Journal of Surgical Sciences最新文献

{"title":"Medical Teacher","authors":"S. Sultana","doi":"10.3329/jss.v22i2.44068","DOIUrl":"https://doi.org/10.3329/jss.v22i2.44068","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2018) Vol. 22 (2) : 77-78","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91192204","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 idiopathic granulomatous mastitis: dilema in diagnosis and management","authors":"N. Akhter, Abu Khaled Mohammad Lqbal, Md. Mahbubur Rahman, Joydeep Datta Gupta, A. Alam","doi":"10.3329/jss.v21i2.43915","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43915","url":null,"abstract":"Background: Idiopathic granulomatous mastitis is a rare disease of the breast. Clinically and radiologically it may mimic breast carcinoma. To date, there is no agreed gold standard treatment for IGM. The clinical management often starts with tests to eliminate microbial infection and when microbial infection can be ruled out, long-term oral steroid treatment or surgery is administered. \u0000Objective: To see the response of different treatment options of idiopathic granulomatous mastitis. \u0000Methods: This is a retrospective study involved 50 patients who were diagnosed with IGM and were treated in our institution between January 2009 to December 2016. \u0000Results: The mean age of patients was 34.3 years. Breast lump was the most common presentation. The right breast was affected in 30 cases & left breast 20 cases. 4 patients were pregnant at the time of presentation. Lactation within 6 months of presentation was documented in 4patients.45 patients used contraceptives pills. A clinical suspicion of malignancy was present in 17 cases. Mammography was performed in 20 patients and showed focal asymmetrical dense lesions in 9, well-circumscribed opacity in 8, speculated lesion in 1, and was normal in 2. Fine-needle aspiration was performed in 40 patients. Wide local excision was the mainstay of treatment. One patient underwent mastectomy due to recurrence and the final histology confirmed idiopathic granulomatous mastitis with no evidence of malignancy. 12 patients developed recurrence after a mean follow-up of 31.2 months. \u0000Conclusion: IGM is not so rare disease in our country. Clinical, radiologic, and even cytological findings are sometimes confused with malignancy. Adequate Surgical treatment as well as adjuvant therapeutic treatment are necessary. Knowledge, awareness and co-operation among surgeons and pathologist should also be strengthen to avoid unnecessary misdiagnosis and treatment. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 89-93","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83813713","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":"Comparison of outcome between traditional open haemorrhoidectomy and stapled haemorrhoidectomy operation","authors":"Farjana Haque Shumi, Md Omar Ali, Md. Akram Hossain","doi":"10.3329/jss.v21i2.43917","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43917","url":null,"abstract":"Background: Haemorrhoidectomy is a surgical excision and removal of the hemorrhoid used primarily only in severe cases. There are many different types of haemorrhoidectomy like open haemorrhoidectomy and stapled haemorrhoidectomy. \u0000Objective: To compare the outcome of stapled haemorrhoidectomy and traditional open haemorrhoidectomy. Methods: This is a cross sectional study of 72 cases who underwent open and stapled haemorrhoidectomy operation for symptomatic 2nd, 3rd and 4th degree hemorrhoids. Binomial probability pre-posttest were used for statistical analysis, p value less than 0.05 was taken as significant. \u0000Results: : Among 72 patients, 34 patients of conventional haemorrhoidectomy and 38 of stapled haemorrhoidectomy at 3 months post-surgery in conventional group 1 patient was unsatisfied, 12 patients were satisfied and 4 patients stated their condition good. In stapled group 14 patients stated their condition excellent and 5 patients stated their condition good. Statistical analysis shows that level of satisfaction at 3 months post-surgery in conventional group and stapled group was statistically significant(p-value<.001). \u0000Conclusion: Stapled haemorrhoidectomy is a relatively new procedure. Stapled haemorrhoidectomy is a safe procedure, less pain and disabled than the conventional haemorrhoidectomy. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 99-104","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80249546","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":"Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital-One Year Experience","authors":"Md. Mahmudul Islam, Khondkar A K Azad, M. A. Islam, Rivu Chakraborty","doi":"10.3329/jss.v23i1.44240","DOIUrl":"https://doi.org/10.3329/jss.v23i1.44240","url":null,"abstract":"Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after trauma. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. \u0000Methods: This is an observational study carried out in the department of Casualty, Chittagong Medical College Hospital over a period of one year (from April 2015 to March 2016). All the patients (both male and female) admitted in the casualty units within the specified period were included in this study. \u0000Result: The mean age was found 37.7±18.1 years and male-female ratio was 11.8:1. Almost one third (35.7%) patients were affected by road traffic accident. 42(27.2%) patients were found open pneumothorax followed by rib fracture-41(26.6%), haemopneumothorax-31(20.1%), pneumothorax- 14(9%), haemothorax-12(7.8%), chest wall injury-6(3.9%), tension pneumothorax-5(3.2%), and flail chest-3(1.9%). More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. Re-insertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients recovered well, 43(27.9%) patients developed complications and 6(3.9%) patients died. \u0000Conclusion: Most of the patients were in 3rd decade with male predominance. Road traffic accident was the commonest cause and open pneumothorax was the commonest chest trauma. Three-fourths were managed by tube thoracostomy. Nearly one third of the patients had developed complications and about four percent of patients died. \u0000Journal of Surgical Sciences (2019) Vol. 23 (1) : 19-24","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84987831","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":"Promising new technique for treatment of hemorrhoids- Our experience","authors":"S. K. Mondal, Sharmistha Roy, M. S. Uddin","doi":"10.3329/jss.v21i2.43898","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43898","url":null,"abstract":"Background: Stapled Hemorrhoidopexy (SH) is a new technique with less pain than conventional hemorrhoidectomy and can be used in the management of second, third and fourth degree hemorrhoidal disease. \u0000Objective: To show the effectiveness of Stapled Hemorrhoidopexy as a treatment option of symptomatic hemorrhoid. \u0000Methods: This is an observational study. The medical records of 72 patients who had under gone Stapled Hemorrhoidopexy for symptomatic hemorrhoid disease from July 2011 to June 2013 in BIRDEM General Hospital under a same surgeon were evaluated. Data regarding postoperative pain, early and late postoperative outcome were recorded. Patient's satisfaction assessed at 18 months follow up. \u0000Results: The study included 72 patients (50 men, 22 women) between 22 - 74 years of age (median age 39 years). The operating time was around 35 minutes. The median hospital stay was 40 hours (11- 72 hours). Early complications were fecal urgency (13.8%), urinary retention (22%), and rectal bleeding (2.77%). Late complication was pruritus ani (12.5%), thrombosis external hemorrhoids (1.38%), staple line stenosis (1.38%), recurrent hemorrhoid (2.77%), anal fissure (2.77%), and persistent mucous discharge (5.55%). The recurrence rate was 2.77% at 18 months follow up. \u0000Conclusion: Stapled hemorrhoidopexy can be safely performed with low recurrence and complication rates while offering a relatively painless postoperative period for the patient. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 65-69","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75452481","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 error","authors":"A. Sharfuzzaman","doi":"10.3329/jss.v22i1.44007","DOIUrl":"https://doi.org/10.3329/jss.v22i1.44007","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2018) Vol. 22 (1): 9-10","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90141890","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 alvarado score in diagnosis of acute appendicitis","authors":"-. Md Fardhus, A. Sharfuzzaman, Md. Nayeem Dewan, Joy Zakharia Rab","doi":"10.3329/jss.v21i2.43916","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43916","url":null,"abstract":"Background: Appendicitis may be associated with morbidity and occasionally mortality. If failed to diagnose early, the situation may become more complicated. \u0000Objective: To validate the role of Alvarado score in diagnosis of acute appendicitis. \u0000Methods: A total of 282 patients with clinically diagnosed acute appendicitis were included in this study. Patients were examined thoroughly, investigated and managed accordingly. The relevant data collected and analyzed. Results: Out of 282 patients, surgical procedures were performed in 59.57% of the patients. The overall negative Appendectomy rate was 9.52%, and the percentage of Positive Predictive Value (PPV) for Alvarado score was 92.26%. \u0000Conclusion: Our study validates the Alvarado score as fast, simple and reliable diagnostic tool for acute appendicitis. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 94-98","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83566597","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":"Classification and Management of iatrogenic bile duct injury","authors":"Mohammad Ali, Kazi lsrat Jahan","doi":"10.3329/jss.v21i2.43920","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43920","url":null,"abstract":"The laparoscopic cholecystectomy is considered the gold standard for the treatment of benign gall bladder disease, which is associated with an increased incidence of biliary injuries. These types of injuries are multicausal, and anatomical variations or anatomical perception errors are the most common risk factors. Iatrogenic bile duct injuries are complex alterations and constitute one of the most serious complications of a cholecystectomy and require a comprehensive approach, proper drainage and timely referral to adequate treatment to improve long-term prognosis. Reconstruction and treatment techniques have been evolving. The selection of adequate treatment will impact on the patient, s quality of life. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 110-114","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79069056","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":"C -reactive protein in assessment of severity acute pancreatitis","authors":"Kazi Mazharul Lslam, Md Aminul Lslam, Mashfique Ahmed Bhuiyan, Azizur Rahman Muyaz, Mohammad Masum","doi":"10.3329/jss.v21i2.43902","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43902","url":null,"abstract":"Background: Acute pancreatitis (AP) is an acute inflammation of the pancreas and clinical evolution is frequently unpredictable. Numerous predictive markers have been studied to assess severity in AP, including clinical assessment, clinical-physiological scoring systems, imaging techniques, and biochemical markers in different body fluids. \u0000Objective: This study was done to see the association between level of CRP and severity of acute pancreatitis. Methods: 50 patients diagnosed as acute pancreatitis based on operational definition admitted in Dhaka Medical College Hospital was included in the study. Patients' admission date back from 1ST August, 2016 to 31december, 2015. Conservative management started from the date of admission as per standard conservative management protocol. Patients were monitored by RANSON scoring system and categorized as mild if RANSON score is <3 and categorized as severe if the score is ≥3. At the same time serum CRP level was measured on day 2, 3 and 7. Then the correlation between the severity of the disease and measures of CRP was established by unpaired t test and x2 test. \u0000Results: Over 6 months of study period 50 patients were treated for pancreatitis in different medical and surgical unit of Dhaka Medical College Hospital. Etiological analysis revealed mostly caused by biliary disease (40%) followed by idiopathic, alcoholic, post ERCP and post traumatic. Based on RANSON score about 34 patient developed mild acute pancreatitis and 16 patient developed severe acute pancreatitis. Then CRP value of this two groups was compared on day 2, 3, 7 by unpaired t test with P value<.001 in all 3 days. ROC curve was plotted to determine specificity and sensitivity with a cut off value of CRP 132mg/l. Sensitivity and specificity was 75% and 55.8% accordingly. Conclusion: In a patient with acute pancreatitis the use of RANSON scoring system is not always possible as many of the investigation are not easily available in our set up. In our study we have found that serum CRP level is significantly (cut off value 132) higher in patient with sever acute pancreatitis. This will allow high proportion of patients with mild disease to be managed in low-cost hospital beds. Acute pancreatitis is an important cause of hospital admission with acute abdomen. It is responsible for significant morbidity and also mortality in patients \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 80-84","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75419485","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":"Pneumothorax and pneumoperitoneum caused by penetrating chest injury","authors":"K. Alam, Md Shah Alam Sarker, Md Khaled Hasan, Prawesh Maharjan","doi":"10.3329/jss.v22i1.44030","DOIUrl":"https://doi.org/10.3329/jss.v22i1.44030","url":null,"abstract":"Pneumothorax and pneumoperitoneum caused by penetrating chest injury are rare. Pneumoperitoneum following trauma usually indicates the presence of a perforated intraabdominal hollow viscous. Other causes of pneumoperitoneum are through the abdominal wall, through the diaphragm, through female genital tract and through retroperitoneum. Here we report an unusual case of pneumothorax and pneumoperitoneum caused by penetrating injury in the posterior aspect of chest in a young male patient of 33 years who presented to us with chest & abdominal pain & breathlessness. The diagnosis was made on clinical & radiological examination. Tube thoracostomy was done followed by laparotomy and repair of diaphragmatic & splenic injury. Post operative recovery was uneventful & the patient was discharged on 9th p.o.d after removal of thoracostomy tube & wound stiches. \u0000Journal of Surgical Sciences (2018) Vol. 22 (1) : 67-69","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78428351","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}