International Journal of Surgery Open最新文献

{"title":"Jejunal perforation and multiple intestinal contusions following blunt abdominal trauma: A case report","authors":"Mahdi Hammami ,&nbsp;Amine ben Safta ,&nbsp;Imen Samaali ,&nbsp;Salah Haddad ,&nbsp;Iheb Sarhane ,&nbsp;Hichem Jerraya ,&nbsp;Ibtissem Bouasker ,&nbsp;Ramzi Nouira","doi":"10.1016/j.ijso.2023.100695","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100695","url":null,"abstract":"<div><h3>Introduction</h3><p>and Importance: Trauma, particularly from motor vehicle accidents, causes significant morbidity and mortality worldwide. Isolated jejunal perforation resulting from blunt abdominal trauma is rare but challenging to diagnose. This article sheds light on this infrequent condition, emphasizing the need for early recognition for optimal outcomes.</p></div><div><h3>Case presentation</h3><p>A 30-year-old male presented with abdominal pain after a motor vehicle accident. Examination and tests showed signs of jejunal perforation. Urgent surgery revealed a 2 cm perforation, contusions, and deserosalizations. The perforation was repaired, and the patient recovered well postoperatively.</p></div><div><h3>Clinical discussion</h3><p>Blunt abdominal trauma is a major cause of injury, with motor vehicle accidents being prominent. Hollow visceral injuries, though rare, pose diagnostic and management challenges. In this context, recognizing the indications for surgical intervention is complex. Imaging, especially CT scans, plays a critical role in diagnosis. This case underscores the importance of CT findings in diagnosing and deciding the need for surgical exploration.</p></div><div><h3>Conclusion</h3><p>Isolated jejunal perforation from blunt abdominal trauma is rare but demands clinical attention. Timely diagnosis through CT scans and immediate surgical intervention are crucial for successful outcomes. Surgery involves careful exploration, repairing the perforation and associated injuries, and meticulous postoperative care. Research and knowledge sharing are vital for improving approaches and reducing complications and mortality in these cases.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100695"},"PeriodicalIF":1.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906191","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":"Right esophageal lung with associated pulmonary vascular anomaly: A rare case report","authors":"Samuel Sisay Hailu ,&nbsp;Zerihun Gelashe Hailu ,&nbsp;Fadil Nuredin Abrar ,&nbsp;Nardos Mulu Admasu ,&nbsp;Woubedel Kiflu Aklilu ,&nbsp;Fisseha Temesgen Gebru ,&nbsp;Tesfahunegn Hailemariam","doi":"10.1016/j.ijso.2023.100694","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100694","url":null,"abstract":"<div><h3>Introduction and Importance</h3><p>Congenital bronchopulmonary foregut malformation (CBPFM) is a rare anomaly in which either a lung, a lung lobe or a segment has a patent congenital communication to the upper gastrointestinal tract. In esophageal lung, an anomalous main bronchus arises from the esophagus rather than the trachea.</p></div><div><h3>Case presentation</h3><p>A male neonate was admitted with respiratory distress immediately following birth. Radiographic evaluation included chest radiograph, chest Ultrasound, chest CT and an upper gastrointestinal (GI) contrast study. A completely opaque right hemithorax was initially visualized and identified as esophageal lung with associated anomalous partial systemic arterial supply and venous drainage. A right posterolateral thoracotomy with pneumonectomy of the hypoplastic lung was performed. However, the patient died of respiratory failure on the first postoperative day.</p></div><div><h3>Clinical discussion</h3><p>Esophageal lung is an extremely rare form of CBPFM in which a main stem bronchus, usually the right one, is abnormally connected to the esophagus. The diagnosis is suggested by chest x-ray and confirmed by upper GI contrast study, which is also available in resource-poor settings. A CT scan with 3D volume rendered images can make a diagnosis, although difficulties remain. Pneumonectomy is the preferred treatment for most patients.</p></div><div><h3>Conclusion</h3><p>Esophageal lung is a rare congenital abnormality with few reported cases. Radiologists and pediatricians should have a high index of suspicion for this anomaly in cases of neonatal respiratory distress and a persistently opacified lung with focal air bronchogram(s) and pursue a timely confirmatory contrast study.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100694"},"PeriodicalIF":1.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906190","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":"Unmasking BA.2.86 new COVID-19 variant : Genomic analysis to public health implications","authors":"Md Aminul Islam,&nbsp;Arun Sundar Mohana Sundaram,&nbsp;Sarawut Sangkham","doi":"10.1016/j.ijso.2023.100692","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100692","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100692"},"PeriodicalIF":1.0,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906174","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":"Artificial intelligence 2.0: Taking organoid intelligence a step ahead","authors":"Hitesh Chopra,&nbsp;Kavita Munjal,&nbsp;Talha Bin Emran","doi":"10.1016/j.ijso.2023.100693","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100693","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100693"},"PeriodicalIF":1.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906170","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":"The never-seen upsurge of eye flu cases in India: One more menace due to a virus","authors":"Ranjana Rohilla,&nbsp;Richa Agarwal,&nbsp;Aroop Mohanty,&nbsp;Hashem Abu Serhan,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100679","DOIUrl":"10.1016/j.ijso.2023.100679","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100679"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41846818","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":"Urgent concerns regarding the recent dengue outbreak in Bangladesh","authors":"Md Ariful Haque,&nbsp;Nazifa Tahseen M.B.B.S; M.D,&nbsp;Tungki Pratama Umar M.B.B.S; M.D,&nbsp;Md Rifat Al Mazid Bhuiyan M.B.B.S; M.P.H,&nbsp;ArunSundar MohanaSundaram Ph.D,&nbsp;Sayed Abdulla Jami M.B.B.S; M.D,&nbsp;Syed AlfakharAli Shah M.S","doi":"10.1016/j.ijso.2023.100682","DOIUrl":"10.1016/j.ijso.2023.100682","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100682"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48622814","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":"Outcomes of Endoscopic Retrograde Appendicitis Therapy (ERAT) Vs Laparoscopic Appendectomy (LA): A systematic review and meta-analysis","authors":"Sunil Basukala,&nbsp;Oshan Shrestha,&nbsp;Niranjan Thapa,&nbsp;Sagun Karki,&nbsp;Kabita Chaudhary,&nbsp;Kala Shrestha","doi":"10.1016/j.ijso.2023.100688","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100688","url":null,"abstract":"<div><h3>Introduction</h3><p>Endoscopic retrograde appendicitis therapy (ERAT) is a new colonoscopy-based, non-invasive procedure used in the management of acute appendicitis. The results and future prospects of ERAT seem promising. In this study, we aim to study and compare the outcomes of the management of acute appendicitis done through ERAT and laparoscopic appendectomy.</p></div><div><h3>Methods</h3><p>The protocol for this study was prospectively registered. Electronic databases were searched for relevant articles, and all the comparative studies that compared the results of ERAT and laparoscopic appendectomy published in English were included. The mean difference was used as an effect measure for continuous variables, and the odds ratio was used for dichotomous data.</p></div><div><h3>Results</h3><p>Compared to laparoscopic appendectomy, ERAT had 10.93 min lesser procedural time (MD: 10.93; 95% CI: (−14.46) – (−7.40); n = 404; I² = 92%, p-value= &lt; 0.00001), 5.46 times lesser odds of achieving technical success (OR: 5.46; 95% CI: 1.17–25.53; n = 329; I² = 0%, p-value = 0.03), 14.25 times more odds of developing recurrence (OR: 14.25; 95% CI: 2.67–76.12; n = 327; I² = 0%, p-value = 0.002), and cost of care was 611.99 USD lesser (MD: 611.99; 95% CI: (−940.48) – (−283.51); n = 204; I² = 98%, p-value = 0.0003). Analysis of length of hospital stay and adverse events did not show a significant difference between the two groups.</p></div><div><h3>Conclusion</h3><p>ERAT is a safe and appendix-conserving procedure that has a lesser procedural time compared to laparoscopic appendectomy; however, recurrence and therapeutic failure remain higher in the ERAT group.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100688"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888582","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":"Practice of continuous positive airway pressure application in Neonatal Intensive Care Unit. Cross sectional study","authors":"Fentahun Gedamu Asress ,&nbsp;Yonas Admasu Ferede ,&nbsp;Wubie Birlie Chekol ,&nbsp;Yosef Belay Bizuneh","doi":"10.1016/j.ijso.2023.100666","DOIUrl":"10.1016/j.ijso.2023.100666","url":null,"abstract":"<div><h3>Background</h3><p>Continuous positive airway pressure (CPAP) is a simple, inexpensive, and gentle mode of respiratory support for neonates.This is beneficial for spontaneously breathing neonates by maintaining functional residual capacity in the alveoli to prevent atelectasis and improve oxygen exchange. The aim of this study was to assess the practice of continuous positive airway pressure application in neonatal intensive care.</p></div><div><h3>Methods</h3><p>A hospital based prospective observational descriptive study was conducted on 60 neonates from March 15, 2022 to July 30, 2022 at NICU Unit at XXX Comprehensive Specialized Hospital, July 2022, North-west Ethiopia.</p><p>Descriptive statistical analysis with SPSS version 25 was used.</p></div><div><h3>Results</h3><p>The overall practice of CPAP use were (73.4%), with assessment of parameters such as initial nursing care before initiation of CPAP (82.2%), Setting up of CPAP (94.1%), preparing the Baby for CPAP (65.3%), Connecting the nasal prong system to the neonate (50%), Methods of Securing CPAP device (96.7%), Performing safety check for Troubleshooting in CPAP (78.3%) and Monitor of CPAP and On-going assessments (46.6%).</p></div><div><h3>Conclusion</h3><p>The practice of CPAP application was good at Initial nursing care before initiation of CPAP, Setting up of CPAP, and Methods of Securing CPAP device. However, there was poor practice in connecting the nasal prong system to the neonate, preparing the Baby for CPAP, performing safety checks for troubleshooting in CPAP, Monitoring of CPAP and On-going assessments.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100666"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49017346","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":"Efficacy and feasibility of stromal vascular fraction containing adipose derived stem cells obtained from freshly prepared lipoaspirate for treatment of complex anorectal fistulas- A novel approach","authors":"Ibrahim Falih Noori ,&nbsp;Qais Khadim Bakir ,&nbsp;Ahmed Falih Noori","doi":"10.1016/j.ijso.2023.100686","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100686","url":null,"abstract":"<div><h3>Background</h3><p>Anal fistulas are relatively common. Despite diverse treatment modalities and tremendous advance and optimization of surgical approaches, considerable recurrence and high failure rates are not uncommon especially after surgery for complex anal fistulas. Therefore, autologous adipose-derived stem cell therapy for the treatment of complex perianal fistula can be an innovative and promising option with potential high cure rate and long-term healing.</p></div><div><h3>Aim</h3><p>To assess the efficacy and feasibility intralesional administration of stromal vascular fraction containing autologous, adipose-derived stem cells prepared from fresh lipoaspirate for management of complex and recurrent anal fistula.</p></div><div><h3>Methods</h3><p>Totally, 28 patients with complex perianal fistulas were enrolled in this prospective case-series study from March 2018 and August 2022. They were 22 male and 6 females patient) with 38.8 years average ages (ranges from 26 to 54 years). All patients were assigned to receive intralesional injection with autologous freshly prepared adipose-derived stem cells from lipoaspirate suction in a concentration of 1 × 10⁷ cell/ml. The healing of fistulas, confirmed by clinical assessment and magnetic resonance imaging was evaluated at week 6 weeks, 12 weeks and 6 months after treatment. If no evidence of healing was not seen at 6 weeks, a second dose of same concentration was administered. In addition to fistula healing, adverse effect (functional outcomes), complications and procedure safety were also evaluated.</p></div><div><h3>Results</h3><p>The overall healing rate of fistulas treated by injection of ADSCs was 60.7% (17/28), while healing rate after first injection was 50% (14/28) and after second injection was 30% (3/10).Three patients were lost after first injection. During the follow up period of 6 months none of the patients who showed complete healing, recorded relapse of their fistulas (recurrence 0%). Further, none of the patients recorded complications or adverse reactions related to stem cell therapy during the study and none of them had worsening fecal incontinence during follow-up period. Postoperative pain assessed by.</p><p>VAS score was significantly low (&gt;3). Fecal continence assessed by Wexner score of all patients was not changed or affected.</p></div><div><h3>Conclusions</h3><p>Injection of complex perianal fistulas by freshly prepared autologous ADSCs could be a valid and effective treatment modality. It is safe, feasible and minimally invasive procedure that lacks the risk of injury to anal sphincter complex, unlike other surgical procedures that endanger the anal continence.Further, second dose of ADSCs injection could improve the rate of healing, without adding adverse effects.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100686"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888583","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":"Comparison of the effects of vitamin D and nasal calcitonin spray with nasal calcitonin spray on postoperative abdominal pain: A randomised controlled trial","authors":"Masoud Saadat Fakhr ,&nbsp;Fatemeh Karimi ,&nbsp;Kiana Rezvanfar ,&nbsp;Delyar Mardmomen ,&nbsp;Poorya Gholami ,&nbsp;Zahra Amini ,&nbsp;Koosha Amiri ,&nbsp;Mahnaz Narimani Zamanabadi","doi":"10.1016/j.ijso.2023.100687","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100687","url":null,"abstract":"<div><h3>Background</h3><p>Postoperative pain control is critical after abdominal surgery. primary researches suggest that vitamin D and nasal calcitonin spray may have an effect in reducing postoperative pain.</p></div><div><h3>Objective</h3><p>This study aims to compare postoperative abdominal pain, in patients who received a combination of Nasocalcin spray and vitamin D to those who received Nasocalcin spray.</p></div><div><h3>Methods</h3><p>In this double-blind randomized clinical trial, 34 patient candidates for abdominal surgery were selected. They were randomly divided into 2 groups (group A (N = 17) received vitamin D and Nasocalcin spray, and group B (N = 17) received Nasocalcin spray). The drugs have been administered to patients 1 h before surgery. Equivalent amounts of Nasocalcin and intramuscular distilled water were administered to the calcitonin group. after the surgery Patients’' pain levels were measured using a visual analog scale (VAS) after they had gained full consciousness and 6, 12, and 24 h after surgery. the amount of narcotics injected in the first 24 h after surgery was monitored and compared between the two groups.</p></div><div><h3>Results</h3><p>There was no significant relation between the groups in terms of age (p = 0.98), gender distribution (p = 0.1), surgery duration (p = 0.35), and pain scores after surgery (p = 0.67). In comparison to group B, at 6 h (p = 0.007), 12 h (p = 0.001), and 24 h (p = 0.003), group A reported significantly less pain. There was a significant reduction in total narcotic injected (p = 0.003) in group A.</p></div><div><h3>Conclusions</h3><p>Preoperative administration of vitamin D with nasal calcitonin spray improved postoperative pain control compared to nasal calcitonin. This non-opioid drug combination represents a preemptive medication for enhanced recovery after abdominal surgery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100687"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888584","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}