ARC Journal of Surgery最新文献

{"title":"Acute Pancreatitis Update of the Current Diagnostic and Therapeutic Approach","authors":"Pedro Chapa, Oscar Martin Cerrito Gasca, Roberto Manuel Garza Alcantar, Nicolas Enrique Morales Sanchez, Alexis Yael Ramos Montes de Oca, Fernando Ibarra Lara, Maximiliano Sosa Hernandez, Julio Cesar Mendoza Salazar, Kenia Alejandra Rodriguez Carrazco, Roberto Perez Ordaz, Diana Rodriguez Reyes, Carlos Alberto Soto Quiroz","doi":"10.20431/2455-572x.0901003","DOIUrl":"https://doi.org/10.20431/2455-572x.0901003","url":null,"abstract":": Introduction: The endocrine pancreas is responsible for producing digestive enzymes such as; lipases, proteases and amylases, which are responsible for the metabolism of fats, proteins and carbohydrates respectively for their absorption. Acute pancreatitis is an intracellular disorder of calcium in pancreatic cells, which can trigger necroinflammatory changes and local and systemic complications. Objectives: Carry out a bibliographic review to assess the level of scientific evidence that exists on visual screening to determine whether or not existing recommendations are adequate. Material and methods: Systematic review of scientific articles consulting the MedLine and The Cochrane Library Plus databases, without date restriction, in Spanish and English. Gray literature was included by manual search. No restrictions were made regarding the type of study. The abstracts and, where necessary, the complete articles are reviewed, finally taking into account all the articles that have recently received recommendations on visual acuity screening and eliminating the rest. Twenty-four bibliographies of articles related to the subject of pancreatitis were selected, performing a bibliographic review and using the most up-to-date information on the subject. Conclusions: Acute pancreatitis is a highly relevant condition for our environment due to its high incidence, the management of this pathology requires adequate knowledge of the underlying clinical and pathophysiological phenomenon of the patient. The correct diagnostic approach and optimal and timely therapeutic management favor a favorable outcome and are associated with fewer complications, morbidity, and mortality.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135505207","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":"Teaching Approach of Emergency Traumatic Chest Injuries: A Review","authors":"A. Elbaih, Khaled Adnan Arnous","doi":"10.20431/2455-572x.0602001","DOIUrl":"https://doi.org/10.20431/2455-572x.0602001","url":null,"abstract":"TPT may be said to occur when a one-way valve communicates with the pleural space. Air is forced into the plural space with no way to escape, eventually collapsing the affected lung. Ultimately, pushesthe mediastinum to the opposite side, decreasing venous return and comprising the opposite lung (Figure 41).Tension pneumothorax is considered a lifethreatening emergency condition and requires rapid recognition and treatment. Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115646261","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":"Acalculous Cholecystitis Secondary to Giant Hepatic Abscess. Case Report and Literature Review","authors":"A. Hernández, Alejandro Vela Torres, Yolik Ramírez-Marín, Kelly, M. Hernández, Roberto Jauregui Brechu","doi":"10.20431/2455-572x.0601004","DOIUrl":"https://doi.org/10.20431/2455-572x.0601004","url":null,"abstract":"A tomography was performed in which a giant liver lesion was observed in segments IVA and VIII estimated at 134 mm in diameter (image 1) with a density compatible with a simple cyst. Laboratories: hemoglobin 10.8 g/dL, platelets 202x 10 3 U/L, leukocytes 10.2x10 3 U/L, neutrophils 79%. Prothrombin time 17.4 secs, INR 1.55. Activated thromboplastin partial time 46 secs. creatinine 1.55 mg/dl, total protein 5.8 g/dL, albumin 2.3 g/dL, globulins 3.4 g/dL, total bilirubin 0.63 mg/dL, CA 19-9 antigen 28.1. U/mL. Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124224038","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":"Lung Transplantation: A Systematic Review","authors":"R. Audirac, Irving Kevi Moreno Valladares, Alberto Robles Méndez, Hernández, Renata Buenfil Fuentes, Oscar Alejandro Mora Torres, G. Castro, Enriquez, Erick Mauricio Aceves Rodríguez, B. Muñoz","doi":"10.20431/2455-572x.0702002","DOIUrl":"https://doi.org/10.20431/2455-572x.0702002","url":null,"abstract":"","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130759080","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":"Preoperative Use of 0.2% Chlorhexidine Digluconate Mouthwash does not affect the Bacteremia following Closed Dental Extraction","authors":"G. Gavazova, E. Hristozova, StanimirKisselov, RalitsaRaycheva, N. Pavlov, Petia, Pechalova","doi":"10.20431/2455-572x.0504003","DOIUrl":"https://doi.org/10.20431/2455-572x.0504003","url":null,"abstract":"It is well established, that hematogenically disseminated micro flora from the oral cavity is responsible for 10%-15% of bacterial endocarditis’ occurrences. Mortality rate of bacterial endocarditic nowadays is still high and varies between 5% and 11%. [1,2] Several antibiotic regimens are used for prevention of the complications related to post extraction bacteremia. Currently, a trend for reducing the duration of antibiotic prophylaxis can be observed – from 5 days and maximum 21 doses of antibiotic (as suggested in 1955 by the AHA) to a single dose 30-60 minutes prior to the manipulation – with Amoxicillin being antibiotic of choice in various regimen. [3] Alternative methods for controlling the post extraction bacteremia are investigated in an effort to limit the use of antibiotics and therefore Abstract: Post extraction bacteremia is transitory condition observed in healthy individuals. Aim of the study at hand is to investigate the effect of preoperative rinsing of the mouth with 0.2% chlorhexidine digluconate on post extraction bacteremia following closed tooth extraction.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"48 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133071977","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":"Role of Sonography in Ocular Trauma: A Study","authors":"Dr. Som Biswas","doi":"10.20431/2455-572x.0702003","DOIUrl":"https://doi.org/10.20431/2455-572x.0702003","url":null,"abstract":"Hence, trauma to the eye has a very different dimension. Apart from the physical, it has profound impact on the mental, socioeconomic, & spiritual aspects of a person. Moreover it involves mainly the younger age group which makes a great loss to the society. Man’s quest for understanding the effect of trauma to the eye, it’s mechanism isms pathology, consequences and complications to predict the outcome has made him run through different lanes of experiments. B-scan Ultrasonography stand out as one of the most powerful tools for it's understanding. Posttraumatic opacifications of the media often makes the optical examination difficult for the treating surgeon. Moreover the patient is in agony & hence is unable often to open there for proper examination. Ultrasonography being a nonoptical, non invasive technique is a valuable tool in such cases. With the ascent of civilization, the ocular injuries are on the rise. Industry or battlefield, ocular trauma keeps maintained a disturbing percentage.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123698413","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":"En Bloc Resection of Neuroendocrine Tumor of Colon: Case Report and Review of the Literature","authors":"Ana Lilia Pacheco-Carrillo, J. A. Ortega-Jiménez, Mirza Palacios-Rojo, Roberto, Ángel Núñez-González, Aldo Joaquín Díaz-Aguilar, A. S. Sosa-Luis, José Galaor, Gutiérrez-Durante, Carlos Arturo Córdova-Bravo, José Eduardo Zúñiga-Vázquez","doi":"10.20431/2455-572x.0602003","DOIUrl":"https://doi.org/10.20431/2455-572x.0602003","url":null,"abstract":"Neuroendocrine carcinoma of the large intestine and rectum is an uncommon type of neuroendocrine tumor (NET) that accounts for <1% of all colorectal cancer [1].The incidence of NETs of the colon and rectum has been increasing in the past decades, thought due in part to increased screening colonoscopies. Although still uncommon, with an estimated incidence of 0.3 and 1.1 per 100,000 in developed nations [2]. The clinical development of NET of the colon includes very destructive and aggressive growth, followed by rapid spread [1] and usually presents with non-specific symptoms, most commonly bleeding, abdominal pain, change in bowel habits, anorexia, weight loss, and weakness [3]. These non-specific manifestations are frequently misdiagnosed, causing a delay in diagnosis and decreasing the chances to perform a successful surgical treatment. 2. CASE REPORT","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116120138","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":"The Effectiveness of Microsurgical Procedures inPatients with Upper Extremities Trauma","authors":"A. Eder, Albavera Gutierrez Paloma Rosalva, S. TolentinoGonzálezChristian, F. Daniel, Frias Lucio Yazmin, Rodriguez Rodriguez Carlos Eduardo, Mendez Hernandez Alberto Robles, L. Irving, Luis Angel Medina Andrade","doi":"10.20431/2455-572x.0501001","DOIUrl":"https://doi.org/10.20431/2455-572x.0501001","url":null,"abstract":"Background: The microsurgical techniques have evolved along the last decades, allowing excellent functional results in cases of reimplantation after amputations. The objective of this study is to evaluate the effectivity of those techniques in a trauma reference center in México. Material and Methods: Patients with microsurgical procedures in the context of upper extremities trauma performed between March 01 of 2010 and August 01 of 2013 were included. The demographic and medical data were recorded and analyzed, identifying interest factors like type of lesion, level of lesion, ischemia time, lesion mechanism, type of magnification for repair and clinical evolution. Statistical analysis was performed with parametric statistics, central tendency and dispersion measures. Results: From a total of 10 patients included, 9 were men (90%) and 1 woman (10%). About age, there were no patients from the first decade of life, 3 patients of the second, 3 patients of the third, 1 patient of the fourth and 3 patients of the fifth decade of life. The mechanisms of trauma reported include 1 patient with a sharp cut, avulsion in three patients, avulsion / tearing in 6 patients. The level if amputation according to the classification of Daniel and Terzis was 2 in two patients, 3 in six patients, 4 in one patient, and 6 in one patient. Other associated lesions were registered only in one patient. Ischemic processes were found in 7 patients with cold ischemia and 3 with warm ischemia. The time of ischemia vary from 2 to 9 hours, with a range between 0-2h in 1 patient; 3 to 4 h in 2 patients; 5 to 6 h in 5 patients; 9 to 10 h in 2 patients. Only 1 patient referred smoking. In five cases the patients were treated with magnifiers only and 5 with microscope assistance. Five patients presented a good evolution and five an unfavorable one. Conclusions: There were lower cases than expected for a third level trauma center in the period of study, with favorable evolution under the worldwide levels reported. The patients with good evolution were younger and with a proximal amputation, the other factors were not significant for the evolution. More studies and a bigger simple are needed to elucidate the significance of other variables in the evolution. The Effectiveness of Microsurgical Procedures in Patients with Upper Extremities Trauma ARC Journal of Surgery Page |2 exist four stages in the development of microsurgery: 1) early morning period (19501970),2) development period (1981-1997) 3)full maturity period (1981-1997) and 4)transition period from autogenous transplantation to allogeneic transplantation and regenerative medicine (1998-2007) [1-17]. The history of digital reimplants started more than 200 years ago when in 1814 William Balfour completes a finger autograft in a carpenter. After this description, many surgeons for more than 100 years treat the amputations with the use of a tubulized pedicled graft. In 1940 Harold Gillies suggest to remove the skin Surface of th","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"1218 48","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120877147","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":"Atypia of Undetermined Significance in Thyroid Fine-Needle Aspiration Cytology: An Institutional Experience","authors":"Direnç Yiğit, M. Turan, M. Çelik, Ahmet Nezihi Oygur, C. Arıcı","doi":"10.20431/2455-572x.0501003","DOIUrl":"https://doi.org/10.20431/2455-572x.0501003","url":null,"abstract":"Thyroid nodules are seen in the general population at a frequency of 3-7% [1, 2]. The most widely used reporting system in the pathology of thyroid nodule fine needle aspiration biopsy (FNAB) is Bethesda. According to Bethesda classification, cytological diagnosis is divided into six groups. These are; nondiagnostic, benign, atypia of undetermined significance (AUS)/ follicular lesion of undetermined significance (FLUS), follicular neoplasm/suspicious for follicular neoplasm (FN), suspicious for malignancy, and malignant. Among these, 3-18% of all FNAB’s results are observed AUS [3-6]. It is recommended to re-administer FNAB with USG after 3-6 months in this group according to the ATA guideline. Importance of recurrent FNAB In patients with AUS or a category with higher risk of malignancy, surgery is recommended. The nature of the surgical procedure is controversial. While some centers prefer total thyroidectomy, some centers recommend Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122274826","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":"Teaching Review Approach for Pediatric Trauma","authors":"A. Elbaih, S. Gaashan","doi":"10.20431/2455-572x.0701003","DOIUrl":"https://doi.org/10.20431/2455-572x.0701003","url":null,"abstract":"TBI etiology varies according to age groups. The most common cause of TBI is being in the 0-to 4-year-old age range. On the other hand, the distribution of injuries caused by falls, assault, and motor vehicle events is almost equal within the 15to 24-year-old age group. Epidemiologic studies have shown that TBI levels seen in the emergency department have risen since 2001 in all age groups, with children 0 to 24 years of age having the highest TBI levels of all age groups. Kids 0 to 4 years of age have almost double the TBI prevalence relative to the next highest age group (15–24 years of Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125505015","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}