{"title":"Presentation, management and outcomes of iliopsoas abscess at a University Teaching Hospital in Nepal.","authors":"Jayant Kumar Sah, Shankar Adhikari, Ganesh Sah, Bikal Ghimire, Yogendra Prasad Singh","doi":"10.1515/iss-2022-0013","DOIUrl":"10.1515/iss-2022-0013","url":null,"abstract":"<p><strong>Objectives: </strong>Iliopsoas abscess (IPA) is an uncommon clinical disease and is often missed to diagnose due to vague clinical presentation. Early treatment with drainage and appropriate antibiotic therapy is necessary before sepsis sets in and become lethal. We conducted this study to evaluate clinical features, etiology, management strategies, and outcomes in patients with IPA from a University Teaching Hospital in Nepal.</p><p><strong>Methods: </strong>A retrospective analysis of 32 consecutive IPA cases managed at Tribhuvan University Teaching Hospital, Nepal for the period of January 2019 to February 2022 was carried out.</p><p><strong>Results: </strong>The mean age was 42.5 ± 19.1 years (range, 19-75 years) and the male: female ratio was 2.2:1. Two-thirds or more patients presented with fever, limp, fixed flexion deformity and/or low back pain. Ultrasonography (US) was diagnostic in 27 (84.4%) patients. Eighteen (56.3%) patients had primary IPAs, and 14 (43.7%) had secondary IPAs. Thirty (93.7%) patients were managed with US guided percutaneous drainage (PCD) and 2 (6.2%) patients underwent open surgical drainage. Drainage procedures were combined with antibiotics in all patients. Pus culture showed <i>Staphylococcus aureus</i> growing in the majority of cases (10 of 23, 43.5%). The hospital stay was longer in patients treated via surgical drainage compared to those who received PCD: 13 days (range 12-14 days) vs. 6.6 days (range 4-13 days), respectively. Recurrence of abscess was seen in 4 (12.5%) cases and all were successfully managed via a second PCD. There was no mortality.</p><p><strong>Conclusions: </strong>Varying clinical presentation of iliopsoas abscess demand a high index of suspicion for early diagnosis. Initial imaging modality in suspected case of IPA is US. US-guided PCD along with the appropriate antibiotics is a successful frontline treatment of IPAs with shorter hospital stay.</p>","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"8 1","pages":"17-22"},"PeriodicalIF":1.3,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239681","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}
P. Donndorf, J. Gross, Peter Ouvrier, Clemens Schafmayer
{"title":"Abstract DGG","authors":"P. Donndorf, J. Gross, Peter Ouvrier, Clemens Schafmayer","doi":"10.1515/iss-2023-9006","DOIUrl":"https://doi.org/10.1515/iss-2023-9006","url":null,"abstract":"myotomy","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"5 1","pages":"129 - 136"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82558003","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}
S. Walter, M. Lenz, P. Knöll, K. Zarghooni, J. Jakob, D. Andreou, B. Beck-Broichsitter, Jens Bedke, W. Budach, D. Denschlag, H. Dürr, M. Felcht, M. Follmann, S. Frese, T. Gösling, T. Graeter, V. Gruenwald, R. Gruetzmann, Jürgen Hoffmann, P. Hohenberger, Vlada Kogosov, W. Knoefel, M. Lehnhardt, B. Lehner, L. Lindner, C. Matthies, P. Reichardt, J. Sehouli, S. Ugurel, B. Kasper, D. Gruyter
{"title":"Abstract DGOOC","authors":"S. Walter, M. Lenz, P. Knöll, K. Zarghooni, J. Jakob, D. Andreou, B. Beck-Broichsitter, Jens Bedke, W. Budach, D. Denschlag, H. Dürr, M. Felcht, M. Follmann, S. Frese, T. Gösling, T. Graeter, V. Gruenwald, R. Gruetzmann, Jürgen Hoffmann, P. Hohenberger, Vlada Kogosov, W. Knoefel, M. Lehnhardt, B. Lehner, L. Lindner, C. Matthies, P. Reichardt, J. Sehouli, S. Ugurel, B. Kasper, D. Gruyter","doi":"10.1515/iss-2023-9005","DOIUrl":"https://doi.org/10.1515/iss-2023-9005","url":null,"abstract":"Results: 10,029 cases were included into final analysis (Group I: 3,007; Group II: 7,022). There was no significant difference between both groups regarding age or gender distribution. Average morbidity of patients was significantly elevated in Group I (p < 0.05) and the rates of invasive surgery were significantly increased in this group (p < 0.001). Overall complication rates were reported with 12.0% (Group I) and 8.5% (Group II). There were significantly more epidural hematoma (p < 0.001) and motor dysfunction (p = 0.049) as well as deep wound infections (p < 0.001) in Group I.","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"52 1","pages":"123 - 128"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90603578","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}
R. Jabbarli, M. Oppong, L. Rauschenbach, O. Gembruch, P. Dammann, U. Sure, K. Wrede
{"title":"Abstract DGNC","authors":"R. Jabbarli, M. Oppong, L. Rauschenbach, O. Gembruch, P. Dammann, U. Sure, K. Wrede","doi":"10.1515/iss-2023-9003","DOIUrl":"https://doi.org/10.1515/iss-2023-9003","url":null,"abstract":"The robot-assisted systems are increasingly used in operations to improve the accuracy of pedicle screws in spinal surgery. Surgeons can use robotic systems in almost all spinal procedures such as degenerative, fracture, stenosis, scoliosis and at any vertebral level. A 3D or 4D scanning provides real-time information necessary for planning the screw placement and enables the insertion of accurate screws even in the presence of severe degeneration or anatomical variations. Studies on robot-assisted spine surgeries demonstrate an overall accuracy level of 98 percent in these operations","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"1 1","pages":"19 - 30"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83117304","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":"Abstract DGPRÄC","authors":"L. Prantl, Oliver Felthaus, Andreas Eigenberger","doi":"10.1515/iss-2023-9002","DOIUrl":"https://doi.org/10.1515/iss-2023-9002","url":null,"abstract":"The perioperative use of vasopressors in free flap surgeries is controversially debated. The predominant concern is pedicle blood supply will be negatively affected, thus leading to increased post-operative complications. However, little is known about the relationship between vasopressor use and its impact on intrinsic blood supply of free flaps. Comorbidities that diminish blood circulation may cause a higher risk of necrosis from vasopressor use due to the decreased intrinsic free flap blood supply. The aim of this study is to establish the role of peri-operative vasopressors in free flap necrosis based on flap localization and patients’ comorbidities","PeriodicalId":44186,"journal":{"name":"Innovative Surgical Sciences","volume":"210 1","pages":"10 - 18"},"PeriodicalIF":1.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89107969","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}
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