Journal of Surgical Sciences最新文献

{"title":"Idiopathic Granulomatous Mastitis: Dilemmas in Diagnosis and Treatment","authors":"A. Hossain","doi":"10.3329/jss.v20i1.43793","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43793","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) :2","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86155866","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":"Urolithiasis Associated with Renal Impairment: Management and its Outcome","authors":"Jamal E Rabby, M. Zaman, M. Ali, Kabirul Hassan, Shohidul Lslam, Mustafizur Rahman, Atm Asbaduzzaman","doi":"10.3329/jss.v20i1.43797","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43797","url":null,"abstract":"Background: Urolithiasis may be associated with various degree of renal impairment secondaryto a combination of obstruction, urinary infection, long standing calculus, stone burden,frequent surgical intervention, and co-existing medical diseases. \u0000Objective: The purpose of the study is to predict the factors those have a significant impact foroutcome of the patients with renal impairment following treatment of urolithiasis. \u0000Methods: Fifty patients of urolithiasis with renal impairment were enrolled in this prospectivestudy, carried out between 1st July, 2008 and 30th June, 2009, at department of Surgery,Shaheed Ziaur Rahman Medical College Hospital, Bogra. Patients with renal impairment wasdefined as a baseline serum creatinine of >1.2mg/dl and/or on the basis of DTPA isotoperenogram findings (mild, moderate or severe impairment). Definite management was carriedout by means of open surgery, ESWL or in combinations available at study place. Follow-up after3 months, the postoperative renal functional outcome was defined as improved (>20% fall inserum creatinine), stabilized (<20% rise or <20% fall in serum creatinine), or deteriorated(>20% rise in serum creatinine). Renal function was also assessed by the impression madefrom the graph of DTPA isotope renogram (normal functioning or mild, moderate and severeimpairment). Predictive factors to be evaluated for the stone clearance and renal functionaloutcome were age of the patients, duration of symptomatology and urolithiasis, associateddiseases (hypertension and diabetes mellitus), stone burden, stone number and associatedurinary infection. \u0000Results: After 3 months of follow-up, the overall stone clearance rate was 76%. Out of 50patients, 27 patients (54%) showed improvement, 19 patients (38%) showed stabilization, and04 patients (08%) showed deterioration in their renal function. Age <40 years, duration ofsymptoms <6 months, stone burden <5 cm2 and single urinary stone were significant predictorsof subsequent good renal functional outcome. \u0000Conclusion: The renal recoverability rate after treatment of urinary stone disease could bepredicted by age, duration of symptoms, stone burden and stone number \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 18-23","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77964693","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":"Outcome if Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer: A Tertiary Care 11 Center Experience","authors":"S. Rahman, P. Akhter, N. Khatun, Hasanuzzaman, M. Rahman, Nabir Hossen, A. U. Haque, A. Bhattacharjee","doi":"10.3329/jss.v20i1.43796","DOIUrl":"https://doi.org/10.3329/jss.v20i1.43796","url":null,"abstract":"Background: Breast cancer is the most common cancer of Bangladeshi women. Almost allpresent with palpable lump and 40% of them are with locally advanced breast cancer.Neoadjuvant chemotherapy is the standard choice of treatment for the patients. \u0000Objective: To observe the clinical and pathological response of locally advanced breastcancer after four cycles of chemotherapy and surgery. \u0000Methods: This prospective study was carred over the newly diagnosed locally advancedbreast cancer (LABC) patients from January 2010 to December 2014. Before going toneoadjuvant chemotherapy each patient was evaluated clinically, radiologically and withother relevant investigations. The size of primary tumor and axillary node was measured andrecorded. Chemotherapy schedule with Cyclophosphamide 600mg/m2 and Doxorubicin60mg/m2 (AC) and compared with the previous record. After 3-4 weeks of completion ofchemotherapy, the patients was prescribed and carried out three weekly for four cycles.Primary tumor size and axillary nodal size was measured who were undergone mastectomyand axillary dissection. Histopathology was done to see then the pathological response ofprimary tumor and axillary node. Other biological marker such as estrogen receptor (ER),progesterone receptor (PR) and Human epidermal growth receptor (HER-2) was done. Aftercompletion of study the data was compiled and analyzed. \u0000Results: Total 220 cases of LABC were enrolled in this study. After four cycles of chemotherapywith AC, 194 patients (88%) responded clinically, 29 patients (13%) showedcomplete clinical response (cCr)-and 165 patients (75%) partial response (pCr). Surgicalspecimen showed complete pathological response (cPr) in 22 patients (10%). \u0000Conclusion: Neoadjuvant chemotherapy with AC is the standard chemotherapy schedule forlocally advanced breast cancer and radical surgery was possible in 75% of the patients. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 13-17","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77617047","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":"Gastric Lipoma","authors":"Mustafizur Rahman, A. Kutubi, M. S. Khan, Mansurul Lslam, Kamruzzaman Al Mahmud, Sharmin Lslam","doi":"10.3329/jss.v18i2.43760","DOIUrl":"https://doi.org/10.3329/jss.v18i2.43760","url":null,"abstract":"Lipoma, a universal tumor of adult fat cells is usually encountered in the subcutaneous plane. However no part of human body is spared of having lipomas. Gastrointestinal lipomas though rare, may prove to be more dangerous and needs special attention for diagnosis and treatment. Here, we report a 55 year old female with gastric lipoma who presented with upper abdominal pain, dyspepsia and acute upper gastrointestinal bleeding. \u0000Journal of Surgical Sciences (2014) Vol. 18 (2) : 74-77","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80895691","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":"Outcome of Laparoscopic Versus Open Abdominal Rectopexy for the Treatment of Complete Rectal Prolapse-Our experience in Bangabandhu Sheikh Mujib Medical University","authors":"K. N. Naznin, S. H. Sheikh, A. Habib, Rashidul Lslam, A. Alam, G. Salahuddin, R. Rahman","doi":"10.3329/jss.v19i1.43769","DOIUrl":"https://doi.org/10.3329/jss.v19i1.43769","url":null,"abstract":"Background: Complete rectal prolapse is a very distressing condition. In adults, the only potentially curative treatment for complete rectal prolapse is surgery either by transabdominal or perinea! approaches. Till date abdominal rectopexy is considered as the standard surgical treatment for complete rectal prolapse, which can be done laparoscopically or by open procedure. \u0000Objective: The purpose of the study was to observe the outcome of Laparoscopic rectopexy in the treatment of complete rectal prolapse by subjective assessment and to compare the result with that of conventional open abdominal rectopexy. \u0000Methodology: This randomized clinical trial was carried out in the Department of Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2012 to June 2014 for a period of twenty four (24) months. Patients who presented with complete rectal prolapse with age ranging from 25 to 70 years irrespective of gender were selected as study population. Patients were randomized by lottery method into two groups as group I who underwent laparoscopic rectopexy (LR) and group II who underwent open rectopexy (OR). \u0000Result: A total number of 50 patients were recruited in this study of which 25 patients were. in group I and 25 patients were in group II. The mean (s.d.) age was 49.40 (13.22) years and 46.48(13.27) years in group I and group II respectively (p>0.05). The mean (s.d.) operative time was 115(19) minutes in group I and 75(12) minutes in group II (p<0.05). In this study 1(4.0%) patient and 6 (24.0%) patients had abdominal wound infection in group I and in group II respectively (p>0.05). Mean (s.d.) ambulation time was 1.96 (0.67) days in group I and 3.92(1.15) days in groups II (p<0.05). Postoperative hospital stay mean (s.d.) was 3.08(1.18) days in group I and 8.16(3.57) days in group II (p<0.05). Overall patients satisfaction were 92% and 76% in group I and group II respectively (p>0.05). \u0000Conclusion: Laparoscopic rectopexy is a better option than conventional open abdominal rectopexy for the treatment of complete rectal prolapse. \u0000Journal of Surgical Sciences (2015) Vol. 19 (1) : 3-7","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84417309","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":"Crossed Testicular Ectopia in a 65-year-old man","authors":"S. Islam, S. Hossain, A. Mamun, S. M. Reza, Tushit Kumar Barua","doi":"10.3329/jss.v19i1.43777","DOIUrl":"https://doi.org/10.3329/jss.v19i1.43777","url":null,"abstract":"Crossed testicular ectopia (CTE) is an extremely rare anomaly in which deviation of testicular descent results in unilateral location of both testes. It usually presents as an inguinal hernia on the side of a fully descended testis and an impalpable testis with undeveloped hemiscrotum on the contralateral side. Most often the diagnosis of CTE is not made until surgical exploration. Few reports are available regarding CTE in infants or younger children. Though the patients of CTE usually present at a younger age, we report a case of crossed testicular ectopia in a 65-year-old male who was admitted in the department of surgery, Shaheed Suhrawardi Medical College Hospital (ShSMCH) with right sided inguinal hernia. \u0000Journal of Surgical Sciences (2015) Vol. 19 (1) : 39-41","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80002006","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":"Is Single-stage Primary Transanal Endorectal Pull through (TEP) feasible for Short Segment Hirschsprung's Disease in Neonates?- Our Experience in a Tertiary Hospital","authors":"Shahjahan, K. M. N. Ferdous, M. Lslam","doi":"10.3329/jss.v18i2.43755","DOIUrl":"https://doi.org/10.3329/jss.v18i2.43755","url":null,"abstract":"Background: The surgical management of Hirschsprung's Disease (HD) includes so many procedures. TransanalEndorectal Pull through (TEP) represents the latest development in the concept of the minimally invasive surgery for HD. The purpose of this study was to evaluate the out come of the procedure in neonates. \u0000Methods: This retrospective study was carried out in a tertiary pediatric hospital during the period from January 2007 to December 2012 (5 years). The study included neonates of both sex, weight more than 2 kg, who were clinically suspected HD, radiologically transition zone at rectosigmoid and midsigmoid region and rectal biopsy proven HD and no evidence of sepsis or entrocolitis. Short segment HD with associated anomalies, and operated cases with less than 6 months' or irregular follow up were excluded. \u0000Results: During study period, single-stage transanalendorectal pull through (TEP) operation was done for short segment HD in 63 neonates, 9 patients were excluded from the study for irregular follow up. The mean operative time, mean blood loss, postoperative hospital stay, follow up period were 113 minutes, 20ml, 6.8 days and 19.6 months respectively. Transverse colostomy was needed in 6 patients for anastomotic leakage, thereafter developed anastomotic stricture, managed with regular anastomotic dilatation. \u0000Conclusion: Advancement in pediatric anesthesia, improvement of pediatric surgical expertise, perioperative management and nursing care has made single-stage primary transanalendorectal pull-through a feasible and safe surgical procedure for the treatment of short segment Hirschsprung's disease in neonate. \u0000Journal of Surgical Sciences (2014) Vol. 18 (2) : 45-50","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76515608","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":"Cavernous Hemangioma of Sigmoid Colon and Ano-Rectum: A Rare Cause of Haematochezia","authors":"T. Khan, S. H. Sheikh, A. Habib, L. Lima, R. Rahman, Nigar Nahid, Omar Faruk","doi":"10.3329/jss.v18i2.43767","DOIUrl":"https://doi.org/10.3329/jss.v18i2.43767","url":null,"abstract":"Cavernous hemangioma of colon and rectum is a rare disease, with no more than 200 cases reported in the literature so far. The rectosigmoid is the most common site of this disease in the gastrointestinal tract. We report a case of a 32-year-old male with recurrent episodes of per-rectal bleeding, who was finally diagnosed of cavernous hemangioma of sigmoid colon and ano-rectum. The lesion, 23 cm in length, occupied the whole circumference of the sigmoid colon and rectum extending up to the margin of the anal sphincter. Ultra-low anterior resection with hand-sewn colo-anal anastomosis and temporary loop ileostomy was carried out. The patient is in regular follow up. He is now symptom free. \u0000Journal of Surgical Sciences (2014) Vol. 18 (2) : 83-86","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88772006","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":"Synchronous Adenocarcinoma and Gastrointestinal Strom al Tumour (GIST) of the Stomach","authors":"S. M. Reza, M. Rahman, A. Mamun, M. Hoque, S. Hossain, F. Ahmad, Sharmin Lslam","doi":"10.3329/jss.v19i1.43775","DOIUrl":"https://doi.org/10.3329/jss.v19i1.43775","url":null,"abstract":"Gastrointestinal stromal tumours are rare mesenchymal neoplasms of gastrointestinal tract with a malignant potential and unpredictable behavior and stomach is the commonest location involved. However coexistence of gastric carcinoma and GIST is very rare. A 32- year-old male patient who presented with upper abdominal dyspeptic symptoms, was evaluated with Upper GI Endoscopy which revealed an ulcerated lesion in the antral part of the stomach. Biopsy was taken and histopathological examination revealed the lesion as poorly differentiated adenocarcinoma. Distal radical gastrectomy revealed another 3cm of submucosal mass of GIST along with the existing adenocarcinoma. \u0000Journal of Surgical Sciences (2015) Vol. 19 (1) : 31-34","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90243810","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":"Fascioliasis-An Uncommon Cause of Recurrent Cholangitis","authors":"B. Das, A. Khan, Saief Uddin, M. Chowdhury, Khan Zr","doi":"10.3329/jss.v19i1.43776","DOIUrl":"https://doi.org/10.3329/jss.v19i1.43776","url":null,"abstract":"We report a case of Fascioliasis presented with recurrent cholangitis in a female necessitating multiple consultations and hospitalizations over a period of two years. Investigative profile failed to confirm any definite diagnosis prior to her admission in Hepato-Biliary-Pancreatic Surgery Division of the Department of Surgery of Bangabandhu Sheikh Mujib Medical University where she was provisionally diagnosed as a case suffering from extrahepatic cholagiocarcinoma. With the intent of extrahepatic excision with Rouxen-Y hepaticojejunostomy abdomen was explored and surprisingly 28 mature liver flukes (fasciola hepatica) were found lodged in the extra and intrahepatic biliary tree. Although fasciola hepatica infestation is more common in far East Asia, this case may represent the tip of an iceberg of endemic infestation of this trematode in Bangladesh which warrants further investigations. \u0000Journal of Surgical Sciences (2015) Vol. 19 (1) : 35-38","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75763049","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}