{"title":"An active Indonesian male smoker with secondary spontaneous pneumothorax: A case report","authors":"Kudiarto, Winariani Koesoemoprodjo","doi":"10.1016/j.ijso.2023.100640","DOIUrl":"10.1016/j.ijso.2023.100640","url":null,"abstract":"<div><h3>Introduction</h3><p>Secondary spontaneous pneumothorax (SSP) is a rare disease that accumulates air in the pleural cavity caused by complications from previous illnesses.</p></div><div><h3>Case presentation</h3><p>An Indonesian male, 59 years old, complained of breathlessness and chest pain. The patient was examined for <em>Mycobacterium tuberculosis</em> and not detected. Chest X-ray and thorax high-resolution computer tomography (HRCT) scan showed SSP and centrilobular emphysema in the left hemithorax. The patient underwent water seal drainage (WSD) installation on the left lung and experienced improvement and was followed up every month in the outpatient clinic.</p></div><div><h3>Clinical discussion</h3><p>Diagnosis of SSP is based on age, gender, smoker, and radiological description. WSD installation in the left lung showed improvement and did not experience recurrence because several cases were reported to have been repaired without surgery.</p></div><div><h3>Conclusion</h3><p>Conservative management is the first recommendation in the SSP case if it increases the prognosis without surgery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100640"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43992714","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 prediction model for low functional status after colorectal cancer surgery: A retrospective cohort study using administrative data","authors":"Taeko Fukuda , Shinobu Imai , Kazushi Maruo , Hiromasa Horiguchi","doi":"10.1016/j.ijso.2023.100634","DOIUrl":"10.1016/j.ijso.2023.100634","url":null,"abstract":"<div><h3>Introduction</h3><p>Colorectal cancer (CRC) accounts for 10% of all cancer incidences globally and often affects older populations and people with poor nutrition. As such, we developed a prediction model for low functional status following CRC surgery using inpatient data collected during routine practice, and investigated the relationship between low functional status and outcomes.</p></div><div><h3>Methods</h3><p>Data from 690 patients who underwent CRC surgery were analysed, and the Barthel Index was used to evaluate functional status [activity of daily living (ADL)]. A low-ADL status was defined as a lower score at discharge than at admission, and unchanged complete dependence from admission to discharge. The model input data included 10 basic characteristics, eight comorbidities, and four laboratory parameters. The final model was developed using stepwise logistic regression.</p></div><div><h3>Results</h3><p>The low-ADL predictive model was successfully developed using nine variables: age, ADL dependence, nursing home residency, ambulance use, disturbance of consciousness on admission, diabetes, cerebrovascular disease, low creatinine, and low protein (c-statistics = 0.857). Only 6.5% of high-ADL patients were unable to return home following discharge; in contrast, 53.5% of low-ADL patients were unable to return home. Low-ADL patients also had significantly longer post-operative hospital stays and higher medical costs than high-ADL patients.</p></div><div><h3>Conclusion</h3><p>Low-ADL patients had decreased rates of discharge to homes, experienced longer hospital stays, and incurred higher medical costs than high-ADL patients. Pre-operative prediction of low ADL status is important, and essential for taking efficient preventive measures.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100634"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42285334","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":"Human exposure to Rabies due to dog menace: An evolving concern","authors":"Kamran Zaman, Shailendra Mishra, Aroop Mohanty, Suraj Adhikari, Ranjit Sah","doi":"10.1016/j.ijso.2023.100638","DOIUrl":"10.1016/j.ijso.2023.100638","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100638"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42109629","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":"Intestinal necrosis in the context of torsion in a pregnant woman: A case report study","authors":"Shima Hashemi , Asieh Maleki , Somayeh Moeindarbari","doi":"10.1016/j.ijso.2023.100629","DOIUrl":"10.1016/j.ijso.2023.100629","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Bowel obstruction is known as an increasing complication during pregnancy. This case report showed a pregnant woman with intestinal necrosis in the context of torsion.</p></div><div><h3>Case presentation</h3><p>A 33-year-old Asian woman, primigravida at 25 weeks and 4 days gestation, presented to hospital with a history of nausea and epigastric pain. Patient’ past medical history showed usual evaluating abdominal pain with vaginal bleeding and leaking of fluid in her obstetric history.</p></div><div><h3>Clinical discussion</h3><p>The patient was discharged from hospital in a good general condition one week after the surgery. A full-term infant weighted 3000 g was delivered by caesarean section in 39 weeks gestational age with 1–5 minute Apgar scores of 7–10.</p></div><div><h3>Conclusion</h3><p>The aim of the study is to report a new case of intestinal necrosis in a pregnant woman.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100629"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49247657","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":"Do the benefits of Opzelura (Ruxolitinib) outweigh the potential risks? An insight into the FDA-approved treatment for non-segmental vitiligo (NSV)","authors":"Amna Iqbal, Madiha Salman","doi":"10.1016/j.ijso.2023.100630","DOIUrl":"10.1016/j.ijso.2023.100630","url":null,"abstract":"<div><p>Recently, Ruxolitinib (Opzelura) has been approved by the Food and Drug Administration (FDA) as the first treatment for non-segmental vitiligo, which results in chalky white macules with clear edges due to an autoimmune disorder. The mode of action of this cream is JAK inhibition which progressively enhances the growth of new, healthy skin cells, and eventually, repigmentation occurs in the affected area. Indeed, this medication represents significance in the field of dermatology as almost 3/4th % of facial vitiligo was resolved but the high cost will be a hindrance in facilitating the patients and should be subsidized. Moreover, prescribers and pharmacists should be aware of the black box warnings issued by FDA as severe caution is indicated. More clinical trials should be conducted to know the safety of children under 12 years of age.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"55 ","pages":"Article 100630"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45300193","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":"Revolutionizing wound care: The latest advancements in smart-phone based dressings for healing and monitoring","authors":"Hitesh Chopra, Md Aminul Islam, Kuldeep Dhama","doi":"10.1016/j.ijso.2023.100627","DOIUrl":"10.1016/j.ijso.2023.100627","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"55 ","pages":"Article 100627"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46158382","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}
M. Courtney, R. Motyer, H. O'Neill, J. O'Mahony, N. McEniff, I. Brennan, M. Guiney, J.M. Ryan
{"title":"Fluoroscopic-guided retrograde transurethral ureteric stent insertion case series - Technical challenges and solutions","authors":"M. Courtney, R. Motyer, H. O'Neill, J. O'Mahony, N. McEniff, I. Brennan, M. Guiney, J.M. Ryan","doi":"10.1016/j.ijso.2023.100621","DOIUrl":"10.1016/j.ijso.2023.100621","url":null,"abstract":"<div><h3>Introduction</h3><p>Fluoroscopic-guided retrograde ureteric stent exchange is a commonly performed procedure at our institution for patients with treated gynaecological malignancy. Technical challenges are often met during the procedure. This approach is well-tolerated and does not require general anaesthetic. Routine exchange is required every 16–20 weeks.</p></div><div><h3>Presentation of cases</h3><p>We describe the technique of fluoroscopic-guided retrograde transurethral ureteric stent exchange and outline potential technical pitfalls through a series of recent cases at our institution. Challenges encountered include stent encrustation, stent malposition, tangled stents and loss of access.</p></div><div><h3>Discussion</h3><p>The case series demonstrates a variety of solutions to challenging technical situations including manual breakdown of luminal debris, stent repositioning and snaring techniques, and methods for overcoming loss of access. Successful outcomes were achieved in the majority of cases.</p></div><div><h3>Conclusion</h3><p>Fluoroscopic-guided retrograde ureteric stent exchange is a challenging technique, not universally performed in all interventional departments. The technique is generally well tolerated and avoids the need for general anaesthesia.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"55 ","pages":"Article 100621"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41706339","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":"Can tooth germ show continuous development after autologous transplantation?","authors":"Nuraldeen Maher Al-Khanati, Zafin Kara Beit","doi":"10.1016/j.ijso.2023.100617","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100617","url":null,"abstract":"<div><p>Tooth autotransplantation is a tooth replacement treatment modality in which a tooth from an individual is transplanted into another site in the same person. Transplantation of tooth germ with unformed roots or in early stages of root development is seldom practiced even among clinicians who usually practice tooth transplantation. In this paper, we discuss this debatable topic and provide experience-based perspective regarding autologous transplantation of teeth that lack sufficient root length. This paper raises the possibility of performing autotransplantation of donor teeth that were previously considered sub-optimal.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"55 ","pages":"Article 100617"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899560","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}
Lyndon Darwin , Yan Efrata Sembiring , Achmad Lefi
{"title":"Diastolic dysfunction and atrial fibrillation in coronary heart disease surgery: A literature review","authors":"Lyndon Darwin , Yan Efrata Sembiring , Achmad Lefi","doi":"10.1016/j.ijso.2023.100615","DOIUrl":"10.1016/j.ijso.2023.100615","url":null,"abstract":"<div><p>Diastolic dysfunction can cause atrial fibrillation through the following mechanisms: increased atrial afterload, atrial stretch, and atrial wall pressure due to dilatation. Diastolic dysfunction is often overlooked in coronary heart disease than systolic (left ventricular) function, even though diastolic dysfunction can also result in significant morbidity and mortality. Diastolic dysfunction is an independent predictor of atrial fibrillation. Diastolic dysfunction enlarges the left atrium, stretches the insertion site for pulmonary veins, and initiates atrial fibrillation. Atrial remodelling in atrial fibrillation and diastolic dysfunction progresses from metabolic changes (phosphorylation) to gene expression changes (calcium channel downregulation) to hibernation (myolysis, de-differentiation) and culminates in irreversible changes (fatty changes).</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"55 ","pages":"Article 100615"},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46445783","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}