Journal of Surgery & Anesthesia Research最新文献_第2页

Orthopaedic Surgeon Changing Perspective during Covid-19 Pandemic 骨科医生在Covid-19大流行期间改变观点

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)118

Gaurav Govil, L. Tomar, Pawan Dhawan

引用次数: 0

Hidradenitis Suppurativa: “A surgical Update with Review of Literature” 化脓性汗腺炎:外科最新进展及文献回顾

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/JSAR/2021(2)124

UwaisRiaz UlHasan, M. Almasoud, N. Dossary

引用次数: 1

Incidence and Risk Factors of Post-Operative Delirium in Elderly Patients Who Underwent Spinal Anesthesia in Orotta, Halibet and Sembel Hospitals: A Cross Sectional Study in Eritrea Orotta、Halibet和Sembel医院接受脊髓麻醉的老年患者术后谵妄的发生率和危险因素:厄立特里亚的一项横断面研究

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)116

M. B. Mengistu, Yonatan Mehari Andemeske, AriamTsegay Emhatsion, HabtomTareke Wrieta, NatsnetYacob Gebreyesus

{"title":"Incidence and Risk Factors of Post-Operative Delirium in Elderly Patients Who Underwent Spinal Anesthesia in Orotta, Halibet and Sembel Hospitals: A Cross Sectional Study in Eritrea","authors":"M. B. Mengistu, Yonatan Mehari Andemeske, AriamTsegay Emhatsion, HabtomTareke Wrieta, NatsnetYacob Gebreyesus","doi":"10.47363/jsar/2021(2)116","DOIUrl":"https://doi.org/10.47363/jsar/2021(2)116","url":null,"abstract":"Background: Delirium is a common but often underdiagnosed set of transient symptoms often seen in elderly patients following surgeries under spinal anesthesia. With early recognition and diagnosis based on the established standard criteria delirium can be improved. Early identification of the possible contributingfactors and the magnitude of the burden will help in the management of the fragile elderly patients. The aim of this study is to determine the incidence of postoperative delirium and associated risk factors in elderly patients who have done surgery under spinal anesthesia. Method: This cross sectional study was conducted in the National Referral Hospitals and Sembel PrivateHospital, in Asmara, Eritrea from February to May, 2019. The study participants were elderly patients (age ≥65 years) having no known history of dementia or delirium or no mental disorder, no history of acute cerebrovascular disease. Basic background and clinical characteristics of the patients was collected. To assess the status of cognitive impairment level, the Mini Mental State Examination and Confusion Assessment Method tools were used. Data was collected through an interview method. After the data was entered into SPSS version 22 software, data was analyzed with frequency, percentage, bivariate and multivariate logistic regression analysis method as appropriate. P value <0.05 was considered as statistically significant. Results: The mean age of the participants was 74 ±6.62 and 102 (79.1%) of the participants were males. POD occurred in 14 (10.9%) of the patients. Adjusting all the potential factors, age was identified as arisk factor for developing POD. Conclusion: Age was determined to be a significant risk factor of delirium. Elderly patients require more attention and care and the findings might help to develop preventive strategies to the occurrence of POD","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121989596","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

Seun Ayoade’s Law of Living Things and the 21 Grams Controversy; Related Paradigms 孙阿约德的生物定律与21克之争相关范例

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)120

S. Ayoade

引用次数: 0

Gallstone Ileus: A Rare Cause of Intraluminal Small Bowel Obstruction 胆石性肠梗阻:一种罕见的腔内小肠梗阻病因

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)125

A. Li, Reuben Ndegwa, Goutham Sivasuthan

引用次数: 0

Comparison of Balanced General and Total Intravenous Anaesthesia for Gasser Ganglion Percutaneous Balloon Microcompression for Trigeminal Neuralgia 经皮球囊微压迫加塞神经节治疗三叉神经痛的平衡全麻与全静脉麻醉比较

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)121

P. Heise, M. Baabor, C. Marin

{"title":"Comparison of Balanced General and Total Intravenous Anaesthesia for Gasser Ganglion Percutaneous Balloon Microcompression for Trigeminal Neuralgia","authors":"P. Heise, M. Baabor, C. Marin","doi":"10.47363/jsar/2021(2)121","DOIUrl":"https://doi.org/10.47363/jsar/2021(2)121","url":null,"abstract":"Objective: To compare the effectiveness between balanced general anaesthesia and total intravenous anaesthesia for the hemodynamic control of patients undergoing percutaneous balloon microcompression of the Gasser’s ganglion in trigeminal neuralgia. Patients and methods: A retrospective trial was conducted in thirty patients with the diagnosis of essential trigeminal neuralgia, aged 37 to 82 years old, ASA I and II. The participants were randomly allocated in two groups: Group A, to receive balanced general anaesthesia (BGA) with isoflurane/fentanyl, or Group B, to receive total intravenous anesthesia (TIVA) with propofol/remifentanil. The systolic, diastolic and mean arterial blood pressure, heart rate and oximetry were measured at basal state, entrance to Meckel’s cavum and during the balloon compression. Statistical analysis with the Student T test for continuous quantitative variables and x2 (Chi square) for qualitative variables was performed. Results: The systolic blood pressure was significantly higher in group A at the moment of greatest stimulation. The technique propofol/remifentanil (group B) obtained better hemodynamic control and its management was easier. The incidence of bradycardia was similar in both groups and kept inverse relation with use of previous atropine. Conclusions: Total intravenous anesthesia (TIVA) is an attractive alternative to balanced general anesthesia due to the better hemodynamic response and the quick recovery that this technique offers. Moreover, Atropine use before the procedure is a measure that could benefit patients","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117002695","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

Randomized Controlled Trial of Modified Radical Mastectomy with and Without Quilting Technique and Its Effect on Seroma Formation 改良乳房根治术加与不加绗缝术的随机对照试验及其对血清肿形成的影响

Journal of Surgery & Anesthesia Research Pub Date : 2021-03-31 DOI: 10.47363/jsar/2021(2)122

M. Aziz

{"title":"Randomized Controlled Trial of Modified Radical Mastectomy with and Without Quilting Technique and Its Effect on Seroma Formation","authors":"M. Aziz","doi":"10.47363/jsar/2021(2)122","DOIUrl":"https://doi.org/10.47363/jsar/2021(2)122","url":null,"abstract":"Objective: To determine the frequency of seroma formation after flap fixation by quilting technique in MRM patients as compared to control group. Study Design: Randomized controlled trial. Place and Duration of study: This study was conducted from 11th November ,2017 to 10th May , 2018 in Department of Surgery, Holy family Hospital, Rawalpindi. Patients and Method: A total of 60 patients were included in the study having histologically proven breast cancer stage 2 or 3 in age group of 40-70 years undergoing modified radical mastectomy. Patients were allocated to group1 or 2 by random selection. In group I patients, flap fixation was done by quilting technique during MRM . In group II , no quilting was done. Post operative follow up was done after 05 days in OPD and development of seroma was observed clinically. Results: Mean age of patients was 55.23 ± 7.94 years. Mean BMI was 30.05 ± 2.63 kg/m2. Seroma formation was seen in 04 patients (13.33%) in group I (flap fixation by quilting technique ) and 19 patients (63.33%) in group II (control group) with p-value of 0.0001. Conclusion: This study concluded that there is significantly low incidence of post mastectomy seroma formation in MRM patients with quilting technique as compared to the conventional method of wound closure in MRM","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122814310","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

Efficacy of Alpha Blockers in Relieving Symptoms of JJ Stent 受体阻滞剂缓解JJ支架内支架症状的疗效

Journal of Surgery & Anesthesia Research Pub Date : 2021-01-07 DOI: 10.47363/JSAR/2020(1)115

H. Mumtaz, Hassan Mansoor, K. Bangash

引用次数: 0

A New Effective Approach to the Hip (for Old Unreduced Dislocation) 一种新的有效髋关节入路(治疗陈旧性未复位脱位)

Journal of Surgery & Anesthesia Research Pub Date : 2020-12-31 DOI: 10.47363/JSAR/2020(1)107

L. Phuc

{"title":"A New Effective Approach to the Hip (for Old Unreduced Dislocation)","authors":"L. Phuc","doi":"10.47363/JSAR/2020(1)107","DOIUrl":"https://doi.org/10.47363/JSAR/2020(1)107","url":null,"abstract":"In Vietnam, Incidence of Old Unreduced Hip Dislocation may account for up to 20%. Old Dislocation is defined as older than 3 weeks not relocated. Inside the dislocated hip, develop many inflammatory tissues such as granulation, fibrous with injured a surrounding structure (capsule, ligaments, tendons, bony pieces etc...) which filled up the acetabulum, prevents the head to be relocated. Over effort to reduce closely an old hip dislocation risks fracture of neck or trochanteric femur. In this case, open reduction is almost mandatory. There are many approaches to access and relocate a dislocated hip, we propose a new one which enables surgeon to expose the acetabulum, to liberate the femoral head, reconstruct the defect of acetabulum and /or femoral head and relocate the hip. Skin incision in shape of S for the left hip, in shape of Z for the right hip, from iliac wing to trochanter, then along the femoral shaft. Figure1 Follow strictly on the bone of lateral iliac wing, go posteriorly will find out the acetabulum; determine the anterior border of Gluteus Medius, dissect the muscles toward greater trochanter, and get complete exposure of operative field. Femoral head is found out & liberated from surrounding tissue. Clear up the acetabulum, reconstruct the bony lesions. Relocate the femoral head in acetabulum, and stabilize with a K-wire. The hip is often immobilized with a Spica casting for > 3 weeks.","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"279 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121406320","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

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience 老年患者髋关节矫形手术快速通道(Acerto)十年经验

Journal of Surgery & Anesthesia Research Pub Date : 2020-12-31 DOI: 10.47363/jsar/2020(1)103

L. E. Imbelloni, André Augusto de Araujo, J. Sakamoto, E. Viana, Wagner Camargo Ferreira Filho, Marcos Kayu Mori, Geraldo Borges de Morais Filho

{"title":"Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience","authors":"L. E. Imbelloni, André Augusto de Araujo, J. Sakamoto, E. Viana, Wagner Camargo Ferreira Filho, Marcos Kayu Mori, Geraldo Borges de Morais Filho","doi":"10.47363/jsar/2020(1)103","DOIUrl":"https://doi.org/10.47363/jsar/2020(1)103","url":null,"abstract":"In 2010, we started implementing the ACERTO project in a hospital in the northeast of the Brazilian Public Health (SUS) after five weeks with all stakeholders involved in the departments of Anesthesiology, Orthopedics, Geriatrics, Nutrition, Nursing, Physiotherapy, Psychology and Social Service. In the same way as in other hospitals, the implementation of fast track surgery was not obtained by all departments and all health professionals. The use of ACERTO protocol with clinical measures of accelerating patient recovery decreased length of stay, the number of suspensions of surgery, the need for ICU, the use of vesical catheter, the time of fasting, the time of oral food reintroduction, high earlier and faster return to family life, working as humanization of treatment to the elderly. Analgesia in all patients was obtained with local anesthetics through different plexus blocks with neurostimulator and no patient used spinal opioids. In medicine the vast majority is terribly attached to their arguments and no one is willing to give in to new truths. Dreaming costs nothing and the implementation of the ACERTO Project will cost nothing to any institution","PeriodicalId":198093,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"455 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124311310","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: 1