Journal of Surgical Sciences最新文献

{"title":"Rhabdomyolysis after Hand Assisted Laparoscopic Donor Nephrectomy: Calgary’s experience","authors":"R. Rochon, M. Monroy, S. Yilmaz","doi":"10.3329/jss.v19i2.43980","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43980","url":null,"abstract":"Background:  Rhabdomyolysis is a post-operative complication resulting from skeletal muscle injury during the surgery.  The true incidence of rhabdomyolysis in laparoscopic living donor nephrectomy is unknown due to a paucity of evidence in the literature. Rhabdomyolysis can have serious short-term and long-term consequences for the living kidney donors. There have been a number of risk factors identified that may increase the risk of rhabdomyolysis. \u0000Materials and Methods: Our program has offered a hand assisted laparoscopic donor nephrectomy approach for our donors since 2001.We have performed 209 kidney transplants using this approach.  The institution’s database was searched for postoperative complications. Three donor patients with post-operative rhabdomyolysis were identified. \u0000Results: All three patients were young healthy males.  The operative times were all greater than four hours.  Fortunately, all three patients were recognized early and received treatment promptly.  Dialysis was not required and no long-term renal dysfunction occurred. \u0000Conclusion:  Rhabdomyolysis is an uncommon post-operative complication following hand assisted laparoscopic living donor nephrectomy.  We have a high index of suspicion for rhabdomyolysis to promptly recognize this rare but potentially serious complication after any operation lasting greater than 4 hours.  Creatinine Kinase levels have been implemented at our centre for all living kidney donors. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 44-47","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84298206","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":"Microvascular Surgery Training in National Institute of Burn and Plastic Surgery (NIBPS), DMCH","authors":"N. Khan, T. Satter","doi":"10.3329/jss.v19i2.43982","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43982","url":null,"abstract":"Microvascular surgery is a standard procedure in various surgical specialities. For the beginner the logical approach is to start the training with the materials like latex gloves and silastic tube, moving to animal cadaver and finally living animal. In all respect, the training in this particular speciality is costly and facilities are very limited in Bangladesh. Microsurgical training laboratory in National Institute of Burn and Plastic Surgery in Dhaka medical College Hospital conducting courses on Basic and Advanced microsurgery training since July’ 2013. In this paper we introduce the importance and low cost opportunity of training, so that skill would be mastered first in the lab and then applied in real life. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 52-54","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90170718","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":"Metastatic Melanoma in the Breast with unknown Primary","authors":"T. K. Paul, Mosammat Mira Pervin","doi":"10.3329/jss.v19i2.43989","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43989","url":null,"abstract":"Secondary in the breast is a very rare condition but may occur usually from contralateral breast and from others like lymphoma, melanoma, ovarian tumors, and pulmonary malignancies and  malignancies of the gastrointestinal and genitourinary tract. Among the primary diseases, melanoma is notorious and unpredictable in its metastatic potentiality and organ of dissemination. There are few reported cases with metastatic melanoma in the breast. We report a case of metastatic deposits in the breasts of a 45year-old lady who presented with bilateral breast lumps with axillary lymphadenopathy having no primary site of melanoma. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 72-74","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81262007","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":"Laparoscopic Cholecystectomy- A Safe treatment option for Gangrenous Cholecystitis 48 and Empyema Gallbladder in experienced hands","authors":"S. K. Mondal, Sharmistha Roy","doi":"10.3329/jss.v19i2.43981","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43981","url":null,"abstract":"Background: Laparoscopic cholecystectomy has become the gold standard of treatment for gall stone disease and in acute cholecystitis. But controversy persists regarding laparoscopic approach to gangrenous gallbladder and empyema gallbladder due to the risk of life threatening complications. We share our experience in a tertiary care multidisciplinary diabetic hospital where we encounter significant number of patients with empyema Gallbladder and gangrenous gallbladder because most of our patients are diabetic and hence immunocompromised. Purpose of this study was to evaluate the safety of laparoscopic procedure for the treatment of empyema of gallbladder and gangrenous gallbladder in an experienced hand. \u0000Methods & Materials: Between January 2013 and January 2015 we performed 1191 cases of laparoscopic cholecystectomy. Empyema gallbladder and gangrenous gallbladder were found per operatively in 345 and 53 cases respectively.All were managed by laparoscopic procedure except two cases, where conversion to open cholecystectomy was needed. \u0000Result: The mean operating time was 72 minutes(45-100 minutes) in empyema gallbladder. In gangrenous cholecystitismean operating time was 80 minutes(60-100 minutes). Total number of patients (including empyema gallbladder 345 and gangrenous cholecystitis 53) were 398. Among them 52 patients (13%) had excessive bleeding(>100ml) from calot’s triangle or gallbladder bed in liver. Spillage of stones occurred in 28 patients (7%). 1 patient had common bile duct injury (.25%). Gallbladder retrieval was difficult in 71 patients (18%). In the post operative period 21 patient (5%) developed minor port infection in the umbilical port. 9 patients (2%) developed chest infection, and 1 patient (.25%) developed MI. 356 patients (89%) were discharged within 72 hours of surgery. \u0000Conclusions: Innovative technique, appropriate instruments, knowledge about the possible risks and way to manage them, with expertise in intracorporeal suturing and knotting are an essential pre requisites to attempt these cases. Operating time is more but post operative recovery is prompt. Hospital stay is significantly less than open cholecystectomy. Laparoscopic cholecystectomy is a safe procedure in cases of Empyema and gangrenous gallbladder, provided the surgeon is experienced enough and has a low threshold to convert to open cholecystectomy at anypoint of time. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 48-51","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"2011 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86338536","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 Cancer in Bangladesh","authors":"P. Akhtar","doi":"10.3329/jss.v19i2.43979","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43979","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 42-43","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86128843","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":"Treatment of Chronic Anal Fissure","authors":"A. Tarique, Manjurul Alam","doi":"10.3329/jss.v19i2.43987","DOIUrl":"https://doi.org/10.3329/jss.v19i2.43987","url":null,"abstract":"Chronic anal fissure is a non healing ulcer in the anoderm appearing as a painful tear below the dentate line. There are debates about the efficacy of different treatment options for chronic anal fissure. This review aims to evaluate existing and newer treatment modalities. Aspects of chronic anal fissure aetiology and pathogenesis are also reviewed. Glyceryl trinitrate (GTN) ointment, Diltiazem ointment can be used as first line and Botulinum toxin (BTX) injection as second line pharmacological treatment. The effects of these chemicals are not permanent with higher fissure recurrence rates. Lateral internal sphincterotomy is the operative treatment of choice for fissures with high anal tone. Flap anoplasty should be done for fissures with normal anal tone especially in female patients. Both surgical procedures can be used as primary treatment option. The newer treatment options like gonyautoxin, controlled balloon anal dilatation, closed anal spand fissurotomy need more research. Perineal support device can be used as an adjunct to other treatment modalities. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 67-71","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81402702","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":"Gastrointestinal stromal tumor of rectum","authors":"R. Rahman, S. H. Sheikh, I. J. Lima, Most Bilkis Fatema, A. Alam, G. Salahuddin, Rashidul Islam, K. N. Naznin, T. A. Khan, Mosammat Mira Pervin, A. Taher","doi":"10.3329/jss.v19i2.44006","DOIUrl":"https://doi.org/10.3329/jss.v19i2.44006","url":null,"abstract":"Although gastrointestinal stromal tumors (GISTs) frequently occur in the gastrointestinal tract, they are relatively rare in the rectum. Biopsy of the lesion and immunohistochemistry (IHC) confirm the diagnosis. Complete surgical resection is the principal curative procedure. In combination with surgery, immunotherapy with Imatinib shows cure in intermediate risk and improvement in high risk rectal GIST. We report a case of a 45-yearold female who  presented with constipation and generalized weakness, ultimately diagnosed to have rectal GIST. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 85-88","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84018219","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":"Laparoscopic Cholecystectomy in A Case of Symptomatic Cholelithiasis with Situs Inversus Totalis","authors":"S. S. Haque, Syed Al Fesuny, Belaluddin, S. Kabir, Meer Ishrat Jahan","doi":"10.3329/jss.v19i2.44005","DOIUrl":"https://doi.org/10.3329/jss.v19i2.44005","url":null,"abstract":"Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world now a days.  Chronic cholecystitis in a patient with situs inversus totalis may pose diagnostic and therapeutic challenges specially while laparoscopic cholecystectomy is to be carried out. We discuss one such case and make an outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 82-84","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88545020","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":"Eosinophilic Ureteritis: Report of A Rare Case","authors":"H. Asad, Towhid Belal, K. Islam, P. Saha","doi":"10.3329/jss.v19i2.44004","DOIUrl":"https://doi.org/10.3329/jss.v19i2.44004","url":null,"abstract":"During evaluation for left loin to groin pain, a 14- year-old boy was found to have left mid ureteric stricture with proximal hydro-ureteronephrosis on imaging. Pus cells were present in his urine with a raised serum creatinine level. There was peripheral eosinophilia and biopsy near the stricture revealed eosinophilic ureteritis. The patient was evaluated to find out the possible causes of eosinophilia. Here we report a case of eosinophilic ureteritis for its rarity. \u0000Journal of Surgical Sciences (2015) Vol. 19 (2) : 80-81 ","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73643963","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":"Idiopathic Granulomatous Mastitis: In Search of a Therapeutic Template","authors":"S. Khan, A. Ali","doi":"10.3329/jss.v20i2.43815","DOIUrl":"https://doi.org/10.3329/jss.v20i2.43815","url":null,"abstract":"Background: Granulomatous mastitis also known as granulomatous inflammatory lesionsof the breast can be divided into idiopathic granulomatous mastitis and granulomatousmastitis occurring as a rare secondary complication of a great variety of other conditions.Treatment is radically different for idiopathic granulomatous mastitis and other granulomatouslesions of the breast, the precise diagnosis is therefore very important. \u0000Objectives: The purpose of this study was to find the clinicopathological features ofidiopathic granulomatous mastitis, as well as the authors' experience with surgicaltreatment of these patients. \u0000Methods and Materials: A hospital based retrospective study done with twenty diagnosedpatients of idiopathic granulomatous mastitis enrolled from department of surgery, Ad-dinwomen's.medical college hospital, Dhaka in the period between July 2012- July 2015. \u0000Results: Mean age of presentation was 38.1 years. All patients had a history of childbirthand breastfeeding. Sixteen (80%) patients were premenopausal. The main clinical featurewas a mass in the breast in all patients and clinical findings suggesting an infection accompaniedthe mass in seven patients (35%). Surgery was the definitive procedure in allpatients. Wide local excision done in all patients. None of the patients received steroids.Median follow-up time was 12 months. During follow-up, two patients (10%) presented withrecurrence. All patients with recurrence had a mass in their breasts on the same side ofprevious disease. \u0000Conclusion: Increased recognition of this disease will improve its understanding andmanagement. Long-term follow-up is necessary. \u0000Journal of Surgical Sciences (2016) Vol. 20 (2) :51-54","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77356384","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}