Sri Lanka Journal of Surgery最新文献_第3页

Deltopectoral flap reconstruction with primary repair in a patient with cutaneous neck metastasis of thyroid cancer; a case report 胸三角皮瓣重建及一期修复甲状腺癌皮肤颈部转移病例报告

Sri Lanka Journal of Surgery Pub Date : 2023-07-31 DOI: 10.4038/sljs.v41i2.8899

A. I. Liyanage, M. Lakmal, Y. Abeywickrama, D. Weerasekara

{"title":"Deltopectoral flap reconstruction with primary repair in a patient with cutaneous neck metastasis of thyroid cancer; a case report","authors":"A. I. Liyanage, M. Lakmal, Y. Abeywickrama, D. Weerasekara","doi":"10.4038/sljs.v41i2.8899","DOIUrl":"https://doi.org/10.4038/sljs.v41i2.8899","url":null,"abstract":"Background: Deltopectoral flap is the most commonly used fasciocutaneous, transpositional flap, which relies on the blood supply of intercostal perforators of the internal thoracic artery, usually requiring skin grafting to the donor site. Cutaneous metastasis of papillary thyroid carcinoma is rare. Here we report a case of deltopectoral flap reconstructive surgery in a patient with cutaneous neck metastasis of papillary thyroid carcinoma. \u0000Case Presentation: A 65 year old male who underwent a total thyroidectomy in 2013 for papillary thyroid carcinoma, presented with a skin neck metastasis for six months. It was an approximately 8cm diameter hemispherical lump over the left anterior root of the neck extending to the upper chest. Biopsy confirmed the diagnosis of cutaneous metastasis of thyroid papillary carcinoma. Wide local excision of the lump and deltopectoral flap reconstruction was performed without requiring skin grafting for the donor site. \u0000Conclusion: Effectiveness of use of deltopectoral flap as a reconstructive option for radical thyroid cancer surgeries which result in skin defect. \u0000 \u0000Keywords: Deltopectoral flap, Reconstruction, Papillary thyroid carcinoma, Cutaneous metastasis \u0000","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122323845","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

Endoscopic Intra gastric Balloon placement for Obesity: Case series of the first five balloons placed in Sri lanka 内窥镜胃内球囊放置治疗肥胖:在斯里兰卡放置的前五个球囊的病例系列

Sri Lanka Journal of Surgery Pub Date : 2023-07-31 DOI: 10.4038/sljs.v41i2.9055

A. Fernandopulle, A. Rushdie, A. Matthias, N. Nawarathne, R. Jayatissa

引用次数: 0

A domparative study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis 早期与延迟腹腔镜胆囊切除术治疗急性胆囊炎的比较研究

Sri Lanka Journal of Surgery Pub Date : 2023-07-31 DOI: 10.4038/sljs.v41i2.9030

V. Mudhale, P. Phatak, S. Dige, U. Ghate, B. Kadalge

{"title":"A domparative study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis","authors":"V. Mudhale, P. Phatak, S. Dige, U. Ghate, B. Kadalge","doi":"10.4038/sljs.v41i2.9030","DOIUrl":"https://doi.org/10.4038/sljs.v41i2.9030","url":null,"abstract":"Introduction- Inflammation of the gall bladder is known as acute cholecystitis. Sudden pain in the upper right of the abdomen along with bloating, vomiting, fever, tenderness are symptoms of acute cholecystitis. Laproscopic cholecystectomy is considered to be the gold standard for the treatment of acute cholecystitis. \u0000Objective- To compare operative and post-operative outcomes like operating time, injury to bile ducts, postoperative pain, total length of hospital stay, need for conversion to open cholecystectomy between immediate and late LC. \u0000Methodology- Sixty-eight patients aged between 18 to 60 years having acute cholecystitis admitted for laparoscopic cholecystectomy were included. Patients were categorized and analyzed based on length of time from presentation to surgery. We defined operation of cholecystectomy within 3 days of presentation as ‘early’ laparoscopic cholecystectomy and anywhere after 3 days as ‘delayed’ laparoscopic cholecystectomy. \u0000Results: The p value obtained for ROFA is 0.042. and that for Pain scale is 0.027. Since the p value is less than 0.05, the null hypothesis is rejected and we can conclude that there is a statistically significant difference between the means of two groups with respect to these factors. \u0000Conclusion- Both early and delayed laparoscopic cholecystectomy is possible and safe in the treatment of acute cholecystitis but return to full activity is early and pain scale is less in cases of early cholecystectomy. \u0000","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133143295","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

Performance measures and quality standards in lower gastrointestinal endoscopy in Sri Lanka: A Prospective Observational Study 斯里兰卡下胃肠内镜检查的性能测量和质量标准:一项前瞻性观察研究

Sri Lanka Journal of Surgery Pub Date : 2023-07-31 DOI: 10.4038/sljs.v41i2.8979

Y.W.P.P. Rathnayake, P. Raviraj, H. Kuruppu, A. Pathirana

{"title":"Performance measures and quality standards in lower gastrointestinal endoscopy in Sri Lanka: A Prospective Observational Study","authors":"Y.W.P.P. Rathnayake, P. Raviraj, H. Kuruppu, A. Pathirana","doi":"10.4038/sljs.v41i2.8979","DOIUrl":"https://doi.org/10.4038/sljs.v41i2.8979","url":null,"abstract":"Introduction: Lower gastrointestinal endoscopy(LGIE) is the gold standard diagnostic tool in evaluating large bowel mucosal pathology. Guidelines have been developed to ensure the quality of the procedure with regard to patient safety and diagnostic accuracy. There is lack of data regarding quality of LGIE in Sri Lanka. \u0000Objective: Aim of this study is to assess the quality of LIGE performed in a tertiary care center in Sri Lanka by comparison with the standard quality indicators. \u0000Material and Methods: An prospective observational study was carried out in a tertiary care centre in Sri Lanka. Data of 210 patients who underwent LGIE (Both Colonoscopy and Flexible sigmoidoscopy) were recorded. Variables assessed were selected from quality indicators given in the guidelines of American Society of Gastroeterologists and European Society of Gastrointestinal Endoscopy. Data was compared with pre,intra and post procedure standard quality targets and degree of achievement evaluated with measuring Kappa values, categorized as, no, minimal, weak, moderate, substantial and almost perfect level of agreement. \u0000 \u0000Results: All pre-procedure measures and 6 out of 7 intra procedure measures did not reach the target goals. Only 1 out of 14 indicators had almost perfect level of agreement. Majority, (i.e. 6 out of 14) had no agreement with the standard values. \u0000 \u0000Conclusion: The quality of LGIE with-regard to all the aspects falls below the expected standards indicating poor quality of LGIE performed in a Sri Lankan tertiary care setting . Using a standard protocol based pro-forma and maintaining an electronic database will increase the quality of LGIE.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115911559","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

Modified circumumbilical approach for duodenal atresia repair : A scarless surgery 改良的绕脐入路修复十二指肠闭锁:无瘢痕手术

Sri Lanka Journal of Surgery Pub Date : 2023-07-31 DOI: 10.4038/sljs.v41i2.8685

M. Tamlikha, M. Y. Othman, Z. Zahari

{"title":"Modified circumumbilical approach for duodenal atresia repair : A scarless surgery","authors":"M. Tamlikha, M. Y. Othman, Z. Zahari","doi":"10.4038/sljs.v41i2.8685","DOIUrl":"https://doi.org/10.4038/sljs.v41i2.8685","url":null,"abstract":"Background: Duodenal atresia is a common congenital anomaly causing neonatal intestinal obstruction. The definitive treatment is to restore the intestinal continuity. Laparotomy via upper transverse abdominal incision has been described by many authors as a standard approach for duodenal atresia repair. Here we report a case of newborn underwent duodenal atresia repair via modified circumumbilical approach with satisfactory postoperative outcome. Case presentation: This is a case of premature baby boy, born at 32-week gestation with a birth weight of 1.5kg. Antenatally he was detected to have double bubble sign which was confirmed upon postnatal abdominal radiograph, suggestive of duodenal atresia. He was noted to have a fleshy lump at the umbilicus presumed to be a patent vitello-intestinal duct from the referring hospital. Subsequently he developed umbilical swelling suspicion of umbilical hernia with incarceration and scheduled for emergency umbilical exploration. A circumumbilical incision was made and found to have an umbilical defect with omental herniation, instead of a patent vitello-intestinal duct. A proximal midline incision was made as an extension to the circumumbilical wound enabling a duodenal kocherization and subsequently had duodeno-jejujonostomy anastomosis for the duodenal atresia repair. Postoperative recovery was uneventful with appealing cosmesis. Conclusion: A modified circumumbilical incision is an attractive alternative approach for a duodenal atresia repair. Apart from its cosmetic advantage, the approach provides adequate exposure for similar outcome with transverse abdominal incision.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117195969","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

Prostatitis: A review on current prospective on diagnosis and management 前列腺炎的诊断和治疗进展综述

Sri Lanka Journal of Surgery Pub Date : 2023-03-31 DOI: 10.4038/sljs.v41i1.9008

B. Balagobi, S. Sarma, S. Gobishangar, T. R. Brammah, A. Jenil, S. Gobinath, U. Sankeetha, S. Anushika

引用次数: 0

Giant sialolith in submandibular salivary gland 巨大的涎石在下颌下唾液腺

Sri Lanka Journal of Surgery Pub Date : 2023-03-31 DOI: 10.4038/sljs.v41i1.8973

P. Fernando, B. Siriwardana, M. A. F. Haneena

引用次数: 0

Massive spontaneous haematoma of the liver following laparoscopic cholecystectomy 腹腔镜胆囊切除术后肝脏大量自发性血肿

Sri Lanka Journal of Surgery Pub Date : 2023-03-31 DOI: 10.4038/sljs.v41i1.8805

H. Gunathunga, P. Vishwajith, U. Buddhika, S. Tillalakaratne, R. Siriwardana

引用次数: 0

Stress response in open versus laparoscopic procedures: is laparoscopic surgery truly as beneficial to the patient as it promises to be? 开放手术与腹腔镜手术的压力反应:腹腔镜手术真的像它承诺的那样对病人有益吗?

Sri Lanka Journal of Surgery Pub Date : 2023-03-31 DOI: 10.4038/sljs.v41i1.8989

S. Gambhir, M. Sukhadia, G. Bajpai, D. Sethi, A. Sethi

引用次数: 0

A descriptive study on assessment of fear of surgery in patients in a tertiary care center 三级医疗中心患者手术恐惧评估的描述性研究

Sri Lanka Journal of Surgery Pub Date : 2023-03-31 DOI: 10.4038/sljs.v41i1.8986

S. Bandara, H. D. S. Niroshan, A. Pathirana

引用次数: 0