Journal of Medical and Surgical Research最新文献

{"title":"Non-Invasive Versus Invasive Blood Pressure Monitoring in Patients During Laparoscopic Bariatric Surgery: a Prospective Method-Comparison Study","authors":"C. Ying, Loo Guo Hou, A. Izaham, R. Rajan, Zuraidah Che’Man, E. Kamaruzaman, N. Kosai","doi":"10.46327/MSRJG.1.000000000000171","DOIUrl":"https://doi.org/10.46327/MSRJG.1.000000000000171","url":null,"abstract":"Intra-operative blood pressure monitoring in morbidly obese patients using standard non-invasive blood pressure (NIBP) oscillometric technique with upper arm cuffing is often inaccurate. Invasive arterial blood pressure (IABP) monitoring is the gold standard but is not without complications. The purpose of this study was done to assess the degree of agreement between the forearm and upper arm NIBP with the IABP during laparoscopic bariatric surgery. The study was conducted in our university hospital. A total of 36 morbidly obese patients undergoing laparoscopic bariatric surgery were studied. The radial artery was cannulated for IABP monitoring on one upper limb while NIBP monitoring was done on the contralateral upper arm and forearm. The NIBP and its corresponding IABP readings were recorded at selected time points at 10 minutes post-induction; 5, 15, and 30 minutes post-insufflation and 15 minutes postexsufflation. Results: The mean arterial pressure (MAP) has narrower limits of agreement compared to the systolic blood pressure (SBP) and diastolic blood pressure (DBP) for each method of measurement used. Forearm NIBP showed better agreement with IABP compared to upper arm NIBP. Repeated measures ANOVA showed a similar pattern of changes in SBP, DBP, and MAP measured by NIBP and IABP during the surgery. Conclusion: Similar patterns of blood pressure changes were observed with IABP, upper arm, and forearm NIBP measurements at all-time points. The forearm NIBP showed better agreement to IABP as compared to upper arm NIBP and may be adequate to monitor patterns of blood pressure changes during laparoscopic bariatric surgery.","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"778-791"},"PeriodicalIF":0.2,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48397522","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":"Patient Centered Care: Focus on Low and Middle Income Countries and Proposition of New Conceptual Model","authors":"Said Bensbih, A. Souadka, Amalia Giuliani Diez, Otmane Bouksour","doi":"10.46327/msrjg.1.000000000000168","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000168","url":null,"abstract":"The health system is a fundamental building block of a country's social project. Approaches and strategies differ but some concepts such as Patient Centered Care (PCC) seem to be more and more popular nowadays as the customer centric advocated in the industry. The research has focused on this trend of PCC with several different definitions but without having a particular focus on the context of Low and Middle Income Countries (LMICs). The objective of this study is, through an extensive literature review, to analyze this concept, to unify the dimensions described by different authors, to define a concept that can be proposed to LMICs and to determine facilitating factors as well as obstacles for its implementation.","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"755-763"},"PeriodicalIF":0.2,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48203800","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":"Evaluation of the Decision-Making Mode during Digestive Oncology Multidisciplinary Meetings: a Prospective Study in a Moroccan Center","authors":"C. Charoui, A. Souadka, S. Saber, R. Latib, L. Rifai, L. Amrani, A. Benkabbou, R. Mohsine, M. Majbar","doi":"10.46327/msrjg.1.000000000000169bis","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000169bis","url":null,"abstract":"Introduction: The multidisciplinary team oncology meeting (MDT) has become a standard in oncology. The objective of this study was to evaluate the value of a validated tool, the Metric for the Observation of Decision-Making, in the evaluation of the decision-making mode during the digestive cancer MDT in order to reach recommendations for improvement.\u0000\u0000Results: Eight consecutive MDTs were observed (N = 228 patients). On average, 32 patients were discussed by MDT with an average of 2 min 55 s (interval: 30 s-10 min 16 s) per patient. A decision was reached in 84.6% of the cases. Although the medical information was judged to be of good quality, the psychosocial information (average 1.29) and the patients' point of view (average 1.03) were judged to be of low quality. For teamwork, the contribution of surgeons (average 4.56) and oncologists (average 3.99) was greater than radiologists (3.12), radiotherapists (1.74) and pathologists (1.02).\u0000\u0000Conclusions: The tool made it possible to identify a disparity in the quality of the different aspects of the information and in the participation of specialists, making it possible to identify specific improvement measures. Its regular use would improve the quality of patient care.\u0000\u0000Keywords: Decision making, Quality improvement, Multidisciplinary Concertation meeting, MDT-MODe, Morocco","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48082387","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":"Myopia and CoVID-19 Confinement in Morocco: An Issue to be Considered?","authors":"K. Belkhadir, O. Cherkaoui","doi":"10.46327/msrjg.1.000000000000162","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000162","url":null,"abstract":"...In Morocco, during the confinement period, the ophthalmic consultation activity was limited in large parts to emergencies. So, at the end of these three months of confinement, an increase in ophthalmic consultations for refractive disorders in children, adolescents and young adults should be expected...\u0000\u0000Keywords: CoVID-19, Confinement, e-learing, Morocco, Myopia","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70491701","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":"Non-operative Management of Benign Colorectal Anastomotic Stenosis in Patients Undergoing Elective Surgery for Non-Metastatic Primary Rectal Cancer","authors":"Ümit Mercan, O. Ersen, C. Yüksel, Ö. Yalkın, Serkan Akbulut, Ekrem Ünal, S. Demirci","doi":"10.22317/jcms.v6i3.768","DOIUrl":"https://doi.org/10.22317/jcms.v6i3.768","url":null,"abstract":"Introduction: Benign anastomosis stenosis may develop in postoperative or long term period due to many reasons such as anastomosis leakage and anastomosis ischemia after colorectal surgery. While surgical treatment was commonly used in benign anastomosis stenosis in the past, surgery has left its place to more minimally invasive methods such as endoscopic treatments. There is no gold standard treatment method in the management of benign anastomosis strictures in the literature. In this study, we aimed to present our clinical experience in the treatment of benign anastomosis strictures in patients undergoing elective surgery for nonmetastatic primary rectal cancer. Material and Methods: One hundred fifty-six (156) patients who underwent resection and colorectal anastomosis between January 2013 and January 2018 were included in the study. 22 patients developed benign anastomotic stenosis has been determined and etiological factors and treatment modalities applied has been compared retrospectively. Results: In 22 patients, 9 patients were treated with digital or balloon dilatation, at least 2 sessions and up to 5 sessions. Four patients were treated with dilatation followed by stenting. The remaining 9 patients were taken to surgical treatment. Among whole patients with stenosis, it has been determined that 15 of them had neoadjuvant therapy history, 5 had anastomosis leakage and in 16 of them 28 mm circular stapler have been used. Discussion and Conclusion: Neoadjuvant treatment history, the presence of anastomosis leakage and the usage of 28 mm circular stapler have been detected to be the most important etiological factors in development of benign anastomotic stenosis. Endoscopic treatments should be tried primarily to treat benign anastomotic stenosis. High success rates can be achieved with endoscopic methods and patient quality of life can be improved. With this approach, the need for surgery will be reduced and possible postoperative complications can be prevented.\u0000\u0000Keywords: Rectal Neoplasms, Stenosis, Laparoscopy, Anastomostic stenosis","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47450110","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":"Resuming Elective Oncologic Surgery After CoVID-19 Outbreak: What Precautions Should be Taken?","authors":"A. Majbar, A. Benkabbou, R. Mohsine, A. Souadka","doi":"10.46327/msrjg.1.000000000000161","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000161","url":null,"abstract":"The COVID 19 outbreak has caused the cancellation of most elective oncological surgery around the world to limit the risk of virus dissemination. As we are exiting the crisis, surgical teams will face strong challenges while resuming normal elective surgery. The accumulation of cases will have to be managed by defining strong selection criteria, taking into account the patient and the disease conditions. In order to reduce the risk of infection, nonCOVID patients should be treated in dedicated non-COVID areas, preferably in separate buildings or hospitals. Departments, units and operative theaters should put in place rigorous actions and protocols to protect the patient and healthcare workers. Adequate protective equipment must be readily available for healthcare workers and patients. Finally, teams should keep an adaptive mindset by preparing strategies to maintain surgical activity in case of repeated COVID 19 waves.","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"724-733"},"PeriodicalIF":0.2,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44289752","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":"Africa Against COVID-19: Can National Solidarity Complements Health System Weaknesses? -the Moroccan Experience-","authors":"A. Souadka, A. Benkabbou, M. Majbar, H. Essangri, L. Amrani, R. Mohsine, E. Akhnif","doi":"10.46327/10.46327/msrjg.1.000000000000160","DOIUrl":"https://doi.org/10.46327/10.46327/msrjg.1.000000000000160","url":null,"abstract":"<jats:p>NA</jats:p>","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"722-723"},"PeriodicalIF":0.2,"publicationDate":"2020-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44600442","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":"CoVID-19: a Digestive Disease!","authors":"Y. Cherradi","doi":"10.46327/msrjg.1.000000000000159","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000159","url":null,"abstract":"CoVID-19 is a Public Health Emergency of International Concern. Since the first case has been reported in Wuhan in China, evidence of associated severe acute respiratory syndrome is well established and the disease is accepted as a primarily respiratory infection. However, current available data are supporting a gastrointestinal tropism with great implications at multiple levels in the course of this disease. The gastrointestinal tract appears in the heart of the strategy for management of infected patients from diagnosis to post-recovery isolation policies. This review highlights the digestive aspects of CoVID-19.\u0000\u0000Keywords: ACE2, CoVID-19, Digestive, Endoscopy, Fecal transmission, Liver, Prognosis","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"714-721"},"PeriodicalIF":0.2,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47233677","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":"Portal Cavernoma Complicating a Persistent Postoperative Bile Leak after Liver Hydatid Cyst Surgery: -a Report Case-","authors":"M. Bouzroud, B. Ait Idir, F. Strehlow, A. Benkabbou","doi":"10.46327/msrjg.1.000000000000145","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000145","url":null,"abstract":"Introduction: Hydatid cyst is a parasitic infection caused by the larval form of Echinococcus granulosus. Portal hypertension is an unusual postoperative complication after a liver hydatid cyst surgery. Case presentation: To illustrate this rare condition, we present the case of a 32-year-old patient operated for a liver hydatid cyst with late onset postoperative complications. The patient suffered from secondary digestive bleeding due to portal hypertension and was therefore treated with a distal splenorenal shunt (Warren). Conclusion: Surgery of hydatid cyst may cause severe complications like portal hypertension and in certain cases, distal splenorenal anastomosis might represent an important treatment option that needs to be performed in specialised centres.","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"642-644"},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682541","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":"Mediastinum Lymph Node Hydatidosis.","authors":"Yassine Ouadnouni, M. Lakranbi, Mohamed Smahi","doi":"10.46327/msrjg.1.000000000000009","DOIUrl":"https://doi.org/10.46327/msrjg.1.000000000000009","url":null,"abstract":"","PeriodicalId":41186,"journal":{"name":"Journal of Medical and Surgical Research","volume":"1 1","pages":"28-28"},"PeriodicalIF":0.2,"publicationDate":"2014-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70491642","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}