Saudi Surgical Journal最新文献_第9页

Mesenteric cysts revisited: An ever-intriguing issue 重访肠系膜囊肿:一个永远有趣的问题

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/SSJ.SSJ_78_17

M. Rabie, A. Hummadi, M. A. Al Skaini, S. Shah, Hussein Shamshad, S. Jamil, Wael Hassan, M. Shah

{"title":"Mesenteric cysts revisited: An ever-intriguing issue","authors":"M. Rabie, A. Hummadi, M. A. Al Skaini, S. Shah, Hussein Shamshad, S. Jamil, Wael Hassan, M. Shah","doi":"10.4103/SSJ.SSJ_78_17","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_78_17","url":null,"abstract":"Background: Mesenteric cysts continue to intrigue the surgeons and radiologist alike. Patients and Methods: Our records were reviewed to identify mesenteric cysts, diagnosed in the period from February 2014 to September 2016. Results: We identified one male and four females, with a median age of 44 years. Abdominal pain was the presenting feature in all patients. ultrasound was done in four cases, where the cyst was missed in one case, and no clue to its nature was given in the remaining three, while computed tomography suspected the diagnosis in four patients and failed in one. Laparoscopic excision was attempted in only one patient, but eventually, all patients underwent open surgical excision. In four patients, the cyst was removed intact, while in the fifth, a minor wall break occurred, resulting in limited spillage of cyst contents. Histopathological examination showed simple mesothelial cyst in three cases, a pseudocyst in the fourth case and a cystic lymphangioma in the fifth. All patients tolerated surgery well, and up to the time of writing this paper, no recurrence was reported. Conclusion: Mesenteric cysts, with its numerous types, continue to intrigue the concerned physicians. Regardless of the approach, excision of the intact cyst should be the aim, most conveniently by open surgery. Although laparoscopy could be employed, this should be entertained with caution, to avoid cyst rupture or leaving part of the wall behind, thus predisposing to recurrence.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"746 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134476296","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

Postoperative ileus: A study on the role of chewing gum to reduce its duration 术后肠梗阻:咀嚼口香糖减少肠梗阻持续时间的研究

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/SSJ.SSJ_84_17

A. S. Kalyanwat, Manish Jakhar, Sanchit Jain

{"title":"Postoperative ileus: A study on the role of chewing gum to reduce its duration","authors":"A. S. Kalyanwat, Manish Jakhar, Sanchit Jain","doi":"10.4103/SSJ.SSJ_84_17","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_84_17","url":null,"abstract":"Background: Post operative ileus (POI) is the transient absence of gut motility without any mechanical obstruction, commonly occuring after abdominal surgery. It is reported to occur in 25% patients. Although it may resolve spontaneously with two-three days there have been many studies which have evaluated the role of early feeding in recovery from postoperative ileus. The study was conducted to evaluate the role of chewing gum for early recovery of postoperative ileus. Materials and Methods: This prospective comparative study was conducted from March, 2017 to September, 2017 on patients who underwent exploratory laparotomy and any kind of intestinal anastomosis either during emergency or elective surgeries. The patients were divided into 2 groups each group having 25 patients. Patients in study group (n=25) were asked to chew one stick of chewing gum for 30 min four times a day until passing flatus while the control group (n=25) patients were kept nil per orally until the passage of flatus. A probability value of less than 5% (P < 0.05) was considered significant. The Chi-square test was used to check for differences between proportions. Results: Total male patients were 33 and 17 were female. There was no significant difference in the appearance of bowel sounds, mean time of passage of flatus, stool passage and feeling of hunger between study and control group. In all these variables the mean time was shorter in study group. The patients were discharged early in study group with a statistically significant difference. Conclusion: Based on the results it can be concluded that the chewing gum does not seem to be significant to reduce the duration of post operative ileus. Although it was seen that the duration of overall recovery of bowel movements in form of appearance of bowel sound, passing flatus and motion and feeling of hunger, occurred early in patients chewing gum but was not significant statistically.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133704888","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: 7

Two different presentations of intestinal duplication cyst in pediatric age group 儿童肠道重复囊肿的两种不同表现

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/SSJ.SSJ_72_17

A. Neazy, Ameera Almatrfi, Wafa Alharbi, Ahmad Abokrecha

引用次数: 3

Cross-sectional descriptive study on the epidemiology of operated female breast tumor cases in a tertiary hospital of Saudi Arabia 沙特阿拉伯某三级医院女性乳腺肿瘤手术病例流行病学的横断面描述性研究

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/SSJ.SSJ_71_17

Khlood Mohammed Bosaeed, K. Talha, M. Asadullah, M. Mitkis, R. Al-Ghamdi, Abdulelah Saleh Al-Gthami, Albandari Khalid Al-Thubaiti, S. Alshahrani

{"title":"Cross-sectional descriptive study on the epidemiology of operated female breast tumor cases in a tertiary hospital of Saudi Arabia","authors":"Khlood Mohammed Bosaeed, K. Talha, M. Asadullah, M. Mitkis, R. Al-Ghamdi, Abdulelah Saleh Al-Gthami, Albandari Khalid Al-Thubaiti, S. Alshahrani","doi":"10.4103/SSJ.SSJ_71_17","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_71_17","url":null,"abstract":"Patient's presentation with breast lump is increasing day by day all over the world. There are different causes of breast lumps. Some of them are benign and others are malignant. Aim of Study: The aim of the study was to find out the breast tumor patients according to their histological types and age groups. Methodology: This is a cross-sectional descriptive study on the operated breast lump patients in a tertiary hospital of Saudi Arabia. All the breast lump cases operated and diagnosed as breast tumor were included in the study. Data were collected from the operation room registrar, patient file, and histopathology report of the participants. The study period was 5 years. Total number of cases was 192. Result: Two-third of the operated cases was benign, and one-third of the cases was malignant. The mean age of presentation of benign cases was 29.52 years, and the same of malignant cases was 47.31 years. The most common histopathological subtype of benign cases was fibroadenoma (100%). The different histopathology of malignant tumors was infiltrating ductal (86%), ductal in situ (9%), and invasive lobular (5%). After comparing the epidemiological variables of this study with those of different parts of the world, it has been revealed that the onset age and histopathological subtypes are different in different geographical locations.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116280209","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

Paratesticular desmoplastic small round cell tumor as an incidental finding during imaging of an obstructed inguinal hernia in an old-age patient 高龄患者梗阻性腹股沟疝影像学中偶然发现睾丸旁结缔组织增生小圆细胞瘤

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/ssj.ssj_20_18

S. Kadem, S. Habash

引用次数: 1

Gastrointestinal stromal tumor presenting as a recurrent mesenteric cyst: A rare and important entity 胃肠道间质瘤表现为复发性肠系膜囊肿:一种罕见而重要的肿瘤

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/SSJ.SSJ_11_18

C. Choudhury

引用次数: 0

Totally laparoscopic resection rectopexy with transanal extraction of the specimen 全腹腔镜直肠固定术加经肛门标本提取

Saudi Surgical Journal Pub Date : 2018-07-01 DOI: 10.4103/ssj.ssj_5_18

J. Rajkumar, R. Prabhakaran, S. Akbar, Anirudh Rajkumar, G. Venkatesan, Shreya Rajkumar

引用次数: 1

The spectrum of nontraumatic perforation peritonitis in Al Noor Specialist Hospital, Makkah 麦加Al Noor专科医院非创伤性穿孔性腹膜炎的频谱

Saudi Surgical Journal Pub Date : 2018-04-01 DOI: 10.4103/SSJ.SSJ_68_17

S. Jastaniah, Mishal Alsharif, Othman Mimani, Randa Filmban, Magdy Taggaldin, Shadi Alsarfendi, Hisham Al Najjar

{"title":"The spectrum of nontraumatic perforation peritonitis in Al Noor Specialist Hospital, Makkah","authors":"S. Jastaniah, Mishal Alsharif, Othman Mimani, Randa Filmban, Magdy Taggaldin, Shadi Alsarfendi, Hisham Al Najjar","doi":"10.4103/SSJ.SSJ_68_17","DOIUrl":"https://doi.org/10.4103/SSJ.SSJ_68_17","url":null,"abstract":"Introduction: Nontraumatic perforation peritonitis is the most common emergency in Saudi Arabia. The spectrum of etiology of perforation in Saudi Arabia continues to be different from the western countries. The objective of this study is to highlight the spectrum of etiology of nontraumatic perforation peritonitis and the predictor factors for increasing mortality in those patients. Patients and Methods: This is a prospective study (case series); all patients admitted with nontraumatic perforation peritonitis were included in the study from January 2005 to December 2010 and followed up in the outpatient department for 6 months up to 2 years. One hundred and thirty patients of nontraumatic perforation peritonitis were included in the study and their clinical presentation, operative findings, and postoperative course were recorded in Al Noor Specialist Hospital in Makkah (Holy city), Saudi Arabia. Results: The most common cause of perforation in our series was perforated duodenal ulcer (56 cases), followed by appendicitis (44 cases), perforated gastric ulcer (11 cases), typhoid fever (8 cases), and perforated gastrointestinal cancers (8 cases). Twenty-eight cases (22%) developed complication and three patients died (2.3%). Conclusion: This study shows that the upper gastrointestinal tract perforation due to nontrauma causes constitutes the majority of cases in Holy city, Makkah, in contrast to the western countries where lower gastrointestinal tract perforation is more common. Our study also highlights the outcome of nontraumatic perforation peritonitis.","PeriodicalId":420307,"journal":{"name":"Saudi Surgical Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127428853","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

Traumatic asphyxia: A case report and literature review 外伤性窒息1例并文献复习

Saudi Surgical Journal Pub Date : 2018-04-01 DOI: 10.4103/ssj.ssj_9_17

A. Sedik, Salwa Elhoushy

引用次数: 1

Unusual pattern of breast carcinoma metastasis to the urinary bladder: Case report and review of literature 乳腺癌转移至膀胱的异常模式:病例报告及文献复习

Saudi Surgical Journal Pub Date : 2018-04-01 DOI: 10.4103/ssj.ssj_4_18

N. Junejo, T. A. Al Hussain, Naif Al Hathal

引用次数: 3