International Journal of Surgery Open最新文献

{"title":"Hemoptysis recurrence in an Indonesian female with pulmonary aspergilloma: A case report","authors":"Susi Subay ,&nbsp;Resti Yudhawati","doi":"10.1016/j.ijso.2023.100712","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100712","url":null,"abstract":"<div><h3>Introduction</h3><p>and Importance: Pulmonary aspergilloma causes hemoptysis recurrence, and most patients die if surgery is not performed. In this case, the diagnosis challenge was when the patient had a history of pulmonary tuberculosis.</p></div><div><h3>Case presentation</h3><p>An Indonesian female, 25 years old, complained of recurring hemoptysis and dyspnea with a pulmonary tuberculosis history five years ago. First, hemoptysis occurred 2 years ago, treated and cured. Chest X-ray and CT-scan results showed pulmonary tuberculosis, but <em>Mycobacterium tuberculosis</em> was not detected when Ziehl Neelsen and GeneXpert tests were conducted. A repeated CT scan found a fungus ball and was used for differential diagnosis of pulmonary aspergilloma. The patient underwent a left lateral lobectomy and was given 150 mg/day of fluconazole. The patient showed a good prognosis for 2 months and increased body weight by 3 kg.</p></div><div><h3>Clinical discussion</h3><p>The challenge in pulmonary aspergilloma is an atypical sign and symptom that raises suspicion of pulmonary tuberculosis because the patient had a tuberculosis history. Resection in pulmonary aspergilloma is recommended to decrease mortality risk and continue with antifungal drugs to support a good prognosis.</p></div><div><h3>Conclusion</h3><p>Surgery and antifungal management in pulmonary aspergilloma can reduce mortality.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100712"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001250/pdfft?md5=9fbbdc2675698bcb5737821c824c902b&pid=1-s2.0-S2405857223001250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92093091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The need for affordable dentures among the geriatrics in India","authors":"Snehasish Tripathy,&nbsp;Prakasini Satapathy,&nbsp;Sarvesh Rustagi,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100702","DOIUrl":"10.1016/j.ijso.2023.100702","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100702"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001158/pdfft?md5=70254b8b7b35965f473ce7054b0cb0eb&pid=1-s2.0-S2405857223001158-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135850126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the effects of injecting bupivacaine, tramadol, and bupivacaine-tramadol combination at the surgical incision site on pain intensity and postoperative complications in patients undergoing elective cesarean section: A randomized controlled trial","authors":"Seyed Abdollah Emadi ,&nbsp;Hamid ghadirian ,&nbsp;Saeed kargar-soleimanabad ,&nbsp;Erfan Ghadirzadeh ,&nbsp;Alireza Nikzad-Jamnani","doi":"10.1016/j.ijso.2023.100716","DOIUrl":"10.1016/j.ijso.2023.100716","url":null,"abstract":"<div><h3>Background</h3><p>cesarean sections (C-sections) are the most popular surgical procedure for women of reproductive age. In the majority of procedures, effective postoperative pain management is crucial for postoperative care in order to lower morbidity and mortality while also making patients feel comfortable. The current study aims to compare the effects of injecting bupivacaine, tramadol, and bupivacaine-tramadol combination at the surgical incision site in patients undergoing elective cesarean section.</p></div><div><h3>Method</h3><p>The current study is a double-blind randomized clinical trial that included patients September of pregnant women referred to Obstetrics and Gynecology Clinic between 2021 June and 2022 September.</p></div><div><h3>Results</h3><p>This study included 180 patients (60 in each group). The average age of the patients was 31.33 years, and the difference in vas 6, vas 12, and vas 24 scores between groups was significant (P &gt; 0.001). The group that used drugs in combination experienced significantly less pain and there was no significant difference in analgesic drug consumption.</p></div><div><h3>Discussion and conclusion</h3><p>results of the current study revealed there was a significant difference in vas 6, vas 12, and vas 24 scores between the groups, with the group of bupivacaine-tramadol combination providing a greater analgesic effect. However, there is no statistically significant difference in the frequency of post-operative side effects.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100716"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001298/pdfft?md5=e27eb17c5c7bfeb0e12ae1b5e4026f87&pid=1-s2.0-S2405857223001298-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virginal breast hypertrophy – An uncommon breast disease","authors":"Omobolaji Ayandipo ,&nbsp;Oluwasanmi Ajagbe ,&nbsp;Gbolahan Obajimi ,&nbsp;Olusola Idowu ,&nbsp;Amos Adeleye ,&nbsp;Temidayo Ogundiran","doi":"10.1016/j.ijso.2023.100711","DOIUrl":"10.1016/j.ijso.2023.100711","url":null,"abstract":"<div><h3>Introduction</h3><p>Virginal breast hypertrophy VBH with the sobriquet “gigantomastia” is an uncommon condition with sporadic presentation usually in adolescence.</p></div><div><h3>Case presentation</h3><p>In this retrospective study, eight patients (three case summaries presented, while the clinicopathologic features of all the patients are presented in Table 1) were managed.</p></div><div><h3>Discussion</h3><p>The age range in this retrospective cohort study is 13–34 years and the series consists predominantly of teenagers, a third had bilateral disease, and the symptoms triad of mastalgia, cosmetic concerns, and psychosocial/esteem issues were present in all the patients. With a third consenting to surgical intervention.</p><p>We present what to our knowledge must be in the global literature, one of the few largest accruals of cases of gigantomastia, the VBH, seen over time in our surgical oncology practice.</p></div><div><h3>Conclusion</h3><p>VBH should be appraised along with other BBD to exclude malignancies and provide prompt and appropriate care whilst limiting complications. A multidisciplinary approach is particularly important and incorporating care for perceived low self-esteem cannot be over-emphasized.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100711"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001249/pdfft?md5=af72eeac7618e1b3937461cd949ff0c1&pid=1-s2.0-S2405857223001249-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135564684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cholelithiasis in childhood: Report of two cases from Afghanistan and literature review","authors":"Turyalai Hakimi ,&nbsp;Fazel Rahman Rahmani ,&nbsp;Mansoor Aslamzai ,&nbsp;Mohammad Anwar Jawed","doi":"10.1016/j.ijso.2023.100705","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100705","url":null,"abstract":"<div><h3>Introduction</h3><p>Cholelithiasis is a rare abdominal condition in children. The cause of pediatric cholelithiasis is unclear, and the most commonly occurring type is pigment stones due to hemolytic diseases and other causes such as medications, hepatobiliary tract anomalies, and genetic problems. Asymptomatic patients require monitoring, whereas symptomatic patients require surgical removal of the gall bladder (cholecystectomy), which can be performed using open or laparoscopic techniques. Here, we present two cases of cholelithiasis (symptomatic and asymptomatic) with neglect of proper medical management until a definite diagnosis and surgical treatment.</p></div><div><h3>Case presentation</h3><p>A 13-year-old and an 11-year-old child were presented with the diagnosis of cholelithiasis to our pediatric surgery department. The earlier patient suffered from jaundice in early childhood and was treated with the traditional method (non-surgical home remedy using an onion). Later, he was diagnosed with multiple gallbladder stones. The later patient was asymptomatic until his hospitalization at the age of 11 years, when he was diagnosed with a single gallbladder stone (epigastric pain after heavy meals as a chief complaint). Both patients were symptomatic, so we decided to plan them for definite treatment. The patients underwent cholecystectomy with no complications and were discharged from the hospital in satisfactory condition.</p></div><div><h3>Clinical discussion</h3><p>However, cholelithiasis is uncommon in children, but recent reports indicate increased detection of the disease. In developed nations, an increase in childhood obesity has risen the rate of gallstone cases in the pediatric population. Typically, pediatric cholelithiasis is asymptomatic, but symptomatic children may present with biliary colic as the sudden onset of recurrent epigastric or right upper quadrant (RUQ) pain radiating to the back or right shoulder. In young children, the episodes are accompanied by nausea, vomiting, and fever. Many times, the pain develops without precipitating factors, and fat intolerance is an inconsistent feature. The management of cholelithiasis requires a concise work-up regarding its cause in children.</p></div><div><h3>Conclusion</h3><p>Cholelithiasis has different underlying causative factors. In otherwise healthy children, surgical treatment is only warranted in symptomatic cases.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100705"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001183/pdfft?md5=3e08a878831dc882f347c7d7d114e051&pid=1-s2.0-S2405857223001183-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92075253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative tamsulosin effect on postoperative urinary retention following spinal surgery: A randomized controlled trial","authors":"Kaveh Haddadi ,&nbsp;Mohammad Ahmadi ,&nbsp;Behzad Feizzadeh Kerigh ,&nbsp;Mahmood Moosazadeh ,&nbsp;Farnaz Godazandeh ,&nbsp;Misagh Shafizad ,&nbsp;Saeed Kargar-Soleimanabad ,&nbsp;Basir Gharanjik ,&nbsp;Saeed Ehteshami","doi":"10.1016/j.ijso.2023.100715","DOIUrl":"10.1016/j.ijso.2023.100715","url":null,"abstract":"<div><h3>Background</h3><p>Current study aims to investigate pre-surgical medical intervention on the reduction of POUR incidence in patients undergoing spine surgery.</p></div><div><h3>Method</h3><p>The study was a single center double-blind randomized placebo clinical trial. Participants were individuals over 18 years old who underwent spinal surgery at the Educational and Therapeutic Hospital between 2020 and 2023. Inclusion criteria included the ability to provide informed consent and follow the study schedule, while exclusion criteria included certain medical conditions, current medication use, and inability to take oral medication after surgery.</p></div><div><h3>Results</h3><p>The study enrolled 100 patients. There was no significant difference in age or gender distribution between the tamsulosin and placebo groups, but the tamsulosin group had a lower prevalence of diabetes. The duration of surgery was shorter in the tamsulosin group, and there was no significant difference in the surgical site. The tamsulosin group had significantly less post-void residual volume on the eighth day of the study, but there were no significant differences in urine output volume during surgery or residual urine volume before or after surgery.</p></div><div><h3>Conclusion</h3><p>Tamsulosin may be effective in preventing postoperative urinary retention (POUR), but its effectiveness in treating established POUR is uncertain. The Tamsulosin group had significantly lower post-void residual volume after spine surgery. Considering the low risk of adverse effects, Tamsulosin could be considered for high-risk patients. However, patients should be aware of potential risks and seek medical attention if they experience adverse effects. Further research is needed to determine the best dosage and duration of treatment.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100715"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001286/pdfft?md5=d252d992c3c4ab84d15238ad2880cf09&pid=1-s2.0-S2405857223001286-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135763838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary intraosseous osteolytic meningioma: A case report","authors":"Sajad Shafiee ,&nbsp;Fatemeh Salehi kahrizsangi ,&nbsp;Omid Ahmadvand ,&nbsp;Saeed Kargar-soleimanabad ,&nbsp;Hasan Babaee ,&nbsp;Reza Yazdani-cherati","doi":"10.1016/j.ijso.2023.100677","DOIUrl":"10.1016/j.ijso.2023.100677","url":null,"abstract":"<div><h3>Introduction</h3><p>and importance: Meningioma, also known as meningeal tumor, is a primary tumor of the central nervous system (CNS). Originates from arachnoid cap cells.</p></div><div><h3>Case presentation</h3><p>A 65-year-old female patient presented with hard, painless swelling in the right parieto-fronto-temporal region of the skull, which has been growing for the past 6 months. And computed tomography (CT) scans revealed a lytic lesion. The patient underwent a cranitotomy and Resection of tumor with safe margins were performed, after the operation, the patient was neurologically intact and the patient was discharged in stable condition after disappeared the symptoms.</p></div><div><h3>Discussion</h3><p>Extradural meningiomas make up a small percentage, approximately 1–2%, of all meningiomas, This type of mass comprise a small percentage of all meningiomas, with primary intraosseous meningiomas commonly found in frontotemporal orbits, anterior cranial fossa, paranasal sinuses, nasal cavity, neck, and petrous region of the temporal.</p></div><div><h3>Conclusion</h3><p>Here we present a case of primary intraosseous meningiomas although the origin of this tumor is not well understood, but usually present with the osteoblastic type or osteolytic lesion in rere case.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100677"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223000906/pdfft?md5=f9e3c8c815ab55326674266f2c2c1c82&pid=1-s2.0-S2405857223000906-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46355104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"C-sections on the rise: Is there a justification behind the escalating numbers?","authors":"Amsal Qureshi,&nbsp;Anoshia Ali,&nbsp;Areesha Moiz Alvi,&nbsp;Anum Fatima Shigri,&nbsp;Abdullah Malikzai","doi":"10.1016/j.ijso.2023.100714","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100714","url":null,"abstract":"<div><p>Caesarean section is the operative intervention for the delivery of a fetus that is unable to deliver vaginally due to indications like obstructed labor, cephalo-pelvic disproportion, etc. Recent studies indicate a rising trend in the number of C-sections performed annually and the impact it may have on maternal and fetal well-being.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100714"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001274/pdfft?md5=8b7bc1ac871d7a0fd878c1bbd63a7556&pid=1-s2.0-S2405857223001274-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138480159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The current pathogenicity and potential risk evaluation of Lassa virus to cause mysterious \"Disease X\" - an update on recent evidences","authors":"Rehnuma Nasim,&nbsp;Md Rabiul Islam","doi":"10.1016/j.ijso.2023.100709","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100709","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"61 ","pages":"Article 100709"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001225/pdfft?md5=031817acea48d9659ea665f73025ec94&pid=1-s2.0-S2405857223001225-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92075254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ‘‘Monstrous tumor’’ of Adrenal gland: A case report and review of literature on adrenal teratomas","authors":"Abdullah Saleh AlQattan ,&nbsp;Mohammed Abdulmohsen AlSharit ,&nbsp;Essra Zakarya Alsaihaty ,&nbsp;Samma Tareq Eraqe ,&nbsp;Miral Mashhour ,&nbsp;Osama Habib Alsaif","doi":"10.1016/j.ijso.2023.100696","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100696","url":null,"abstract":"<div><h3>Introduction and clinical importance</h3><p>Teratomas are neoplasms originating from pluripotent cells, rising from more than one or all three embryonic germinal layers. The nomenclature “Teratoma” is derived from the Greek word “teras” which translates to the word “monster”. One of the rarest locations is the adrenal gland, with adrenal teratomas representing only 0.13 % of all adrenal tumors.</p></div><div><h3>Case presentation</h3><p>A 36-year-old female, morbidly obese, was found to have a right adrenal mass after she presented to our surgical outpatient clinic with a complaint of abdominal pain. The mass was found on an abdominal computed tomography (CT) scan, which revealed a large retroperitoneal lesion measuring 29 × 15 × 22 cm and displacing the IVC, pancreas, duodenum, right kidney, and ascending colon. The differential diagnosis based on the patient's workup was adrenal teratoma, myolipoma, angiolipoma, and liposarcoma. The patient underwent an uneventful open right adrenalectomy. The final histopathology confirmed the diagnosis of a mature right adrenal cystic teratoma weighing 4 kg. The last follow-up was 3 years postoperatively with no evidence of recurrence on CT scan.</p></div><div><h3>Clinical discussion</h3><p>A thorough discussion of the clinical presentations of the reported cases in the literature including the first reported case in the English literature. Furthermore, the use of the different modalities of diagnosis e.g., Ultrasonography, CT scan, and MRI. Also, the mainstay modality of treatment and the debate of minimal invasive laparoscopic adrenalectomy vs open adrenalectomy. Finally, the discussion of the period of following up the patient after successful operation and the removal of the tumor were presented.</p></div><div><h3>Conclusion</h3><p>Adrenal teratoma is extremely uncommon entity, with a great percentage of patient presenting with a non-specific presentation or are asymptomatic. Initial diagnosis might be made radiologically. However, a confirmatory diagnosis is based on the histopathological examination. The workup must rule out other possible differential diagnoses, like metastastis or functional tumors. Finally, surgical resection is the mainstay treatment of adrenal teratoma with an excellent survival rate.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100696"},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906173","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}