Journal of Surgery & Anesthesia Research最新文献_第2页

Osteonecrosis of the Femur: An Overview 股骨骨坏死：概述

Journal of Surgery & Anesthesia Research Pub Date : 2023-12-31 DOI: 10.47363/jsar/2023/ppt/1031

Michelle J Lespasio

引用次数: 0

Quality of Life after Amputations of the Lower Extremities 下肢截肢后的生活质量

Journal of Surgery & Anesthesia Research Pub Date : 2023-10-31 DOI: 10.47363/jsar/2023(4)167

Nikolina Vladic

引用次数: 0

Acute Intestinal Intussusception Complicated By Peritonitis by Ileal Perforation in Pregnancy Apropos of a Case in the General and Visceral Surgery Department of the Ignace Deen National Hospital 妊娠期急性肠套叠并发回肠穿孔腹膜炎1例(附伊尼亚斯迪恩国立医院普通及内脏外科报告

Journal of Surgery & Anesthesia Research Pub Date : 2023-08-31 DOI: 10.47363/jsar/2023(4)164

Bangoura Mohamed Saliou

{"title":"Acute Intestinal Intussusception Complicated By Peritonitis by Ileal Perforation in Pregnancy Apropos of a Case in the General and Visceral Surgery Department of the Ignace Deen National Hospital","authors":"Bangoura Mohamed Saliou","doi":"10.47363/jsar/2023(4)164","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)164","url":null,"abstract":"Acute intussusception is a rare manifestation in adults, most often of malignant tumoral origin occurring on a small intestine loop. Its presence in a pregnant woman with a complication such as peritonitis by ileal perforation is an extremely rare case. We report a clinical case concerning a 32-year-old woman, amenorrhoeic for 24 weeks, referred to the general and visceral surgery department of the Ignace Deen National Hospital for acute intestinal obstruction in pregnancy in whom, after performing an X-ray of the abdomen without preparation which revealed mixed hydro-aeric levels and a biological assessment, she was taken to the block, at the celiotomy purulent liquid flowed out and the exploration revealed a pudding of ileo-coeco-colic intussusception whose disinvagination revealed three ileal perforations with respective diameters of 1.5cm, 2cm and 3cm located respectively 10cm, 30cm and 50cm from the ileocecal junction with pre-perforation zones. We performed a resection removing the perforations followed by an end-to-side ascending ileocecal anastomosis. The post-operative course was marred by complications such as evisceration, disembowelment and the birth of a full-term stillborn.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131570626","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

Claudius Amyand’s Hernia in Children: About Two Cases in the Pediatric Surgery Unit in the General Surgery Department at Ignace Deen Chu 儿童克劳迪亚斯·阿米兰德疝:关于两例在伊尼亚斯·迪恩·朱普通外科儿科外科

Journal of Surgery & Anesthesia Research Pub Date : 2023-08-31 DOI: 10.47363/jsar/2023(4)165

K. Mariame, Diawara Mohamed Albert

{"title":"Claudius Amyand’s Hernia in Children: About Two Cases in the Pediatric Surgery Unit in the General Surgery Department at Ignace Deen Chu","authors":"K. Mariame, Diawara Mohamed Albert","doi":"10.47363/jsar/2023(4)165","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)165","url":null,"abstract":"Acute intussusception is a rare manifestation in adults, most often of malignant tumoral origin occurring on a small intestine loop. Its presence in a pregnant woman with a complication such as peritonitis by ileal perforation is an extremely rare case. We report a clinical case concerning a 32-year-old woman, amenorrhoeic for 24 weeks, referred to the general and visceral surgery department of the Ignace Deen National Hospital for acute intestinal obstruction in pregnancy in whom, after performing an X-ray of the abdomen without preparation which revealed mixed hydro-aeric levels and a biological assessment, she was taken to the block, at the celiotomy purulent liquid flowed out and the exploration revealed a pudding of ileo-coeco-colic intussusception whose disinvagination revealed three ileal perforations with respective diameters of 1.5cm, 2cm and 3cm located respectively 10cm, 30cm and 50cm from the ileocecal junction with pre-perforation zones. We performed a resection removing the perforations followed by an end-to-side ascending ileocecal anastomosis. The post-operative course was marred by complications such as evisceration, disembowelment and the birth of a full-term stillborn.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133805945","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

Obstetric Fistulas: Epidemioclinical Aspects and Management at the Maroua Regional Hospital Summary 产科瘘:流行病学临床方面和管理在马鲁阿地区医院摘要

Journal of Surgery & Anesthesia Research Pub Date : 2023-08-31 DOI: 10.47363/jsar/2023(4)161

Ngaroua Ngaroua

{"title":"Obstetric Fistulas: Epidemioclinical Aspects and Management at the Maroua Regional Hospital Summary","authors":"Ngaroua Ngaroua","doi":"10.47363/jsar/2023(4)161","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)161","url":null,"abstract":"Obstetrical fistula is an abnormal communication between the vagina and the urinary tract or between the vagina and the rectum, or both, leading to urinary incontinence. The cameroonian government with its developmental partners have set up centers to deal with these fistula among which, the one of the Maroua Regional Hospital. After two years of active operation, it was judicious for us to evaluate the functioning of the said center. Hence, the interest of this study led to the general objective of the evaluation of the management of obstetric fistula at the Maroua Regional Hospital Center. We conducted a cross-sectional descriptive study with retrospective data collection based on 118 records of patients managed during the study period. Results obtained showed that, the age group of [20-25] years were mainly represented in the sample. The vesico-vaginal form was the most common fistula with 72.90%. The surgical approach by the lower route with fistulorraphy was practiced in 84.70% of the overall cases. The success rate was 96.62% against 3.38% failure at hospital discharge. Long-term follow-up gave us a cure rate of 77.23% against 22.77% cases of recurrence. Concludingly, the results obtained are encouraging, however, more efforts are needed in terms of awareness and early detection of cases in the communities in ordre to eradicate this pathology.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"197 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134412111","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

Influence of S-Ketamine, at low Doses, on the Electroencephalogram - BIS Suppression Rate: A Randomized Clinical Trial 低剂量s -氯胺酮对脑电图BIS抑制率的影响:一项随机临床试验

Journal of Surgery & Anesthesia Research Pub Date : 2023-08-31 DOI: 10.47363/jsar/2023(4)163

R. Nunes, Filipe Mitsuo Akamine, B. Meireles

{"title":"Influence of S-Ketamine, at low Doses, on the Electroencephalogram - BIS Suppression Rate: A Randomized Clinical Trial","authors":"R. Nunes, Filipe Mitsuo Akamine, B. Meireles","doi":"10.47363/jsar/2023(4)163","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)163","url":null,"abstract":"Objective: To evaluate the influence of low doses of S-ketamine, during total intravenous anesthesia, on the suppression rate (SR) induced during total intravenous anesthesia (TIVA) by deepening the anesthetic plane. Methods: A triple-blind clinical trial was conducted with 20 patients who underwent elective operations under general anesthesia, randomly allocated into two groups, CG (control: 0.9% saline) and CGS (s-ketamine: 0.2 mg.kg-1). Each group was assessed at M0 (immediately before pre-oxygenation), M1 (3 minutes after SR stabilization) and M2 (3 minutes after infusion of s-ketamine or 0.9% saline). Bispectral index (BIS), electromyography, and SR were recorded at each moment. Results: There were no statistically significant changes regarding BIS and EMG from M1 to M2. There was also no indication of a significant difference between the average SR values concerning the factors group and moment, jointly (p=0.499), and separately (G1 and G2, p=0.812 and p=0.923). Conclusions: Low doses of s-ketamine were insufficient to determine changes in SR values, validating this important electroencephalographic parameter. Significance: The study findings reinforce that low doses of s-ketamine do not invalidate the SR values","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132832826","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

Early Clues in Diagnosing Fournier’s Gangrene 诊断富尼耶坏疽的早期线索

Journal of Surgery & Anesthesia Research Pub Date : 2023-08-31 DOI: 10.47363/jsar/2023(4)162

Joseph Phillipos

引用次数: 0

Influence of (S)-Ketamine on the Bispectral Index and Electroencephalogram during Total Intravenous Anesthesia: A Randomized Clinical Trial (S)-氯胺酮对全静脉麻醉双谱指数和脑电图的影响:一项随机临床试验

Journal of Surgery & Anesthesia Research Pub Date : 2023-06-30 DOI: 10.47363/jsar/2023(4)157

R. Nunes

{"title":"Influence of (S)-Ketamine on the Bispectral Index and Electroencephalogram during Total Intravenous Anesthesia: A Randomized Clinical Trial","authors":"R. Nunes","doi":"10.47363/jsar/2023(4)157","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)157","url":null,"abstract":"Background: This study aims to evaluate the influence of different doses of (S)-ketamine on bispectral index (BIS) and electromyographic power (pEMG). Method: Forty participants, submitted to controlled venous effector site anesthesia, were randomly distributed into 5 groups. In the k0 control group, participants did not receive (S)-ketamine; k1, k2, k3, and k4 received (S)-ketamine 200 µg.kg-1 iv followed by a continuous infusion of 100, 200, 300, and 400 µg.kg-1 h-1, respectively. In each group, 11 moments were evaluated: M0, before anesthetic induction, M1, 10 minutes after anesthesia stabilization with BIS between 45 and 55, and M2 to M10, 3, 6, 9, 12, 15, 18, 21, 24, and 27 minutes after (S)-ketamine. At all moments, BIS and pEMG values were recorded. An ANOVA was used for repeated measures, and the p-value was adjusted for multiple comparisons by Tukey’s test, considering p< 0.05 as significant. Results: No significant changes (p> 0.05) were observed at each moment after M0 by comparing the mean BIS and pEMG values between all groups. Conclusion: Electroencephalographic parameters (BIS and pEMG) are not significantly influenced when this (S)-ketamine infusion model and total intravenous anesthesia are performed.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123041220","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

Popliteal Artery Injuries: Incidence, Clinical Patterns and Outcomes (A Single Center Study in Yemen) 腘动脉损伤:发病率、临床模式和结果(也门单中心研究)

Journal of Surgery & Anesthesia Research Pub Date : 2023-06-30 DOI: 10.47363/jsar/2023(4)158

Nabeel Almadwahi

{"title":"Popliteal Artery Injuries: Incidence, Clinical Patterns and Outcomes (A Single Center Study in Yemen)","authors":"Nabeel Almadwahi","doi":"10.47363/jsar/2023(4)158","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)158","url":null,"abstract":"Background: Below the inguinal ligament, popliteal artery injuries are the second most frequent arterial injuries in the world. In order to share our experience with complex traumatic popliteal vascular injuries at Al-Thawra Modern General Hospital in Sana’a City- Yemen, we focus on the incidence, initial presentation, surgical management, and outcomes of popliteal artery injuries. Patients and Methods: Over the 3-year period from 1 January 2020 to 31 December 2022, all patients with popliteal artery injuries regardless of their other synchronized injuries were included. By contrast, patients who are managed as popliteal artery injuries by a military care giver at battle field were excluded from our analysis. In the diagnosis of popliteal artery injury, we relied on the physical examination. The main outcome was either patients get complete recovery, partial function loss of the limb, or end with amputation. Results: During study period, an overall incidence of popliteal artery injuries was 0.9%. Of 26 patients with popliteal artery injuries, 25 (96.2%) patients were men, and more than half of our patients (53.8%) were in the age group ≤ 25 years, with an overall mean of age 24.5 ± 5.6 years. The distribution of patients in groups of time delays in treatment of ≤ 6 hours, 6-10 hours and more than 10 hours was 9 (34.6%), 12 (46.2%) and 5 (19.2%) respectively. The mechanisms of injury were penetrating and blunt in 24 (92.3%) and 2 (7.7%) patients respectively. Patients who received a fasciotomy was 25 (96.2%). In our cohort of patients, incidence of amputation was 11.5%, while partial function loss rate was 27%. Conclusion and Recommendations: In our cohort of patients, incidence of popliteal artery injuries was high. Despite technical improvements in management of popliteal artery injury, a high amputation rate is observed in our study. The need for early diagnosis and early referral to definitive care must be emphasized. One of the most important ways to lower the risk of amputation is to shortening the duration of ischemia.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"2021 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128043746","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

An Amyand’s Hernia with Recurrence: Clinical and Therapeutic Particularities with Literature Review 一例复发性Amyand疝:临床及治疗特点并文献复习

Journal of Surgery & Anesthesia Research Pub Date : 2023-06-30 DOI: 10.47363/jsar/2023(4)159

Errabi Mn

引用次数: 0

Journal of Surgery &amp; Anesthesia Research最新文献

Journal of Surgery & Anesthesia Research最新文献