International Journal of Surgery Open最新文献

{"title":"Malignant hyperthermia in a young man: A case report","authors":"Samar J. Mkhayel,&nbsp;Sarine V. Sarkis","doi":"10.1016/j.ijso.2023.100675","DOIUrl":"10.1016/j.ijso.2023.100675","url":null,"abstract":"<div><h3>Introduction and Importance</h3><p>Malignant hyperthermia (MH) is a hypermetabolic reaction caused by exposure to halogenated volatile anesthetics or succinylcholine. Symptoms include unexplained elevations in end-tidal carbon dioxide and body temperature, muscle rigidity, hemodynamic instability, and electrolyte disturbances. Delayed diagnosis and treatment end up with detrimental consequences.</p></div><div><h3>Case presentation</h3><p>A 19-year-old healthy patient with a negative surgical history for anesthesia complications presented for an elective otolaryngology surgery. Following a smooth induction of general anesthesia and while maintained on sevoflurane, the patient started having elevation in end-tidal carbon dioxide and body temperature followed by hemodynamic instability. MH reaction was suspected. Dantrolene was directly administered intravenously along with cold physiologic saline. Consequently, body temperature as well as end tidal CO2 gradually decreased; the patient improved hemodynamically. The surgery was completed, and the patient was transferred to the intensive care unit for continuity of care.</p></div><div><h3>Clinical discussion</h3><p>MH is challenging for both anesthesia and surgical teams as well as for hospitals in general. Although symptoms are non-specific, the diagnosis of MH reaction and the subsequent initiation of treatment with dantrolene should be prompt. As such, hospitals should be logistically prepared for such scenarios. Furthermore, the treating medical team should be trained in advance in order to avoid any possible delay that might result in catastrophic consequences on the patient.</p></div><div><h3>Conclusion</h3><p>Early recognition and initiation of treatment are important for survival in MH. This can be achieved by proper staff education along with logistical preparedness.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100675"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41810385","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 pregabalin and famotidine with pregabalin and diphenhydramine on postoperative abdominal pain","authors":"Masoud Saadat Fakhr ,&nbsp;Parnian Motamed Chaboki ,&nbsp;Hemin Ashayeri ,&nbsp;Pouria Sahranavard ,&nbsp;Somayeh Mohammadipanah ,&nbsp;Mahnaz Narimani Zamanabadi","doi":"10.1016/j.ijso.2023.100674","DOIUrl":"10.1016/j.ijso.2023.100674","url":null,"abstract":"<div><h3>Objectives</h3><p>Pain is one of the most significant problems, and its uncontrolled management can lead to complications such as increased blood pressure, myocardial ischemia, etc. An effective approach to control postoperative pain is preemptive pain management with a combination of drugs prior to surgery. The present study aims to compare the level of postoperative abdominal pain in patients receiving pregabalin and famotidine versus pregabalin and diphenhydramine.</p></div><div><h3>Materials and methods</h3><p>In this double-blind clinical trial, a total of 34 candidates for abdominal surgery (laparotomy) with ASA physical status classification of 1 or 2 were enrolled from the patients referring to (XXX). They were divided into two groups of 17 (Group A: pregabalin and famotidine, Group B: pregabalin and diphenhydramine). The drugs were administered to the patients 2 h before the surgery. The patients' pain levels were measured using the Visual Analog Scale (VAS) at the recovery stage after complete consciousness and at 6, 12, and 24 h postoperatively. Additionally, the amount of analgesic consumed within the first 24 h after the surgery was recorded and compared between the two groups.</p></div><div><h3>Results</h3><p>The average pain intensity score at 6 h postoperatively was (6 ± 0.2) in patients who received pregabalin and diphenhydramine, and (7.1 ± 0.1) in patients who received pregabalin and famotidine (p = 0.002). The average pain intensity score at 12 h postoperatively was (6.1 ± 0.3) in patients who received pregabalin and famotidine, and (5.6 ± 0.2) in patients who received pregabalin and diphenhydramine (p = 0.021). Furthermore, the average pain intensity score at 24 h postoperatively was (5.2 ± 0.2) in patients who received pregabalin and famotidine, and (4.2 ± 0.2) in patients who received pregabalin and diphenhydramine (p = 0.014). The results demonstrated that the pain intensity score decreased in all four measured time intervals in the overall patient population (p &lt; 0.001), and this reduction was significantly different between the two groups (p = 0.002), with the final average pain score being lower in the group receiving pregabalin and diphenhydramine compared to the other group.</p></div><div><h3>Conclusion</h3><p>The results of this study indicate that the use of drugs such as diphenhydramine and pregabalin as preemptive medications can be effective in controlling postoperative abdominal pain and reducing the consumption of analgesics in patients after abdominal surgery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100674"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45413415","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":"Vaginal leiomyoma: A case report","authors":"Huda Muhaddien Muhammad ,&nbsp;Rezheen J. Rashid ,&nbsp;Snur Othman ,&nbsp;Nahidah Hamah Ameen Ahmed ,&nbsp;Rawa M. Ali ,&nbsp;Ari M. Abdullah ,&nbsp;Hadeel Adnan Yasseen ,&nbsp;Fakher Abdullah ,&nbsp;Fahmi H. Kakamad","doi":"10.1016/j.ijso.2023.100663","DOIUrl":"10.1016/j.ijso.2023.100663","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Leiomyomas can affect 20–30% of women of reproductive age and are commonly observed in the uterus. Their occurrence in the vagina is exceedingly rare, representing the least common presentation among all locations. Herein, we report a case of vaginal leiomyomas in a 48-year-old lady.</p></div><div><h3>Case presentation</h3><p>A 48-year-old female presented to our gynecology clinic complaining of feeling a mass within her vagina. Physical examination revealed a round, smooth mass in the anterior vaginal wall with a normal-looking cervix. Ultrasound examination showed an enlarged anteverted uterus with an endometrial thickness of 14 mm and an endometrial polyp of 15 × 7mm arising from the left upper anterolateral wall. Magnetic resonance imaging demonstrated a well-defined, fusiform, submucosal vaginal mass originating from the anterior vaginal wall, measuring 37× 22 × 36 mm. Hysteroscopy was performed, and the uterine and vaginal masses were resected. The masses were confirmed to be conventional leiomyomas.</p></div><div><h3>Clinical discussion</h3><p>The diagnosis is seldom established preoperatively and the preferred therapeutic approach for treating vaginal leiomyoma is surgical removal via the vaginal route. However, in the case of large tumors, the abdominoperineal route may be necessary.</p></div><div><h3>Conclusion</h3><p>Vaginal leiomyoma is a rare tumor with approximately 300 reported cases worldwide. It can be asymptomatic or cause to feel it within the vagina. Besides the necessity of surgical resection, colporrhaphy as a reconstructive surgery may be required.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100663"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43181823","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":"Indolent presentation of a right-sided spontaneous diaphragmatic hernia: A case report and review of the literature","authors":"Michael J. Warn ,&nbsp;Austin R. Swisher ,&nbsp;Alexandra Pitco ,&nbsp;Zahan Ghyaz ,&nbsp;Ross Vitek ,&nbsp;Neharika Khurana","doi":"10.1016/j.ijso.2023.100662","DOIUrl":"10.1016/j.ijso.2023.100662","url":null,"abstract":"<div><h3>Introduction and Importance</h3><p>Diaphragmatic hernias are the herniation of abdominal contents through the diaphragm into the thorax and are categorized as congenital or acquired. Most commonly, acquired diaphragmatic hernia is preceded by blunt or penetrating trauma to the abdomen with the former occurring more frequently. In less than 1% of cases, acquired diaphragmatic hernias can occur spontaneously, which can be recognized incidentally on imaging or by patients presenting with non-specific symptoms. Without prompt diagnosis, patients are at risk for incarceration and strangulation of the herniated contents, resulting in bowel necrosis.</p></div><div><h3>Case presentation</h3><p>Here, we present the case of a 36-year-old male who presented with worsening 3-month history of dyspnea and palpitations. Initial clinical exam was notable for tachypnea and accessory muscle recruitment. Auscultation revealed bowel sounds in the right lung fields. Semi-upright chest radiograph uncovered a large right-sided pneumothorax containing portions of the stomach, liver, and numerous loops of bowel, with significant cardiomediastinal left shift. Surgical intervention for diaphragmatic hernia repair was promptly planned.</p></div><div><h3>Clinical discussion</h3><p>Spontaneous diaphragmatic hernia occurring secondary to a defect on the right side of the diaphragm without any history of trauma or surgery is an extraordinarily infrequent pathology. This subacute clinical presentation despite extensive anatomic involvement highlights the importance of thorough physical examination, with auscultation of bowel sounds in the thorax serving as a near pathognomonic finding for a spontaneous diaphragmatic hernia, including patients without a known history of acute trauma or previous surgery.</p></div><div><h3>Conclusion</h3><p>Surgical management of such rare hernias via abdominal, thoracic, or a combined approach coupled with pulmonary monitoring proves to be an effective treatment, and awareness of this case will aid in its identification and the ability to provide prompt intervention.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100662"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43421069","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":"Potentially pandemic MERS-CoV constantly circulating in the Middle East threatens the globe: Preparedness and prevention with commentaries on the ‘one health’ model","authors":"Ranjan K. Mohapatra,&nbsp;Snehasish Mishra,&nbsp;Lucia Pintilie,&nbsp;Lawrence Sena Tuglo","doi":"10.1016/j.ijso.2023.100670","DOIUrl":"10.1016/j.ijso.2023.100670","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"58 ","pages":"Article 100670"},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41686198","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":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54471030","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 removal of a giant adrenal myelolipoma: A case report with review of the literature","authors":"Dlshad Hamasaeed Ahmed ,&nbsp;Rawa Bapir ,&nbsp;Belan Mikaeil M. Radha ,&nbsp;Ismaael Aghaways ,&nbsp;Rezheen J. Rashid ,&nbsp;Deari A. Ismaeil ,&nbsp;Omar H. Ghalib Hawramy ,&nbsp;Dana T. Gharib ,&nbsp;Hemn H. Kaka Ali ,&nbsp;Fahmi H. Kakamad ,&nbsp;Berun A. Abdalla ,&nbsp;Ari M. Abdullah","doi":"10.1016/j.ijso.2023.100658","DOIUrl":"10.1016/j.ijso.2023.100658","url":null,"abstract":"<div><h3>Introduction</h3><p>Adrenal myelolipomas (AMLs) are non-functioning, benign adrenal tumors with an unknown etiology. This study aims to report a case of giant AML managed successfully by laparoscopic surgery.</p></div><div><h3>Case presentation</h3><p>A 43-year-old man presented with mild, dull, and non-radiating left loin pain. Physical examination and hormonal assays were normal. Imaging revealed a retroperitoneal mass (13 × 12 × 8.5cm) containing gross fat. Left laparoscopic adrenalectomy was done under general anesthesia. The postoperative period was uneventful. The patient was followed up for a duration of six months, and no recurrence was detected.</p></div><div><h3>Discussion</h3><p>AMLs are lipomatous tumor-like growths equally seen in both genders and are commonly incidental findings. Symptomatic AMLs are characterized by their large size, leading to the manifestation of pressure-related symptoms or abnormalities in hormonal levels. Most AMLs are associated with chronic diseases like diabetes mellitus and hypertension. The tumor is commonly diagnosed through a biochemical and imaging workup. Asymptomatic AMLs are managed conservatively, while in the presence of symptoms, surgery is usually considered. However, the open approach is regarded as the standard option, but minimally invasive approaches can be carried out due to their feasibility.</p></div><div><h3>Conclusion</h3><p>AMLs are rare, benign, non-functional tumors of the adrenal gland. Laparoscopy may be a safe and feasible management modality for these tumors.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100658"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46561819","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":"A case report of laparoscopic omental patch repair in a patient with super-super obesity and a duodenal perforation","authors":"Takaaki Murata ,&nbsp;Nobuo Yamaguchi ,&nbsp;Yutaro Shimomoto ,&nbsp;Yuto Igarashi ,&nbsp;Yuma Suno ,&nbsp;Tomoki Nishida ,&nbsp;Katsunori Miyake ,&nbsp;Naoko Isogai ,&nbsp;Ryuta Fukai ,&nbsp;Hiroyuki Kanomata ,&nbsp;Rai Shimoyama ,&nbsp;Jun Kawachi","doi":"10.1016/j.ijso.2023.100657","DOIUrl":"10.1016/j.ijso.2023.100657","url":null,"abstract":"<div><h3>Introduction</h3><p>We report a case of emergency laparoscopic omental patch repair in a patient with super-super obesity (body mass index of 64.7) who presented with upper gastrointestinal perforation.</p></div><div><h3>Case presentation</h3><p>A 52-year-old male patient with difficulty moving his body due to abdominal pain was transported to the emergency department. Contrast-enhanced computed tomography revealed duodenal bulb wall thickening and increased fat stranding in the surrounding tissue. Free air was also observed under the liver and on its surface. Therefore, diagnostic laparoscopy was performed because of a suspected upper gastrointestinal perforation.</p></div><div><h3>Clinical discussion</h3><p>Because the weight limit of the surgical bed was 150 kg and the width was insufficient, even when two beds were placed side-by-side, the patient's fixation on the bed was unstable, and the surgery was performed on a regular hospital bed. A 5-mm full-thickness perforation of the duodenal bulb wall was confirmed, and omental patch repair was performed. Because the bed was regular, securing the visual field without changing the patient's position was difficult. There were also limitations on the movement of the ports; therefore, seven ports were used. Postoperatively, bile-like drainage was observed from the surgical drain. However, upper gastrointestinal contrast imaging on the 14th day after the surgery revealed no contrast leakage.</p></div><div><h3>Conclusion</h3><p>The patient recovered well and was discharged on the 31st day after the surgery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100657"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49206227","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":"Female house surgeon stabbed to death: High time for a multi-pronged action plan to prevent and manage violence against Health care workers","authors":"Mohammad Jawed Quereishi,&nbsp;ArunSundar MohanaSundaram ,&nbsp;Avishek Koley,&nbsp;Dionisio Lorenzo Lorenzo-Villegas,&nbsp;Md Aminul Islam","doi":"10.1016/j.ijso.2023.100650","DOIUrl":"10.1016/j.ijso.2023.100650","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100650"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44625346","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":"Eventration of diaphragm of unknown cause: A case report","authors":"Amartya Dahal,&nbsp;Yadvinder Singh,&nbsp;Ajmat Ansari,&nbsp;Robin Man Karmacharya,&nbsp;Satish Vaidya,&nbsp;Swechha Bhatt","doi":"10.1016/j.ijso.2023.100653","DOIUrl":"10.1016/j.ijso.2023.100653","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Diaphragmatic eventration is a rare disorder with partial or complete thinning of diaphragmatic musculature. The fibroelastic hemidiaphragm, which is pliable, moves paradoxically upward during inspiration resulting in restrictive pulmonary function. It occurs as a result of congenital defect in the diaphragm or secondarily due to phrenic nerve injury. Most patients remain asymptomatic for a long duration—the disease is therefore underdiagnosed. However, in cases of clinical suspicion, chest radiography should be performed, which can be further confirmed by chest computed tomography (CT).</p></div><div><h3>Case presentation</h3><p>We present a case of a 67-year-old male with a right sided diaphragmatic eventration presenting as severe coughing for two months. Surgical plication of right hemidiaphragm was done in multilayer with percutaneous dynamic stabilization (PDS) yielding good outcome.</p></div><div><h3>Clinical discussion</h3><p>The decision on performing a surgical repair of the defect depends upon the extent of the complications. Symptomatic patients with compromised respiratory, cardiovascular or gastrointestinal function usually require the plication of the diaphragm.</p></div><div><h3>Conclusion</h3><p>Despite the rarity of the disease, clinicians must always evaluate the patient for diaphragmatic eventration to ensure early repair of the defect.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100653"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42706382","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}