International Academic Research Journal of Surgery最新文献

{"title":"Is Conventional Laparoscopy Better Than the Single Incision Laparoscopy for Cholecystectomy: A Narrative Review","authors":"Chaudhary A, S. R.","doi":"10.47310/iarjs.2022.v02i01.002","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.002","url":null,"abstract":"Gallstone disease is one of the most common problems affecting digestive tract. The prevalence of gallstones is related to factors like age, gender and ethnic background. The prevalence of gallstone varies widely from place to place. It is estimated that approximately 20-25 million people in the United States have gallstones and that approximately 1 million new cases of cholelithiasis develop each year. Cholelithiasis is 10-15% prevalent in India and approximately 1-2% of asymptomatic patients will develop symptoms and require cholecystectomy each year. Its occurrence has been found to be at least 7.4% in adult population of North India. There has also been a remarkable shift in the trend of gall stone disease from middle aged, fertile, fat, females to young asthenic females in their twenties. Changing incidence in India is mainly attributed to westernization of diet, change in socioeconomic structure and availability of ultrasound as investigation in both rural and urbanareas. The current review was done to determine the efficacy of conventional laparoscopic cholecystectomy in comparison to single incision laparoscopic cholecystectomy.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"13 14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126036565","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":"Diabetic Foot Push","authors":"Amit Kumar C Jain","doi":"10.47310/iarjs.2022.v02i01.006","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.006","url":null,"abstract":"The use of spinal anesthesia in obstetrics is justified by the advantages it has over general anesthesia. It is a simple and easy technique. However, the possibility of serious complications or even death with this technique during cesareans leads to questions about its place. We report a case of totalization of spinal anesthesia during a cesarean section, that had a favorable evolution for both mother and child.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126775149","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":"Total Spinal Anaesthesia in Obstetrics, Case Report and Literature Review","authors":"Ouahmane Khalid, H. Ziani, Ayoub Ettaje, A. Tazi","doi":"10.47310/iarjs.2022.v02i01.010","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.010","url":null,"abstract":"The use of spinal anesthesia in obstetrics is justified by the advantages it has over general anesthesia. It is a simple and easy technique. However, the possibility of serious complications or even death with this technique during cesareans leads to questions about its place. We report a case of totalization of spinal anesthesia during a cesarean section, that had a favorable evolution for both mother and child.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126984349","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":"Postoperative pain and other complications due to spillage during laparoscopic cholecystectomy: A cross sectional study in a tertiary care hospital","authors":"U. Sharma, M. Sharma","doi":"10.47310/iarjs.2022.v02i01.004","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.004","url":null,"abstract":"Background: Present study was done to evaluate the postoperative pain and other complications due to spillage during laparoscopic cholecystectomy. Material and Methods: This prospective study was conducted in the Department of General Surgery, IGMC, Shimla. 100 consecutive patients of symptomatic gallstones with the documented gallstones undergoing laparoscopic cholecystectomy between July 2011 to March 2012 were included in the study and a study of gall bladder perforation was done. Results: Majority of patients in this study were females and were in age group of 31- 40 years. The difference in post-operative pain in patients without spillage and with spillage was significant on the day of surgery (p value=0.015). The difference in the pain was insignificant on 1st post-operative day (p value= 0.101) and on 2nd post operative day (p value= 0.567). Post-operatively fever was present in 3.09% of patients and ileus in 2.06% of patients. The difference in fever and ileus for patients without spillage and with spillage was insignificant (p value= 0.567 and 1 respectively). Port site infection at one week follow up was present in 1.03 % of patients and serous discharge from port site was present in 2.06 % of patients. The difference in port site infection and serous discharge from port site in patients without spillage and with spillage was insignificant (p value= 0.412 and 1 respectively). On post-operative USG collection in Morrison’s pouch was present in 2.06% of patients which settled without any intervention. The difference in patients without spillage and with spillage was insignificant (p value= 1). Conclusion: It was concluded the difference in post-operative pain was significant on the day of surgery while it was insignificant on 1st and 2nd post operative day. Post-operatively fever, ileus, Port site infection and serous discharge from port site was present as post operative complication.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128218809","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 Urology Patients at the Covid-19 Isolation Ward in Dr. Moewardi General Hospital Surakarta Periode June 2020 – May 2021 (A Retrospective Descriptive Study)","authors":"Meily Anggreini, W. .","doi":"10.47310/iarjs.2022.v02i01.008","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.008","url":null,"abstract":"Objective: Coronavirus disease firstly discovered in December 2019, has caused many changes in patient management in the hospital, including in urology department. Several studies have demonstrated an increased rate of delayed care, with urology surgery having a delay of more than 8 weeks (Amota, O. et al., 2020). The medical workers are trying to reduce the spread rate by reducing of transmission (Amota, O. et al., 2020;and Sanyaolu, A. et al., 2020). The spread of this infectious disease is continuously increasing, hence the declaration of a pandemic (Cucinotta D). The COVID-19 status in the Solo city was updated to the red zone since the first year of the pandemic which makes the author interested in sharing information about COVID-19 in urology inpatients in the isolation ward (Tanggap Covid 19 Jawa Tengah, 2020). Materials and Methods: This study is a retrospective descriptive study that used secondary medical records data to determine the profile of urology patients in the COVID-19 isolation ward in dr. Moewardi General Hospital Surakarta for 1 year from May 2020 – June 2021. Results: This study found the urology patients in the COVID-19 ward were 26 patients, which was 4% of the total urology inpatients in the dr. Moewardi General Hospital in the first year of pandemic. Male patients consisted 85% of the total patients, with a mean age of over 50 years. The most frequent diagnosis was urinary retention. The mean duration of hospitalization was 2 weeks. The management in ward were urinary catheter insertion, closed cystostomy, prostate biopsy with local anesthesia, and emergency debridement surgery in isolated operating room. Delayed diagnostic procedures consisted of USG and BNO, while the delayed elective surgery consisted of cystoscopy, nephrectomy, direct visual urethrotomy (DVIU), and DJ stent insertion. Conclusions: The urology inpatients in the COVID-19 ward treated by multiple departments, in which the treatment of COVID-19 was prioritized before the definitive management from the urology department.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125305782","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 Impact of Covid on The Survival Rate of Cancer Patients. Single Center Study At Moewardi Hospital Indonesia","authors":"W. Soewoto, I. B. P. Adnyana, Muhammad Fahmi Salafuddin, M. Putra, G. Putra, R. Septiani, M. Muamar, I. Saadhi, M. Ardianti, D. A. Setiawati, R. A. Hutabarat, Dinar Kukuh Prasetyo","doi":"10.47310/iarjs.2022.v02i01.009","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.009","url":null,"abstract":"Background: The novel coronavirus known as SARS-CoV-2 has spread worldwide and caused the COVID-19 pandemic. In September 2020, more than 32 million confirmed cases of COVID-19, with a death toll of more than 990,000. Among COVID-19 patients, those with cancer had worse outcomes than those without malignancy, but in some studies, the mortality rates differed significantly, ranging from 3.7% to 61.5%. Method: In this descriptive study, survival analysis with the Kaplan Meier curve was used to determine the healing rate of patients with cancer exposed to COVID-19 and undergoing treatment at dr. Moewardi General Hospital Surakarta-Indonesia from February to December 2020, and the Log Rank test was used to analyze data on two related groups. Results: The analysis using the Kaplan Meier method, female patients were found to have a higher survival rate than females, paged less than 50 years had a higher survival rate than those aged > 51 years, breast cancer had the lowest survival rate, and comorbidity of anemia had a higher survival rate than those with other comorbidities. The Log Rank test found a significant difference in the cumulative survival rates of cancer patients with COVID-19 with a p-value of 0.010 for comorbidity types. Meanwhile, from gender (p = 0.632), age (p = 0.672), type of cancer (p = 0.472), there was no significant difference. Conclusion: COVID-19 female patients aged less than 50 years with types of malignancy other than breast cancer and comorbidity of anemia have a higher survival rate..","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133346523","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":"Bear Bite Injuries in the Hilly Areas of District Sirmaur, Himachal Pradesh","authors":"U. Sharma, M. Sharma","doi":"10.47310/iarjs.2022.v02i01.003","DOIUrl":"https://doi.org/10.47310/iarjs.2022.v02i01.003","url":null,"abstract":"Bear attacks are rare but widely publicized incidents. Degradation in form of overgrazing, deforestation, fire, reclamation of forest land for other uses and over extraction of forest resources essential for bear survival is occurring throughout the bear range. For those living nearby forest areas, bear presents a considerable danger worse than the tigers and leopards.","PeriodicalId":299013,"journal":{"name":"International Academic Research Journal of Surgery","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121109467","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}