Journal of Surgical Sciences最新文献_第9页

Quality of Life after Liver Transplantation 肝移植术后的生活质量

Journal of Surgical Sciences Pub Date : 2019-11-04 DOI: 10.3329/jss.v18i2.43759

B. Das, Mohammed Mostafizur Rahman, Khan Zr

{"title":"Quality of Life after Liver Transplantation","authors":"B. Das, Mohammed Mostafizur Rahman, Khan Zr","doi":"10.3329/jss.v18i2.43759","DOIUrl":"https://doi.org/10.3329/jss.v18i2.43759","url":null,"abstract":"We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol. \u0000Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83361995","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

Congenital Short Bowel Syndrome 先天性短肠综合征

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43751

Amar Kumar Saha, S. S. Haque, S. Biswas, Md Barkot Ali

引用次数: 0

Management of Distal Penile Hypospadias by Tubularized Incised Plate Urethroplasty: Study Of 30 Cases 管状切开钢板尿道成形术治疗阴茎远端尿道下裂30例分析

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43746

N. Mahmud, Serajul Haque

{"title":"Management of Distal Penile Hypospadias by Tubularized Incised Plate Urethroplasty: Study Of 30 Cases","authors":"N. Mahmud, Serajul Haque","doi":"10.3329/jss.v18i1.43746","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43746","url":null,"abstract":"Background: Hypospadias is the result of failure of fusion of the urethral folds on the ventral aspect of the penis.It usually occur 1 in every 300 male children.Reconstruction of urethra in childhood is the only hope of cure. The aim of this study is to find out the out.come of tubularized incised plate urethroplasty for distal penile hypospadias and to -~~ow that this procedure will end up in a better cosmetic appearance. \u0000Methods: This prospective study was conducted in a private medical college hospital, Comilla between July 2011 to June 2012 on 30 patients using Snodgrass technique of hypospadlas surgery. All cases were consecutively selected. Data were processed and analysed· using software SPSS (Statistical Package for social Sciences) version 11.5 and the test· statistics used to analyse the data were descriptive statistics and Z-test for proportion. The variables studied were age, socioeconomic condition, post-operative complications, such as infection rate, urethrocutaneous fistula, meatal stenosis, wound dehiscence etc. &cosmatic outcome such as size of the meatus, shape of the glans studied. \u0000Results: Satisfactory results were obtained in 21 (70%) patients and only 8 (26.67%) had urethrocutaneous fistula, 1(3.33%) had retrusive meatus and 7 (23.33%) had wound infection. The final outcome was evaluated based on urethrocutaneous fistula and cosmesis. Out of 30 patients, 21(70%) did not have urtethrocutaneous fistula and were cosmetically acceptable. Binomial test based on Z-approximation reveals that observed proportion of patients with satisfactory- outcome was statistically significant (p = 0.05). \u0000Conclusion: This study concludes that Snodgrass urethroplasty has better cosmetic outcome. Thus we recommended it as the primary treatment for the children with distal hypospadias. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 9-14","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84356185","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

Low Level Laser Therapy (LLLT) On Soft Tissue Healing: A Case Report 低水平激光治疗软组织愈合1例报告

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43752

Nazrul Islam, Mustafizur Rahman, K. Zaman, M. Alamgir, S. S. Murad, Sm Ahsan Habib

{"title":"Low Level Laser Therapy (LLLT) On Soft Tissue Healing: A Case Report","authors":"Nazrul Islam, Mustafizur Rahman, K. Zaman, M. Alamgir, S. S. Murad, Sm Ahsan Habib","doi":"10.3329/jss.v18i1.43752","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43752","url":null,"abstract":"Tissue that is damaged and poorly oxygenated as a result of swelling, trauma or inflammation has been shown to have a positive response to laser therapy irradiation. At present, cutaneous lesions represent a dilemma of global proportions and instigate great clinical interest because of the high morbidity associated with changes in the normal healing process. Among the clinical aspects involving this issue, we emphasize tissue repair time in an effort to make the process quicker and more harmonious, reduce possible complications in lesion resolution, and allow an adequate choice of therapy. Laser light energy is highly absorbed by skin and subcutaneous tissue and therefore penetration is key to therapeutic results. Among the methods currently available, low-level laser therapy (LLLT) stands out. Here we present a case of 78 years old lady with multiple variable non healing ulcers on back. Appropriate antibiotics and regular dressing failed to heal the lesions. So we have decided to apply low level laser therapy. At the end of 8th week the wound looked pretty healthy. No untoward reaction or side effect was reported by the patient. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 38-42","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73703403","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

Enhanced Recovery Programme (ERP) after Abdominal Surgery: Time to Change Practice 腹部手术后增强恢复计划(ERP):是时候改变实践了

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43750

A. Hossain, N. Haque, A. Nafisa

引用次数: 0

On Pump Beating Heart CABG is Superior to Conventional CABG in Poor Left Ventricular Function 在左心室功能差的情况下，泵跳心脏冠脉搭桥优于常规冠脉搭桥

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43748

Hriday Ranjan Roy, N. Ahmed, Mirza Md. Nazrul lslam

引用次数: 2

Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital 某教学医院腹腔镜胆囊切除术的安全性和有效性

Journal of Surgical Sciences Pub Date : 2019-10-31 DOI: 10.3329/jss.v18i1.43747

M. S. Faruque, Md Aminul Islam Joarder, S. Mubin, N. Elahi

{"title":"Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital","authors":"M. S. Faruque, Md Aminul Islam Joarder, S. Mubin, N. Elahi","doi":"10.3329/jss.v18i1.43747","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43747","url":null,"abstract":"Background: Evaluation of the safety and efficacy of day case laparoscopic cholecystectomy in a teaching hospital may influence the rationale of this practice to gain widespread acceptance. \u0000Methods: Day case laparoscopic cholecystectomy was offered to patients during a two and a half year period (Jan 2010 - July 2012) in Minimally Invasive Surgery unit in BSMMU who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification classes I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent). Acute cholecystitis was considered as an exclusion criterion. Follow-up was done by clinical examination on an outpatient basis one week and 3 months after operation. Evaluation was done about success rates, postoperative outcome (complications, readmissions, morbidity and mortality) and patient's overall satisfaction. \u0000Results: 40 consecutive patients, predominantly female (62.5%) and ASA II (75%) with a mean age 44 ± 13.3 years underwent cholycystectomy. 85% patients had symptomatic gallstone disease. Mean operating time was 45±15.1 minutes and no conversion was needed. 25% cases experienced post operative nausea and vomiting and all patients were discharged in the following morning. 20% developed minor complications that resolved spontaneously. 1 case was readmitted and overall patient satisfaction rate was 90%. \u0000Conclusions: This study suggested that day case laparoscopic cholecystectomy is clinically effective and can be performed safely in a teaching hospital by competent surgeon. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 15-19","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78174491","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

Complications of Laparoscopic Cholecystectomy 腹腔镜胆囊切除术的并发症

Journal of Surgical Sciences Pub Date : 2019-10-30 DOI: 10.3329/jss.v17i2.43725

A. Alam, Mashrur Akbar Khan, R. Zaman, A. Akbar, Abul Bashar

{"title":"Complications of Laparoscopic Cholecystectomy","authors":"A. Alam, Mashrur Akbar Khan, R. Zaman, A. Akbar, Abul Bashar","doi":"10.3329/jss.v17i2.43725","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43725","url":null,"abstract":"Background: laparoscopic cholecystectomy is now regarded as the \"Gold Standard\" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease. \u0000Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed. \u0000Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases. \u0000Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87629598","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 Juvenile Fibroadenoma of Breast 巨大幼年乳腺纤维腺瘤

Journal of Surgical Sciences Pub Date : 2019-10-30 DOI: 10.3329/jss.v17i2.43785

K. Alam, T. Haque, Shamim Hossain, K. Das, Tazul Lslam, H. Ahmed

引用次数: 0

Frequency of Mislabeled Specimen in a Histopathology Laboratory 组织病理学实验室中错误标记标本的频率

Journal of Surgical Sciences Pub Date : 2019-10-30 DOI: 10.3329/jss.v17i2.43726

Muhammad Nazmul Baqui, Sharmin Rozhana, R. C. Rajib, M. M. Huda, Mohammad Mesbahuzzaman, T. K. Paul

{"title":"Frequency of Mislabeled Specimen in a Histopathology Laboratory","authors":"Muhammad Nazmul Baqui, Sharmin Rozhana, R. C. Rajib, M. M. Huda, Mohammad Mesbahuzzaman, T. K. Paul","doi":"10.3329/jss.v17i2.43726","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43726","url":null,"abstract":"Background: Mislabeled specimens are one of the most common pre-analytic errors in a histopathology laboratory. As histopathology provides the final diagnosis for most of the diseases, labeling errors can lead to serious consequences leading to wrong treatments. \u0000Objectives: This study was carried out to find common pre-analytical errors of histopathology laboratory in the context of our country. \u0000Methods: Data were collected on six points of container labeling and nine points of requisition papers through simple check list over a period of one week. \u0000Results: Among 142 samples, labeling was found in 82.40% container. Among these labels, patients name, age, hospital registration number of the patients were absent in 19.01%, 26.06% and 90.85% samples respectively. Site of origin of the tissue in the container was absent in 71.83% samples. About 4.93% samples came to the laboratory without fixatives. Patients name, age, sex, site of origin of tissue, name of the referring physician and their contact numbers were found absent in 0.70%, 3.52%, 33.10%, 7.75%, 50% and 95.77% of requisition papers respectively. Clinical diagnosis was absent in 54.23% cases. A good proportion of container and requisition papers did not contain proper labeling, which is important not only for identification but also for histopathological diagnosis. \u0000Conclusion: We believe that, these errors occur due to lack of standard histopathology requisition form. Association of Surgeons and Pathologists can collaboratively form a standard requisition form for sending histopathology samples to different laboratories, which could easily reduce mislabeling errors in histopathology. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) :80-83","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86339922","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