International Journal of Surgery Open最新文献

{"title":"Idiopathic encapsulating peritonitis: A case report","authors":"Tamassi Bertrand Essobiyou ,&nbsp;Samuel Salem Laurent Ouedraogo ,&nbsp;Pegwende Rachid Cedric Diendere ,&nbsp;Albert Kossi Labou ,&nbsp;Mohamed Issa ,&nbsp;Kodjo Abossisso Sakiye","doi":"10.1016/j.ijso.2023.100655","DOIUrl":"10.1016/j.ijso.2023.100655","url":null,"abstract":"<div><h3>Introduction</h3><p>and importance: Encapsulating peritonitis is a chronic and rare condition of the peritoneum. Most often secondary, it can occur idiopathically without any predictive factor. The diagnosis is often delayed and the management is not codified. The authors report a case of encapsulating peritonitis in a patient in a hospital in Togo. Their case highlights the diagnostic difficulties that can arise with encapsulated peritonitis.</p></div><div><h3>Case presentation</h3><p>a 46-year-old female patient with a history of transient abdominal pain was admitted to an emergency with acute intestinal obstruction. A laparotomy was indicated. Intraoperatively, it was discovered that there was an agglutination of coats covered by a thin membrane. The surgical procedure consisted of adhesiolysis with the release of the loops. The fibrous nature of the membrane on histology and the negativity of the etiological examinations allowed the diagnosis to be retained.</p></div><div><h3>Clinical discussion</h3><p>This is the result of a chronic attack on the peritoneum. In the majority of cases, it is said to be secondary because it occurs in a known evocative context. However, idiopathic cases have been reported. The disease has an insidious course making its diagnosis difficult. The disease is associated with a high mortality rate even under treatment, which reflects its severity. There is no consensus on the therapeutic management of this disease.</p></div><div><h3>Conclusion</h3><p>Encapsulating peritonitis is a rare and serious disease with a difficult diagnosis and complex management. There is no consensus on the therapeutic management of this disease.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100655"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47843424","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":"Duodenal Strongyloides stercoralis infection in a 56-year old male: A case report","authors":"James J. Yahaya,&nbsp;Emmanuel D. Morgan,&nbsp;Emmanuel Othieno","doi":"10.1016/j.ijso.2023.100651","DOIUrl":"10.1016/j.ijso.2023.100651","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>The infection caused by <em>Strongyloides stercoralis (S stercoralis)</em> is usually an asymptomatic condition particularly in immunocompetent individuals and the condition may remain unnoticed even for decades, however, strongyloidiasis is more severe in patients who are immunocompromised.</p></div><div><h3>Case presentation</h3><p>The patient is a 56-year old male who presented with nine months history of episodes of abdominal pain, nausea loss of appetite, and chronic diarrhea. His diarrhea had mucus and trace blood. His oesophagogastroduodenoscopy (OGD) revealed erythematous, hypertrophied, and ulcerating lining mucosa of the duodenum. The specimen sampled showed sections of the duodenum with numerous <em>Strongyloides stercoralis</em> larvae, some inside the crypts with associated active duodenitis.</p></div><div><h3>Clinical discussion</h3><p>Despite the asymptomatic nature of <em>Strongyloides stercoralis</em> infectious condition especially for immunocompetent patients, the infection may sometimes result into serious complications including exudative enteropathy and paralytic ileus. The clinical outcome of patients with strongyloidiasis is usually better despite severe infection may develop and it is associated with slightly increased morbidity and even mortality.</p></div><div><h3>Conclusion</h3><p>Diagnosis of <em>Strongyloides stercoralis</em> infection in individuals residing in tropical or subtropical countries who present with chronic diarrhea, abdominal pain should always be considered so as to avoid delay of diagnosis. This may help in preventing unnecessary complication such as severe anaemia, intestinal perforation or even death.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100651"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42982807","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":"Unravelling two fungal meningitis outbreaks in Mexico: An urgent call for multi-faceted action","authors":"ArunSundar MohanaSundaram,&nbsp;Josef Finsterer,&nbsp;Dionisio Lorenzo Lorenzo-Villegas,&nbsp;Man Mohan Mehndiratta,&nbsp;Md Aminul Islam","doi":"10.1016/j.ijso.2023.100659","DOIUrl":"10.1016/j.ijso.2023.100659","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100659"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42817189","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":"Parathyroid adenoma mimicking bethesda class III follicular thyroidal lesion: A case report","authors":"Caspar J. Peterson ,&nbsp;Jennifer M. Klasen ,&nbsp;Lukas Bubendorf ,&nbsp;Martin Freitag ,&nbsp;Tarik Delko ,&nbsp;Ioannis I. Lazaridis","doi":"10.1016/j.ijso.2023.100612","DOIUrl":"10.1016/j.ijso.2023.100612","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Although the majority of thyroid lesions are benign, diagnostic workup including fine needle aspiration biopsy cytology is important to rule out cancerous lesions. However, cytological findings may pose challenges in interpretation because of similarities in cytomorphological features between certain thyroid nodules and parathyroid tissue. Similarly, parathyroid lesions may go unnoticed for a long period of time because they are misinterpreted as thyroid lesions and patients with parathyroid lesions are typically oligo- or asymptomatic for a long period of time.</p></div><div><h3>Case presentation</h3><p>We present the case of a 57-year-old female patient who was under observation for a hormone inactive mildly suspicious thyroid nodule for eight years before the suspected thyroid nodule was found to be a parathyroid adenoma. Repeated fine needle aspiration biopsies showed cytomorphological features of Bethesda Class III thyroid nodules and the patient was asymptomatic throughout all consultations. Finally, a pathological hip fracture and symptomatic kidney stone prompted further diagnostic work-up, confirming primary hyperparathyroidism and exposing the suspected thyroid lesion for a parathyroid adenoma. After focused parathyroidectomy the patient fully recovered.</p></div><div><h3>Clinical discussion</h3><p>Systematic blood sampling for Calcium and parathyroid hormone levels, which has to become part of the usual work up for suspicious thyroid nodules, may have exposed the diagnosis earlier preventing secondary complications.</p></div><div><h3>Conclusion</h3><p>This case highlights one of the major pitfalls in ultrasound interpretation and fine needle aspiration biopsy of the thyroid gland. Physicians need to be aware of these difficulties during the diagnostic work-up.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100612"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42902106","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":"Comparative efficacy of apneic oxygenation with face mask versus face mask alone pre-oxygenation to Prevent desaturation during endotracheal intubation of elective Pediatric surgical patients at St. Peter hospital, Addis Ababa Ethiopia:A single center prospective cohort study","authors":"Ashenafi Seifu Gesso,&nbsp;Tsion Lemma Regasa,&nbsp;Eyayalem Melese Goshu,&nbsp;Lemlem Getachew Woldemariam,&nbsp;Mulualem Sitot Fekede","doi":"10.1016/j.ijso.2023.100654","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100654","url":null,"abstract":"<div><h3>Background</h3><p>Apneic oxygenation using a nasal cannula is used to deliver oxygen continuously during the apneic period of endotracheal intubation to prevent desaturation. Pre-oxygenation using face mask alone technique may be insufficient to provide a safe apnea period in pediatric patients who are at high risk for rapid desaturation compared to added apneic oxygenation. This study compared the efficacy of apneic oxygenation with a face mask (AO) versus a face mask alone (FMA) pre-oxygenation to prevent desaturation during endotracheal intubation in elective pediatric surgical patients.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted on two equal groups of elective pediatric patients observed in either use of apneic oxygenation with a face mask (AO) or face mask alone(FMA) pre-oxygenation during endotracheal intubation at the study hospital from early December 2021 to late March 2022. The data were collected using a structured questionnaire. The primary outcome variable was the desaturation SpO₂ (&lt;94%) observed during endotracheal intubation. The categorical data were analyzed using a χ2-test. Parametric data were analyzed using an independent <em>t</em>-test or one-way ANOVA as appropriate with a 95% CI and a p-value of &lt; 0.05 was considered statistically significant. The Bonferroni post hoc analysis was employed to test the significance of means between the groups.</p></div><div><h3>Results</h3><p>The mean desaturation level was (SpO₂ = 95.74 ± 2.99) in apneic oxygenation with face-mask group and (SpO₂ = 93.96 ± 3.74) in the face-mask alone group(p = 0.006) with medium effect size (Cohan's d = 0.06). A one-way ANOVA showed a statistically significant difference in the mean (±SD) of desaturation level with the number of attempts at endotracheal intubation within the groups (P = 0.005). The Bonferroni pairwise comparison within groups, showed that the mean (±SD) desaturation level during endotracheal intubation for the participant with &gt;2 attempts is significantly lower than for participants with only 1 attempt (p-value = 0.004).</p></div><div><h3>Conclusion and recommendation</h3><p>A continuous administration of apneic oxygenation (5-l/min) by nasal cannula during endotracheal intubation significantly reduced desaturation in pediatrics. We recommend the use of apneic oxygenation (AO) in pediatrics during intubation time.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100654"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49892062","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":"Cholera spike following monsoon floods in Pakistan: Challenges, efforts and recommendations (short communication)","authors":"Abdullah Malikzai,&nbsp;Khulud Qamar,&nbsp;Umer Usman Malik,&nbsp;Faryal Rafique,&nbsp;Sean Kaisser Shaeen","doi":"10.1016/j.ijso.2023.100652","DOIUrl":"10.1016/j.ijso.2023.100652","url":null,"abstract":"<div><p>Cholera has globally affected the world since the 19th century, resulting in numerous cases and deaths throughout time. In Pakistan, while Cholera had always been a threat to the country's public health, the recent monsoon floods have exacerbated the situation. With high incidence of the disease, health care facilities are overburdened and inaccessible. Due to destruction of infrastructure and houses in the country, Pakistan's health care services and WASH services are inadequate. This further leads to increased disease prevalence and transmission of Cholera. Despite global funding being carried out to alleviate economic struggles, Pakistan also requires disease surveillance, rapid treatment provision and widespread awareness to manage Cholera.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100652"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43212264","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":"End of the COVID-19 pandemic: Is it a reality?","authors":"Ranjana Rohilla,&nbsp;Aroop Mohanty,&nbsp;Bijaya K. Padhi,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100644","DOIUrl":"10.1016/j.ijso.2023.100644","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100644"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44545843","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":"Comparative efficacy of apneic oxygenation with face mask versus face mask alone pre-oxygenation to Prevent desaturation during endotracheal intubation of elective Pediatric surgical patients at St. Peters hospital, Addis Ababa Ethiopia:A single center prospective cohort study","authors":"T. Regasa, A. S. Gesso, E. M. Goshu, L. G. Woldemariam, M. S. Fekede","doi":"10.1016/j.ijso.2023.100654","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100654","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45833188","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":"Effects of German chamomile on symptoms and healing after mandibular third molar surgeries: A triple-blind split-mouth randomised controlled trial","authors":"Mohammed Qassem Abo Rokbah ,&nbsp;Yasser Al-Moudallal ,&nbsp;Nuraldeen Maher Al-Khanati ,&nbsp;Jamileh Ali Hsaian ,&nbsp;Moemeneh Bassam Kokash","doi":"10.1016/j.ijso.2023.100639","DOIUrl":"10.1016/j.ijso.2023.100639","url":null,"abstract":"<div><h3>Background and aim</h3><p>Surgical extraction of the impacted lower third molar is one of the most common surgical procedures in dentistry. Postoperative pain usually reaches its intensity 12 h after the procedure and adversely affects the patient's quality of life for many days. Chamomile anti-inflammatory and pain-relieving properties have been introduced in the medical literature. The present study aimed to investigate the efficacy of chamomile gel in reducing postoperative pain and symptoms after impacted lower third molar surgeries.</p></div><div><h3>Materials and methods</h3><p>This study was a triple-blinded placebo-controlled randomised clinical trial with a split-mouth crossover design. The study included 70 impacted lower third molars in 35 patients (13 males and 22 females) with a mean age of 22.29 (±3.00) years. Participants’ extraction sides were randomly allocated into the study groups. Each participant was enrolled twice, i.e., into the study and control groups with a washout period of 3 weeks between the two surgeries. Postoperative pain, need for analgesics, symptoms severity (PoSSe), and wound healing were evaluated.</p></div><div><h3>Results</h3><p>Gingival healing was significantly better in chamomile group compared to control group (P &lt; 0.001). There were no significant differences in post-extraction alveolar osteitis between chamomile and control group (P = 0.314). VAS results showed significant differences in mean pain scores, with significant decrease in chamomile groups (P &lt; 0.05). Moreover, analgesic consumption was significantly higher in placebo group (P &lt; 0.05). Mean PoSSe scores were 16.8 (±9.4) in the chamomile group, versus 41.1 (±9.9) in the control.</p></div><div><h3>Conclusions</h3><p>Within the limitations of the present study, it was concluded that intra-socket application of chamomile gel might effectively improve healing, and reduce pain levels, postoperative symptoms severity, and analgesics consumption after surgical extraction of impacted lower third molars.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100639"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47692678","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":"Malaria old foe with new challenges to public health: A Correspondence","authors":"Monalisa Sahu,&nbsp;Aroop Mohanty,&nbsp;Sanjit Sah,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100642","DOIUrl":"10.1016/j.ijso.2023.100642","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100642"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45260145","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}