Archives of Clinical and Experimental Surgery最新文献_第4页

Diagnosis and therapeutic management updated on intrathoracic schwannoma 胸内神经鞘瘤的诊断和治疗管理进展

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20170104051917

S. A. O. Júnior, R. Silva, Jéssica Siebra Macário de Brito, T. E. V. Lemos, Bárbara Monitchelly Fernandes Chaves, Amália Cinthia Menezes Rêgo, I. Araújo-Filho

{"title":"Diagnosis and therapeutic management updated on intrathoracic schwannoma","authors":"S. A. O. Júnior, R. Silva, Jéssica Siebra Macário de Brito, T. E. V. Lemos, Bárbara Monitchelly Fernandes Chaves, Amália Cinthia Menezes Rêgo, I. Araújo-Filho","doi":"10.5455/aces.20170104051917","DOIUrl":"https://doi.org/10.5455/aces.20170104051917","url":null,"abstract":"Background: Schwannoma is a benign neoplasm derived from Schwann cells. It is usually located in the intracranial nerves, however intrathoracic presentation is possible, leading to compression of adjacent structures and symptoms. The absence of results from physical examination and the presence of mild symptoms (or absence) common to other diseases makes the diagnosis challenging, usually accomplished through imaging. Treatment consists of surgical resection by thoracotomy or thoracoscopy. This study aimed to review this subject with an emphasis on the diagnostic and therapeutic approaches currently available. Method: Articles were selected by searching the Scopus, Scielo, PubMed and Web of Science databases using the keywords: schwannoma, neurinoma, neurilemmoma, nerve tissue neoplasm, thoracotomy, thoracoscopy and mediastinal neoplasms. Results: Intrathoracic schwannoma often presents as asymptomatic and is identified during routine imaging tests. The recommended treatment is surgical resection by thoracoscopy or thoracotomy.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"206-213"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766282","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

A new method for obtaining mesenchymal stem cells in children with burn injury: Tibial bone marrow aspiration by using the C-arm guidance scopy - 烧伤患儿间充质干细胞获取新方法:c臂引导镜下胫骨骨髓抽吸

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20150510040939

M. Bozkurt, E. Güvercin, H. Şi̇ri̇noğlu, G. Filinte, G. Temiz

引用次数: 0

Pseudoaneurysm of the superior lateral geniculate artery after an arthroscopic procedure in a 14-year-old patient 14岁患者关节镜手术后膝外侧上动脉假性动脉瘤

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/ACES.20150519122314

E. Carbó, B. Sobrón, J. A. Calvo, J. Vaquero

引用次数: 0

Open hemorrhoidectomy versus stapler hemorrhoidopexy: A prospective study 开放式痔切除术与吻合器痔切除术:一项前瞻性研究

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20160515015524

M. Wani, S. Mir, Saleem Javaid, Yawar Watali

引用次数: 2

Effectiveness of preemptive intra-articular levobupivacaine on pain relief after arthroscopic knee surgery - 关节镜下膝关节手术后预防性左布比卡因缓解疼痛的效果

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20160725022731

S. Altınel, I. Erden, B. Ayhan, S. Akıncı, F. Sarıcaoğlu, Ü. Aypar

{"title":"Effectiveness of preemptive intra-articular levobupivacaine on pain relief after arthroscopic knee surgery -","authors":"S. Altınel, I. Erden, B. Ayhan, S. Akıncı, F. Sarıcaoğlu, Ü. Aypar","doi":"10.5455/aces.20160725022731","DOIUrl":"https://doi.org/10.5455/aces.20160725022731","url":null,"abstract":"Background and Aim: Severe pain and comfortlessness may be seen in patients after arthroscopic knee surgery despite various commonly administered analgesic methods, particularly based on local anesthetics. The aim of this study was to determine the effect of intraarticular levobupivacaine injected preoperatively on pain relief and time to first analgesic request during the postoperative period. Material and Methods: 40 adult-patients, ASA I and II, undergoing elective arthroscopic surgery were included in the study. Patients in the levobupivacaine group received intra-articular levobupivacaine at 5mg/ml dosages and 20 ml total volume 30 min before the procedure. Patients in the control group received 20 ml of normal saline. Visual analogue scale (VAS) scores were assessed at the 1st, 2nd, 4th, 8th, 12th and 24th hour postoperatively. Time to first analgesic request and total analgesics used over the course of 24 hours after the surgery were recorded. All patients received continuous morphine infusion via patient controlled analgesia (PCA) devices postoperatively. Additionally, patientsâ€™ pain satisfaction scores were recorded. Results: Lower VAS scores at the 1st, 2nd, 4th and 8th hours postoperatively - both at rest and during motion - were found in the levobupivacaine group compared to the normal saline group (p","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"17 1","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765584","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

Giant calculus in ileal neo-ureter constructed for iatrogenic complete ureteric avulsion: A case report and review of literature 医源性完全性输尿管撕脱术造回新输尿管巨结石1例报告及文献复习

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/ACES.20160402122947

A. Akhtar, M. Raza

引用次数: 0

Metabolic abnormalities and genitourinary tract anatomical alternations in patients with recurrent urolithiasis 复发性尿石症患者的代谢异常和泌尿生殖道解剖改变

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20160402122723

J. Neil, Jose Binu

{"title":"Metabolic abnormalities and genitourinary tract anatomical alternations in patients with recurrent urolithiasis","authors":"J. Neil, Jose Binu","doi":"10.5455/aces.20160402122723","DOIUrl":"https://doi.org/10.5455/aces.20160402122723","url":null,"abstract":"Background: Preventing the recurrence of episodes of stone formation is the focus of interest for patients. This retrospective study aimed to determine the prevalence of metabolic abnormalities and anatomical alterations of the genitourinary tract in patients with recurrent urolithiasis. Methods: Patients who had recurrent renal calculi were included. Laboratory assessment was performed on two 24-hour samples of urine. The first 24-hour urine was a random specimen and the second was obtained after the patient had been on a sodium-, oxalate- and calcium-restricted diet for at least one week. The patients with hypercalciuria further underwent fasting and calcium load testing and were assessed in terms of parathyroid hormone levels. Urine culturing was conducted to rule out urinary tract infection. All patients were evaluated with ultrasound and intravenous pyelography for any anatomical abnormalities. Results: A total of 30 patients (20 male and 10 females) were included in the study. The most frequently found metabolic alterations were hypercalciuria, low urinary volume, urinary tract infection and hyperoxaluria. Anatomic alterations were found in 26.5% of patients, mainly in the form of renal cysts, pelvi-ureteric junction obstructions, horse shoe kidneys and atrophic kidney. Conclusions: 80% of patients with recurrent stone disease had some measure of metabolic abnormality to account for the disease. The use of two 24-hour urine samples significantly improved the detection rate of metabolic abnormalities compared to a single sample. The major limitation of this study was the small number of patients as well as the short study duration.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"81-85"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765920","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

Impact of a fiber-rich diet on abdominal adhesion formation: An experimental study 高纤维饮食对腹部粘连形成的影响:一项实验研究

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/ACES.20170503080840

Felipe Augusto Ribeiro Batista, Alexandre Campacci, Luis Marco, P. Traete, P. R. Corsi

{"title":"Impact of a fiber-rich diet on abdominal adhesion formation: An experimental study","authors":"Felipe Augusto Ribeiro Batista, Alexandre Campacci, Luis Marco, P. Traete, P. R. Corsi","doi":"10.5455/ACES.20170503080840","DOIUrl":"https://doi.org/10.5455/ACES.20170503080840","url":null,"abstract":"Aims: In the current investigation, we studied the effects of a fiber-rich diet on experimental intestinal adhesion formation. Methods: A total of 40 Wistar rats (males), weighing between 350g and 400g, were divided into two groups. Group 7% (control) received a diet consisting of 7% fiber and the other group received a diet of 17% fiber (fiber-rich). The animals underwent laparotomies to induce adhesions on the 7th day of receiving their respective diets. Seven days after laparotomy the animals were sacrificed and adhesions were evaluated quantitatively and qualitatively (Swolin). Results: Quantitative analysis revealed that in the 7% group, 9 animals had 3 adhesions, 5 animals had 4 adhesions, 4 animals had 5 adhesions, and 1 animal died during induction. In the 17% group, 4 animals presented 2 adhesions, 6 animals had 3 adhesions, 6 animals had 4 adhesions, 2 animals showed 5 adhesions, and 1 animal died during induction. The Swolin score revealed that the 7% group had 2 animals with a score of 3, 10 animals with a score of 4, and 7 animals with a score of 5. In the 17% group, 4 animals had a score of 3, 7 animals had a score of 4, and 9 animals had a score of 5 (p = 0.319). Conclusion: Our data showed that the high-fiber diet was not effective to avoid the formation of adhesions.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"7 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766055","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

A case of a colo-ovarian cyst fistula as a complication of endometriosis 子宫内膜异位症并发结肠卵巢囊肿瘘1例

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/aces.20170604120630

M. Lopez, Arjel Ramirez, S. Maglangit, Hermogenes

引用次数: 1

Primary adenosquamous carcinoma of the stomach 原发性胃腺鳞癌

Archives of Clinical and Experimental Surgery Pub Date : 2017-01-01 DOI: 10.5455/ACES.20161017105643

S. Belur, Hemalata Mahantappa

引用次数: 0