ArunSundar MohanaSundaram , Yashoda Pokharel, Dionisio Lorenzo Lorenzo-Villegas, Md Ariful Haque, Md Aminul Islam
{"title":"Nanoencapsulated bioinks: The silver lining to safe tattoos and laser-assisted tattoo removal","authors":"ArunSundar MohanaSundaram , Yashoda Pokharel, Dionisio Lorenzo Lorenzo-Villegas, Md Ariful Haque, 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, Shailendra Yadav, Rachana Mehta, Ranjana Rohilla, Aroop Mohanty, 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}
{"title":"Laparoscopic subtotal cholecystectomy by linear stapler: A simple and feasible technique for difficult cases with severe cholecystitis. A case series","authors":"Keisuke Noda, Tamotsu Kuroki","doi":"10.1016/j.ijso.2023.100671","DOIUrl":"10.1016/j.ijso.2023.100671","url":null,"abstract":"<div><h3>Introduction</h3><p>Laparoscopic subtotal cholecystectomy (LSC) is recognized as a safe, feasible alternative method for avoiding common bile duct injuries in 'difficult' gallbladders. We describe the details of an LSC technique that uses a linear stapler with the reconstituting method for severe cholecystitis.</p></div><div><h3>Methods</h3><p>We retrospectively analyzed the cases of 19 Japanese patients diagnosed with acute cholecystitis who underwent LSC (Jan. 2017–Dec. 2020). In each patient, we first attempted to perform a standard laparoscopic cholecystectomy. Four trocars were inserted in all patients. When it was extremely difficult to expose and dissect the triangle of Calot or the neck of the gallbladder due to severe inflammation and fibrosis, an LSC was performed. The gallbladder was divided downward from the gallbladder fundus to the neck. We opened the gallbladder wall at the fundus and removed all gallstones with suction and saline flushing. The gallbladder was transected by a laparoscopic linear stapler.</p></div><div><h3>Results</h3><p>The median operation time was 166 min; intraoperative blood loss was 35 mL. One patient (5.3%) had minor bile leakage that promptly resolved after the transpapillary approach. The median postoperative hospital stay was 7 days.</p></div><div><h3>Conclusion</h3><p>Using a linear stapler to divide the gallbladder neck is a simple, feasible strategy for LSCs in difficult gallbladders.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100671"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46945461","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}
Kenana Tawashi , Yamama Tawashi , Sami Jomaa , Eyad Alabdallah , Mustafa Al-Hussien , Ameen Ammar
{"title":"The management of torsion of huge pedunculated fibroid in 19 weeks pregnant in a low-income country, a case report","authors":"Kenana Tawashi , Yamama Tawashi , Sami Jomaa , Eyad Alabdallah , Mustafa Al-Hussien , Ameen Ammar","doi":"10.1016/j.ijso.2023.100676","DOIUrl":"10.1016/j.ijso.2023.100676","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Fibroids are common benign neoplasms of the uterus, exciting in >70% of women. Also, in 0.3–15% of pregnant. They are classified into submucosal, intramural, and subserosal. The diagnosis depends on ultrasound imaging, while the treatment depends on surveillance, drugs, and surgery.</p></div><div><h3>Case presentation</h3><p>A 43-year-old nulligravida at 19 weeks’ gestation complained of increased unresponsive subacute pain that started for 3 weeks. She was apprehensive and pale and had digestive disturbances. The physical examination showed tenderness, and the size of the uterus was equivalent to 36 weeks. The radiological investigations showed a live fetus and a well-defined subserosal fibroid measuring 20 × 19 cm, connected to the uterus by a peduncle with torsion signs on echo-Doppler. A myomectomy was done and we had good outcomes for both the mother and fetus.</p></div><div><h3>Clinical discussion</h3><p>Many factors get together and make our case extraordinary; the rapid increase in size, the size of the fibroid, the pregnancy, the torsion, and the lack of equipment in our area that forced us to treat the patient urgently by laparotomy, which had risks on both the mother and the fetus.</p></div><div><h3>Conclusion</h3><p>This case highlights that even though laparoscopy is the best choice to treat fibroids during pregnancy; laparotomy is a good choice and has good outcomes for both the mother and the fetus in low-income countries. In addition, Fast diagnosis and treatment also are important to get the best results, especially in complicated situations.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100676"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46644599","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}
Yohannis Derbew Molla, Mensur Osman Yasin, Samrawit Andarge Kassa
{"title":"Ileo-sigmoid knotting: A case series of 25 patients","authors":"Yohannis Derbew Molla, Mensur Osman Yasin, Samrawit Andarge Kassa","doi":"10.1016/j.ijso.2023.100664","DOIUrl":"10.1016/j.ijso.2023.100664","url":null,"abstract":"<div><h3>Introduction</h3><p>and importance: Ileosigmoid knotting (ISK), also known as double volvulus or compound volvulus is a rare cause of intestinal obstruction in which small bowel or sigmoid colon wrap around each other, causing double loop obstruction and frequently leading to bowel strangulation. This study aimed to determine the characteristics, presentation, morbidity, and mortality associated with ISK at University Hospital.</p></div><div><h3>Methods</h3><p>A retrospective medical record review of all patients operated for ISK between January 2018 and January 2023. A data collection format that was tested on five patients was used to collect data on sociodemographic characteristics, clinical presentation, preoperative investigations, preoperative stabilization, intraoperative findings, type of surgical procedure performed, and patients’ treatment outcomes.</p></div><div><h3>Outcomes</h3><p>A total of 29 patients were operated on for ISK during the study period. Of these, the medical records of 25 patients were retrieved, reviewed, and analyzed. Males were commonly affected with a male-to-female ratio of 2:1(16:9). The peak age for ISK was between 30 and 50 years. The mean age of the patients was 42.6 years (SD ± 15.9) and ranged from 20 to 70 years. Only one of the patients had comorbidity (retroviral infection). The average duration of illness was 1.6 days (SD ± 0.65), and the majority (23, 92%) presented within 48 h. Four-fifth (20, 80%) of patients are from the rural areas and the majority of them (15 (75%)) presented later than 24 h, while 3 (25%) of patients from urban settings presented within 24 h. Abdominal pain was present in all patients followed by vomiting (24, 96%), abdominal distention (22, 88%), and failure to pass feces or flatus (15, 52%). Four (16%) of the patients were in shock at the presentation. The leading abdominal findings were guarding (25, 100%), tenderness (24, 96%), rebound tenderness (21, 84%), and hyper-tympanic abdomen (11, 44%). On digital rectal examination, a stool was found in more than half (17, 68%), followed by an empty rectum (7, 28%) and blood in 2 (8%) of the patients. Preoperative imaging (plain abdominal x-ray) was done in 13 patients with symptoms of obstruction and with no features of diffuse peritonitis.</p></div><div><h3>Conclusion</h3><p>The performance of prompt, individualized surgical treatment in conjunction with the use of advanced measures of critical care to combat the disastrous consequences of multiple organ failures may contribute greatly to improving the survival rate of victims of this dreadful entity.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100664"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47931290","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}
L.V. Simhachalam Kutikuppala, Siva Santosh K. Pentapati, Venkataramana Kandi, Snehasish Mishra, Ranjan K. Mohapatra, Aroop Mohanty, Ranjit Sah
{"title":"Surgical intervention to treat neglected tropical diseases (NTDs): Caring for the neglected","authors":"L.V. Simhachalam Kutikuppala, Siva Santosh K. Pentapati, Venkataramana Kandi, Snehasish Mishra, Ranjan K. Mohapatra, Aroop Mohanty, Ranjit Sah","doi":"10.1016/j.ijso.2023.100661","DOIUrl":"10.1016/j.ijso.2023.100661","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100661"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45475325","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}
Van Thuong Pham , Ngoc Son Vu , Huu Doan Hoang , Minh-Tung Do
{"title":"Single-incision laparoscopic cholecystectomy using totally homemade glove port versus conventional laparoscopic approach: A cross-sectional study in a developing country","authors":"Van Thuong Pham , Ngoc Son Vu , Huu Doan Hoang , Minh-Tung Do","doi":"10.1016/j.ijso.2023.100678","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100678","url":null,"abstract":"<div><h3>Purpose</h3><p>Several home made glove ports for single-incision laparoscopic cholecystectomy (SILC) has been proposed but no comparison in surgical outcomes with conventional laparoscopic cholecystectomy (CLC) was made. Therefore, we aimed to compare the outcomes of SILC using a totally homemade glove port versus CLC.</p></div><div><h3>Methods</h3><p>This cross-sectional study compared the surgical outcomes between 90 patients, who underwent SILC and 123 patients who underwent CLC. Patients with acute cholecystitis grade 3 according to the Tokyo Guidelines 2018, body mass index ≥30, and previous abdominal surgeries were excluded. Totally homemade glove port was made of a small and a big rubber ring and a surgical glove to creat the wound retractor. Trocars were inserted into the glove's fingers.</p></div><div><h3>Results</h3><p>The proportion of patients with acute cholecystitis was lower in the SILC group (7.78%) than in CLC (21.79%). Intraoperative complication rate, the prevalence of additional trocar or conversion to open surgery, success rate, and postoperative complication rate were similar between the two groups. However, SILC showed a significantly longer operative time (62.9 ± 25.1 verus 50.4 ± 20.7 min) and lower postoperative pain than CLC. The discrepancy in operative time was more likely to be remarkable in acute cholecystitis (50.43 min) compared with symptomatic cholelithiasis (14.28 min).</p></div><div><h3>Conclusions</h3><p>The SILC using a totally homemade glove port is feasible and safe compared with the CLC. However, in the case of acute cholecystitis, SILC should be indicated with caution because of the longer operative time than CLC.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100678"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868855","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}
Quach Van Kien , Quynh Lien Dam , Quang Hieu Tong , Quang Thai Pham , Đuc An Thai , Vu Hong Tuan
{"title":"Emergency partial splenectomy for splenic ectopic pregnancy: A rare case report","authors":"Quach Van Kien , Quynh Lien Dam , Quang Hieu Tong , Quang Thai Pham , Đuc An Thai , Vu Hong Tuan","doi":"10.1016/j.ijso.2023.100656","DOIUrl":"10.1016/j.ijso.2023.100656","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Ectopic pregnancy can occur in many locations such as the fallopian tube, cervical, ovary or the abdomen. Splenic ectopic pregnancy (SEP) which is rarely reported in the literature, is a very dangerous condition because the spleen capsule is very thin and the spleen parenchyma is rich in blood vessels.</p></div><div><h3>Presentation of case</h3><p>A 40-year-old woman, gravida 2, Para 2, had not menstruated for 37 days, presented in the emergency department with a chief complaint of vaginal bleeding and mild hypogastric pain for 1 week. Her serum Beta-human gonadotropin (β-HCG) level was 34279 IU/L. Abdominal ultrasound demonstrated a homogeneous echogenic structure in the upper pole parenchyma of the spleen, measuring 46 × 48 mm in diameter, containing the gestational sac and embryonal heart rate. Magnetic resonance imaging revealed a mass located in the upper pole of the spleen. Partial splenectomy was successfully and safely performed.</p></div><div><h3>Clinical discussion</h3><p>Surgical treatment of SEP is indicated for symptomatic or having a fetal heart rate or an elevated β-HCG level >30000 IU/L. The surgical methods are total splenectomy, laparoscopically injecting Methotrexate. This is the first case of partial splenectomy in the treatment of SEP.</p></div><div><h3>Conclusion</h3><p>Diagnosis of splenic ectopic pregnancy is mainly based on clinical and abdominal ultrasound. MRI may be indicated in cases when the patient arrives early and helps to identify the location of the lesion. Partial splenectomy is indicated when the ectopic pregnancy mass is located at one splenic pole.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100656"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794651","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}
Hilmi Muhammad , Paramita Ayu Saraswati , Adrian Fakhri Ismiarto , Yoyos Dias Ismiarto
{"title":"Leg length discrepancy complications from osteotomy procedures in pediatric developmental dysplasia of the hip: A systematic review","authors":"Hilmi Muhammad , Paramita Ayu Saraswati , Adrian Fakhri Ismiarto , Yoyos Dias Ismiarto","doi":"10.1016/j.ijso.2023.100665","DOIUrl":"10.1016/j.ijso.2023.100665","url":null,"abstract":"<div><h3>Background</h3><p>In pediatric patients with developmental dysplasia of the hip (DDH), leg discrepancy may occur from treatment complications or from the treatment itself. Surgeons should be mindful that performing osteotomies with the purpose of providing better pelvic joint fit comes with risks of unequal bone growth. This article aimed to systematically review the reported leg length discrepancy (LLD) as a potential complication from osteotomy procedures in surgical treatment of pediatric patients with DDH.</p></div><div><h3>Methods</h3><p>This systematic review followed the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) guidelines. The study protocol was registered on the International Prospective Register of Systematic Reviews. A comprehensive search was performed on PubMed (MEDLINE), Scopus, the Cochrane Library and Europe PubMed Central in March 2022. Studies reporting outcomes of leg length discrepancy after osteotomy was performed were the main inclusion criteria. Quality and risk of bias assessment were performed by individual reviewers.</p></div><div><h3>Results</h3><p>From existing literatures, a total of eight studies were included in the review. From the data extracted, a total of 94 cases of DDH reported various LLD from 836 published cases with mean incidence of 11.2%. According to the patients’ age when the operation was performed, LLD of 2.20 cm was reported from the youngest patient operated on at 1.6 years old and LLD of 1.50 cm from the oldest patient operated on at 18 years old. The median LLD across the included studies was 1.30 cm. Limitations to this systematic review include study risk of bias, LLD reporting inconsistencies and assumptions when extracting the data which might have caused abnormal data distribution. Since no agreement exists regarding how much discrepancy between limb lengths is considered pathological, reports of cases and management of LLD vary widely. These results underline the importance of creating specific criteria to classify LLD severity and recommend appropriate treatment. WC:298.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100665"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47794258","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}