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Journal of Surgery & Anesthesia Research最新文献

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Cauda Equina Syndrome and Spinal and Epidural Anesthesia. The Influence of Local Anesthetic, Needle Type and Position of Puncture 马尾综合征与脊髓和硬膜外麻醉。局麻药、穿刺针类型及穿刺位置的影响
Journal of Surgery & Anesthesia Research Pub Date : 2023-02-28 DOI: 10.47363/jsar/2023(4)148
L. E. Imbelloni
{"title":"Cauda Equina Syndrome and Spinal and Epidural Anesthesia. The Influence of Local Anesthetic, Needle Type and Position of Puncture","authors":"L. E. Imbelloni","doi":"10.47363/jsar/2023(4)148","DOIUrl":"https://doi.org/10.47363/jsar/2023(4)148","url":null,"abstract":"Background and Objectives: Severe complications such as Cauda Equina Syndrome (CES) lead to temporary or permanent disability have been ascribed to central neuraxial blocks. Some case reports, and very few retrospective studies, have focused their attention on the fact that central nerve blocks can cause, albeit rarely, permanent damage to the spinal cord or nerve roots, or both. This study is the experience of 48 years with spinal anesthesia and several publications and no definite neurological complications. This study is not a review of the subject. The primary objective of this study was to analyze the characteristics in relation to needles, puncture position, types of anesthetics, and baricity of local anesthetics.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"733 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133535399","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
Laparoscopic Cholecystectomy Lower Thoracic Spinal Anesthesia. A retrospective Study with 505 Patients 腹腔镜胆囊切除术。505例患者的回顾性研究
Journal of Surgery & Anesthesia Research Pub Date : 2022-12-31 DOI: 10.47363/jsar/2022(3)145
L. E. Imbelloni, M. Fornasari
{"title":"Laparoscopic Cholecystectomy Lower Thoracic Spinal Anesthesia. A retrospective Study with 505 Patients","authors":"L. E. Imbelloni, M. Fornasari","doi":"10.47363/jsar/2022(3)145","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)145","url":null,"abstract":"Background: In our group, after a study showing that spinal anesthesia is safe when compared with general anesthesia, spinal anesthesia has been the technique of choice for this procedure. This is a retrospective study with patients undergoing laparoscopic cholecystectomy under thoracic spinal anesthesia. Methods: A total of 505 laparoscopic cholecystectomy patients operated under spinal anesthesia were included in this study. Spinal anesthesia was between T8 to T11, with a 27G cutting point or pencil tip in lateral or sitting. Spinal anesthesia was performed with two doses of 0.5% bupivacaine hyperbaric plus 25 µg of fentanyl, until reaching the sensitive level of T3. We evaluated the demographics, analgesia, and degree of motor block, incidence of paresthesia, bradycardia, hypotension, anesthesia success and neurological complications. Results: All 505 patients developed spinal. Neither the dose of hyperbaric solution of 0.5% bupivacaine nor the addition of fentanyl affected the onset of sensory block. The duration of sensory block was greater than the motor block with hyperbaric solution. Bradycardia occurred in 16 (3.1%) patients, and was not correlated with the level of thoracic puncture. Hypotension occurred in 82 (16.2%), with no significant association with the dose of local anesthetic. None of the 505 patients had the maximum degree of lower limb motor block, with significant difference in terms of dose. Paresthesia was observed in 28 (5.5%) without significant difference between needles. All paresthesias were transient and without residual sequelae. Conclusion: The beginning of the block is fast regardless of the solution used. By providing a sensory block of longer duration than the motor block hyperbaric bupivacaine is reflected in a better indication. Thoracic spinal anesthesia provides excellent anesthesia for lower limb orthopedic surgery, without neurological sequelae.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127307405","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
Juvenile Fibroma: A Case Report and Review of the Literature 青少年纤维瘤1例报告及文献复习
Journal of Surgery & Anesthesia Research Pub Date : 2022-12-31 DOI: 10.47363/jsar/2022(3)144
Belmaati Cherkaoui Ghita, Zouaidia Fouad
{"title":"Juvenile Fibroma: A Case Report and Review of the Literature","authors":"Belmaati Cherkaoui Ghita, Zouaidia Fouad","doi":"10.47363/jsar/2022(3)144","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)144","url":null,"abstract":"Juvenile aponeurotic fibroma is a rare benign tumor which occurs in young patients and found primarily in the extremities. Clinical presentation is a unique, hard and painless tumour of the palm or sole which has a strong propensity to recur. The treatment commonly accepted for this locally recurrent tumour is complete excision with function preservation. With a close supervision to identify any recurrence or development of metastases at early stages.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122538596","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
Clinical Patterns and Outcomes in Patients After Penetrating Lower Limb Vascular Injury in Taiz, Yemen 也门塔伊兹穿透性下肢血管损伤患者的临床模式和结果
Journal of Surgery & Anesthesia Research Pub Date : 2022-12-31 DOI: 10.47363/jsar/2022(3)146
Ismail Al-Shameri, Zaki Nasr
{"title":"Clinical Patterns and Outcomes in Patients After Penetrating Lower Limb Vascular Injury in Taiz, Yemen","authors":"Ismail Al-Shameri, Zaki Nasr","doi":"10.47363/jsar/2022(3)146","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)146","url":null,"abstract":"Background: Popliteal arterial injury is associated with a high risk of limb loss of any peripheral vascular injury. The purpose of this study was to review our experience with complex penetrating popliteal arterial injuries, thereby focusing on initial presentation and early outcomes. Methods: We conducted a retrospective study of 85 patients with popliteal arterial injuries who underwent surgical treatment from 2015 to 2019 at Authority of Althawra hospital in Taiz, Yemen. Variables were retrospectively collected included patient demographics, mechanism and type of injury, limb ischemia time, clinical status at presentation, type of vascular reconstruction, associated complications, limb salvage, and mortality","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"493 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116536629","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
No Absolute Futility Predictor for Transfusions in Trauma Surgery: Case Report of a Successful Resuscitation with 218 Units Blood Products 创伤外科输血没有绝对的无效预测指标:218单位血液制品成功复苏的病例报告
Journal of Surgery & Anesthesia Research Pub Date : 2022-09-30 DOI: 10.47363/jsar/2022(3)142
R. Johnstone
{"title":"No Absolute Futility Predictor for Transfusions in Trauma Surgery: Case Report of a Successful Resuscitation with 218 Units Blood Products","authors":"R. Johnstone","doi":"10.47363/jsar/2022(3)142","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)142","url":null,"abstract":"Increasing units of blood transfused during trauma surgery are associated with increasing mortality. Recommendations for considering further transfusions futile commonly range from 40-75 units. We report a trauma patient who received 218 units of blood products intraoperative and 230 within 24 hours and survived to live an active life.","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"520 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120971116","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
Light Weight (LW) vs Heavy Weight (HW) Mesh; A Comparative Study between the Two Hernia Prosthesis 轻重量(LW) vs重重量(HW)网;两种疝修补术的比较研究
Journal of Surgery & Anesthesia Research Pub Date : 2022-09-30 DOI: 10.47363/jsar/2022(3)143
Maikal Kujur
{"title":"Light Weight (LW) vs Heavy Weight (HW) Mesh; A Comparative Study between the Two Hernia Prosthesis","authors":"Maikal Kujur","doi":"10.47363/jsar/2022(3)143","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)143","url":null,"abstract":"Hernia repair has been one of the most common and an everevolving field of surgery. With experienced surgeons, laparoscopic hernia repair techniques are associated with significantly less postoperative pain and an earlier return to normal work compared with open hernia repair","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134477564","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
Para-Duodenal Hernia Unusual Presentation of Abdominal Obstruction: A Case Report 十二指肠旁疝异常表现腹部梗阻1例
Journal of Surgery & Anesthesia Research Pub Date : 2022-06-30 DOI: 10.47363/jsar/2022(3)141
Ahmad E Al-Mulla, Maznah Al-Mutairi, F. Ashkanani, Mohammed Algazar, Mohammed Yousry abdelhamid, Nouf Al Alenezi
{"title":"Para-Duodenal Hernia Unusual Presentation of Abdominal Obstruction: A Case Report","authors":"Ahmad E Al-Mulla, Maznah Al-Mutairi, F. Ashkanani, Mohammed Algazar, Mohammed Yousry abdelhamid, Nouf Al Alenezi","doi":"10.47363/jsar/2022(3)141","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)141","url":null,"abstract":"A para-duodenal hernia is a type of internal hernia, an atypical congenital anomaly. It presents as abdominal obstruction with adverse manifestations such as strangulation and infraction. Its symptoms can be ambiguous and variable, making them challenging to detect and diagnose. However, prompt intervention is required to avoid further complications. Here, we present the course and management of a 31-year-old male who contributed to our emergency department with symptoms of intestinal obstruction with an unusual C.T. scan and intra-operative findings","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124944978","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
Therapeutic Role of Transforaminal Steroid Injection for the Management of Radicular Pain: Survival Rate in Patients with Radicular Pain Secondary to Degenerative Lumbar Pathology 经椎间孔类固醇注射治疗神经根痛的作用:腰椎退行性病理继发神经根痛患者的生存率
Journal of Surgery & Anesthesia Research Pub Date : 2022-06-30 DOI: 10.47363/jsar/2022(3)140
Lyonel Beaulieu, Ignacio Cirillo Totera, Andrés Guardia, J. Bahamondes, F. Lemos, Felipe Ahumada, J. Muñoz, A. Montoya
{"title":"Therapeutic Role of Transforaminal Steroid Injection for the Management of Radicular Pain: Survival Rate in Patients with Radicular Pain Secondary to Degenerative Lumbar Pathology","authors":"Lyonel Beaulieu, Ignacio Cirillo Totera, Andrés Guardia, J. Bahamondes, F. Lemos, Felipe Ahumada, J. Muñoz, A. Montoya","doi":"10.47363/jsar/2022(3)140","DOIUrl":"https://doi.org/10.47363/jsar/2022(3)140","url":null,"abstract":"Background: The effectiveness of transforaminal epidural steroid injection (TFESI) as a therapeutic tool for radicular pain (RP) in the short term has been demonstrated, however, in the medium or long term it is controversial. Objectives: The objective of this work is to evaluate its usefulness as a therapeutic tool through survival analysis. Study Design: Method: Retrospective evaluation of 93 patients with RP secondary to degenerative pathology (DP) of the lumbar spine, submitted to TFESI, by the same spine surgeon, analyzing demographic variables and clinical results according to McNab score, as well as analysis of survival rate of TFESI using Kaplan Meier curve. Results: Of the 93 patients, 59% was male and 41% female, with a mean age of 64 years, with an average follow-up of 27 months. The most frequently infiltrated level was L4-L5 (55.9%) and sciatica was the most common symptom (88.1%) of the patients. The most frequent diagnosis found was disc herniation in 51.6%. 87% of the patients reported improved their symptoms according to the McNab Score, indicating excellent, good or fair results. Only 12.9% indicates poor results. 12.9% of the patients required surgery or a second TFESI within the first three months. The survival rate obtained in our study was of 81% at 51 months. Conclusion: The results obtained in our study showed favorable results with a survival rate of 81% at 51 months for the TFESI, suggesting its efficacy for the management of RD in the medium and long term, thus being able to avoid more invasive procedures with their potential risks","PeriodicalId":380400,"journal":{"name":"Journal of Surgery & Anesthesia Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115485950","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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