ARC Journal of Surgery最新文献

{"title":"Surgical Prehabilitation: Systematic Review","authors":"A. A. Rodríguez, L. López, Alberto Robles Méndez, Hernández, L. P. Hernández, Erika Bautista Rodríguez, Rodrigo Dominic, Cerqueda Audirac, A. M. Benítez","doi":"10.20431/2455-572x.0602002","DOIUrl":"https://doi.org/10.20431/2455-572x.0602002","url":null,"abstract":"Given that elective surgery is a “scheduled stress”, it is important to improve the organism’s responses to that stress through prehabilitation, defined as a multi-disciplinary intervention, which objective is to take advantage of pre-operational period to improve the individual’s functional capacity by implementing hygienic-dietetic and psychological measurements, and in this way, to favor an early post-surgical recuperation, as well as prevent or attenuate the functional impairment related to the surgery and its consequences.[2, 3]","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":"129011027","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":"Angiosarcoma of the Pericardium: A Diagnostic Challenge","authors":"D. Useini, Blerta Beluli, A. Alozie, Z. Taghiyev, Justus, Strauch","doi":"10.20431/2455-572x.0503004","DOIUrl":"https://doi.org/10.20431/2455-572x.0503004","url":null,"abstract":"An 84-year-old woman with a history of recurrent pericardial effusion was admitted to our institution for further evaluation. We had the last four month patient history with us. That showed reduced general condition, tachycardia, dyspnea and recurrent vertigo and tinnitus. Echocardiograms on admission showed only large intra-pericardial fluid concentration without suspicious pericardial morphological disorders. Computed Tomography Angiography scan (CTA) showed no tumorous formations (Fig.1/Fig.2). Previous pericardiocentesis usually yielded 200-400ml bloody fluid. No malignant cells were detected at different episodes. Only reactively modified mesothelial cells were described. Cultures were negative for micro organisms. Signs of congestive heart failure and presumed diagnosis of dressler ́s pericardial effusion were diagnosed. Therefore, a combination of intra-venous diuretics, NSAIDs and corticosteroids therapy was initiated. However, no improvement could be achieved. Indication for video assisted thoracoscopy with pericardial fenestration and pericardial biopsy was made and employed for further diagnostics. Histological examinations yielded a fibrosing mesothel covered connective tissue, with low grade chronic inflammation. Immuno-histological staining showed no features of a malignancy. On arrival at our institution the patient was noted to be hemodynamically unstable, with dyspnea at rest. A transthoracal echocardiogram was performed, showing abundant pericardial effusion with severely compromised ventricular function. The patient was immediately transferred to the operating room. Percutaneously, intrapericardial insertion of a pigtail catheter using Seldinger technique was performed and 400ml bloody fluid was evacuated. No suspicious microbiological and cytological findings were observed. Abstract: Pericardial malignancies, including angiosarcomas, have a high tendency to cause recurrent pericardial effusion. This complication is associated with significant morbidity and mortality. Patient directed therapy is crucial and depends on multidisciplinary consultation after multimodal imaging diagnosis.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"9 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":"134171190","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":"Primary Colorectal Lymphoma: Case Report and literature Overview","authors":"A. Hernández, Oscar Alejandro Mora Torres, Víctor Hugo Méndez, Cano, Erik Rebolledo Garduño","doi":"10.20431/2455-572x.0601001","DOIUrl":"https://doi.org/10.20431/2455-572x.0601001","url":null,"abstract":"71-year male with 7 days unset of symptoms with colic pain in right iliac fossae, intensity 5/10, no irradiation, mild nausea without vomit previous treatment with antibiotic and pain killers as an infectious gastroenteritis. Personal history of 20-year evolution diabetes type 2 in treatment with Metformin 850mg/ Glimepiride 4mg every 24 hours. At physical a painful 6cmdiameter tumor palpable in right inferior abdomen adhered to deep planes with acute abdomen. His hemoglobin was 15.1 g/dl, leukocyte was 8.4 with neutrophilia of 72%, his Platelet count was 487,000/μl, albumin 3.9 mg/dl, Glucose 155mg/dl. The ultrasonography findings are a plastron with slightly augmented vascularity at right iliac fossae.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"54 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":"121269926","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":"Profile of Children Treated for Uncomplicated Intussusception in a Tertiary Hospital in Enugu, Nigeria","authors":"C. Emeka","doi":"10.20431/2455-572x.0701004","DOIUrl":"https://doi.org/10.20431/2455-572x.0701004","url":null,"abstract":"Intussusception is the invagination of a segment of the bowel into another segment. The part of the bowel that invaginates is the intussusceptum while the part that receives the invaginating segment is the intussuscipiens [1]. Intussusception is a pediatric abdominal surgical emergency and one of the most common causes of intestinal obstruction in infants [2]. The clinical presentation of intussusception may vary from one patient to another. However, classically, the symptoms of intussusception include abdominal pain, vomiting and passage of red currant jelly stool [3]. However, these classical symptoms are found only in about 20 percent of the patients [4]. Abdominal ultrasound is diagnostic imaging of choice for the diagnosis of intussusception due to its high sensitivity and specificity [5]. Treatment of intussusception in children could be nonoperative or operative. Non-operative treatment is in the form hydrostatic (using normal saline, Hartmann’s solution or barium) or pneumatic reduction (using air) [6]. Operative treatment of intussusception is indicated in the following conditions: failed hydrostatic reduction, features of peritonitis or marked abdominal distension [6].Children with intussusception who present early are treated non-operatively with little or no complications. However, only a few patients present early most likely due to poverty and low levels of enlightenment. The aim of study was to evaluate our experience in the management of children who presented with uncomplicated intussusception. For the purposes of this study, uncomplicated intussusception refers to intussusception without intestinal gangrene, without perforation and without features of peritonitis. Abstract","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"3 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":"128205447","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":"Giant Hepatic Cyst Treated by Laparoscopy","authors":"Medina Andrade Luis Angel, Robles Méndez Hernández Alberto, Sánchez Dauth, Dulce María, B. M. Gabriel, Reus Muratalla Karen Stephanie, Vallejo Ramírez José Eduardo","doi":"10.20431/2455-572x.0503001","DOIUrl":"https://doi.org/10.20431/2455-572x.0503001","url":null,"abstract":"Hepatic cyst is generally a benign lesion founded incidentally during imaging studies for other pathologies. Their prevalence is 4.5 to 7% but is only treated when the patient present symptomatology, in general related with a big size and compression of other abdominal structures. Giant abdominal cyst is considered when bigger than 6cm in some reports, but we presented one case of a cyst of 23cm of diameter and 3.5 liters of content treated laparoscopic ally.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"14 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":"121626354","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":"Local Therapy Modalities in Management of Colorectal Cancer Liver Metastasis","authors":"Y. Sevim, İ. B. Bahceci̇oğlu, Sedat Carkit","doi":"10.20431/2455-572x.0501005","DOIUrl":"https://doi.org/10.20431/2455-572x.0501005","url":null,"abstract":"Colorectal cancers (CRC) are the third leading cause of cancer-related mortality in both genders in the United States [1]. In 2019, an estimated 145,600 adults will be diagnosed with CRC [1]. Up to 25% of CRC admit initially with colorectal liver metastasis (CRLM), and approximately 50% develop CRLM during the course of the disease. The stage 4 CRC has the lowest 5-year survival rates; 12 % for colon cancer, 13% for rectal cancer. Liver metastasectomy may improve overall survival, and these patients may have long-term relapse free survival. So the management of liver metastasis becomes more important. The local liver therapies can expand the options of management and improve outcomes for CRLM patients.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"24 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":"124481896","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":"Re-expansion Pulmonary Edema after Chest Drainage for Pneumothorax; Evaluation of Risk Factors in 630 Episodes","authors":"M. Sakuraba, T. Mishina, A. Tanaka","doi":"10.20431/2455-572x.0701002","DOIUrl":"https://doi.org/10.20431/2455-572x.0701002","url":null,"abstract":"Re-expansion pulmonary edema (RPE) is a complication of tube thoracostomy for pneumothorax and massive pleural effusion, and was initially reported after spontaneous pneumothorax by Carlson in 1958 [1]. The incidence of RPE for spontaneous pneumothorax treatments ranges from 0.9% to 29.8% [2, 3]. Although most patients with RPE recover without any treatment, it can lead to prolonged hospital stay, increased chest discomfort, dyspnea, and in severe cases hemodynamic and respiratory instability, making early recognition and understanding of associated risk factors of utmost importance. We aim to describe the incidence, risk factors, and outcomes for RPE cases at our institution.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"3 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":"129581072","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":"Evidence of Neuromonitoring and Decision-Making during Thyroidectomy: Case Report","authors":"A. Hernández, Oscar Alejandro Mora Torres, R. Ramírez, Marco Antonio Ramírez García, B. Domínguez, F. Muñoz","doi":"10.20431/2455-572x.0601002","DOIUrl":"https://doi.org/10.20431/2455-572x.0601002","url":null,"abstract":"Thyroidectomy is the resection of the thyroid gland; this can be performed on an ambulatory way [1] without significantly increasing the morbidity of the procedure. Intraoperative neuromonitoring has been used in thyroid surgery to identify the recurrent laryngeal nerve and the superior laryngeal nerve, has high specificity (99.4%) and negative predictive value (99.8%) in addition to good sensitivity (93.6%) and positive predictive value (78.4%), [2] allows the surgeon to detect the first data of nerve injury, which is initially reversible.[3] In addition to effectively identifying anatomical nerve variants, resulting in visualization of areas with the highest vulnerability for dissection. (Berry ligament, Zuckerkandl Tubercle and inferior thyroid artery). [4]","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"5 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120858233","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":"B-Lymphoblastic Lymphoma of the Duodenum Producing Obstructive Jaundice: A Case Report","authors":"Rodea-Montellano Sarahí Elizabeth, López-Alvarado Mariela Itzayana, Martínez-Villalpando Ricardo Ismael, Carmona-Flores Oscar","doi":"10.20431/2455-572x.0901002","DOIUrl":"https://doi.org/10.20431/2455-572x.0901002","url":null,"abstract":": Background: Lymphoblastic lymphoma (LBL) accounts for approximately 2% of all non-Hodgkin lymphoma (NHL), and approximately 90% are of immature T-cell lineage. Precursor B-cell LBL (B-LBL) is uncommon and accounts for less than 10% of total LBL cases and 0.3% of adult NHL. Case Presentation: We report a case of B-cell lymphoblastic lymphoma (B-LBL) in the duodenum, causing painless obstructive jaundice as the first and only symptom, in a 21-year-old man. Duodenal endoscopy revealed a mass in the ampulla of Vater and narrowing of the second portion of the duodenum, although diagnosing lymphoma from an endoscopic biopsy was impossible. Discussion: We performed gastrojejunal roux-en-Y anastomosis to establish a histological diagnosis and relieve the obstructive jaundice. Histological and immunohistochemical examination of the surgically resected specimen confirmed a diagnosis of B-cell lymphoblastic lymphoma.","PeriodicalId":253537,"journal":{"name":"ARC Journal of Surgery","volume":"4 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":"132429594","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":"Does Preoperative Computed Tomography Angiography Lead to an Increased Incidence of Postoperative Acute Kidney Injury Following Transcatheter Aortic Valve Implantation in Patients with Impaired Renal Function?","authors":"D. Useini, Blerta Beluli, Z. Taghiyev, M. Schlömicher, M. Elghannam, P. Haldenwang, M. Bechtel, J. Strauch","doi":"10.20431/2455-572x.0504001","DOIUrl":"https://doi.org/10.20431/2455-572x.0504001","url":null,"abstract":"A key factor for the success of transcatheter aortic valve implantation (TAVI) techniques is the accurate anatomical measurements of the aorta. Dimensions such as the aortic annulus diameter, perimeter, orifice area, and the distance to the coronary orifices or detailed analysis of calcification patterns have a major relevance not only to achieve good operative results, but also to avoid catastrophic, lifethreatening complications during TAVI procedures. The superiority of the computed tomography angiography (CTA) compared to transesophageal echocardiography (TOE) in terms of annulus sizing and post-procedural complications is well documented [1, 2]. At this point, due to the advantages of CTA compared to TOE [3], CTA has become the standard method of evaluation in pre-TAVI procedures [4, 5].","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":"133941415","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}