Clinical Surgery Research Communications最新文献

The rare patient with infrainguinal stent restenosis a complication: Atherectomy device fracture 罕见的腹股沟下支架再狭窄并发症:动脉粥样硬化切除装置断裂

Clinical Surgery Research Communications Pub Date : 2022-03-30 DOI: 10.31491/csrc.2022.03.086

M. O. Beyaz, Burcu Sadikoglu Lale, Sefer Kaya, Dilan Oruç, Serhat Hakkoymaz, Senem Urfali, I. Fansa

引用次数: 0

Clear cell sarcoma: 20 years of experience at Instituto Nacional de Enfermedades Neoplasicas (INEN) 透明细胞肉瘤:在国家肿瘤研究所(INEN) 20年的经验

Clinical Surgery Research Communications Pub Date : 2022-03-30 DOI: 10.31491/csrc.2022.03.088

Martín Falla-Jimenez, Luis Aguilar-Villena, Lourdes Huanca-Amesquita, Mercedes Bravo-Taxa, V. Castro-Oliden, Juan Haro-Varas, Marco Velarde-Mendez, Julio Abugattas-Saba, J. Cotrina-Concha

{"title":"Clear cell sarcoma: 20 years of experience at Instituto Nacional de Enfermedades Neoplasicas (INEN)","authors":"Martín Falla-Jimenez, Luis Aguilar-Villena, Lourdes Huanca-Amesquita, Mercedes Bravo-Taxa, V. Castro-Oliden, Juan Haro-Varas, Marco Velarde-Mendez, Julio Abugattas-Saba, J. Cotrina-Concha","doi":"10.31491/csrc.2022.03.088","DOIUrl":"https://doi.org/10.31491/csrc.2022.03.088","url":null,"abstract":"Background: Clear cell sarcoma (CCS) of soft tissue is a rare disease with a high risk of metastasis to regional lymph nodes and distant organs and a poor survival rate. The aim of this study is to determine the rate of lymph node involvement, the effectiveness of treatment, the risk of recurrence and progression after surgery. Methods: We collected data from twenty patients diagnosed with CCS and treated in our institute, between 1998 and 2018. Subsequently, survival rates were determined according to local, regional and distant involvement, as well as the prognostic factors. Results: Twenty patients with CCS were included. The 2-year survival rate was 20%, and the 5-year survival rate was 5%. Patients with CCS with local stage and with tumor size < 5.0 cm were more likely to have a good survival rate. Conclusion: The initial management is crucial for the prognosis of the disease, with surgery being the mainstay of treatment. This study revealed a high rate of lymph node metastasis, so regional lymph node dissection should be done. Finally, the role of chemotherapy and/or radiotherapy for survival is still unclear. Keywords: Sarcoma; clear cell sarcoma; soft tissue tumors","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127967855","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

Focused ultrasound surgery in gynaecology – a call to validate a new surgical approach 聚焦超声手术在妇科-呼吁验证一个新的手术方法

Clinical Surgery Research Communications Pub Date : 2022-03-30 DOI: 10.31491/csrc.2022.03.087

W. S. Felix Wong, Lian Zhang

引用次数: 0

En-bloc excision of Giant Cell Tumors of the distal radius and arthrodesis of the translocated ipsilateral ulna: A report of two cases 桡骨远端巨细胞瘤整体切除及同侧尺移位关节融合术:附2例报告

Clinical Surgery Research Communications Pub Date : 2021-12-29 DOI: 10.31491/csrc.2021.12.084

Eva Campos-Pereira, J. Vale, Tiago Amorim-Barbosa, F. Rodrigues, Arnaldo Sousa, Pedro Teixeira Mota, Vânia Oliveira, Alexandre Pereira, P. Cardoso

引用次数: 0

Rate and Clinical Predictors of Malignancy in Thyroid Nodules with Indeterminate Cytology 细胞学不确定的甲状腺结节恶性肿瘤的发生率和临床预测因素

Clinical Surgery Research Communications Pub Date : 2021-12-29 DOI: 10.31491/csrc.2021.12.085

Feron Getachew Tefera

{"title":"Rate and Clinical Predictors of Malignancy in Thyroid Nodules with Indeterminate Cytology","authors":"Feron Getachew Tefera","doi":"10.31491/csrc.2021.12.085","DOIUrl":"https://doi.org/10.31491/csrc.2021.12.085","url":null,"abstract":"Background: Fine needle aspiration cytology (FNAC) cannot differentiate between benign and malignant conditions in cytologically indeterminate thyroid lesions. Therefore, a minimum of diagnostic lobectomy is required for definitive diagnosis. The objective of this study is to identify the rate of malignancy and clinical features that may possibly predict malignancy in patients with these lesions, in Ethiopian hospitals. Methods: This was a retrospective review of the medical records of patients who underwent surgery for cytologically indeterminate thyroid lesions in three referral hospitals between September 2015 and September 2020. Results: Of 85 patients with indeterminate cytology findings, 56 (63.5%) were follicular, and 29 (34.1%) were reported to be hurthle cell neoplasms. Follicular lesions of undetermined significance (FLUS) and suspicious for follicular neoplasm were each reported in single cases (1.7%). Malignant disease was diagnosed in 19 (22.4%) of patients. A follicular variant of papillary cancer was detected in 7 (11.5%) patients. Hard nodule consistency was reported in 9 of 11 malignant lesions and 5 of 66 benign lesions. In multivariate binary logistic regression, hard nodule consistency was found to be associated with malignancy (P = 0.012, AOR = 7.28 (1.5, 34.54) 95% CI ). The ill-defined surface of a nodule was found to be associated with malignancy though the association was not statistically significant (P = 0.088, AOR = 0.162 (0.020, 1.313) 95% CI. Ultrasound evaluation of thyroid nodule was performed only in 41 (47.7%) of patients. Conclusion: The rate of malignancy in thyroid nodules with indeterminate cytology was 22.4%. The risk of malignancy was higher in patients with hard thyroid nodule consistency and ill-defined surface. Despite the established benefits of ultrasound for the evaluation of thyroid nodules, the current practice of its use in our setup is suboptimal. Keywords: Follicular; hurthle cell; indeterminate cytology; predictors of malignancy","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129664602","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

Wandering spleen with torsion presenting as a rare case of acute abdomen 脾走失伴扭转是罕见的急腹症

Clinical Surgery Research Communications Pub Date : 2021-12-29 DOI: 10.31491/csrc.2021.12.083

Solomon Bekele Abebe, Yonas Ademe Teferi, Henok T/Silassie Zeleke

引用次数: 1

Proximal epithelioid sarcoma of the vulva: A case report and review of the literature 外阴近端上皮样肉瘤1例报告及文献复习

Clinical Surgery Research Communications Pub Date : 2021-09-29 DOI: 10.31491/csrc.2021.09.081

Mercedes Bravo-Taxa, L. Taxa-Rojas, Aldo López-Blanco

引用次数: 1

A perspective of extremity vascular trauma epidemiology and its management in a resource limited set up 在资源有限的情况下，下肢血管创伤的流行病学和治疗的观点

Clinical Surgery Research Communications Pub Date : 2021-09-29 DOI: 10.31491/csrc.2021.09.080

Dawit Gebregiorgis, B. Nega, N. Seyoum

{"title":"A perspective of extremity vascular trauma epidemiology and its management in a resource limited set up","authors":"Dawit Gebregiorgis, B. Nega, N. Seyoum","doi":"10.31491/csrc.2021.09.080","DOIUrl":"https://doi.org/10.31491/csrc.2021.09.080","url":null,"abstract":"Background: Extremity vascular injuries are one of the major causes of limb loss and potentially preventable deaths after trauma. Although it is a major challenge, especially in countries with a less established trauma center, early diagnosis, and intervention are important for a better outcome. The aim of this study was to describe the epidemiology, management strategies, and outcomes of extremity vascular trauma in the Ethiopian setting. Methods: A retrospective observational study was conducted among all extremity vascular trauma patients who were admitted and treated at Tikur Anbessa Specialized Hospital (TASH) Between June 2015 and May 2020. Result: A total of 85 patients with extremity vascular trauma, predominantly male (90.6%), were included in the study. The mean age was 27 ± 9 years. Penetrating trauma caused 89.4% of extremity vascular injuries. The majority of the injuries are caused by stab/sharp (40%), bullet (29.4%) and road traffic accidents (17.7%). The brachial artery was the commonest vessel injured accounting for 36.5% followed by femoral artery injury of (22.4%). The commonest types of vascular injuries were complete transection (74.1%), laceration (15.3%), and partial transection (8.2%). The most commonly used method of vascular reconstruction was reverse interposition venous graft accounting for 45.9%. Other methods were ligation & hemostasis (20%), primary repair with End-to-End Anastomosis (17.7%), primary simple repair (15.3%), and venous patch (1.2%). A limb salvage rate of 91.8% was achieved despite a 67.1% of late presentation (>6 hours). Conclusion: Vascular injuries are mainly due to violence and road traffic accidents. Limb loss and mortality due to this injury can be mitigated by improving health policies, implementing emergency ambulatory systems, and provision of vascular services with better training centers.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127789045","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

Predictors of relaparotomy for persisting intra abdominal infection in secondary peritonitis 继发性腹膜炎持续腹内感染的剖腹手术预测因素

Clinical Surgery Research Communications Pub Date : 2021-09-29 DOI: 10.31491/csrc.2021.09.082

Abel Tesfaye, T. Henock, Selase

{"title":"Predictors of relaparotomy for persisting intra abdominal infection in secondary peritonitis","authors":"Abel Tesfaye, T. Henock, Selase","doi":"10.31491/csrc.2021.09.082","DOIUrl":"https://doi.org/10.31491/csrc.2021.09.082","url":null,"abstract":"Background: Peritonitis is one of the commonest causes of acute abdomen in Ethiopia. One of the causes of high morbidity and mortality is persistent intraabdominal infection. The two essential approaches for managing post-op collection are laparotomy on-demand and planned Relaparotomy. Despite multiple studies, both have comparative mortality. This study aimed to identify clinical variables that are predictive of persistent intraabdominal infection. Methods: A retrospective study was conducted on patients who were operated on from Sept 2018 to April 2020 at two affiliated referral hospitals of AAU, college of Medicine; Yekatit 12 hospital Medical College and Minilik II referral Hospital. All of the patients were cases of secondary peritonitis. Clinical progress of the patients from admission to discharge/death was documented. Multiple preoperative and intraoperative variables were analyzed to develop the predictive clinical model. Results: Out of 172 laparotomy cases for secondary peritonitis, 40 (23.3%) required relaparotomy for postop collection. From Patients who developed postop collection, 45% of them were diagnosed after pus/Gi content leaked through the surgical wound. The mortality rate of patients who develop postop collection and undergone relaparotomy was 27.5 % and 4.5% for those without postop collection. Logistic regression identified 4 variables as having significant predictive value: Duration of illness more than 5 days, Systolic BP 1000 ml, and small bowel as a source of contamination. Overall prediction successes of the above model is 88.4% (sensitivity 53.3%, specificity 96.8%). Conclusion: Management of persistent intra-abdominal infection is challenging. We have identified 4 clinical variables that predict persistent intraabdominal infection requiring relaparotomy. These sets of variables can be a milestone for future validation study before being inserted in today to day clinical practice.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125642834","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

Management of acute sigmoid volvulus in a tertiary hospital north central nigeria: The place of advanced radiodiagnostics 尼日利亚中北部一家三级医院急性乙状结肠扭转的处理:先进放射诊断的地方

Clinical Surgery Research Communications Pub Date : 2021-09-29 DOI: 10.31491/csrc.2021.09.079

E. Oseni-Momodu, H. Shehu, Jae-Jeong Lee

{"title":"Management of acute sigmoid volvulus in a tertiary hospital north central nigeria: The place of advanced radiodiagnostics","authors":"E. Oseni-Momodu, H. Shehu, Jae-Jeong Lee","doi":"10.31491/csrc.2021.09.079","DOIUrl":"https://doi.org/10.31491/csrc.2021.09.079","url":null,"abstract":"Background: Volvulus involves the twisting of an air-liquid stool-filled thin-walled segment of an intestine around its necessarily narrow mesenterial base, thereby strangulating the blood vessels, which often causes necrosis of this redundant intestinal segment. Intestinal volvulus had always been supposed to be a disease of the blacks from West African and the Bushmen natives of South Africa. The West African subset became the index region. Surgery was the best treatment for the full-blown disease. Conservative methods of management have only just been developed and studied in the Scandinavian countries. Scandinavian early rectosigmoidoscopic reductions of the twisted colonic segment have offered some valuable alternative helps. Methods: We studied the documents of all the 44 patients who had a presumptive diagnosis of acute or subacute colonic volvulus and were admitted to surgical management. Biostatistics, exact history taking of the patients, carefully structured physical examination, and a good digital scout X-ray investigation of the abdomen helped to make a rapid diagnosis. Laparotomies confirmed such a diagnosis. We did not regularly attempt to do recto-sigmoidoscopic untwisting of the volvuli. All had Hartmann’s procedure surgeries with terminal colostomies. Results: Of the 41 patients admitted to surgical management, 31 were males and 10 were females with a ratio of 3:1. The timing of surgery influenced mortalities and morbidities greatly. Conclusion: The diagnosis of acute volvulus was simple. We needed to record the medical history, took the proper physical examination, correctly explained the examination results, and only studied the abdominal X-ray film without resorting to advanced computer tomography.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130235444","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