International Journal of Recent Surgical and Medical Sciences最新文献

{"title":"Thyroid Malignancy in Multinodular Goiter: A Prevalence Study in a High-Volume Tertiary Care Center","authors":"Sree Lekshmy Beena, U. Govindan, Serbin Mohammed","doi":"10.1055/s-0043-1761501","DOIUrl":"https://doi.org/10.1055/s-0043-1761501","url":null,"abstract":"Abstract Introduction  Goiter is one of the most common endocrine neoplasms found globally and its incidence varies in each country. Evaluation includes clinical, laboratory, radiological, and pathological tests to rule out malignancy. Surgery may be indicated in cases when the patient develops compressive symptoms, risks of malignancy, or cosmetic deformity. Thyroid malignancies account for only 1 to 2% of all malignancies. Irrespective of size, 9 to 13% of preoperative pathological evaluations revealed malignancy. Objective  To study the prevalence of thyroid malignancy in patients presenting with multinodular goiter (MNG) undergoing thyroidectomy in the Department of General Surgery, Government Medical College, Thiruvananthapuram, India. Material and Methods  This prevalence study was conducted in the Department of General Surgery, Government Medical College, Thiruvananthapuram, India, for a year, between March 2017 and February 2018. All patients with MNG undergoing thyroidectomy in the Department of General Surgery during this period were selected. A total of 651 patients were included in the study after obtaining informed consent. Results A total of 651 patients were studied, out of which 91 patients (13.9%) had malignancy. Among the total, 529 were females and 122 were males. Total malignancies reported were 91 and in those, males were around 31.9% and females around 68.1%. But when comparing incidence of malignancy in MNG, it was found to be higher in males (23.8%) than females (11.7%). Out of 91 patients with malignancy, 77 patients were found to have papillary carcinoma thyroid. Most of the papillary carcinoma thyroid occurred between 41 and 50 years of age, although it can occur in younger patients too. Palpable cervical lymphadenopathy is seen in 34 cases (37.4%) of thyroid malignancies. Conclusion  Proportion of thyroid malignancy in MNG at Government Medical College, Thiruvananthapuram, is 13.9%. Females are more commonly affected than males. Papillary carcinoma is the most common differentiated malignancy associated. Cervical lymph nodal metastasis is seen in 37.4% of thyroid malignancies. The risk of malignancy in MNG should not be underestimated as significant numbers of patients with thyroid malignancies present with MNG.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81910763","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":"Ischemic stroke in relation to brain polymethylmethacrylate embolism after percutaneous kyphoplasty: a case report","authors":"A. M. Martín Fuentes, David López Salas, Ana Abarquero Diezhandino, Daniel Bustamante Recuenco, Francisco Javier Ortega García","doi":"10.32457/ijmss.v10i1.2055","DOIUrl":"https://doi.org/10.32457/ijmss.v10i1.2055","url":null,"abstract":"Kyphoplasty is one of the minimally invasive interventions which provides pain relief in osteoporotic or malignancy related vertebral compression fractures. Severe complications associated with percutaneous kyphoplasty or vertebroplasty are rare, and usually related to cement leakage out of the vertebral body (Lamy et al., 2014). We report the case of an 83-year old female who suffered an ischemic stroke during the immediate post-operative period after a three-level percutaneous kyphoplasty (L2-L3-L4) due to a paradoxical embolism via an atrial septal heart defect.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77614060","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":"Behavior Problems in Children With Epilepsy (Age 6– 14 years) : A Prospective Observational Study","authors":"R. Solanki, P. Ghanghoriya, Deepti Sisodia, M. Lazarus","doi":"10.1055/s-0043-1761503","DOIUrl":"https://doi.org/10.1055/s-0043-1761503","url":null,"abstract":"Abstract Background  Epilepsy's psychological effects are variable, some may experience a few mental health issues while some may experience serious problems such as anxiety, depression, attention deficit hyperkinetic disorder (ADHD), and mood disorders. Hence, there is a need to screen these problems at an early age for timely intervention. So, our study was conducted to determine the prevalence of emotional and behavioral problems in children with epilepsy. Methods  This was a prospective observational study on 111 children, 6 to 14 years of age. The overall prevalence of emotional and behavioral problems in childhood was determined by calculating the percentage of children with child behavior checklist score indicative of specific emotional and behavioral problems. The prevalence for specific morbidities was also calculated and reported separately for each condition. Results were presented in the form of tables, charts, graphs, and narratives. Results  The overall prevalence of emotional and behavioral problems in children was 38.7%. Attention problem (13.5%), aggressive behavior (10.8%), social problems (8.1%), and withdrawal/depression (6.3%) were the four leading syndromes. The prevalence of emotional and behavioral problems was significantly associated with the age of onset of epilepsy, type of epilepsy, frequency of seizures, and antiepileptic drug therapy used by child. Conclusion  As there is a higher prevalence of emotional and behavioral problems in children with epilepsy, age of onset, frequency of seizure, and duration of diseases were found to be significantly associated with the occurrence of behavioral problems. Therefore, prompt and early screening for these problems, as well as integrated management consisting of pharmacotherapy, behavioral modification, parental education and counselling, psychotherapy and psychoeducation would help to reduce their effect in these patients.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80557312","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":"Uncommon Events of Fall and Mood Changes Observed in Post-COVID-19 Patients: A Case Series","authors":"Srutarshi Ghosh, S. Mukhopadhyay","doi":"10.1055/s-0043-1761411","DOIUrl":"https://doi.org/10.1055/s-0043-1761411","url":null,"abstract":"Abstract Coronavirus disease 2019 (COVID-19) infection in some patients has been documented to cause acute central nervous system (CNS) affection, or CNS depression, even in the absence of demonstrable hypoxia. These observations indicate that there may be some direct effect of the virus on CNS. In this case series of cured post-COVID-19 cases, mood changes like elation, depression, and emotionally labile state have been reported in three previously healthy individuals. The mood changes are waning very slowly in them with the passage of time. All of them also sustained fall sometime following acute COVID-19. Fall is considered to be an event indicating frailty and old age, and there is no mood change associated with fall in that population. Here, the three cases are being reported because neither fall nor mood changes during post-COVID-19 phase have been reported as yet to the best of our knowledge. The case series is worth reporting to generate awareness about the matter in the scientific community and also to indicate that further research in this field is required either to accept or to reject any correlation between COVID-19 infection and fall or mood change in otherwise healthy individuals, which can even be due to some direct effect of the virus on CNS.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88451570","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":"Perioperative Outcome of COVID-19-Positive Parturient Posted for Cesarean Section—Our Experience in a Tertiary Care Hospital in Northern India","authors":"Megha Soni, M. Kumari, Niharika Grover, R. Taneja, L. Parashar","doi":"10.1055/s-0043-1761606","DOIUrl":"https://doi.org/10.1055/s-0043-1761606","url":null,"abstract":"Abstract Introduction  There is insufficient data regarding the severity of coronavirus disease 2019 (COVID-19) infections in pregnant women. This study assessed the outcome of COVID-19-positive parturient after cesarean section, correlation of maternal mortality with COVID-19 severity, association of comorbid parturients with severe COVID-19, and number of patients requiring general anesthesia. Materials and Methods  This single-center, retrospective observational study was performed on reverse transcriptase polymerase chain reaction confirmed COVID-19-positive 89 parturients posted for elective or emergency cesarean section. Data was collected from medical records of our hospital regarding COVID-19 severity, maternal mortality, need for admission in intensive care unit, gestational age, maternal comorbidities, indication for cesarean section, type of anesthesia, duration of surgery, neonatal birth weight, neonatal mortality, Appearance, Pulse, Grimace, Activity and Respiration (APGAR) score, and neonatal intensive care unit (NICU) admission. Assessment of maternal outcome was the primary objective. Secondary objectives of this study were to correlate maternal outcome with COVID-19 severity, to find association of comorbid parturients with severe COVID-19 and to estimate number of patients requiring general anesthesia. Results  Out of 89 patients, 79 patients had mild COVID-19 disease were on room air and 6 patients required preoperative oxygen supplementation, and 4 patients diagnosed to have severe COVID-19 pneumonia were on mechanical ventilator preoperatively. Four cases were operated under general anesthesia and remaining 85 parturients were operated under regional anesthesia. Out of four parturients with severe COVID-19 pneumonia, three patients did not survive in postoperative period due to refractory hypoxemia. In eight patients, spinal anesthesia was repeated due to inadequate effect. Fourteen neonates (16.09%) required NICU stay after cesarean delivery. Conclusions  Parturients with severe COVID-19 disease had higher mortality. No statistically significant association was found between number of comorbidities and severity of COVID-19. The results of this study will guide us regarding further management and prognostication of COVID-19-positive parturients posted for cesarean section.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88788874","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":"A Hospital-Based Study of Factors Associated with COVID-19-Related Deaths in Western Uttar Pradesh","authors":"Krishnamurthy Krishnamurthy, M. Bashir, A. Tripathi, Ishi Jain","doi":"10.1055/s-0043-1761470","DOIUrl":"https://doi.org/10.1055/s-0043-1761470","url":null,"abstract":"Abstract Background  The COVID-19 pandemic has rapidly affected mortality in India and public health efforts must focus on preventing the avoidable fatalities during this pandemic. Understanding various clinical characteristics of the deceased patients of COVID-19 along with the estimation of time interval between the onset of symptoms and admission in hospital and various factors associated with COVID-19 related deaths could inform public health interventions focusing on preventing deaths due to COVID-19. Materials and Methods  The present study was a retrospective hospital-based cross-sectional study conducted in Subharti Medical College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India. The duration of the study was 21 months. Data of COVID-19 deaths were collected from the Medical Record Department of Chhatrapati Shivaji Subharti Hospital, Meerut, which is a dedicated Level-3 COVID Hospital. Results  Total Deaths due to COVID-19 were 298. Out of 298 deaths, 205 were males and 93 were females. The maximum number of deaths were in May 2021. When the duration of oxygen support was 1 to 5 days in 44.97% of the deceased, less than 1 day were 17.11% and more than 5 days were 17.11. The duration of ventilator support was less than 1 day in 39.26% of the deceased, 1 to 3 days in 39.3%, and more than 3 days in 21.14% of the deceased. The most common symptom associated with COVID-19 deceased was fever with breathlessness both in males and females. The most common co-morbid condition associated with COVID-19 deaths was hypertension with diabetes mellitus both in males and females. Conclusion  From the present study, we conclude that the majority of deaths were males. The maximum number of deaths due to COVID-19 was in May 2021, both in males and females. The most common symptom associated was fever with breathlessness and most common comorbid condition associated with deaths of COVID patients were hypertension with diabetes mellitus. The duration of oxygen support was 1 to 5 days in the majority of the patients. The duration of ventilator support was less than 1 day in the majority of patients.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84175122","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":"A Cross-Sectional Study on the Status of Contralateral Ear in Cases with Otitis Media Attending a Tertiary Care Center","authors":"Raghavan V. K., P. S., N. B., R. S","doi":"10.1055/s-0042-1758521","DOIUrl":"https://doi.org/10.1055/s-0042-1758521","url":null,"abstract":"Abstract Background  As the aeration and drainage entrances in both ears are the same, the factors that produce otitis media in one ear may also affect the other. Also, the unsolved debate is that long-standing otitis media turns into chronic otitis media (COM). Hence, this study was conducted with the objective of assessing the incidence of abnormal findings in the contralateral ear (CLE) and to find the association between the type of COM of diseased ear with the findings of CLE. Materials and Methods  A hospital-based cross-sectional study was conducted among cases with unilateral COM who visited the outpatient department of otorhinolaryngology at Chettinad Hospital and Research Institute in Chennai between November 2021 and February 2022. The study comprised 200 COM cases in all. The medical history, otoscopic examination, pure-tone audiometry, and tympanometric findings of the patient were all documented. SPSS version 20 was used to conduct the analysis. Results  About 80% of the individuals with COM in one ear exhibited some abnormalities in the CLE. The type of COM in the afflicted ear is not linked with the otoscopic findings, type of hearing loss, tympanometric findings, or overall abnormalities in the CLE. This study's findings are comparable to those of several others. Conclusion  Though there is no association between type of COM and the pathological findings in the CLE, considering the huge burden of pathological findings noted in the CLE, all cases of unilateral COM should be screened for aberrant findings in the CLE.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85032896","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":"Impact of Different Histopathological Factors on Recurrence and Survival in Operated Carcinoma Esophagus","authors":"Ashutosh Kumar Singh, B. Singhal, S. Yadav, V. Kewlani","doi":"10.1055/s-0042-1758813","DOIUrl":"https://doi.org/10.1055/s-0042-1758813","url":null,"abstract":"Abstract Background  Even with radical surgery, a significant percentage of patients of esophageal cancer experience recurrent disease. Aims  The aim of the current study is to define the impact of different histopathological factors on the recurrence and survival in carcinoma esophagus following surgery. Materials and Methods  A retrospective review of 182 patients of esophageal carcinoma, operated between January 2011 and December 2016, was done. In our study, 92 patients underwent upfront surgery and 90 took neo-adjuvant/perioperative treatment before planned surgery. To compare the proportion between two groups, chi-square test was used and to compare the median between the two groups, Mann—Whitney U test was used. Factors affecting the survival were analyzed using the Kaplan–Meier survival curve to compare the median survival time across groups log rank (Mantel–Cox) test was used. Results  Out of 182 patients, 55 patients developed recurrences, in which 19 were loco-regional and 36 were systemic. Patients with lymph node-positive disease on final histopathology had more recurrence than lymph node-negative (39.74%, 31/78) versus (23%, 24/104), p  = 0.01 (significant). Patients with features such as PNI-positive, poor differentiation, lymph node-positive, ENE, and higher stage disease had statistically significant, lower DFS and OS with p -value < 0.05. Patients with adenocarcinoma histology had more systemic recurrences and statistically significant lower DFS than SCC with p -value < 0.05. Conclusions  Systemic recurrences are more common. PNI, ENE, grade, lymph node-positive disease, and higher pathologic stage had statistically significant negative impact on both DFS and OS. On multivariate analysis, whereas ENE had an impact on DFS alone.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86138644","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":"Oral cavity cancer in patients from the department of head and neck surgery – chair and otorhinolaryngology service of the Hospital de Clínicas – National University of Asunción","authors":"Evelio Legal Balmaceda, Marta Elizabeth Osorio Fleitas, José Ortiz Bogado, Carlos Mena Canata, Raúl Andrés Tornaco Maidana","doi":"10.32457/ijmss.v9i4.2003","DOIUrl":"https://doi.org/10.32457/ijmss.v9i4.2003","url":null,"abstract":"Introduction: The oral cavity is continuously exposed to inhaled and ingested carcinogens (mainly tobacco and alcohol), and therefore it is the most common site for the origin of neoplasms in the head and neck region. Methods: A descriptive, retrospective, observational study of non-probabilistic sampling of consecutive cases was carried out. Adult patients with a clinical and pathological diagnosis of oral cavity cancer were included. Results: A series of 17 cases of oral squamous cell carcinoma was included, 13 men (76%) and 4 women (24%). The age of the individuals ranged between 32 and 73 years. 65% of the patients were smokers, and 71% reported consumption of alcoholic beverages. The tongue was the most frequent tumor location, 71% were in stage IV, and with a moderate degree of histological differentiation. Conclusion: Most of the patients in this study were males between 50 and 70 years of age. A high percentage of patients reported smoking, and an even higher percentage of alcohol consumption. The most frequently affected subsite is the tongue, in advanced stages and a moderate degree of differentiation.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85531718","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":"Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury","authors":"Gustavo Dragustinovis-Hinojosa, Jorge Aurelio Gutiérrez González, Dario Eduardo Medina Muñoz, G. E. Muñoz Maldonado","doi":"10.32457/ijmss.v9i4.1963","DOIUrl":"https://doi.org/10.32457/ijmss.v9i4.1963","url":null,"abstract":"Traumatic diaphragmatic hernias were first described by Ambroise Paré in 1579, who reported the case of an artillery captain, that presented an intestinal perforation that had caused a diaphragmatic hernia 1. The timely diagnosis of a traumatic diaphragmatic hernia can be a challenge , which requires extensive knowledge of the kinematics of trauma, as well as clinical and radiological evidence 2. We present the case of a 60-year-old male who presented blunt abdominal trauma due to a traffic accident, causing an undetected diaphragmatic hernia in his initial evaluation; months after de incident goes to the emergency room (ER) with hemodynamic instability and septic shock. A diagnosis of complicated diaphragmatic hernia and fecopneumothorax is made, for which he undergoes surgery.","PeriodicalId":34302,"journal":{"name":"International Journal of Recent Surgical and Medical Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82101821","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}