Surgical Practice最新文献

{"title":"Paraganglioma of the thyroid gland: A case report and literature review","authors":"Yeuk-Nam Lee,&nbsp;Yi-Po Tsang,&nbsp;Ka-Wan Karen Yuen,&nbsp;Chi-Yee Choi","doi":"10.1111/1744-1633.12678","DOIUrl":"10.1111/1744-1633.12678","url":null,"abstract":"<p>Paraganglioma of the thyroid gland is a rare disease entity, with only a handful of cases documented in the literature. We report on a middle-aged man with thyroid paraganglioma that presented as an incidental finding on the computed tomography scan of the thorax. Preoperative fine-needle aspiration cytology (FNAC) was suggestive of a neuroendocrine tumour. Hemithyroidectomy was performed and histological findings were most compatible with paraganglioma arising from the thyroid gland. The diagnosis of primary thyroid paraganglioma is rarely established by FNAC preoperatively due to architectural similarities with other thyroid tumours; the most important clinical technique for differentiating thyroid paraganglioma from other histology is immunohistochemistry. According to the literature, the first-line treatment for primary thyroid paraganglioma is surgical resection. The prognosis following surgical resection is generally good.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 1","pages":"39-42"},"PeriodicalIF":0.8,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140250948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopy versus laparotomy in the management of abdominal trauma","authors":"Ahmed Mostafa Maghraby Mohamed MD,&nbsp;Mansour Mohammed Kabbash MD,&nbsp;Abdullah Abd El-Rasoul Al-Noby Al-Bokhary MBBCH,&nbsp;Yasser Mohammed Seddeik Rayan MD","doi":"10.1111/1744-1633.12679","DOIUrl":"https://doi.org/10.1111/1744-1633.12679","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study was to compare, evaluate and manage abdominal trauma using two distinct surgical techniques: laparoscopy and laparotomy. The aim was to assess the effectiveness and safety of laparoscopic procedures compared with laparotomy for treating penetrating or blunt abdominal trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>In this prospective comparative study, we recruited 60 patients clinically diagnosed with abdominal trauma. The research was conducted at the Emergency Unit of the Department of General Surgery, Faculty of Medicine, Aswan University Hospital. All participants provided signed informed consent before their inclusion in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a significant statistical difference between the two groups in terms of the operation duration, length of stay in the intensive care unit post-operatively, occurrence of gas passage and duration of hospitalisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Laparoscopic surgical procedures present a viable and practical alternative to laparotomy in appropriate cases for patients. The decision to choose laparoscopy as a surgical approach should depend on the surgeon's proficiency and the availability of required resources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 3","pages":"122-128"},"PeriodicalIF":0.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142231063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Off-label application of the breast expander magnet: An alternative approach to enable localisation and removal of ferromagnetic subcutaneous foreign bodies","authors":"Pietro Susini MD,&nbsp;Mirco Pozzi MD,&nbsp;Davide Di Seclì MD,&nbsp;Giuseppe Nisi MD,&nbsp;Roberto Cuomo MD,&nbsp;Luca Grimaldi MD","doi":"10.1111/1744-1633.12677","DOIUrl":"10.1111/1744-1633.12677","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Included foreign bodies of a metallic nature are commonly found. They are often small, asymptomatic, with few or non-visible scars or even clinically invisible. Sometimes the patient does not remember their existence. The condition is benign and does not require special attention, unless a magnetic resonance imaging scan is necessary. Indeed, magnetic field interactions could pose significant risks, and the procedure is typically contraindicated unless the ferromagnetic foreign body (FFB) has been previously removed. For such purposes, the magnet that is commonly used in breast and plastic surgery units for breast expanders port injection site identification could represent a time-saving and cost-effective solution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This paper presents an alternative technique based on off-label application of the breast expander magnet to localize FFBs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between April 2023 and June 2023, the breast expander magnet allowed successful pre-operative localisation and intra-operative guidance for removal of FFBs in four clinical cases. The post-operative ultrasound confirmed the absence of metal residues after the procedure in all cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Off-label application of the breast expander magnet allows for FFB pre-operative localisation and safe intra-operative surgical guidance, thus representing a promising off-label application of the device. After surgical removal of FFBs, the magnetic resonance imaging is allowed without any risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 1","pages":"32-37"},"PeriodicalIF":0.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgery is safe and improves survival in extremely old aged patients with breast cancer: A retrospective study","authors":"Alyson Cheung MBChB,&nbsp;Ka-wai Ray Hung MBChB, FRCS,&nbsp;Yee Kei Tsoi MBChB, FRCS,&nbsp;Sze Hong Law MBChB, FRCS,&nbsp;Wing Cheong Chan MBChB, FRCS","doi":"10.1111/1744-1633.12676","DOIUrl":"10.1111/1744-1633.12676","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In 2019, 11% of breast cancers are diagnosed at age 80 or above and this group of older patients constitutes 27% of breast cancer deaths. Previous clinical trials demonstrated comparable survival in older patients given hormonal therapy alone versus standard surgical treatment. However, newer studies showed that surgical treatment in older patients is associated with reduced all-cause and cancer-related mortality. Our study aims to compare the survival of older patients with breast cancer who received surgery versus hormonal therapy alone or expectant management, analyse the factors affecting survival and compare the local complication rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients treated under the New Territories East Cluster breast clinic with breast cancer diagnosed at age 80 or above were included in the study. Patients with metastatic disease were excluded. All medical records on the Hospital Authority Clinical Management System were retrospectively reviewed. Predictors including whether surgery was performed, human epidermal growth factor receptor 2 (HER2) status, oestrogen receptor (ER) status, T stage, N stage and activities of daily living status were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-eight consecutive patients with breast cancer (median age 85, range 80-99) from 2004 to 2020 were included. Of these, 39 (50%) received surgery, whereas 39 (50%) did not. Patients who received surgery have a longer survival time (median 113 months vs 62 months; log-rank test <i>P</i> = .001). Univariate analysis and multivariate Cox regression model demonstrated that surgery and ER status affect survival. Patients who received surgery also have a lower incidence of local tumour progression and skin ulceration (χ²₁ = 6.3, <i>P</i> = .012).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In older patients with newly diagnosed breast cancer, surgical treatment is associated with a better survival and lower rates of local progression and complications. Surgery is advised even in older patients as long as they are fit for surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 1","pages":"5-10"},"PeriodicalIF":0.8,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140410307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal seizures revealing a ruptured congenital arterial aneurysm: A case report and review of the literature","authors":"F. Badr,&nbsp;M. Chemsi,&nbsp;A. Badre,&nbsp;M. Lehlimi,&nbsp;L. Derrak,&nbsp;K. Chbani,&nbsp;S. Salam,&nbsp;A. Habzi,&nbsp;K. Ibahioin,&nbsp;O. Benomar","doi":"10.1111/1744-1633.12674","DOIUrl":"10.1111/1744-1633.12674","url":null,"abstract":"<p>Neonatal seizures are a frequently encountered neurological condition, with intracranial aneurysms being a rare but notable cause. Cerebellar imaging plays a pivotal role in their diagnosis. Treatment options are microsurgery or embolisation. In this report, we present the case of a 26-day-old neonate who experienced a neonatal seizure, revealing a ruptured aneurysm. The condition was successfully treated surgically, resulting in a favourable outcome.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 2","pages":"103-108"},"PeriodicalIF":0.3,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140430768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is Valentino's syndrome?","authors":"Theodore N. Pappas MD","doi":"10.1111/1744-1633.12673","DOIUrl":"10.1111/1744-1633.12673","url":null,"abstract":"<p>The eponym ‘Valentino's syndrome’ is used to describe patients with perforated peptic ulcer disease who present with right lower quadrant pain and suspected appendicitis. It is named for Rudolph Valentino, the film star who died on 23 August 1926 at the age of 31 from complications of perforated peptic ulcer disease. In the early 1920s, the Italian-born actor had a meteoric rise to fame in the burgeoning film industry. His first starring role in the 1921 silent film, <i>The Four Horseman of the Apocalypse</i>, was a sensation and was followed quickly by a string of commercially successful movies. He was in good health until he presented with an acute abdomen in early August of 1926. He underwent a laparotomy and was found to have a perforated peptic ulcer that was repaired with simple closure and an omental patch. He initially rallied after surgery but ultimately died on the eighth post-operative day from complications of sepsis. This manuscript will review Valentino's brief acting career, his medical history, and how the eponym which bears his name describes a disease presentation that is different from his actual clinical course.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 1","pages":"43-47"},"PeriodicalIF":0.8,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140435767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of glasses-free augmented reality localization in precision neurosurgery and literature review","authors":"Yahui Cui,&nbsp;Hui Hou,&nbsp;Yupeng Zhou,&nbsp;Haipeng Zhang,&nbsp;Liangyan Jin","doi":"10.1111/1744-1633.12675","DOIUrl":"10.1111/1744-1633.12675","url":null,"abstract":"<p>To summarize the characteristics and therapeutic effects of glasses-free augmented reality (AR) in neurosurgery, a case series of seven patients undergoing resection of intracranial lesions at the Neurosurgery Department of Hangzhou Xixi Hospital from November 2019 to October 2021 was collected. During the surgeries, glasses-free AR was used for multi-angle and multi-modal image localization. The intraoperative positioning errors of all seven patients who underwent body surface localization with glasses-free AR, in addition to routine surgical procedures, were less than 10 mm. These findings suggest that glasses-free AR holds great promise for precision neurosurgery.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 3","pages":"164-169"},"PeriodicalIF":0.3,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Day surgery in the treatment of benign prostatic obstruction with photoselective vaporisation of the prostate: A single-institution experience","authors":"Kin Chung Wong,&nbsp;Ting Kit Lo,&nbsp;Siu Kei Li,&nbsp;Ning Hong Chan,&nbsp;Cheuk Man Li,&nbsp;Ka Wing Wong","doi":"10.1111/1744-1633.12672","DOIUrl":"10.1111/1744-1633.12672","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the feasibility, efficacy and safety of performing photoselective vaporisation of the prostate (PVP) as a day-surgery procedure for patients with benign prostatic obstruction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>A prospective single-arm observational study was performed involving patients with benign prostatic obstruction (BPO) who received PVP between 2017 and 2021. Data were collected on demographics, prostate volume by transrectal ultrasonography, mean peak flow rate (Q_max), post-void residual urine volume, International Prostate Symptom Score (IPSS) with quality-of-life (QoL) index, length of stay, success in weaning off catheter on the day of operation and complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PVP was performed successfully in all 37 men between 2017 and 2021. Their mean age was 67 years. The mean prostate volume was 54 mL. The mean duration of operation was 80 min. The mean peak urinary flow rate improved from 9.14 to 16.8, 17.3 and 15.4 mL/s at post-operative 1, 3 and 12 months, respectively (<i>P</i> = .001). The mean IPSS score improved from 19.5 to 8.94, 6.40 and 5.63 at post-operative 1, 3 and 12 months, respectively (<i>P</i> &lt; .001). The mean QoL index improved from 4.07 to 2.43, 2.25 and 1.81 at post-operative 1, 3 and 12 months, respectively (<i>P</i> = .001). The mean duration of catheterisation after PVP was 5.81 h. Thirty-three (89.2%) patients were discharged on the same day. Overall, the 30-day complication rate was 27%. The most common complication was haematuria (6 patients, 16.2%). Five patients (13.5%) required readmission and inpatient care. There was one Clavien–Dindo grade III and IV complication (2.6%), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated the feasibility of performing PVP as a day-surgery procedure with good short- and medium-term functional outcomes and safety profiles.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 1","pages":"11-15"},"PeriodicalIF":0.8,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy test for intermittent theta burst stimulation during motor rehabilitation in patients post-stroke in a tertiary centre in Hong Kong","authors":"Hiu Ming Leung,&nbsp;Ming Him Yuen,&nbsp;Calvin Hoi Kwan Mak,&nbsp;Tak Lap Poon,&nbsp;Fung Ching Cheung,&nbsp;Helen Ka Yan Luk,&nbsp;Bryan Swee Haw Chee","doi":"10.1111/1744-1633.12671","DOIUrl":"10.1111/1744-1633.12671","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Stroke represents a significant cause of long-term disability in adults. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation method known for its potential to enhance motor recovery. Intermittent theta burst stimulation (iTBS), a standardised rTMS protocol initially utilised in patients with depression, has garnered attention in the realm of stroke rehabilitation. This study seeks to establish the efficacy profile of iTBS in motor rehabilitation for patients with subacute or chronic stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and methods</h3>\u0000 \u0000 <p>This study is a prospective cohort trial in which eligible patients with stroke were recruited into the iTBS group. Ten sessions of iTBS were conducted, followed by physiotherapy. An equal number of matched controls were recruited into the conventional physiotherapy group. The differences in various scoring systems related to motor performance at 6 months were analysed using independent two-sample <i>t</i> test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty patients were enrolled in the study. At 6 months, iTBS demonstrated a statistically significant improvement compared with conventional physiotherapy across various scoring systems, including motor power grading (47.4% vs 0%, <i>P</i> &lt; .0001), Upper Extremity Fugl–Meyer Assessment (19.8% vs 0.7%, <i>P</i> &lt; .0001), Box and Block Test (25.6% vs 1.7%, <i>P</i> = .007) and Barthel Index (17.8% vs 0.1%, <i>P</i> = .0002). No major adverse events were reported in the iTBS group at 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>iTBS resulted in significant improvement in motor performance across various domains at 6 months compared with conventional physiotherapy alone. This method proves to be a safe approach for motor rehabilitation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 2","pages":"82-86"},"PeriodicalIF":0.3,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic single anastomosis sleeve ileal bypass in the surgical management of morbid obesity: A single-centre experience","authors":"Hosam Barakat,&nbsp;Alhassan Hassan,&nbsp;Mohamed Elsheikh,&nbsp;Amir Abdelhamid","doi":"10.1111/1744-1633.12670","DOIUrl":"10.1111/1744-1633.12670","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Single anastomosis sleeve ileal (SASI) bypass is a recently developed two-step bariatric operation that involves a sleeve gastrectomy followed by a side-to-side sleeve-ileal anastomosis. While the primary outcomes are promising, more evidence is required before SASI can be considered a standard bariatric procedure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to evaluate short-term outcomes of SASI bypass regarding safety, efficacy and complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study involved the analysis of 75 patients who underwent SASI between January 2019 and January 2022. The study examined patients’ characteristics, comorbidities, surgical technique, operative details, post-operative weight loss and complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 88 patients who underwent SASI, 13 were excluded, leaving 75 participants for analysis. The mean age was 36.9 ± 8.3 years, and the mean body mass index was 49.23 ± 5.5 kg/m². Among the participants, 19 patients (25.3%) had diabetes and 8 patients (10.6%) had hypertension. The mean operative time was 78.42 ± 13.18 min. The mean excess weight loss percentage was 25.53 ± 3.63, 43.33 ± 8.78, 63.51 ± 10.85, 82.11 ± 11.42 and 88.95 ± 8.69 at 1, 3, 6, 12 and 24 months, respectively. The diabetic remission rate was 100%, and the hypertension remission rate was 75%. Post-operative complications were observed in 12 patients (16%), with most being minor. Notably, two patients underwent SASI reversal to sleeve gastrectomy due to excessive weight loss, and one patient experienced weight regain in the second post-operative year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SASI bypass emerges as a straightforward and highly effective bariatric procedure, with an acceptable complication rate. It is easy to perform and revise, offering not only excellent and sustained weight loss outcomes during short-term follow-up but also the resolution or improvement of obesity-associated comorbidities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 2","pages":"68-75"},"PeriodicalIF":0.3,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138596088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}