Lietuvos Chirurgija最新文献_第5页

Changing Tendencies of Patients with Electrical Burns in Lithuania from 2016 to 2020 2016年至2020年立陶宛电烧伤患者的变化趋势

Lietuvos Chirurgija Pub Date : 2023-01-16 DOI: 10.15388/lietchirur.2022.21.67

Viljamas Sipavičius, R. Rimdeika

{"title":"Changing Tendencies of Patients with Electrical Burns in Lithuania from 2016 to 2020","authors":"Viljamas Sipavičius, R. Rimdeika","doi":"10.15388/lietchirur.2022.21.67","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.67","url":null,"abstract":"Background. Electrical injuries are not common, however these injuries are severe. The burns cause damage for both superficial and deep layers of skin, as well as deeper tissues, and can lead to necrosis. Morbidity and mortality from electrical injuries are quite high and have physical and psychological consequences. Epidemiological analysis of electrical burns helps to understand patterns of these devastating injuries and to plan further treatment strategies. The objective of the study is to evaluate the number of patients affected by electrical injuries in Lithuania from 2016 to 2020. Methods. Data for the study were used from the Health Information Center of the Institute of Hygiene, calculated from the information system SVEIDRA of the State Health Insurance Fund under the Ministry of Health of Lithuania. Statistical analysis of the data was performed using IBM SPSS statistics 23.0 software. Using the Mann-Whitney criterion, a comparison was made between the percentage distributions of electrical injuries during the study period. Results. During five years (2016–2020), 355 people in total, 85 of them children, were affected by electrical injuries. Men were more likely to suffer from electric injuries. 80.4 percent males were affected and 19.6 percent females. Overall, electrical injuries decreased by 8.45 percent. The number of electrical injuries decreased by 3.66% in the children group and 4.79% in the adult group. Conclusions. After reviewing the research data, it can be concluded that from 2016 to 2020, there was decreased tendency of electrical injuries in Lithuania by 15.3% among children and by 6.29% among adults. Men were more likely to experience electrical injuries. Ongoing prevention strategies and measures in society and raising social awareness are key factors in reducing electrical injuries.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41989400","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}

引用次数: 0

Challenges of Epidural Hematoma Treatment after Cranioplasty: Case Report and Review of the Literature 颅骨成形术后硬膜外血肿治疗的挑战：病例报告和文献复习

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.71

Živilė Žalalytė, Gytis Šustickas

引用次数: 0

The Use of Thermal Imaging in Free Perforator Flap Planning 热成像在自由穿孔皮瓣规划中的应用

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.68

Adas Cepas, Mantas Fomkinas, Simas Gindriūnas, Kasparas Budreckis, L. Pilipaitytė, Domantas Rainys

{"title":"The Use of Thermal Imaging in Free Perforator Flap Planning","authors":"Adas Cepas, Mantas Fomkinas, Simas Gindriūnas, Kasparas Budreckis, L. Pilipaitytė, Domantas Rainys","doi":"10.15388/lietchirur.2022.21.68","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.68","url":null,"abstract":"Background. Preoperative planning and design of microsurgical perforator flaps are the main steps for successful operation. The aim of this study was to determine the concordance between thermographic images obtained with smartphone thermal imaging camera and hand-held Doppler in the anterolateral thigh flap (ALT) model. Methods. A concordance study of diagnostic tests was carried out in Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Plastic and Reconstructive Surgery Department during 2020–2022. Patients’ who were scheduled to undergo reconstruction with ALT flap and healthy volunteers were included in the study. Dynamic thermal images were performed with smartphone thermal camera FLIR One PRO in the typical ALT flap territory. The number and distance of hotspots in the thermogram with respect to anterior superior iliac spine were recorded in the study protocol. Later, the examination was repeated with hand-held Doppler and the control of hotspot was performed. Sensitivity, specificity and concordance index calculations were performed. Statistical analysis was performed using IMB SPSS 23.0. Results. A total of 100 ALT flap territories were examined. 266 hotspots were detected with thermal imaging and 275 perforators with hand-held Doppler. In 96.6% of cases, hotspots detected by a thermal camera were confirmed by hand-held Doppler as perforators. The sensitivity and specificity of thermography for the detection of perforators with respect to the hand-held Doppler were 93.5% and 96.9% respectively. The measure of concordance kappa index was 0.095 (p = 0.001). Conclusion. Smartphone thermal imaging have a high concordance with hand-held Doppler in perforator mapping, thus could be considered a useful adjunct to conventional methods.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43322027","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}

引用次数: 0

Addressing Problems in Reporting and Classification of Complications in Neurosurgery 探讨神经外科并发症的报告与分类问题

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.65

Pavel Riabec, Gytis Šustickas

引用次数: 0

Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review 无可用皮肤手指脱臼伤的外科治疗1例报告及文献复习

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.70

Agnius Stulpinas, R. Venciūtė-Stankevičė, N. Jakutis

引用次数: 0

Prognosis of Stage IV Gastric Cancer Patients 胃癌四期患者的预后分析

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.66

Hongsik Kim, D. Kang, Jae Hyuk Lee, D. Y. Kim

引用次数: 0

Surgical Treatment of Siewert II Gastroesophagel Junction Adenocarcinoma: Esophagectomy or Gastrectomy? Review siwert型胃食管结腺癌的手术治疗:食管切除术还是胃切除术?审查

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.73

Ugnė Imbrasaitė, Dovilė Giršvildaitė, R. Baušys, A. Baušys

{"title":"Surgical Treatment of Siewert II Gastroesophagel Junction Adenocarcinoma: Esophagectomy or Gastrectomy? Review","authors":"Ugnė Imbrasaitė, Dovilė Giršvildaitė, R. Baušys, A. Baušys","doi":"10.15388/lietchirur.2022.21.73","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.73","url":null,"abstract":"Introduction. Surgery is the only curative treatment option for patients with gastroesophageal junction (GEJ) adenocarcinoma. These tumors can be resected by gastrectomy or esophagectomy depending on tumor localization. Although, both surgeries are available for Siewert type II GEJ cancer, it remains unknown which one is superior. This review summarizes current evidences on the optimal surgical approach for Siewert type II GEJ adenocarcinoma. Methods. The literature search was performed within the PubMed database and 9 studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma were included. The outcomes of interest included: length of surgery, numbers of retrieved lymph nodes, resection margins, postoperative morbidity and mortality, hospitalization time, 5-year overall, and disease-free survival rates. Results. Current studies do not favor any type of surgery in terms of length of the surgery, R0 resection rate, or postoperative morbidity. There is some tendency towards higher anastomotic leakage and postoperative surgical site infections rate after gastrectomy, while a higher incidence of pneumonia after esophagectomy. Similar, available studies suggest, that esophagectomy may lead to improved long-term outcomes. Conclusions. There is a lack of high-quality studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma. Esophagectomy may lead to improved long-term outcomes, but this preliminary data has to be confirmed in large, randomized control trials.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41889438","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}

引用次数: 0

Extranodal Diffuse Large B-Cell Lymphoma of the Small Bowel in Female Patient Causing Intestinal Obstruction: A Case Report 女性小肠结外弥漫性大b细胞淋巴瘤致肠梗阻1例

Lietuvos Chirurgija Pub Date : 2022-12-30 DOI: 10.15388/lietchirur.2022.21.72

A. Nikolovski, S. Trajkova, D. Dukovski, Goran Spirov, G. Petrushevska

引用次数: 0

Large Sacrococcygeal Teratoma in Fetus and Newborn: Clinical Case and Review 胎儿和新生儿的骶尾骨大畸胎瘤:临床病例和回顾

Lietuvos Chirurgija Pub Date : 2022-05-02 DOI: 10.15388/lietchirur.2022.21.63

Jekaterina Butylkina, Jelena Volochovič

引用次数: 0

Does Acute Appendicitis in Pregnancy a Clinical Challenge in Surgery Practice? Our Experience 妊娠期急性阑尾炎是外科实践中的临床挑战吗?我们的经验

Lietuvos Chirurgija Pub Date : 2022-05-02 DOI: 10.15388/lietchirur.2022.21.62

H. Bolukbasi, S. Yılmaz, E. Yıldırım, Aziz Ocakoğlu

{"title":"Does Acute Appendicitis in Pregnancy a Clinical Challenge in Surgery Practice? Our Experience","authors":"H. Bolukbasi, S. Yılmaz, E. Yıldırım, Aziz Ocakoğlu","doi":"10.15388/lietchirur.2022.21.62","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.62","url":null,"abstract":"Objective. This study was designed to compare the diagnosis, treatment, and results of acute appendicitis in pregnant and non-pregnant women. Material and Methods. Women between the ages of 18 and 40 who were operated for acute appendicitis between 2015 and 2020 were included in the study. Results. There were 27 (3.8%) patients in Group Pregnant, and 679 (96.2%) patients in Group non-Pregnant. The mean WBC values in Group P and Group non-P was 16.53±2.91 and 13.99±4.31 (x103), and there was a significant difference between the groups.Mean pain symptom duration time was 3.40±1.90 in Group P and 1.91±1.34 day in Group non-P, while it was significantly longer in Group P . When the preoperative USG reports were evaluated, no significant difference was found between the groups.The diagnosis was made by MRI in 2 (7.4%) pregnant patients who non-visualized according to the USG report. In Group P, 10 patients were laparoscopic, 17 patients open; In group non-P, 153 patients laparoscopic and 526 patients were operated using open surgery technique. While the mean operation time did not differ significantly between the groups. Length of hospital stay was significantly higher in Group P with 3.48±4.26 days to 1.95±1.45 days. Conclusion. Diagnosis and treatment of acute appendicitis during pregnancy may be difficult, but with advanced radiological examinations and experienced surgeons, these difficulties can be easily overcome.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45716368","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}

引用次数: 0