Clinical Surgery Research Communications最新文献_第2页

The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study Hounsfield单元在逆行肾内手术与经皮肾镜取石治疗2-3 cm肾结石中的价值:一项单中心前瞻性先导研究

Clinical Surgery Research Communications Pub Date : 2021-08-06 DOI: 10.31491/csrc.2021.09.077

Yuzhuo Li, Qiqi He, Wang Fei, T. Ma, J. Bao, Li Yang, Wang Zhiping, G. Sanjay

{"title":"The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study","authors":"Yuzhuo Li, Qiqi He, Wang Fei, T. Ma, J. Bao, Li Yang, Wang Zhiping, G. Sanjay","doi":"10.31491/csrc.2021.09.077","DOIUrl":"https://doi.org/10.31491/csrc.2021.09.077","url":null,"abstract":"Background: To determine whether the Hounsfield Unit (HU) value of no-contrast computer computed tomography (NCCT) might offer better guidance in the selection of RIRS or PCNL in renal stones of 2-3 cm. Methods: A total of 158 patients with kidney stones (2-3 cm) who underwent PCNL/RIRS from March 2016 to January 2019 were enrolled in this study. Age, gender, stone sizes, locations, average HU value of stones, surgery time, hospital stay time, stone-free rate, and complications at the time of hospitalization and 3-month follow-up were measured to identify the surgery efficiency. Results: Upon consideration of the HU value, the mean surgery time was significantly decreased in RIRS comparing to the control RIRS (cRIRS) group (47.73 ± 15.52 vs. 72.41 ± 27.71 min, P < 0.05). Statistically, the surgery time was strongly influenced by the HU values both in RIRS (OR 93.8, P < 0.01) and PCNL (OR 8.21, P < 0.05). HU values proved to have a strong positive relation with surgery time in RIRS while a low positive relation in PCNL (P < 0.05). Conclusion: Overall, for renal stones of 2-3 cm, RIRS might be a safe and efficacious treatment option if the HU value and other parameters could be comprehensively accounted for. Individual precision surgery might provide ideal treatment and prognosis for patients requiring long-term continuous clinical procedures.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128082468","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: 2

Hypopigmentation with muscular and subcutaneous atrophy as a complication of Intralesional Steroid injection in Ganglion 神经节内注射类固醇的并发症:肌肉及皮下萎缩伴色素减退

Clinical Surgery Research Communications Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.073

Sandip K. Rahul, Digamber Chaubey, Rupesh Keshri, Pallavi Suman

引用次数: 0

Preoperative hematological parameters are inadequate for predicting mortality in Stanford Type A aortic dissection repair 术前血液学参数不足以预测斯坦福A型主动脉夹层修复的死亡率

Clinical Surgery Research Communications Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.075

Selim Durmaz, Ömer Faruk Rahman

{"title":"Preoperative hematological parameters are inadequate for predicting mortality in Stanford Type A aortic dissection repair","authors":"Selim Durmaz, Ömer Faruk Rahman","doi":"10.31491/csrc.2021.06.075","DOIUrl":"https://doi.org/10.31491/csrc.2021.06.075","url":null,"abstract":"Background: Mortality in acute Type A aortic dissection is still high and unpredictable. We aimed to investigate the validity of preoperative hematological markers and possible risk factors in predicting in-hospital mortality in patients operated with deep hypothermic circulatory arrest method. Methods: 78 consecutive patients who were admitted to the emergency service and operated on were retrospectively analyzed. Risk factors for in-hospital death were investigated to develop a predictive model. Results: There was no difference between patients in terms of the were demographic data of the patients. In the mortality group, only preoperative creatinine levels were found to be higher (p < 0.05). Factors affecting mortality were found as total circulatory arrest (TCA) and cross-clamp (X-clamp) times when intraoperative data were examined (p < 0.05). ROC analysis was performed to determine the power to predict mortality and to determine the cut-off point. In ROC analysis to predict mortality, X-Clamp time > 71 minutes, 68.2% sensitivity and 66.1% specificity, TCA > 44.5 minutes, 72.7% sensitivity and 73.2% specificity were found. In the mortality group, these values were found to be significantly higher than those who were discharged. Conclusion: In the surgical treatment of Type A aortic dissection under deep hypothermia, hematologic biomarkers may be insufficient in estimating the risk for mortality. Keywords: Acute; aortic dissection; biomarker; mortality","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116029938","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

Spontaneous fragmentation of a double J ureteral stent in a patient with a single anatomical kidney 双J型输尿管支架在单解剖肾患者中的自发性碎裂

Clinical Surgery Research Communications Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.076

M. Modeste, N. Saleh, Gallouo Messian, Hagguir Hissein, Abdi El Mostapha, Moataz Amine, Dakir Mohamed, Debbagh Adil, A. Rachid

引用次数: 0

Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report 髂耻骨软骨粘液样纤维瘤并发动脉瘤样骨囊肿1例

Clinical Surgery Research Communications Pub Date : 2021-06-25 DOI: 10.31491/csrc.2021.06.074

J. Vale, S. Diniz, F. Rodrigues, A. Ribau, A. Coelho, Vânia Oliveira, P. Cardoso

引用次数: 0

Solitary primary subcutaneous hydatid cyst of the buttock – Case report and literature review 单发原发性臀部皮下包虫囊肿1例报告及文献复习

Clinical Surgery Research Communications Pub Date : 2021-03-29 DOI: 10.31491/CSRC.2021.03.068

M. Elabdi, H. Zejjari, Abederrahmane Elwali, R. Roukhsi, J. Louaste, L. Amhajji

引用次数: 0

Solitary fibrous tumor of the pleura: A rare mesenchymal tumor presented with hypoglycemia 胸膜孤立性纤维性肿瘤:罕见的间充质肿瘤，表现为低血糖

Clinical Surgery Research Communications Pub Date : 2021-03-29 DOI: 10.31491/CSRC.2021.03.070

Y. Kamal

引用次数: 0

Pneumatosis intestinalis in a patient with trichobezoar – Rare association 毛粪患者肠内肺病1例-罕见关联

Clinical Surgery Research Communications Pub Date : 2021-03-06 DOI: 10.31491/CSRC.2021.03.069

V. Pathirana

引用次数: 0

Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report 孤立性结核性睾丸附睾炎伴疼痛性睾丸积水1例

Clinical Surgery Research Communications Pub Date : 2020-12-30 DOI: 10.31491/csrc.2020.12.066

N. Saleh, El Idrissi Alami Oussama, G. Youssef, A. Moustapha, Dakir Mohamed, Debbagh Adil, A. Rachid

引用次数: 0

A clinico-epidemiological study of complicated external hernia 复杂外疝的临床流行病学研究

Clinical Surgery Research Communications Pub Date : 2020-12-30 DOI: 10.31491/csrc.2020.12.062

Lalit Kishore, Sumit Naraniya, D. Verma, P. Yadav, Ambrav Vedprakash, Ratan Raj

{"title":"A clinico-epidemiological study of complicated external hernia","authors":"Lalit Kishore, Sumit Naraniya, D. Verma, P. Yadav, Ambrav Vedprakash, Ratan Raj","doi":"10.31491/csrc.2020.12.062","DOIUrl":"https://doi.org/10.31491/csrc.2020.12.062","url":null,"abstract":"Background: Abdominal wall hernias are among the most commonly encountered surgical problem. Irreducibility, obstruction, and strangulation are its commonest complications which usually presents as acute emergencies. Emergency repair of complicated hernias is associated with poor prognosis and a high rate of postoperative complications even with better care, improved anesthetic management and advanced surgicaltechniques. Methods: The aim of the study was to evaluate incidence, morbidity, and mortality in complicated hernia and to compare with it non-complicated hernia. This study was conducted in the Department of General Surgery, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, from July 2018 to December 2019 on twenty-eight patients of complicated hernia and compared with similar no of uncomplicated hernia patients. Results: The mean age of the patients was 52 years with male to female ratio of 11:3 in the complicated external hernia group. The majority of the patient (60.7%) underwent herniorrhaphy, followed by hernioplasty (14.3%). Most of the patients (89.2%) survived without any post-operative morbidity, 7.1% of them developing wound sepsis while 3.5% of patients died after surgery due to septic shock. Conclusion: Complicated external hernias occur in all age groups but are more common in older age and show preponderance in males. All patients present with irreducible swelling with no cough impulse. The indirect inguinal hernia is the most common type and herniorrhaphy is the most preferred operative procedure in the complicated hernia. Wound sepsis was the most common complication. Morbidity and mortality may be attenuated with proper surgical and post-operative management. Keywords: Abdominal wall hernia; complicated hernia; herniorrhaphy; hernia","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130182995","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