Sri Lanka Journal of Surgery最新文献

Anatomical relations of the recurrent laryngeal nerve in thyroid dissection 甲状腺解剖中喉返神经的解剖关系

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9071

V. Abeysuriya, S. A. P. D. Anjula

{"title":"Anatomical relations of the recurrent laryngeal nerve in thyroid dissection","authors":"V. Abeysuriya, S. A. P. D. Anjula","doi":"10.4038/sljs.v41i03.9071","DOIUrl":"https://doi.org/10.4038/sljs.v41i03.9071","url":null,"abstract":"Introduction: Recurrent laryngeal nerve (RLN) palsy is one of the major complications thyroidectomy. Visualization of the anatomical relations of the RLN with branches of the inferior thyroid artery (ITA) remains essential for preservation of RLNs. Suspensory ligament of Berry, inferior horn of the thyroid cartilage is considered as other important landmarks for safe thyroidectomy. The objective of this study was to describe the various anatomical relations of the RLN during thyroid dissection.Methods: An observation cadaveric study was conducted by simple random sampling of 35 cadavers with a total of 70 RLNs over a one-year period, from June 2022 to June 2023. The cadavers that had thyroidotomies and goitres were excluded from the study.Results: The majority of RLNs in this series had a retrovascular course (with respect to the ITA or its branches): 57% on the right and 68.6% on the left. The course of 64/70 of the dissected nerves was posteromedial to the suspensory ligament of Berry, while the other 6 nerves passed between the fibres of this ligament. All RLNs penetrated the larynx by passing posteriorly to the inferior horn of the thyroid cartilage on both sides. No case of non-recurrent laryngeal nerve was observed.Conclusion: This preliminary study illustrates the numerous anatomical variants of the RLN with respect to the ITA and its branches. The RLN mainly has a retrovascular course on both the right and the left sides.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138619251","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

Acute abdominal distension in an one year old due to ingestion of unknown foreign body 一岁儿童因误食不明异物导致急性腹胀

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.8882

M. Ranjithatharsini, O. Jackson

引用次数: 0

Epidemiology and care of surgical cancers in Sri Lanka 斯里兰卡外科癌症的流行病学和护理

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9087

U. Jayarajah

引用次数: 0

Surgically important neurovascular structures related to the submandibular gland. A cadaveric study 与颌下腺有关的重要神经血管结构。尸体研究

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9069

V. Abeysuriya, C. Gunathilaka

{"title":"Surgically important neurovascular structures related to the submandibular gland. A cadaveric study","authors":"V. Abeysuriya, C. Gunathilaka","doi":"10.4038/sljs.v41i03.9069","DOIUrl":"https://doi.org/10.4038/sljs.v41i03.9069","url":null,"abstract":"Introduction: The pathologies and procedures of the submandibular gland are numerous. Comprehensive knowledge of the anatomy and its relations of the SMG will avoid iatrogenic injuries within the submandibular triangle. This study assesses the presence and frequency of neurovasculature related to the SMG with special interest on the facial artery and the marginal mandibular nerve of cranial nerve (CN) VIIMethods: In twenty- five fresh cadavers, right and left side SMG (n=50) were dissected and observed in the department of Anatomy, faculty of Medicine, Ragama. Data were recorded on frequency of facial artery and postsynaptic sympathetic periarterial plexus and the marginal mandibular nerve of CN VII with relations to the SMG.Results: The majority 40/50 had the facial artery placed on the posterior surface of the SMG outside the capsule of the gland. Two of those specimens (2/10) had the e facial attires piercing through the parenchyma of the SMG. All facial artery anomalies were found to be present unilaterally, mostly on the right side and mainly among the females. 3/50 female cadaveric specimens had the marginal mandibular nerve of CN VII nerve traversing through the superficial part of the SMG. All of them were in the right side.Conclusions: The data indicate a higher rate of aberrant submandibular neurovasculature were on the right side with a female preponderance.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620343","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

Radiological investigations in nephrolithiasis and: a narrative review 肾炎和肾结石的放射学检查：叙述性综述

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9075

S. Siriwardana, V. Abeysuriya

{"title":"Radiological investigations in nephrolithiasis and: a narrative review","authors":"S. Siriwardana, V. Abeysuriya","doi":"10.4038/sljs.v41i03.9075","DOIUrl":"https://doi.org/10.4038/sljs.v41i03.9075","url":null,"abstract":"Nephrolithiasis and ureterolithiasis are increasing in incidence and prevalence worldwide, which are significant clinical challenges in management. Radiological assessments are vital in early diagnosis and effective management to decrease morbidity and healthcare costs. This narrative review explores the role of various radiological investigations in nephrolithiasis and ureterolithiasis, focusing on their clinical implications and limitations. Plain X-ray of the kidney, ureter, and bladder (X-ray KUB) is a widely available, relatively inexpensive modality with limited sensitivity, mainly for smaller stones. However, it is most beneficial when assessing follow-up patients diagnosed with renal or ureteric calculi, but it is less effective in acute ureteric colic. Intravenous Urogram/Intravenous Pyelography (IVU/IVP) is an obsolete investigation and has largely been replaced by newer modalities due to numerous drawbacks. Ultrasonography (USG) is a widely available, relatively lowcost, non-invasive radiological modality without ionising radiation, considered first-line for children and pregnant patients. However, its sensitivity and specificity are traditionally lower than computed tomography and largely depend on the operator and patient factors. Computed tomography kidney, ureter, and bladder (CT-KUB) is the gold standard for diagnosing urolithiasis. It offers high sensitivity, specificity, and the ability to calculate the exact size and stone composition, but it comes with substantial radiation exposure. However, low-dose and ultralow-dose CT (LDCTKUB) protocols reduce radiation to the patient significantly, compromising image clarity. Magnetic Resonance Urography (MRU) is a second-line investigation in obstructive uropathy, particularly in pregnancy and children. It provides vital anatomical and functional information without ionising radiation. Urology and radiology professionals should collaborate to identify individualised and optimal radiological investigations, considering the risks and benefits associated with each modality.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"42 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138626950","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

Conquering immunological barrier in kidney transplantation: ABO incompatible transplantation 克服肾移植中的免疫障碍：ABO血型不相容移植

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9094

D. U. S. Ratnapala, P. Phelan

引用次数: 0

Understanding HLA, non HLA, DSA and PRA: Transplant essentials 了解 HLA、非 HLA、DSA 和 PRA：移植要点

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9095

D. U. S. Ratnapala, P. Phelan, D. Tunrner

引用次数: 0

The lateral stability of the knee, A review of the clinical Anatomy of the Popliteal hiatus and its clinical pathologies 膝关节的外侧稳定性，腘窝的临床解剖及其临床病理综述

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9073

C. Karunathilaka

{"title":"The lateral stability of the knee, A review of the clinical Anatomy of the Popliteal hiatus and its clinical pathologies","authors":"C. Karunathilaka","doi":"10.4038/sljs.v41i03.9073","DOIUrl":"https://doi.org/10.4038/sljs.v41i03.9073","url":null,"abstract":"As a modified hinge joint, the knee joint facilitates the erect posture and greater mobilization of the human body. Varusvalgus angulation, external-internal rotation, and anteriorposterior stability are primarily maintained by the tibial bony eminences, menisci, and the congruencies of the femoral and tibial articular surfaces. The primary restrainer for the valgus angulation is the medial collateral ligament (MCL). The primary restrainer for varus angulation is the lateral collateral ligament (LCL). Even though the LCL is the principal lateral stabilizer for the knee, it is supported by the surrounding ligaments, muscles, and tendons. Non -uniformity in the nomenclature of these structures and complexity in the anatomical arrangements lead to complexity of understanding and clinical interpretation. The popliteus is a very small muscle but a unique muscle to the knee with specialized functions. It is highly vulnerable to injuries during trauma with posterior lateral corner injuries of the knee. Proper history of the injury and clinical assessment will help in a proper diagnosis. However acute pain in the knee may interfere with a proper clinical diagnosis. During total knee arthroplasty, special care should be taken to minimize the iatrogenic popliteal ligament injuries during bone cuts and lateral release in soft tissue gap balancing.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617347","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

Quality improvement in colorectal cancer care; marching towards homegrown data 提高结直肠癌治疗质量；向本土数据迈进

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9099

C. Chandrasinghe

引用次数: 0

Leiomyosarcoma of the Inferior Vena Cava and its tributaries, a case series and review of the literature 下腔静脉及其支流的雷米肉瘤：病例系列和文献综述

Sri Lanka Journal of Surgery Pub Date : 2023-12-01 DOI: 10.4038/sljs.v41i03.9078

J. Arudchelvam, A. Pathirana, M. Nandasena, H. Udayakumara, A. Banagala

引用次数: 0