Journal of Surgical Sciences最新文献

{"title":"From the Desk of Editor in Chief","authors":"Salma Sultana","doi":"10.3329/jss.v22i2.44232","DOIUrl":"https://doi.org/10.3329/jss.v22i2.44232","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2018) Vol. 22 (2) : 142","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79394978","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":"Marching to the eighth edition. What is new in the ajcc cancer staging system?","authors":"Md. Mizanur Rahman","doi":"10.3329/jss.v21i2.43897","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43897","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2017) Vol. 21 (2) : 61-63","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81602006","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":"Short-term outcome of Laparoscopic Appendicectomy and Open Appendicectomy in acute appendicitis- a comparative study","authors":"Mashfique Ahmed Bhuiyan, M. A. Bashar, A. Rahman, Md Aminul Islam, Kazi Majharul Lslam, M. Murshed, A. Alam","doi":"10.3329/jss.v21i2.43899","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43899","url":null,"abstract":"Background: Appendectomy, though being performed by both open and laparoscopic methods, there is a lack of consensus regarding which is the most appropriate method. This study will document important variables and parameters to compare therapeutic benefit of laparoscopic Appendectomy (LA) and open Appendectomy (OA). Objective: The study aimed at comparing the short- term outcome of laparoscopic Appendectomy and open appendectomy in cases of acute appendicitis, in terms of postoperative pain and complications, hospital stay, recovery and return to normal activities. \u0000Methods: Whenever there was clinical suspicion of acute appendicitis, the patient was admitted to hospital, relevant history was recorded and clinical examination was conducted, necessary laboratory and imaging studies were performed and patient satisfying the inclusion and exclusion criteria was included in the study. The Appendectomy procedure was attended by the investigator and all relevant perioperative data were recorded. \u0000Results: Post-operative pain was mostly mild in LA group (40%), while in OA, it was mostly severe (38%) and moderate (34%). Postoperative complications were significantly higher in OA than in LA. Hospital stay was longer in OA (7.03 days) than LA (3.49 days). Early recovery and return to full normal activity was noted in LA (5.56 days) than in OA (11.26 days). Moreover, operative time was shorter in LA (56.37 min), than in OA (71.86 min). \u0000Conclusion: Laparoscopic Appendectomy have clear advantages over open Appendectomy in respect to short term results. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 70-75","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":"88936025","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":"Incidence of non biliary non alcoholic acute pancreatitis in a tertiary hospital","authors":"M. Rahman, Hma Rouf, Mahjabeen Rahman, M. Islam, Mohammad Ehasun Uddin Khan, F. Afroz","doi":"10.3329/jss.v21i2.43911","DOIUrl":"https://doi.org/10.3329/jss.v21i2.43911","url":null,"abstract":"Background: Acute pancreatitis is an important cause of hospital admission with acute abdomen. It is responsible for significant morbidity and also mortality in patients. \u0000Objective: To determine the incidence of non-biliary nonalcoholic acute pancreatitis (Non A non B) and also to compare the incidence with alcoholic and biliary pancreatitis in the department of surgery of Chittagong Medical College Hospital, Bangladesh as well as with the developed countries \u0000Methods: This prospective study was carried on 75 patients of both sex having acute abdominal pain characteristic of acute pancreatitis and serum amylase >3 times normal, admitted in General Surgery wards in CMCH and supported by biochemical test during June 2008 to May 2010. \u0000Results: The mean (±SD) age was 36.1±15.4 years and 32.7±14.3 years in male and female group respectively (p>0.05) and maximum number was found in the age group of 20-30 years in both groups. Choledocolithiasis were 2(33.3%) and 7(21.9%) in male and female respectively evaluated by USG. Sludge in GB 1(16. 7%) in male and 7(21.9%) in female. Biliary ascariasis 3(50.0%) and 16(50.0%) in male and female respectively. Alcoholic was found 4(16.0%), Biliary 2(8.0%) and Non Alcoholic non Biliary 19(78.0%) in male patients. Biliary 32 (64.0%) and Non Alcoholic non Biliary 18(36.0%) in female patients. The difference was statistically significant (p<0.05). It was observed that the total patients were 75 among them Alcoholic was 4(5.3%), Biliary was 34(45.3%) and Non Alcoholic non Biliary was 37(49.3%) of study patients. \u0000Conclusion: Non-A non-B acute pancreatitis accounts for about a half - of all cases of acute pancreatitis and is significantly less frequent among female patients. Biliary pancreatitis was higher in female subjects. Bilio pancreatic ascariasis is 50.0% in both male and female subjects. \u0000Journal of Surgical Sciences (2017) Vol. 21 (2): 85-88","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82046250","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 BLEEDING AFTER LAPAROSCOPIC GASTRIC-SLEEVE: WHAT OPTIONS DO WE HAVE?","authors":"I. Slavu, Tulin Adrian, D. Păduraru, Socea Bogdan, Braga Vlad, Alecu Lucian","doi":"10.33695/JSS.V7I1.292","DOIUrl":"https://doi.org/10.33695/JSS.V7I1.292","url":null,"abstract":"Laparoscopic sleeve gastrectomy is a relatively simple procedure, but the complications can quickly become life-threating. The aim of this study was to investigate based on our experience when is best to follow a conservative protocol in postoperative bleeding after sleeve gastrectomy. The study is retrospective, we identified a number of 150 cases of sleeve gastrectomy, of which 18 has postoperative bleeding.  A conservative approach with close observation (ultrasound, CT, Hb levels) was practiced in 10 cases and no surgical intervention was required.  The recommendations are as follows: The first and obvious recommendation is to stop anticoagulants. The perigastric drainage should drain, if Hb levels go down an nothing is coming through the drain consider other sources of bleed or try to reopen the blocked drain. A blood cloth developed around the bleeder may maintain the active bleed due to local fibrinolysis, in these cases, one should take into consideration guided drainage (ultrasound/CT) and monitor Hb levels afterward. The presence of a small perigastric collection without clinical manifestation should be left as such. Take into consideration reintervention if: signs of hypovolemia are present (tachycardia, hypotension, profuse sweating), Hb below 7g/dL. The patient's clinical state should always play an important role in decision making.","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81175249","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":"Complete mesocolic excision for right sided colonic carcinoma - Our Experience in tertiary care hospital","authors":"S. K. Mondal, Sharmistha Roy, M. S. Uddin, M. Murshed, Abul Bashar","doi":"10.3329/jss.v21i1.43833","DOIUrl":"https://doi.org/10.3329/jss.v21i1.43833","url":null,"abstract":"Background: The concept of Complete Mesocolic Excision(CME) as a surgical techniquefor colonic carcinoma.was first introduced in the west in 2008. CME follows the sameprinciple as Total MesorectalExcision(TME) in rectal carcinoma. We have adopted this newtechnique since 2014. \u0000Objective: Here we describe the CME technique in open and laparoscopic right hemicolectomy,and our initial experience of the surgery. \u0000Methods: This is a prospective observational study. Data collected from 24 patientsadmitted under our care in BIR DEM General Hospital from January 2015 to January 2017with carcinoma caecum or ascending colon. \u0000Results: Out of 24 patients 14 patients opted for laparoscopic right hemicolectomy and 10patients choose open right hemicolectomy. In laparoscopic right hemicolectomy with CMEthe mean operating time was 152 minutes, amount of blood loss ranges 70-100ml.Number of lymphnodes removed enbloc with specimen 25-30(mean27). Distance oftumor from mesenteric margins at the point of vascular tie 11-15 cm. In open righthemicolectomy with CME mean operating time was 142 minutes, estimated blood loss120-300 ml, harvested lymph nodes within mesocolic envelop 24-31(mean27), anddistance of tumor from vascular tie is 9-15 cm. there is one major complication of uretericinjury. Histopathology shows resection margin are free of tumor in all except 2 cases. \u0000Conclusion: Right hemicolectomy with CME in both open and laparoscopic approach canbe easily adopted by general surgeons and colorectal surgeons who are performing'standard technique' or 'conventional technique' routinely for right hemicolectomy. Withthe encouraging results available from centers who are routinely performing CME incolonic surgery it is now considered as the new bench mark of quality of standard colonicsurgery. \u0000Journal of Surgical Sciences (2017) Vol. 21 (1) :15-18","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"177 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76941180","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 Tuberculous Mastitis","authors":"R. Laila, S. Banu, J. Raihan","doi":"10.3329/jss.v21i1.43834","DOIUrl":"https://doi.org/10.3329/jss.v21i1.43834","url":null,"abstract":"Background: Tuberculous mastitis is a rare entity in patients with mammary diseaseeven in countries where incidence of tuberculosis is high. In Bangladesh, TB is anendemic disease but breast tuberculosis is rarely reported. Its clinical patterns andtreatment strategies are changing day by day. \u0000Objective: To analyze the clinical presentations , diagnosis and treatment of tuberculousmastitis \u0000Methods: This is a prospective nonrandomized descriptive study to analyze clinicalpresentations, diagnosis and treatment of hundred (100) cases received care for tuberculousmastitis at the Chest Disease Hospital, Rajshahi, from July' 2012 to July' 2016.Diagnosis was made in all patients by cytological examination from suspected lesions,which revealed typical tuberculous lesions. Patient with some atypical presentationsand doubts in the diagnosis needed histopathological examination and Gene x-pert testto exclude idiopathic granulomatous mastitis and concomitant malignancy. \u0000Results: Most of the patients were within reproductive age. The disease affecting theright breast in fifty six patients (56%), left breast in forty three patients (43%) andbilateral in one patient (1%). Palpable lump were present in eighteen patients (18%),chronic discharging sinus with or without lump in thirty four (34%) and breast abscesswith or without discharging sinus in eighteen patients (18%),recent abscess drainagescar with lump in thirty patients(30).Medical therapy with anti-tubercular drugs ranging from 9 to 12 months with follow upmonthly was the mainstay of treatment. Surgical intervention reserved for selectedrefractory cases. Extension of anti-tubercular therapy from 9 to 12 or 18 monthsrequired in fifty-eight(58) patients on the basis of slow clinical response. Completeresolution obtained in 92 patients but residual tiny mass in eight patients confirmed byrepeated FNAC to be fibrotic. \u0000Conclusion: Treatment is simple but high index of suspicion is the cornerstone fordiagnosis. \u0000Journal of Surgical Sciences (2017) Vol. 21 (1) :19-23","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88193746","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":"Obituary 2015","authors":"Md Ibrahim Siddique","doi":"10.3329/jss.v19i2.44033","DOIUrl":"https://doi.org/10.3329/jss.v19i2.44033","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 89","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"125 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77877812","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":"CRC Screening: Current Trend and Feasibility","authors":"Rashidul Islam, S. H. Sheikh, A. Taher, S. Khatun, Ahsan Habib, G. Salauddin, T. Khan, Sudersona Saha Podder, B. Debnath","doi":"10.3329/jss.v19i2.43986","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43986","url":null,"abstract":"Colorectal cancer, a rising health concern of both east and west , can be prevented and it’s mortality can be reduced by screening all men and women of average risk  at the age of 50 years or older and  at an earlier age for  high risk group of colorectal cancer. Several tests are available for colon cancer screening, including fecal occult blood test (FOBT), flexible sigmoidoscopy, double-contrast barium enema, and colonoscopy. Direct and indirect evidence indicates that all the tests are effective, but they differ in their sensitivity, specificity, cost, and safety. The available evidence does not currently support choosing one test over another. In addition, other new colorectal cancer tests, such as virtual colonoscopy or stool-based molecular testing, have the potential to become important screening tests in the future. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 61-66","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"77 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83405133","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":"Breast Conservation in Breast Cancer: A Bangladesh Experience","authors":"P. Akhtar, Syeeda Hasina Azam, S. K. Hasan, Z. M. Masud, N. Khatun, M. Hossain, L. Nahar, R. Sharif, A. Nafisa","doi":"10.3329/jss.v19i2.43983","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43983","url":null,"abstract":"Background: Breast cancer is one of the most common cancers in Bangladeshi women. Breast sacrificing treatment is still now the common practice in our country. Now a day’s breast conservative treatment is the standard treatment of breast cancer without compromising the survival. \u0000Objective: To observe local recurrence and distant metastasis free survival and overall survival of patients with breast cancer. \u0000Methods: Between January 1996 and December 2010, breast conserving treatment was carried out in 237 female patients with breast cancer in different Institutions of Bangladesh. Clinical staging was recorded by physical examination, relevant investigations as well as surgical records. Revised breast conserving surgery was carried out in those who had positive surgical margins or palpable disease. The patients with large but operable cancer or locally advanced cancer were treated by neoadjuvant chemotherapy followed by breast conserving surgery. Systemic adjuvant therapy (chemotherapy and or hormone therapy) and adjuvant radiotherapy were given in all patients. After completion of treatment, the patients were followed up with a standard protocol and data were compiled and analysed. \u0000Results: Among 237 patients who underwent breast conserving therapy 13 patients were excluded from the study for various reasons. Total 224 female patients with breast cancer who followed all the treatment schedules and attended for regular follow up were included in the study. They were between 22- 74 years of age, mean age 42.35 years; premenopausal 152 (68%). Sixty five percent (146 patients) was localized cancer (T1-2N0M0), 31.6% was regional cancer (T1-3N1M0), five cases were locally advanced stage (T4bN12M0) and two metastastatic cancer (T2-3N1M1).  All most all (98%) were Infiltrating duct cell carcinoma except four which were Intraductal carcinoma in situ (IDIS).  Estrogen and progesterone receptors were positive in 57% , HER2 positive (+++) in 24% of Patients. Lumpectomy/quandrentectomy with/without axillary clearance was done in 158 patients, revised breast conserving surgery in 53 cases, mastectomy in 8 cases and only biopsy done but no surgical treatment in five cases.Chemotherapy was given in 192 patients (86%); adjuvant 122 cases and neoadjuvant 70 cases. Hormone therapy in 182 patients. Radiotherapy: in 222 cases. Follow up period  was 4 years  to 19 years, median 10 years. Overall survival (OS) and disease free survival (DFS) was 84% and 70% respectively. Local recurrence occurred in 14(6%) cases and distant metastasis in 54 cases (24%). Conclusion: Breast conserving treatment was satisfactory for appropriate case selection and optimized therapy. Survival was no way worse than breast sacrificing treatment. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 55-60","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85502841","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}