Surgery and Rehabilitation最新文献

{"title":"Whisk finger: an electric hand whisk injury with an ischaemic fingertip","authors":"Dargan D, Mazur K, Radakrishnan G, C. J.","doi":"10.15761/srj.1000158","DOIUrl":"https://doi.org/10.15761/srj.1000158","url":null,"abstract":"A 38 year old lady sustained an injury to her left ring finger from an electric whisk which became intertwined around the pulp and nail complex, causing multiple lacerations, with ischaemia of the tip of the digit, in a previously undescribed pattern of injury. The apparent complexity of the wire loops led to initial uncertainty as to whether to remove the whisk in the Emergency Department. However, following consultation with the plastic surgery on-call team, wire cutters were used to divide the metal loops and remove the whisk under digital block, and perfusion returned immediately, preserving the digit. Despite initial concerns regarding the possible role for reconstruction or revascularisation, minimal surgical intervention was required as a daycase.","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115873085","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":"The nutritional impact of colonic stomas in children. A case control study","authors":"P. Mwika, F. Osawa, James Ngung’u, T. Jumbi","doi":"10.15761/SRJ.1000164","DOIUrl":"https://doi.org/10.15761/SRJ.1000164","url":null,"abstract":"Introduction: Colostomies are fashioned in children for several conditions majority of which are congenital colorectal disorders such as Hirschsprung’s disease and Anorectal malformations. Nutritional deficiencies may be seen in children with colostomies as a result of altered gut function, inadequate food intake and chronic anaemia. To mitigate the risk of poor outcome, identification of such nutritional deficits is warranted and this forms the basis of this study whose main objective was to assess the nutritional impact of colostomies in children. Materials and methods: A descriptive case-control study was carried out in Kenyatta National Hospital between 2015 and 2017 where 80 participants in total were recruited. Children with colonic stomas were assigned as cases (n=40) and those without stomas as controls (n=40). Anthropometric indicators were used to assess the nutritional status of the both groups for comparison. Data was analysed and presented based on nutritional Z-scores. Results : Wasting was significantly more prevalent among in the case group (22.5%) than in the control group (5%), OR = 5.52(95% CI 1.11-27.43), P = 0.037. There was no significant difference in the anthropometric measures of stunting and underweight between the cases and controls. Conclusion: On the basis of both anthropometric measures, colostomies are associated with nutrition deficiencies in children. Identification of these deficits through active nutritional screening may mitigate the risk of poor outcome in children with colostomies.","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126355467","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 thyroid leiomyosarcoma - case report and literature review","authors":"Cherry Tj, R Tasevski, R. Li","doi":"10.15761/srj.1000156","DOIUrl":"https://doi.org/10.15761/srj.1000156","url":null,"abstract":"Primary thyroid leiomyosarcoma is a rare malignancy. Patients usually present with advanced disease and less than 10% survive beyond one year. In making the diagnosis it is difficult to distinguish cytologically between spindle cell malignancies. We present a 66-year old male patient who required open incisional biopsy to obtain the diagnosis of thyroid leiomyosarcoma and allow for appropriate management. *Correspondence to: Tiffany Cherry, Department of General Surgery, Royal Melbourne Hospital, Grattan St, Parkville, VIC, Australia, E-mail: tiffany. cherry@mh.org.au","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"453 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131507090","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":"Fibrin glue provides stronger mesh fixation than tacks: An in-vitro study","authors":"D. Hamilton, J. Tan, H. Chandraratna","doi":"10.15761/SRJ.1000150","DOIUrl":"https://doi.org/10.15761/SRJ.1000150","url":null,"abstract":"Introduction: With inguinal hernia recurrence rates following surgical repair having been reduced in the mesh era, avoiding chronic pain post-operatively has become the new “holy grail” for hernia surgeons. Tacks used for fixating the mesh in laparoscopic inguinal hernia repair have been proven as a cause of chronic pain and thus the use of fibrin glue has been suggested as an alternative. Intuitively, it was felt that glue would not provide as strong a fixation as tacks and thus we set out to test this hypothesis. Methods: A standard size of mesh was fixated to pieces of steak using either absorbable tacks or fibrin glue. The amount of force required to pull the mesh off the steak was then measured. Results: The average force required to dislodge the mesh from the steaks was 6.40 ± 1.50 N for the tacks and 15.34 ± 3.93 N for the fibrin glue. This difference was statistically significant with a p-value of 0.03. Conclusion: Fibrin glue provides a stronger fixation of mesh to muscle, when compared to tacks in an in-vitro situation. *Correspondence to: Harsha Chandraratna, General and Obesity Surgeon, Suite 27 St John of God Medical Centre Murdoch, 100 Murdoch Drive, Murdoch WA 6150, Surgeons House, 162 Cambridge St, West Leederville WA 6007,117 Anstruther Rd, Mandurah, Australia, Tel: (08) 9332 0066, 0401809255; Fax: (08) 9463 6202; E-mail: drchandra@westnet.com.au Received: October 05, 2018; Accepted: October 16, 2018; Published: October 22, 2018 Introduction There has been a paradigm shift in the thinking and attitudes of surgeons towards inguinal hernia. Twenty years ago, the emphasis on hernia repair focused on minimising hernia recurrence. This was probably a reflection of the attitudes of surgeons in managing recurrent hernias in the pre-mesh era, and the higher rates of recurrence in nonmesh (tissue) hernia repair. Managing a recurrent hernia without mesh is technically very difficult, and most modern (younger) surgeons have minimal experience with these types of techniques. Preventing hernia recurrence is still a major consideration in inguinal hernia repair but the focus now has moved to the prevention or avoidance of chronic severe groin pain after hernia repair. Chronic severe groin pain can be disabling and have significant impact in the ability of the individual to work, maintain their income and also has similar significant impact to an individual’s personal life. It is often long-lasting and may need multiple interventions for its reduction or resolution. It may also require ongoing management from a chronic pain perspective. All of which carry a financial and personal cost. One of the major advantages of laparoscopic pre-peritoneal hernia repair is the ability to place the mesh away from the ilioinguinal and iliohypogastric nerves. It has been shown to reduce the incidence of groin pain [1]. These techniques may have slightly higher rates of recurrence but the risks of this is significantly counterbalanced by a reduction in groin pa","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131490954","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":"Using nasogastric suction but no cricoid pressure in rapid sequence induction of general anaesthesia: Outcome in a series of 224 cases of acute abdomen","authors":"M. Ajmal","doi":"10.15761/srj.1000152","DOIUrl":"https://doi.org/10.15761/srj.1000152","url":null,"abstract":"Background: Classic rapid sequence induction of general anaesthesia involves cricoid pressure. We, however, use an alternative because classical rapid sequence induction experience with hypoxaemia due to possible impedance of endotracheal intubation. A prospective observational study was performed to assess the safety and efficacy of the alternative induction technique. The objective was to determine the incidence of regurgitation of gastric contents when using this technique. Methods: During an 8-year period, general anaesthesia in patients suffering from acute abdomen was induced by placing them in a 150 reverse Trendelenberg position and using nasogastric suction in the peri-induction period. Peri-induction period was defined as the period from patient’s arrival in the operating room until immediately before starting the induction. Cricoid pressure was not applied. Their intra-abdominal pressure was also measured before general anaesthesia was induced. The incidence of regurgitation at induction was the end-point measure. Results: In 224 consecutive patients with mean intra-abdominal pressure at least two times higher than normal (mean pressure 23, 11.5 and 9 mmHg in adults, children & neonates respectively), no clinically identifiable incidence of regurgitation was noted (0/224 or 0%). Conclusion: Rapid sequence induction of general anaesthesia can be safely and successfully performed in patients suffering from acute abdomen using nasogastric suction and omitting cricoid pressure. The findings of this study justify the need to perform larger trials to further validate this technique. *Correspondence to: Muhammad Ajmal, Locum Anaesthetist, ID Medical locum agency, Milton Keynes, UK, Tel: 00447575770303; E-mail: Ajmal_c@hotmail.com","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122625158","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":"Complicated acute mastoiditis with temporal subdural abscess and otogenic lateral sinus thrombosis: A case report","authors":"E. Amadei, C. Cola","doi":"10.15761/SRJ.1000149","DOIUrl":"https://doi.org/10.15761/SRJ.1000149","url":null,"abstract":"","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115556371","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":"Nonanastamotic Pseudoaneurysm in an axillofemoral bypass graft","authors":"Kevin A. Honan, K. Holmes, A. O-Yurvati","doi":"10.15761/srj.1000155","DOIUrl":"https://doi.org/10.15761/srj.1000155","url":null,"abstract":"","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"25 1-6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127769075","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 management of airway and neurogenic shock in patients with penetrating neck injury: A case report","authors":"Kyu Nam Kim, Ji Hee Chang, Hyung Jun Cho","doi":"10.15761/srj.1000166","DOIUrl":"https://doi.org/10.15761/srj.1000166","url":null,"abstract":"","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127876121","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":"Asymptomatic submandibular giant calculus left for 24 years: A case report","authors":"K. Shamsoon, F. Harada, S. Yodogawa, S. Takeda, S. Fujii, Y. Abiko, E. Nakayama, Takashi Saito, H. Nagayasu, T. Shimo","doi":"10.15761/srj.1000163","DOIUrl":"https://doi.org/10.15761/srj.1000163","url":null,"abstract":"Sialolithiasis develops from salivary gland calculi and leads to salivary gland obstruction and recurrent painful swelling of the involved gland. A 54-year-old Japanese man had experienced right submandibular swelling since 1995, but he left it untouched because there were no severe symptoms. Eventually, he noticed an increase in swelling and pain, and thus he was referred to our clinic in October 2018. Computed tomography revealed hard tissue of about 30 × 20 mm located in the gland body. The patient underwent surgical extraction of the submandibular salivary gland under general anesthesia in December 2018. Energy dispersive x-ray fluorescence analysis revealed that the main components of the sialolithiasis were Ca: 78.6% and P: 21%. Histological analysis showed atrophy and fibrosis of the submandibular salivary gland. In this report, we present this case of an asymptomatic submandibular giant calculus left untreated for 24 years. *Correspondence to: Tsuyoshi Shimo, Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Human Biology and Pathophysiology, School of Dentistry, Health Sciences University of Hokkaido, 1757 Ishikari-Tobetsu, Hokkaido 061-0293, Japan, E-mail: shimotsu@hoku-iryo-u.ac.jp","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126675212","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":"Natural course of excessive genu varum without underlying pathology in children","authors":"S. Lee, K. Song, Kyung-Jae Lee, Chang-Jin Yon, Hyuk-Jun Kwon","doi":"10.15761/SRJ.1000165","DOIUrl":"https://doi.org/10.15761/SRJ.1000165","url":null,"abstract":"Background: Despite genu varum’s status as a common pediatric problem, there remain no serial studies investigating the natural course of excessive physiologic genu varum in children. This study, therefore, aims to identify the natural course of the anatomical tibiofemoral angle (aTFA) in children with excessive physiologic genu varum without any underlying pathological conditions. Materials and methods: Between 1997 and 2008, among 70 children who had been referred from a primary hospital to evaluate angular deformity of the knee, 29 consecutive limbs (10 bilateral and 9 unilateral) of 19 healthy Korean children with excessive physiologic genu varum equal to or greater than 2 standard deviations (SDs) of the aTFA at their initial visit until all children were 6 years of age. We analyzed the value of the aTFA as well as the changes in patterns, and compared our findings with results from previous studies. Results: The mean aTFA at the initial visit was 18° varus (range: 9° to 36°), the mean age of normalization was 3.2 years, and the mean value of the aTFA was varus 17.2° at the age of 1 year, followed by a steady decrease to 0° at almost the age of 3.3 years. Starting at the age of 4 years, the aTFA was a mean of 5.2° genu valgum and gradually changed until the age of 6 years, where it was sustained at an average of 3.4° genu valgum. Conclusion: Excessive physiological genu varum exceeding 2 SD in young Korean children improved spontaneously without the need for prosthetics or orthotics.","PeriodicalId":369473,"journal":{"name":"Surgery and Rehabilitation","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115935228","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}