{"title":"Right esophageal lung with associated pulmonary vascular anomaly: A rare case report","authors":"Samuel Sisay Hailu , Zerihun Gelashe Hailu , Fadil Nuredin Abrar , Nardos Mulu Admasu , Woubedel Kiflu Aklilu , Fisseha Temesgen Gebru , 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":"2023-11-01","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, Arun Sundar Mohana Sundaram, 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":"2023-11-01","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, Kavita Munjal, 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":"2023-11-01","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}
Mahdi Hammami , Amine ben Safta , Imen Samaali , Salah Haddad , Iheb Sarhane , Hichem Jerraya , Ibtissem Bouasker , Ramzi Nouira
{"title":"Jejunal perforation and multiple intestinal contusions following blunt abdominal trauma: A case report","authors":"Mahdi Hammami , Amine ben Safta , Imen Samaali , Salah Haddad , Iheb Sarhane , Hichem Jerraya , Ibtissem Bouasker , 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":"2023-11-01","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":"Resurgence of MERS-CoV in the United Arab Emirates","authors":"Ranjana Rohilla, Aroop Mohanty, Najim Z. Alshahrani, Laxman Aryal, Prabha Bhandari, Prashant Bashyal, Rashmi Bhatta, Shailaj Bhandari, Ranjit Sah","doi":"10.1016/j.ijso.2023.100691","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100691","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100691"},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405857223001043/pdfft?md5=da930ba754efe98039367d5d52902658&pid=1-s2.0-S2405857223001043-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92101420","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}
M. Grosheva , M. Liese , T. Menovsky , R. Rasschaert , D. Galun , N. Maric , P.D. Hayes , I. van Herzeele
{"title":"Assessment of the efficacy of a novel adhesive haemostat using real world, case series data collection","authors":"M. Grosheva , M. Liese , T. Menovsky , R. Rasschaert , D. Galun , N. Maric , P.D. Hayes , I. van Herzeele","doi":"10.1016/j.ijso.2023.100690","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100690","url":null,"abstract":"<div><h3>Background</h3><p>Post-operative haemorrhage can lead to significant complications and even mortality. These utilise scarce healthcare resources and increase hospital costs, as well as negatively impacting on patient's quality of life. Haemostats that exhibit additional adhesive properties can reduce the rate of bleeding complications. Standard gelatin sponges have been used safely in surgery for over 75 years but have almost no adhesive properties. This article reports the performance of a novel adhesive gelatin patch in human surgery for the first time.</p></div><div><h3>Methods</h3><p>A CE-marked gelatin foam patch (TenaTac®, Selentus Science, UK) has been created through a physical modification of the sponge surface, avoiding the need for the addition of blood-derived components or additional chemicals to stimulate adhesion. Real-world, post-approval clinical evaluations of the device were undertaken, and a structured data form was utilised to collect information on the device's performance during these procedures.</p></div><div><h3>Results</h3><p>In total, 63 evaluations were undertaken by 40 surgeons in 13 countries, covering 29 different surgical procedures. When assessing the adherence of TenaTac, 83 % (48/58) of the surgeons assessed the adhesion as very good or excellent. Both “haemostatic effect” and “time to haemostasis” achieved median scores of 4/5 (IQR 4–5), which equated to “very good” on the questionnaire. When surgeons were asked to compare their experience with TenaTac against their usual haemostat, 91.7 % (55/60) rated it as good, very good or excellent. When surgeons were asked if they would recommend the use of TenaTac, 96.5 % (55/57) of the surgeons responded positively to this question.</p></div><div><h3>Conclusion</h3><p>Real world evaluation of the novel adhesive patch, TenaTac, has confirmed that it exhibits very good adhesive and haemostatic qualities and could be considered for use by a wide variety of surgical specialities.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"60 ","pages":"Article 100690"},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49906171","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, Richa Agarwal, Aroop Mohanty, Hashem Abu Serhan, 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":"Outcomes of Endoscopic Retrograde Appendicitis Therapy (ERAT) Vs Laparoscopic Appendectomy (LA): A systematic review and meta-analysis","authors":"Sunil Basukala, Oshan Shrestha, Niranjan Thapa, Sagun Karki, Kabita Chaudhary, 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; I<sup>2</sup> = 92%, p-value= < 0.00001), 5.46 times lesser odds of achieving technical success (OR: 5.46; 95% CI: 1.17–25.53; n = 329; I<sup>2</sup> = 0%, p-value = 0.03), 14.25 times more odds of developing recurrence (OR: 14.25; 95% CI: 2.67–76.12; n = 327; I<sup>2</sup> = 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; I<sup>2</sup> = 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}
Md Ariful Haque, Nazifa Tahseen M.B.B.S; M.D, Tungki Pratama Umar M.B.B.S; M.D, Md Rifat Al Mazid Bhuiyan M.B.B.S; M.P.H, ArunSundar MohanaSundaram Ph.D, Sayed Abdulla Jami M.B.B.S; M.D, Syed AlfakharAli Shah M.S
{"title":"Urgent concerns regarding the recent dengue outbreak in Bangladesh","authors":"Md Ariful Haque, Nazifa Tahseen M.B.B.S; M.D, Tungki Pratama Umar M.B.B.S; M.D, Md Rifat Al Mazid Bhuiyan M.B.B.S; M.P.H, ArunSundar MohanaSundaram Ph.D, Sayed Abdulla Jami M.B.B.S; M.D, 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}