Saudi Surgical Journal最新文献_第3页

Colonic Burkitt's lymphoma related to bowel obstruction in adults: A case report and literature review 成人结肠伯基特淋巴瘤伴肠梗阻1例并文献复习

Saudi Surgical Journal Pub Date : 2020-07-01 DOI: 10.4103/ssj.ssj_50_19

S. Alotaibi, A. Alotaibi, S. Sait, N. Alghanmi, A. Sibiany

{"title":"Colonic Burkitt's lymphoma related to bowel obstruction in adults: A case report and literature review","authors":"S. Alotaibi, A. Alotaibi, S. Sait, N. Alghanmi, A. Sibiany","doi":"10.4103/ssj.ssj_50_19","DOIUrl":"https://doi.org/10.4103/ssj.ssj_50_19","url":null,"abstract":"Burkitt's lymphoma (BL) is an uncommon cause of non-Hodgkin lymphoma in adults. BL-related intussusception causing intestinal obstruction in adults is rare. Symptoms are often misleading and make diagnosis difficult. We aim to present an adult case of a Colonic BL related to bowel obstruction. Here, we are presenting a case of a 29-year-old Saudi male patient who presented with symptoms of bowel obstruction. Abdominal examination found abdominal distention with a palpable mass in the right lower quadrant with mild tenderness. After chest, abdomen, and pelvic enhanced computed tomography with intravenous contrast, colonoscopy, and histopathological examination, the patient was diagnosed with colonic BL, which caused him bowel obstruction. Chemotherapy has been started based on Hyper CVAD chemotherapy protocol. After receiving the complete Chemotherapy on July 2019, patient's symptoms improved; there is no longer abdominal pain; he is passing stool, usually with no blood or mucus. Two months post last cycle of chemotherapy the patient presented again to the hospital with symptoms and images showed refractory disease to first-line chemotherapy. He passed away one month after this admission.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123202931","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 in a patient with situs inversus totalis 腹腔镜胆囊全倒位切除术1例

Saudi Surgical Journal Pub Date : 2020-07-01 DOI: 10.4103/ssj.ssj_64_21

A. Aljahdali, Saad Almowallad, T. Habib

引用次数: 0

Surgeons in training in the face of COVID-19 pandemic in the eastern province of Saudi Arabia: A cross sectional study tackling capabilities, opportunities, and motivation 面对COVID-19大流行，沙特阿拉伯东部省份正在接受培训的外科医生:一项关于能力、机会和动机的横断面研究

Saudi Surgical Journal Pub Date : 2020-04-01 DOI: 10.4103/SSJ.SSJ_32_20

Maryam Mozafarinia, Nikki Ow, K. Mate, Magdalena Cordoba, Haider Alyaseen, Layla Ajasim, C. Cordoba

{"title":"Surgeons in training in the face of COVID-19 pandemic in the eastern province of Saudi Arabia: A cross sectional study tackling capabilities, opportunities, and motivation","authors":"Maryam Mozafarinia, Nikki Ow, K. Mate, Magdalena Cordoba, Haider Alyaseen, Layla Ajasim, C. Cordoba","doi":"10.4103/SSJ.SSJ_32_20","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_32_20","url":null,"abstract":"Background: Urgent safety measures and management protocols of COVID-19 are continuously being updated. Surgical residents, amongst other health-care professionals, need to modify their clinical practice both in and out of the operating room. Understanding and applying the communicated guidelines are crucial to limit the spread of the virus. Objective: To estimate the extent of association between clinical behaviors and the recommended practice guidelines, issued by national and international health agencies, during the COVID-19 pandemic among surgical residents in the Eastern Province of Saudi Arabia. Methods: A descriptive, cross-sectional study was conducted with 52 surgical residents training in affiliated teaching public and private hospitals. Correlations were conducted to estimate the associations between knowledge, perception, motivation, and surgical residents' clinical behavior. Further cluster analysis was conducted to identify groups of people with similar patterns of clinical behavior. Results: The response rate was 52%. Surgical residents' behavior and their adherence to practice guidelines were varied and individualized. Nearly 50% lacked some fundamental bio-medical and disease specific knowledge. Despite demonstrating a fair knowledge on the transmission aspect of the disease, less than 60% agreed on ways of infection control and usefulness of personal protective equipment and nearly 50% did not endorse the use of facemasks and gloves. High levels of stress with respect to COVID-19 was reported by 63%; 58% were confident with their personal safety techniques, and 80% needed more information about the COVID-19. Conclusion: The results suggest a collective action is needed at both the personal and institutional level to increase compliance with the recommended guidelines.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133009303","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

Primary heterotopic mesenteric ossification 原发性异位肠系膜骨化

Saudi Surgical Journal Pub Date : 2020-04-01 DOI: 10.4103/SSJ.SSJ_30_20

Raafat R. A. Alturfi, Mohammed E. Atallah

引用次数: 0

Clinical, laboratory, and imaging predictors of surgical exploration in nontraumatic acute abdomen 非创伤性急腹症手术探查的临床、实验室和影像学预测因素

Saudi Surgical Journal Pub Date : 2020-04-01 DOI: 10.4103/SSJ.SSJ_8_20

Abhiram Mundle, Satish Deshmukh, M. Akhtar

{"title":"Clinical, laboratory, and imaging predictors of surgical exploration in nontraumatic acute abdomen","authors":"Abhiram Mundle, Satish Deshmukh, M. Akhtar","doi":"10.4103/SSJ.SSJ_8_20","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_8_20","url":null,"abstract":"Introduction: Acute abdominal pain (AAP) accounts for a substantial proportion of patients arriving at a surgical emergency department. As AAP may be caused by both life-threatening diseases and conditions that are spontaneously resolved, a correct diagnosis is of importance for the prognosis of the patient. Materials and Methods: Clinical, laboratory, and imaging studies were done in patients presenting with a history of acute, nontraumatic pain in the abdomen in the Department of Surgery of NKP SIMS and Lata Mangeshkar Hospital, Nagpur, over a period of 2 years. Results: A total of 400 patients with a mean age of 38.05 ± 11.45 with a male: female ratio of 2.07:1 were enrolled. Of them, 233 patients underwent exploration and 167 were managed conservatively. During univariate analysis, age group, pulse rate, temperature, hemoglobin, total leukocyte count (TLC), tenderness, guarding, distension, bowel sounds, chest radiograph, and abdominal radiograph were found to be significant. On multivariate analysis, hemoglobin, TLC, tenderness, distension, and abdomen radiograph were significantly associated with exploration. Conclusion: In a patient of nontraumatic acute abdomen, clinical predictors such as tenderness and distension, laboratory predictors such as hemoglobin and TLC, and abdominal standing radiograph as an imaging predictor were the most statistically significant for exploration.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130661899","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

Stapled hemorrhoidopexy: A single-center 8 years' experience 单中心缝合痔固定术:8年经验

Saudi Surgical Journal Pub Date : 2020-04-01 DOI: 10.4103/SSJ.SSJ_36_20

R. Agrawal, Priti Agrawal, Jyotirmay Chandrakar

{"title":"Stapled hemorrhoidopexy: A single-center 8 years' experience","authors":"R. Agrawal, Priti Agrawal, Jyotirmay Chandrakar","doi":"10.4103/SSJ.SSJ_36_20","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_36_20","url":null,"abstract":"Purpose: Stapled hemorrhoidopexy (SH) is associated with shorter operative time, reduced inpatient stay, less pain, and earlier return to normal activities. The present study was conducted to assess the clinical consequences of SH and to establish the suitability of SH for all patients of grade III or IV hemorrhoids. Patients and Methods: This study included 250 patients who underwent SH at Aarogya Hospital, Raipur, India, from January 1, 2012 to December 31, 2017 and follow-up completed on December 31, 2019. SH procedure was performed according to the LONGO technique. The pain was assessed using a visual analog scale (VAS). Patients were followed up after 1 week, then monthly for 2 months, and 6 monthly for 2 years. Results: There were 163 males (65.2%) and 87 (34.8) females. Preoperatively, 87.2% of cases had anal bleeding, constipation in 73.2% cases, and associated pain in 52.4% cases. Operative time duration ranged between 25 and 50 min. Two-hundred and twenty-one (88.4%) patients were discharged within 24 h postoperatively and remaining within 48 h. Discussion: The most important advantage of SH as cited by various studies is a profound reduction in postoperative pain analgesia requirement and better quality of life. The postoperative pain rapidly decreased in severity to the VAS score of 2, in 73.6 cases within 24 h, facilitating early discharge of the patients our recurrence rates were nil in SH. Conclusion: Our study demonstrates that SH is a safe, effective, and well-tolerated procedure with minimum postoperative pain and complication rates.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116552179","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: 1

Acute chylous peritonitis: Report of a case and literature review 急性乳糜性腹膜炎1例报告并文献复习

Saudi Surgical Journal Pub Date : 2020-04-01 DOI: 10.4103/SSJ.SSJ_5_19

Alamri, R. Alenezi, K. Alanazi, Mishal M Alrsheedi, B. Z. Alshammary, Hani A Almutair

引用次数: 0

Panfacial fractures: Prevalence, sociodemographics, and pattern of presentation in a major referral hospital in the Southern province of the Kingdom of Saudi Arabia 全面骨折:沙特阿拉伯王国南部省份一家主要转诊医院的患病率、社会人口统计学和表现模式

Saudi Surgical Journal Pub Date : 2020-01-01 DOI: 10.4103/ssj.ssj_35_19

J. Daniels, I. Albakry, R. Braimah, M. Samara, R. Albalasi, F. Begum, Mana A. Al-Kalib

{"title":"Panfacial fractures: Prevalence, sociodemographics, and pattern of presentation in a major referral hospital in the Southern province of the Kingdom of Saudi Arabia","authors":"J. Daniels, I. Albakry, R. Braimah, M. Samara, R. Albalasi, F. Begum, Mana A. Al-Kalib","doi":"10.4103/ssj.ssj_35_19","DOIUrl":"https://doi.org/10.4103/ssj.ssj_35_19","url":null,"abstract":"Background: Panfacial fractures are defined as fractures of the craniomaxillofacial complex involving bones in the lower, middle, and upper thirds of the facial skeleton. The aim of the current study is to report the prevalence, sociodemographics, and pattern of panfacial fractures in Najran, Kingdom of Saudi Arabia. Materials and Methods: This was a retrospective study of panfacial fractures seen and managed in a major referral hospital in the southern province of the Kingdom of Saudi Arabia over a 10-year period from 2008 to 2018. Data collected include demographics such as age, gender, etiological factor, and pattern of bone fracture involved in the panfacial fracture. Data were stored and analyzed using IBM SPSS Statistics for IOS Version 25 (Armonk, NY, USA: IBM Corp.). Results were presented as simple frequencies and descriptive statistics. Statistical significance was set at P ≤ 0.05. Results: A total of 1057 patients presented with maxillofacial injuries, of which 43 male patients suffered from panfacial fractures during the study period giving a prevalence rate of 4.1%. The age ranged from 16 to 45 years with mean ± standard deviation (26.6 ± 8.3) years. The age group of 21–30 years had the highest frequency of panfacial fracture, whereas the age group of 41–50 years had the least occurrence with a statistically significant difference. Most of the mandibular fractures involved the symphysis and parasymphysis (27.9% and 23.3%), respectively. In the midface, Le Fort I and II were the most common maxillary fractures. Conclusion: Inquiry into the prevalence, sociodemographics, and pattern of panfacial fractures is essential in decision-making by the attending clinicians for the patients' overall management. This study has reported a prevalence rate of 4.1% with only male preponderance.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129973362","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

Surgical outcome and ethics in adopting new surgical technique in low resource settings: A case study in haemorrhoid surgery 在低资源环境下采用新手术技术的手术效果和伦理:一个痔疮手术的案例研究

Saudi Surgical Journal Pub Date : 2020-01-01 DOI: 10.4103/ssj.ssj_41_20

Priya Singh, A. Baghel, A. Silodia, Virendra Saytode, S. Yadav, H. Damde, R. Kothari

{"title":"Surgical outcome and ethics in adopting new surgical technique in low resource settings: A case study in haemorrhoid surgery","authors":"Priya Singh, A. Baghel, A. Silodia, Virendra Saytode, S. Yadav, H. Damde, R. Kothari","doi":"10.4103/ssj.ssj_41_20","DOIUrl":"https://doi.org/10.4103/ssj.ssj_41_20","url":null,"abstract":"Introduction: Our aim was to evaluate the surgical outcome and ethical considerations in adopting stapled hemorrhoidopexy (SH) in low-resource settings. Methods: This prospective comparative study of patients with Grade III hemorrhoids was conducted at our institute from December 2017 to July 2019. Short-term surgical outcome and the results of a short questionnaire associated with ethics were evaluated. Results: Sixty patients were operated on for third-degree hemorrhoids, thirty each in Group conventional hemorrhoidectomy (CH) and Group SH. The SH group had better postoperative pain control at 0, 1, and 4 weeks (P = 0.001), but this difference became insignificant at 12 weeks. Overall recurrence was more in SH group (11.37%) as compared to CH group (2.7%), and it was statistically significant (P = 0.01). The mean operative time was significantly less in the SH group (43 min vs. 50 min, P = 0.006). Similarly, the mean hospital stay was significantly less in the SH group as compared to the CH group (2.27 days vs. 3.83 days, P = 0.001). Survey of the operating surgeons revealed that all the three surgeons involved assessed the effectiveness and safety of SH through literature; the main motivation behind performing new technique in resource-poor settings was learning a new technique and teaching purpose. Conclusion: The main value of this research is to describe the adoption of surgical stapler into clinical practice in low-resource settings. Our analysis suggests that, in a rapidly developing area of surgical innovation, adoption of SH in resource-poor settings can give the same outcome as in expert hands.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133324264","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

Complicated appendicitis is predicted by the presence of systemic inflammatory response syndrome 复杂性阑尾炎是由系统性炎症反应综合征的存在来预测的

Saudi Surgical Journal Pub Date : 2020-01-01 DOI: 10.4103/ssj.ssj_6_20

H. Bukhari, M. Mirza

{"title":"Complicated appendicitis is predicted by the presence of systemic inflammatory response syndrome","authors":"H. Bukhari, M. Mirza","doi":"10.4103/ssj.ssj_6_20","DOIUrl":"https://doi.org/10.4103/ssj.ssj_6_20","url":null,"abstract":"Context: Systemic inflammatory response syndrome (SIRS) can be a result of ischemia, inflammation, trauma, infection, or a combination of several “insults.” Aims: The present study aims to estimate the relationship between SIRS and different predictive factors including sex, renal disease, diabetes (DM), comorbidities ultrasound, computed tomography (CT) abdomen, operative intervention, and other operational findings of inflamed appendicitis, gangrenous and perforated appendicitis, and postoperative complications. Settings and Design: Retrospective cohort study was conducted at Al-Noor Hospital Emergency Department in Makkah. Materials and Methods: Data were collected from 259 patients with acute appendicitis presented to the Al-Noor Hospital Emergency Department in Makkah during 1435H. Variables such as comorbidities, vital sign on presentation, the result of certain investigation (white blood cell count, arterial blood gas, ultrasound, and CT abdomen), interventions provided, postoperative complication, intensive care unit length stay, and outcome along with SIRS criteria were followed to collect the data. Statistical Analysis Used: A secondary logistic analysis was also performed (SPSS version 19.0) on key risk factors, in order to exclude confounding covariates. Results: The findings of the study indicate a significant relation between SIRS criteria and the operation findings of perforation with collection with a significant P = 0.001. The presence of gangrenous appendicitis intraoperatively provided almost significant relationship with SIRS criteria (0.065). Conclusion: The present study concluded that SIRS has a significant predictive value with the presence of complicated appendicitis in the form of perforation and gangrene.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127722415","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: 1