Sri Lanka Journal of Surgery最新文献

{"title":"A bibliography of Sri Lankan surgical research","authors":"Sljs Editorial Team","doi":"10.4038/sljs.v39i3.8914","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8914","url":null,"abstract":"","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116288855","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}

{"title":"Clinico pathological characteristics and surgical treatment of carcinoma of the penis: a single surgeon experience","authors":"W. A. Susantha de Silva","doi":"10.4038/sljs.v39i3.8922","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8922","url":null,"abstract":"","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124099741","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}

{"title":"Surgical research in Sri Lanka: the way ahead","authors":"A. Malalasekera, S. Sivaganesh, K. Deen","doi":"10.4038/sljs.v39i3.8913","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8913","url":null,"abstract":"50 years This highlights some of the made in care and the and looks at the future envisaged by","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124630943","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}

{"title":"Laparoscopic spleen preserving distal pancreatectomy","authors":"A. B. U. Indrajith, A. Darmapala, W G P Kanchana, D. Karunasagara, T. Jayasingharachchi, V. Pinto, K. Galketiya","doi":"10.4038/sljs.v39i3.8768","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8768","url":null,"abstract":"Introduction Mlaparoscopic distal pancreatectomy is the curative treatment for tumours of the pancreatic body and tail. When performed by laparoscopy the morbidity is reduced [1]. The procedure may be with or without splenectomy. Spleen preservation needs preserving the splenic artery and vein. The alternative is to provide splenic perfusion via short gastric vessels [2]. We present a case of a patient who underwent laparoscopic spleen preserving distal pancreatectomy for a mucinous cystic neoplasm of the pancreatic body. The standard way of dividing the pancreas is by a stapler. If divided by another form the open end is sutured. We have deviated from this by dividing the pancreas by coagulating with bipolar diathermy and transacting with an ultrasonic dissector and leaving the stump unsutured. This is our standard practice for many years.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127555694","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}

{"title":"Management of ureteropelvic junction obstruction in an era of minimally invasive surgery","authors":"L. Seneviratne, C. Hingalagoda, Y. Manikkage, Chathuri Wickramasekera, S. Udurawana, Chamari Samaraweera, Nazeer Jahan, J. Rajasinghe, C. Pilimatalawwe","doi":"10.4038/sljs.v39i3.8898","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8898","url":null,"abstract":"Introduction Ureteropelvic junction obstruction (UPJO) is defined as a significant impairment of the drainage of urine from the renal pelvis to the proximal ureter. If not detected early and treated promptly this condition could result in persistence of symptoms spanning from recurrent urinary tract infections (UTI), urolithiasis and eventually complete loss of the affected kidney. UPJO is the most common cause of upper renal tract congenital anomaly. The reported incidence of UPJO may be as high as 1 in 1500 live births evident at routine antenatal ultrasound scan, however not all cases (in fact less than 10%) require surgical intervention.[1] The exact incidence of UPJO is less well-defined in adult population. It is seen more frequently in boys, with up to twice the number of reported cases being males. The left side is affected twice as often as the right side [2].","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134591556","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}

{"title":"Diffuse colonic lipomatosis presenting as acute abdomen with intraoperative resemblance of colonic carcinoma and concealed perforation","authors":"Rusiru Kalhara Ranaweera, A. N. K. Abayajeewa","doi":"10.4038/sljs.v39i3.8859","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8859","url":null,"abstract":"Introduction Diffuse colonic lipomatosis is a rare condition characterized by the presence of lobules of adipose tissue in the submucosa of the whole colon affected[1]. Though rare, colonic lipomatosis can present with features of obstruction, perforation and intussusception[2]. They can also mimic colonic carcinoma intraoperatively[3]. There have been reports of five cases of diffuse colonic lipomatosis in literature before[2][3]. Herein we report the sixth case of diffuse colonic lipomatosis resembling colonic carcinoma and concealed perforation.","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126194729","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}

{"title":"Manual of multi-organ procurement and transplantation","authors":"Sljs Editorial Team","doi":"10.4038/sljs.v39i3.8915","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8915","url":null,"abstract":"","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130210243","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}

{"title":"An overview of the management of renal malignancies in von Hippel-Lindau syndrome","authors":"U. Jayarajah, O. Basnayake, V. Thanusan, B. Balagobi, Madura Ambegoda, A. Abeygunasekera","doi":"10.4038/sljs.v39i3.8889","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8889","url":null,"abstract":"Von Hippel-Lindau [VHL] syndrome is a hereditary multisystem cancer syndrome characterized by a wide range of benign and malignant tumours. Renal neoplasms are the commonest solid organ malignancies associated with VHL seen in 25–45% of patients. Management of renal tumours is determined by multiple tumour related and patient-related factors and decision making is often difficult due to its multifocal nature and bilateral involvement. Its tendency for frequent recurrences further complicates the clinical picture. We review the existing literature on the management of renal malignancies in VHL syndrome focussing on observational strategies, minimally invasive approaches, nephron-sparing surgery and radical surgery. Furthermore, we provide the Sri Lanka perspective in the management of renal malignancies in VHL syndrome. Surgeons that manage such patients should be cognizant of extra-renal manifestations of VHL and the importance of a multidisciplinary team and referral pathways. Proper follow-up and selecting patients for suitable as well as minimal interventions such as minimally invasive techniques and nephron-sparing approaches is crucial in the management to provide acceptable cancer control while preserving renal functions. In Sri Lanka, establishing proper referral pathways to dedicated centres with a multidisciplinary team equipped with facilities to deal with renal as well as extra-renal manifestations would improve expertise, quality of care and reduce patient discomfort and default rate. Introduction Von Hippel-Lindau [VHL] syndrome is a hereditary multisystem cancer syndrome with an incidence of 1:36000 live births [1]. Around 4% of renal cancers are estimated to be associated with hereditary cancer syndromes [2]. Of which, VHL was the first hereditary cancer syndrome to be described in association with renal cancers. Correspondence: Umesh Jayarajah E-mail: umeshe.jaya@gmail.com https://orcid.org/0000-0002-0398-5197 Received: 08-09-2021 Accepted: 27-11-2021 DOI: http://doi.org/10.4038/sljs.v39i3.8889 65 Renal neoplasms are the commonest solid organ malignancies associated with VHL seen in 25–45% of patients [2]. It develops due to a germline mutation of the VHL tumour suppressor gene in the short arm of chromosome 3 [3]. VHL has an autosomal dominant inheritance through familial transmission, however, 20% of the patients may develop due to sporadic mutation [4]. Its wide spectrum of clinical manifestations demands clinical attention through multiple disciplines. VHL syndrome is characterized by a wide range of benign and malignant tumours. These include central nervous system [CNS] tumours commonly cerebellar haemangioblastomas, retinal angiomas, renal tumours, pheochromocytomas, endolymphatic sac tumours, pancreatic cystic lesions and neuroendocrine tumours and cystadenomas in the epididymis and broad ligament. Among these tumours, management of renal tumours is determined by multiple tumour related and patient-related factors and deci","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131061920","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}

{"title":"Free gracilis transfer for elbow flexion for pan brachial plexus injury","authors":"Y. Mathangasinghe, Y. Rajapakse, G. K. Rajapakse, T. Beneragama","doi":"10.4038/sljs.v39i3.8706","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8706","url":null,"abstract":"","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133193905","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}

{"title":"Pilot study to assess the role of minimal access surgery in the management of superficial surgical infections","authors":"R. Goel, Y. Rathore, S. Chumber, Vitish Singla, M. Baig","doi":"10.4038/sljs.v39i3.8871","DOIUrl":"https://doi.org/10.4038/sljs.v39i3.8871","url":null,"abstract":"Introduction The standard treatment for an abscess since time immemorial has been Incision and Drainage [I&D] without primary closure at most sites. Post-I&D, pain and ugly scar are the most common complaints in these patients. In this study, we have evaluated the role of minimal access surgery [MAS] in the management of superficial surgical infections. Materials and methods This was a prospective study, comparing the clinical and cosmetic outcomes of patients undergoing conventional I&D of superficial abscesses and those undergoing MAS [ 5mm incision for a port of 5mm diameter] drainage. Results A total of 50 patients were recruited, out of which 2 patients had a spontaneous rupture. 25 patients underwent I&D and 23 underwent MAS drainage. The mean age was 35.8 ±13.5 years, mean size of the abscess was 6 ± 1.9 cm. Baseline characteristics like age, sex distribution, duration of symptoms, size of the abscess and volume of the pus drained were comparable between the two groups. Resolution of pain and redness was achieved earlier in MAS drainage compared to conventional I&D. Resolution of induration was statistically insignificant. Duration of the need for dressing and duration of return to daily activity was less with MAS drainage. Scar size was significantly less in the MAS drainage group. Staphylococcus aureus was the most common organism isolated, and both groups had comparable rates of complications and recurrences. Conclusion Our study has shown that MAS drainage offers earlier recovery along with better cosmetic outcomes. Correspondence: Yashwant Singh Rathore E-mail: dryashvant.r@gmail.com https://orcid.org/0000-0002-0229-452X Received: 31-07-2021 Accepted: 07-11-2021 DOI: http://doi.org/10.4038/sljs.v39i3.8871 The Sri Lanka Journal of Surgery 2021; 39(3): 28-32 28 Introduction Wounds and abscesses have been recognized even in ancient history; the earliest recorded evidence being found in historic Greco-Roman texts [1]. Incision and drainage [I&D] with or without antibiotics have generally been considered an adequate treatment modality for abscesses. This is however associated with postoperative morbidity like requiring repeated dressings and scar related problems. Ultrasoundguided aspiration is another frequently used modality that offers several advantages like cosmesis, and a less morbid postoperative course. However, patients may require multiple sessions for complete resolution of the abscess. Minimally access surgery [MAS] drainage marks a paradigm shift in the treatment of superficial surgical infections. In this study, we have evaluated the role of minimal access drainage in breast, perianal and gluteal and other superficial abscesses and found that MAS drainage offers added advantage of direct visualization of the abscess cavity, the walls of the cavity [diagnostic], thereby aiding in the scraping of the walls [therapeutic] of the abscess cavity. There is little documented literature available for MAS drainage of superficial infect","PeriodicalId":227431,"journal":{"name":"Sri Lanka Journal of Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123459256","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}