduced with the common goal of trying to minimize the injury to the anal sphincters and preserving optimal function FiLaC uses a laser probe which ","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550715","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}

{"title":"Comparison between laparoscopic sleeve gastrectomy versus laparoscopic gastric bypass management of type 2 diabetes mellitus obese patients","authors":"Ahmed Raafat Saad Abdeen, Samir Ahmed Abd El Majeed, Abd El Hafeez Hosny Mohamed","doi":"10.33545/surgery.2023.v7.i4a.1026","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i4a.1026","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134979822","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}

{"title":"Surgical management of low flow vascular malformations","authors":"Mohammed Hassan Abdelaty, Ahmed Ibrahim Badran, A. Aborahma, Mohammed Ahmed El Heniedy, A. Kamhawy","doi":"10.33545/surgery.2023.v7.i3a.1009","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3a.1009","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87096369","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}