International Journal of Surgery Open最新文献

{"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}

{"title":"Rising cases of contaminated liquid medicine poisoning: Recent reported cases and what we need to learn-Correspondence","authors":"Hitesh Chopra,&nbsp;Kavita Munjal,&nbsp;Vinod Kumar Gauttam,&nbsp;Shabana Bibi,&nbsp;Partha Biswas","doi":"10.1016/j.ijso.2023.100685","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100685","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100685"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888966","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":"Three surgical cases of Situs Inversus Totalis with individual challenges; Case report and literature review","authors":"Arash Mohammadi Tofigh,&nbsp;Behzad Nematihonar,&nbsp;Behzad Azimi,&nbsp;Alireza Haghbin Toutounchi,&nbsp;Hojatolah Khoshnoudi,&nbsp;Seyed Pedram Kouchak Hosseini,&nbsp;Mohammad Aghaei","doi":"10.1016/j.ijso.2023.100689","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100689","url":null,"abstract":"<div><h3>Introduction and Importance</h3><p><em>Situs Inversus Totalis</em> (SIT) is a rare congenital condition resulting in the complete reversal of thoracoabdominal solid organs. Although rare, it has a higher prevalence in males with an incidence of 1:10,000. The embryonic rotation of the midgut occurs in the opposite direction, leading to a mirror-image arrangement of all visceral organs in both the thorax and abdomen. While individuals with this condition generally live without complications, its importance lies in the differences and difficulties encountered during operative procedures, particularly organ transplantations.</p></div><div><h3>Case presentation</h3><p>In this article we have presented 3 cases of situs inversus with different complications, admitted in a month, an 83 year-old woman with cholecystitis, a 46 year-old woman with spontaneous peritonitis caused by peptic ulcer perforation and a 26 year-old young man with volvulus of sigmoid.</p></div><div><h3>Clinical Discussion</h3><p>We have provided a comprehensive description of this uncommon medical condition, including its various facets and associated complications. Medical literature has been searched to find more relevant information about SITs for better optimal planning in surgery.</p></div><div><h3>Conclusion</h3><p>Situs Inversus Totalis can create challenges in clinical practice, particularly in surgical procedures, due to the reversal of anatomy. Although it does not inherently cause specific complications, it can complicate the diagnosis and management of certain medical conditions. Accurate imaging is crucial for diagnosis and treatment planning. Healthcare professionals must remain vigilant and adaptable when treating patients with SIT.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100689"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888580","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":"Twisted ovarian cyst in postmenopausal woman: A case report","authors":"Brahmana Askandar Tjokroprawiro,&nbsp;Khoirunnisa Novitasari,&nbsp;Renata Alya Ulhaq","doi":"10.1016/j.ijso.2023.100681","DOIUrl":"10.1016/j.ijso.2023.100681","url":null,"abstract":"<div><h3>Introduction</h3><p>Twisted ovarian cysts are acute conditions that cause sudden pain in the lower abdomen and may occur in older people. A twisted ovarian cyst presents as a complex cyst picture on ultrasound and CT scans and may mimic malignant ovarian masses. A normal CA-125 level in an older woman with a complex ovarian cyst who presents with acute pelvic pain may indicate a twisted ovarian cyst.</p></div><div><h3>Case presentation</h3><p>A 62-year-old woman presented with acute pelvic pain. A CT scan revealed a cystic ovarian mass with a diameter of 15,1 cm x 10,2 cm x 11,2 cm. Additionally, thick septations and multiple projected mural nodules were detected with normal CA-125 levels.</p></div><div><h3>Discussion</h3><p>The patient underwent an exploratory laparotomy. Subsequently, a midline incision was made and 100 ml of hemorrhagic ascites was observed. Macroscopic examination of the left ovary revealed an ovarian cyst with necrosis and bleeding, weighing 830 g, and measuring 15 × 12 × 8 cm. Histopathological examination of the cyst revealed serous cystadenoma.</p></div><div><h3>Conclusion</h3><p>This case suggests that a twisted ovarian cyst may occur in old age; therefore, in older women with complaints of sudden pain in the lower abdomen, a twisted ovarian cyst should be suspected. In post-menopausal women, ovarian masses may not be indicative of a malignancy. However, a twisted benign ovarian cyst should be considered if a complex ovarian mass with acute pelvic pain and normal CA-125 levels is found.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100681"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48415259","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 changing landscape of scrub typhus: Implications for global public health","authors":"Sunita Kalita ,&nbsp;Prakasini Satapathy ,&nbsp;Pawan Kumar,&nbsp;Sarvesh Rustagi,&nbsp;Keerti Bhusan Pradhan,&nbsp;Zahraa Haleem Al-qaim,&nbsp;Aroop Mohanty,&nbsp;Ranjit Sah,&nbsp;Bijaya K. Padhi","doi":"10.1016/j.ijso.2023.100680","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100680","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"59 ","pages":"Article 100680"},"PeriodicalIF":1.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888579","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":"Nanoencapsulated bioinks: The silver lining to safe tattoos and laser-assisted tattoo removal","authors":"ArunSundar MohanaSundaram ,&nbsp;Yashoda Pokharel,&nbsp;Dionisio Lorenzo Lorenzo-Villegas,&nbsp;Md Ariful Haque,&nbsp;Md Aminul Islam","doi":"10.1016/j.ijso.2023.100672","DOIUrl":"10.1016/j.ijso.2023.100672","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100672"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42503924","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":"Japanese encephalitis: An indian perspective","authors":"Kamran Zaman,&nbsp;Shailendra Yadav,&nbsp;Rachana Mehta,&nbsp;Ranjana Rohilla,&nbsp;Aroop Mohanty,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100673","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100673","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100673"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868440","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":"FDA approves first leadless dual-chamber pacing system; A breakthrough in therapy of bradycardia","authors":"Eman Ali","doi":"10.1016/j.ijso.2023.100660","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100660","url":null,"abstract":"<div><p>More than 700,000 pacemakers (PMs) are implanted worldwide each year, with more than 250,000 deployed in the United States. Leadless cardiac pacemakers (LPCs) are an alternative to conventional pacemakers because they do not require permanent transvenous leads while alleviating bradyarrhythmias. An innovation in the field of pacing systems called ‘dual chamber pacing system’ has received US Food and Drug Administration (FDA) approval which is a safe, non-invasive, and efficacious procedure as documented by a landmark clinical study. It succeeded in its pre-established safety and performance goals, with definite procedural success, atrial pacing and reliable atrioventricular (AV) synchrony. Despite its hailing success, the system continues to undergo transformation and development, and requires further longitudinal data to reaffirm its safety and efficacy.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100660"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868436","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}