International Journal of Surgery Open最新文献

{"title":"Assessment of preoperative preventive measures for pulmonary aspiration in surgical patients: A cross-sectional study","authors":"Biruk Adie Admass ,&nbsp;Melkam Mulugeta Abebe ,&nbsp;Nurhusen Riskey Arefayne ,&nbsp;Mamaru Mollalign Temesgen","doi":"10.1016/j.ijso.2023.100635","DOIUrl":"10.1016/j.ijso.2023.100635","url":null,"abstract":"<div><h3>Background</h3><p>Pulmonary aspiration of gastric contents is a rare but catastrophic cause of anesthesia related morbidity and mortality of surgical patients. The risk of pulmonary aspiration is high in surgical patient due to multiple factors. The aim of this study was to assess the practice of aspiration prevention and prophylaxis usage for patients prior to surgery.</p></div><div><h3>Method</h3><p>A cross-sectional study was conducted from 10 April 2022 to 20 April 2022. Data were collected by the direct observation and patient interview. The standards were directly changed in to questionnaire form with two integral components ‘yes’ and ‘no”. Data were entered and analyzed using statistical package of social sciences (SPSS) version 20.</p></div><div><h3>Result</h3><p>A total of 200 surgical patients were included with a response rate of 100%. Preoperative information provision to elective surgical patients on fasting requirements and the reason for them in advance of their procedures was implemented in 63% of the patients. The verification of fasting requirement was provided in 94% of elective patients. About 62.5% of elective surgical patients received gastrointestinal stimulants preoperatively. Metoclopromide was administered for 94% of emergency patients.</p></div><div><h3>Conclusion and recommendation</h3><p>The practice of preoperative fasting and administration of prophylactic agents for pulmonary aspiration is quite limited in our setup. Moreover, adherence to the recommendations of American Society of Anesthesiologist (ASA) and European Society of Anesthesiologist (ESA) was also suboptimal. We strongly recommend clinicians to use appropriate prophylactic agent to the right patient and adherence of the clinician to the local guideline on prevention of pulmonary aspiration.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100635"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44077572","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":"Incidence and outcomes of surgical site infection following emergency laparotomy during the COVID-19 pandemic in a low resource setting: A retrospective cohort","authors":"Jethro Atumanyire ,&nbsp;Joshua Muhumuza ,&nbsp;Nelson Talemwa ,&nbsp;Selamo Fabrice Molen ,&nbsp;Stephen Mbae Kithinji ,&nbsp;ByaMungu Pahari Kagenderezo ,&nbsp;Theoneste Hakizimana","doi":"10.1016/j.ijso.2023.100641","DOIUrl":"10.1016/j.ijso.2023.100641","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical site infection (SSI) is the commonest form of hospital acquired infection in sub-Saharan Africa, associated with increased morbidity and mortality. This study was aimed at determining the incidence and outcomes of surgical site infection following emergency laparotomy during the COVID -19 pandemic in a low resource setting.</p></div><div><h3>Methods</h3><p>This was a retrospective single Centre cohort of patients that had emergency laparotomy between July 2021–June 2022 (COVID period) and July 2018–June 2019 (pre-COVID period). Analysis was done using SPSS version 22 in which SSI rates were compared between the two periods using the chi squared test. Mortality, re-operation rates and length of hospital stay were also compared.</p></div><div><h3>Results</h3><p>Of the 453 patient files included in analysis, 244 (53.9%) were for the COVID period, while 209 (46.1%) were for the pre COVID period. The incidence of SSI was insignificantly higher in the COVID period (17.6% versus 16.7%; P = 0.901). Mortality was also insignificantly higher in the SSI group (3.8% versus 3.5%; P = 0.745). Presence of surgical site infection increased the risk for re-operation (P &lt; 0.001) and prolonged hospital stay (P &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Since the incidence and outcomes of surgical site infection appear not to have changed following the pandemic, the same measures that were previously used to prevent SSI could still be effective even during the pandemic if followed appropriately and combined with the COVID specific peri-operative care recommendations.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100641"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expression of androgen receptor in bladder cancer: A tertiary care center study","authors":"Fatima N. Obeidat ,&nbsp;Ali Al Khader ,&nbsp;Maram Abdaljaleel ,&nbsp;Farah J.N. Assaf ,&nbsp;Ma'mon Alsa'oudi","doi":"10.1016/j.ijso.2023.100645","DOIUrl":"10.1016/j.ijso.2023.100645","url":null,"abstract":"<div><h3>Introduction</h3><p>The significance of androgen receptor (AR) expression in bladder cancer is the focus of current research. This study aimed to assess the significance of AR expression in bladder urothelial carcinoma.</p></div><div><h3>Methods</h3><p>A total of 206 cases of urothelial carcinoma of the urinary bladder were reviewed and immunohistochemical staining for AR was performed. The histological score was calculated as the product of the staining intensity and percentage of cells with positive nuclear staining. The staining results were correlated with demographic parameters, tumor grade, and detrusor muscle invasion status.</p></div><div><h3>Results</h3><p>Seventy-eight percent (n = 161) of cases tested positive for AR expression. AR was significantly overexpressed in non-muscle-invasive tumors (p = 0.042). Moreover, A higher AR expression was associated with increased disease-free survival (p = 0.019). However, AR expression was not significantly associated with cancer-specific survival, patient sex, or tumor grade (0.359, 0.747, and 0.867, respectively). AR expression is inversely related to muscle invasion and recurrence in bladder cancer.</p></div><div><h3>Conclusion</h3><p>The results of this study support those of several reports worldwide. Further molecular studies are required to elucidate the role of androgens in bladder cancer pathogenesis and therapy.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100645"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44892987","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 necessity of integrating telehealth into surgical oncology practice","authors":"Mohammad-Salar Hosseini,&nbsp;Farid Jahanshahlou,&nbsp;Ali Gol Mohammadi Senji","doi":"10.1016/j.ijso.2023.100643","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100643","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100643"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49858496","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":"Inside out, and upside down, laparoscopic surgery on Situs Inversus Totalis report of 2 cases on IESS Quito-Sur","authors":"Gabriel A. Molina ,&nbsp;Galo Jiménez ,&nbsp;Andres Ayala O ,&nbsp;Marco T. Di Stefano ,&nbsp;Fabián Ramiro Suárez ,&nbsp;Alejandro Carvajal ,&nbsp;Dayan Vinueza ,&nbsp;Soraida Castillo ,&nbsp;Carol Vintimilla","doi":"10.1016/j.ijso.2023.100633","DOIUrl":"10.1016/j.ijso.2023.100633","url":null,"abstract":"<div><p>Laparoscopic surgery has become the standard for almost every surgical procedure; the benefits include faster recovery, less pain, and less risk of surgical site infection. Nonetheless, it demands technical knowledge and a high degree of experience from the surgical team to provide patients with the adequate treatment they need. Any variation of the normal anatomy, like situs inversus, can pose a challenge to the surgical team and will need more creativity to perform any surgery accurately and without complications.</p><p>We present two situs inversus patients who needed surgical intervention due to cholelithiasis and acute appendicitis. After careful preoperative planning and modifications in the surgical technique, the patients underwent full recovery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100633"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44565180","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":"An active Indonesian male smoker with secondary spontaneous pneumothorax: A case report","authors":"Kudiarto,&nbsp;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":"The Impact of Preoperative abnormal Electrocardiography on Anesthesia management among older surgical patients in southern Ethiopia: Prospective cohort study","authors":"Addisu Mossie ,&nbsp;Aschalew Besha ,&nbsp;Hailemariam Getachew ,&nbsp;Timsel Girma ,&nbsp;Kanbiro Gedeno","doi":"10.1016/j.ijso.2023.100646","DOIUrl":"10.1016/j.ijso.2023.100646","url":null,"abstract":"<div><h3>Background</h3><p>Due to their advanced age and the prevalence of numerous co-morbid conditions, elderly patients scheduled for surgery are at risk for preoperative ECG abnormalities. Although preoperative ECG is frequently used to identify cardiovascular diseases and reduce intraoperative morbidity and mortality, its impact in predicting perioperative cardiovascular complications is under debate.</p></div><div><h3>Objective</h3><p>The aim of this study was to determine the impact of preoperative abnormal ECG on anesthesia management among older surgical patients in southern Ethiopia, 2022.</p></div><div><h3>Method</h3><p>ology: A multicenter prospective observational study on 246 elderly surgical patients recruited consecutively was conducted at three teaching hospitals in southern Ethiopia. Data were entered into Epidata version 4.6, then exported and analyzed in STATA version 16. The data was presented in the appropriate manner, using numbers, frequencies, tables, charts, and figures. To test categorical variables, the Chi-square test was used. P-values of 0.05 were considered statistically significant.</p></div><div><h3>Result</h3><p>In this study, 120 (48.78%) of older surgical patients had abnormal preoperative ECGs. In terms of severity, 55.3% were classified as minor, while 44.16% were major ECG abnormalities. 26 (21.66%) of patients with abnormal ECG were decided as unfit for anesthesia and reasons for the decision were the need for further investigation, consultation, and optimization. In addition, 7.31% of patients were delayed due to an abnormal ECG with a mean operative delay of 4.23 days. Preoperative abnormal ECG influenced the decision of anesthesia plan in four (1.62%) of the cases. Patients with an abnormal ECG prior to surgery were more likely to experience an intraoperative arrhythmia (p-value = 0.001).</p></div><div><h3>Conclusion</h3><p>and recommendation: Almost half (48.78%) of elderly patients presenting for surgery have an abnormal ECG, which impacts patients by postponing surgery and necessitating further investigation. Preoperative ECG is recommended prior to any elective surgery as early as 50 years, especially for those with risk factors.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"56 ","pages":"Article 100646"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44968828","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 ,&nbsp;Shinobu Imai ,&nbsp;Kazushi Maruo ,&nbsp;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":"Intestinal necrosis in the context of torsion in a pregnant woman: A case report study","authors":"Shima Hashemi ,&nbsp;Asieh Maleki ,&nbsp;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":"Human exposure to Rabies due to dog menace: An evolving concern","authors":"Kamran Zaman,&nbsp;Shailendra Mishra,&nbsp;Aroop Mohanty,&nbsp;Suraj Adhikari,&nbsp;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}