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Journal of Surgery & Anesthesia Research最新文献

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Visual Impairment Due to Optic Chiasm Herniation Following Endoscopic Transsphenoidal Surgery: A Collection of Case Studies 内窥镜经蝶鞍手术后视交叉疝引起的视力障碍：病例研究集
Journal of Surgery & Anesthesia Research Pub Date : 2024-07-31 DOI: 10.47363/jsar/2024(5)185
Chin Hong Ngai
{"title":"Visual Impairment Due to Optic Chiasm Herniation Following Endoscopic Transsphenoidal Surgery: A Collection of Case Studies","authors":"Chin Hong Ngai","doi":"10.47363/jsar/2024(5)185","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)185","url":null,"abstract":"Background: The pituitary gland is prone to various lesions, and the endoscopic transsphenoidal approach is a minimally invasive surgical technique for removing such lesions. Surgical removal of part or all pituitary lesions can result in an empty sella turcica, potentially causing herniation of the optic chiasm. This report presents three cases of patients who developed visual impairment following pituitary surgery and were diagnosed with herniation of the optic chiasm into an empty sella turcica. Case Series: We report three cases of visual deterioration following transsphenoidal resection, with MRI findings indicating optic chiasm herniation. These cases underscore the complexity of post-surgical outcomes and the potential mechanical impact on the optic chiasm. Case 1: A 65-year-old man underwent surgery for a Rathke’s cleft cyst, resulting in initial unchanged vision, followed by worsening bitemporal hemianopia despite successful cyst removal. Post-operative imaging suggested optic chiasm herniation, with subsequent hormonal disturbances developing 4 weeks after surgery. Case 2: A 62-year-old man with a history of macroprolactinoma, initially treated with dopamine agonists, experienced progressive vision loss despite medical therapy, leading to surgical intervention. Post-surgery, prolactin levels improved, but visual acuity continued to decline, with imaging showing persistent optic chiasm herniation 6 weeks post-operation. Case 3: A 37-year-old man, previously treated for a pituitary adenoma via transsphenoidal surgery, presented with worsening bitemporal hemianopia 96 weeks post-surgery. MRI revealed downward traction of the optic chiasm, suggesting long-term mechanical effects impacting vision. Conclusion: This case series highlights that patients presenting with visual changes and a history of recent pituitary gland surgery should be investigated for herniation of the optic chiasm into the sella turcica.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141795344","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
TSH-Secreting Pituitary Tumors: A Case Series and Literature Review 分泌促甲状腺激素的垂体瘤：病例系列和文献综述
Journal of Surgery & Anesthesia Research Pub Date : 2024-03-31 DOI: 10.47363/jsar/2024(5)178
Alcaraz Gaytan Liliana, Munuzuri Camacho Marco Antonio, Balderrama Soto Adriana, Portocarrero Ortiz Lesly Aminta
{"title":"TSH-Secreting Pituitary Tumors: A Case Series and Literature Review","authors":"Alcaraz Gaytan Liliana, Munuzuri Camacho Marco Antonio, Balderrama Soto Adriana, Portocarrero Ortiz Lesly Aminta","doi":"10.47363/jsar/2024(5)178","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)178","url":null,"abstract":"Objectives: To present a series of 3 patients with TSHomas and a brief literature review. Background: TSH-secreting pituitary neuroendocrine tumors (PitNETs) account for <1% of all adenomas observed in surgical series. Most are macroadenomas, and diagnosis can be delayed by up to 9.5 years. Early diagnosis and appropriate treatment can prevent the occurrence of neurological and endocrinological complications. Surgical resection is the first-line treatment. A literature review will be presented to summarize current evidence.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"40 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140357826","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
Preoperative Embolization as a Strategy to Mitigate Hemorrhage Risk in Surgical Resection of Spinal Hemangioblastomas 术前栓塞是降低脊柱血管母细胞瘤手术切除出血风险的一种策略
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-03-31 DOI: 10.47363/jsar/2024(5)179
Akouete Lmp, Bocco Af, Ait Ben Ali S
{"title":"Preoperative Embolization as a Strategy to Mitigate Hemorrhage Risk in Surgical Resection of Spinal Hemangioblastomas","authors":"Akouete Lmp, Bocco Af, Ait Ben Ali S","doi":"10.47363/jsar/2024(5)179","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)179","url":null,"abstract":"Objectives: This study aims to explore the interest and indications of preoperative embolization as an adjunctive technique to mitigate hemorrhage risk during surgical resection of spinal hemangioblastomas. Background: Spinal hemangioblastomas are benign vascular tumors that pose a surgical challenge due to the risk of intraoperative hemorrhage. The standard treatment for these tumors is surgical resection, but the potential for significant bleeding necessitates additional strategies to enhance safety.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"40 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140357832","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
Pain Score Levels Acceptable to Patients and Hospital Staff in Trauma & Orthopaedics in A Large District General Hospital 大型地区综合医院创伤与骨科患者和医院员工可接受的疼痛评分水平
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-02-29 DOI: 10.47363/jsar/2024(5)173
Haydar Atheer Al Hussainy, Xavier Fung, Julian Northover, John Hare
{"title":"Pain Score Levels Acceptable to Patients and Hospital Staff in Trauma & Orthopaedics in A Large District General Hospital","authors":"Haydar Atheer Al Hussainy, Xavier Fung, Julian Northover, John Hare","doi":"10.47363/jsar/2024(5)173","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)173","url":null,"abstract":"Adequate Pain control in trauma and orthopaedic wards is seen as a fundamental equivalence of the quality of medical care worldwide. Despite this, there is no official standard or numerical value of pain that is acceptable for patients. This study examines the level of pain accepted by both inpatients and staff in trauma and orthopaedics in a large district hospital.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415932","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
Hydroxyapatite Crystal Deposition Disease with Multiple Joint Involvement Resulting in Severe Lumbar Spinal Canal Stenosis: A Case Report 多关节受累的羟基磷灰石晶体沉积症导致严重腰椎管狭窄：病例报告
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-02-29 DOI: 10.47363/jsar/2024(5)174
Agnis Saulitis, Rihards Ļuļēns, Egils Pukitis, Julija Dolgopolova
{"title":"Hydroxyapatite Crystal Deposition Disease with Multiple Joint Involvement Resulting in Severe Lumbar Spinal Canal Stenosis: A Case Report","authors":"Agnis Saulitis, Rihards Ļuļēns, Egils Pukitis, Julija Dolgopolova","doi":"10.47363/jsar/2024(5)174","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)174","url":null,"abstract":"Objectives: To describe a rare complication of hydroxyapatite (HA) crystal deposition disease (HADD) – spinal canal stenosis. To discuss clinical features and surgical management of this entity.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"12 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409901","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
Challenges in Intraventricular Meningiomas Surgery, Case Presentation and Review of the Literature 脑室内脑膜瘤手术的挑战、病例介绍和文献综述
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-02-29 DOI: 10.47363/jsar/2024(5)176
Hernandez Gonzalez JC, Preciado Vasquez JV, Escamilla Chavez E, Guerrero Suarez PD, Munguia Lopez JC
{"title":"Challenges in Intraventricular Meningiomas Surgery, Case Presentation and Review of the Literature","authors":"Hernandez Gonzalez JC, Preciado Vasquez JV, Escamilla Chavez E, Guerrero Suarez PD, Munguia Lopez JC","doi":"10.47363/jsar/2024(5)176","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)176","url":null,"abstract":"Objectives: Review on the management of meningiomas of the ventricular atrium according to what has been reported in the literature and in the experience of our institution. Background: Intraventricular meningiomas represent 1 to 5% of meningiomas. Approaches are suggested depending on tumor location and extension, proximity to eloquent areas or pathways (motor, sensory, optic radiation, language), vascular pedicles. In this case, it is a 41-year-old female patient who presents a stabbing headache in the left parieto-temporal region with an intensity of 7/10. Clinically mental functions with impaired retrograde memory and anterograde, acalculia, preserved judgment and abstraction, bradilalia, bradypsychia, for which he went for evaluation and a cranial tomography study with contrast was carried out, evidencing intraventricular extra axial tumor lesion, for which he underwent surgical procedure through excision of a probable left intraventricular extra axial lesion meningioma vs choroid plexus papilloma.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411874","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 Petrous Segment Aneurysm Causing Facial Palsy: Case Report 导致面瘫的巨大皮节动脉瘤：病例报告
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-02-29 DOI: 10.47363/jsar/2024(5)175
Campos I, Novak Jl, Farah Ho, Leal Ag
{"title":"Giant Petrous Segment Aneurysm Causing Facial Palsy: Case Report","authors":"Campos I, Novak Jl, Farah Ho, Leal Ag","doi":"10.47363/jsar/2024(5)175","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)175","url":null,"abstract":"Objectives: Co-occurance of aneurysm causing facial palsy by compression and fibrous dysplasia. Background: The aim of this study is to acknowledge this condition due to its rare frequency. Methods: We report a case of a 54 year old patient presenting with sporadic right hemifacial spasms, lasting up to a minute. In 2023 it evolved with facial palsy House Brackmann V and episodes of headache. Imaging investigation showed a giant petrous segment aneurysm on the right internal carotid artery, with signs of aneurysm thrombosis, compression of the internal acoustic meatus and fibrous dysplasia of the temporal bone as well as erosion in the petrous apex. In our case embolization with coils was proposed.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414739","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
Severe Traumatic Brain Injury in an Indigenous Child from the Western Amazon Following a Collision Between Two Canoes – A Case Report 两艘独木舟相撞后亚马逊河西部土著儿童的严重脑外伤--病例报告
Journal of Surgery &amp; Anesthesia Research Pub Date : 2024-02-29 DOI: 10.47363/jsar/2024(5)172
Moysés Isaac Cohen, Wander da Silva Ferreira, Joaquim Kanawati, Paloam Cardoso Novo, Alcimar Lavareda dos Santos Junior
{"title":"Severe Traumatic Brain Injury in an Indigenous Child from the Western Amazon Following a Collision Between Two Canoes – A Case Report","authors":"Moysés Isaac Cohen, Wander da Silva Ferreira, Joaquim Kanawati, Paloam Cardoso Novo, Alcimar Lavareda dos Santos Junior","doi":"10.47363/jsar/2024(5)172","DOIUrl":"https://doi.org/10.47363/jsar/2024(5)172","url":null,"abstract":"Head trauma is a leading cause of mortality in children in developing countries, often resulting from motor vehicle or motorcycle accidents. The Amazon region, however, presents unique characteristics. Here, one of the primary modes of transportation is canoes, wooden vessels designed for river travel. This paper describes a case involving a two-year-old indigenous child from the Mundurucu ethnic group, residing in the municipality of Borba in the Amazonas State. The child was involved in a collision between two canoes, suffering severe head trauma as the bow of a canoe penetrated the frontal region of the skull.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411155","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
Diagnosis of A Vaginal Septum During Labor: A Rare Case Report 分娩期阴道隔膜的诊断：罕见病例报告
Journal of Surgery &amp; Anesthesia Research Pub Date : 2023-12-31 DOI: 10.47363/jsar/2023(4)171
Noha Amail, Lazhar Hanaa
{"title":"Diagnosis of A Vaginal Septum During Labor: A Rare Case Report","authors":"Noha Amail, Lazhar Hanaa","doi":"10.47363/jsar/2023(4)171","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)171","url":null,"abstract":"Longitudinal vaginal septum is a rare Mullerian malformation which is often associated with other genital anomalies. It may lead to dyspareunia, dysmenorrhea, primary amenorrhea or even to infertility. We present a case report of a 21 years old, primigravida, with a full-term pregnancy whose diagnosis was only made during labor following bidigital vaginal and speculum examination. A successful vaginal delivery was done thanks to the ligature and section of the septum followed by its total resection after the delivery. Many explorations were carried out six months later and no other abnormalities were found.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"39 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131330","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
Highlighting the Vital Role of Skilled Anaesthetic Assistance in Healthcare 强调熟练麻醉师在医疗保健中的重要作用
Journal of Surgery &amp; Anesthesia Research Pub Date : 2023-12-31 DOI: 10.47363/jsar/2023(4)169
Salman Pervaiz Butt
{"title":"Highlighting the Vital Role of Skilled Anaesthetic Assistance in Healthcare","authors":"Salman Pervaiz Butt","doi":"10.47363/jsar/2023(4)169","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)169","url":null,"abstract":"The requirement of skilled anaesthetic assistance is nothing new in healthcare. The professions of anesthesia technicians/technologists, Operating Department Practitioners (ODPs) and anaesthetic nurses or practitioners has evolved significantly over time. Initially rooted in the early use of various substances to mitigate pain during surgical procedures, skilled anaesthetic assistants emerged in the UK in the mid-20th century as dedicated professionals, specializing in anesthesia support.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery &amp; Anesthesia Research","volume":"123 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134932","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
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