Asian Journal of Surgery最新文献_第6页

Iatrogenic vascular injuries in inguinal hernia repair: A comprehensive analysis of incidence, management, and outcomes 腹股沟疝修补术中的医源性血管损伤：发生率、处理和结果的综合分析

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.07.201

Zhui Li, Yangyang Feng, Chuli Jiang, Gaoxiang Fan, Yu Zhao, Wei Ren

{"title":"Iatrogenic vascular injuries in inguinal hernia repair: A comprehensive analysis of incidence, management, and outcomes","authors":"Zhui Li, Yangyang Feng, Chuli Jiang, Gaoxiang Fan, Yu Zhao, Wei Ren","doi":"10.1016/j.asjsur.2024.07.201","DOIUrl":"10.1016/j.asjsur.2024.07.201","url":null,"abstract":"<div><h3>Background</h3><div>Iatrogenic vascular injuries associated with inguinal herniorrhaphy are seldom documented. This study sought to provide a thorough analysis of the types, underlying mechanisms, treatment approaches, results, and mortality hazards linked to such vascular injuries during the repair of inguinal hernias.</div></div><div><h3>Methods</h3><div>Thirteen cases of vascular injury among 3988 inguinal hernia repair patients were retrospectively analyzed from 2012 to 2023. The data included demographic information, injury types, surgical details, patient presentations, diagnostic methods, management strategies, and outcomes. Factors contributing to mortality risk were identified via univariate analysis.</div></div><div><h3>Results</h3><div>The incidence of vascular injuries was 0.075 %, with 92.31 % being penetrating injuries and 7.69 % being blunt injuries. Common mechanisms included intraoperative dissections, trocar-related injuries, and mechanical mesh fixation. Treatment approaches included anastomosis, transplantation, endovascular therapy, ligation, and conservative methods. The 30-day mortality rate was 23.07 %, primarily due to hemorrhage-induced multiorgan failure. Late complications included anastomotic restenosis, graft aneurysms, testicular atrophy, and hernia recurrence.</div></div><div><h3>Conclusions</h3><div>Iatrogenic vascular injuries during inguinal herniorrhaphy, though rare, pose significant risks of mortality and complications. Timely identification, intervention, and long-term monitoring are vital for improving outcomes. This study offers insights into managing complex vascular challenges in hernia repair, with the goal of improving patient outcomes.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 5","pages":"Pages 2882-2890"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Papillary thyroid carcinoma combined with tuberculosis: A case report 甲状腺乳头状癌合并肺结核：病例报告

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.070

Qiu-Rui Liu, Qi-Fan Li, Yu-Ting Sun, Jian-Qiao Jiang

引用次数: 0

A case of intestinal perforation due to preoperative endoscopic autologous blood injection for localization of colorectal lesions in laparoscopic surgery 腹腔镜手术中术前内镜下自体血定位结直肠病变致肠穿孔1例。

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.046

Chong-jie Zhang

引用次数: 0

Evidence that post-colonoscopy appendicitis is a real entity 结肠镜检查后阑尾炎是真实存在的证据。

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.066

Ahmed Adham R. Elsayed, Abdullah Y. Ali, Marc D. Basson

引用次数: 0

A case of mistaken identity: Lacrimal gland pleomorphic adenoma with extensive necrosis 误诊泪腺多形性腺瘤伴广泛坏死1例。

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.033

Chengting Zhou, Weichen Zhou

引用次数: 0

Efficacy of concentrated growth factor-assisted pulpal revascularization for chronic apical periodontitis in young permanent teeth 浓缩生长因子辅助牙髓血运重建术治疗年轻恒牙慢性根尖牙周炎的疗效观察。

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.059

Lijia He, Wenyun Zhang, Limei Shao, Pingping Cui

引用次数: 0

A mobile double-suspension technology for single-port D2 distal gastrectomy: A technical note with video vignette 移动双悬架技术用于单孔D2远端胃切除术：附视频片段的技术说明。

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.098

Li-Yu Shan , Bing-Qian Liang , Jia-Xin Wang , Rong-Tao Wei , Yu Zhang , Meng-En Li , Chang-Long Yang , You-Guo Dai

{"title":"A mobile double-suspension technology for single-port D2 distal gastrectomy: A technical note with video vignette","authors":"Li-Yu Shan , Bing-Qian Liang , Jia-Xin Wang , Rong-Tao Wei , Yu Zhang , Meng-En Li , Chang-Long Yang , You-Guo Dai","doi":"10.1016/j.asjsur.2024.11.098","DOIUrl":"10.1016/j.asjsur.2024.11.098","url":null,"abstract":"<div><h3>Technique</h3><div>The single-incision laparoscopic gastrectomy(SILG) for gastric cancer is challenging due to limited surgical fields. Thus, we have developed a novel, moble suspension technique for single-port D2 distal gastrectomy. This method was applied in our center and the surgical procedure which presented in this study is accompanied by a video for a more detailed understanding.</div></div><div><h3>Results</h3><div>Following the optimized \"6 + 4 + 1\" procedure, the SILG proceeded uneventfully with the help of suspension technique. During the surgical exploration, the key anatomical site could be identified and isolated precisely due to enlarged operative fields exposure. The patient was able to resume oral intake on the third postoperative day and there was no evident postoperative complications, leading to his discharge.</div></div><div><h3>Conclusion</h3><div>The mobile suspension technique can effectively help expose the surgical field, especically in single-incision laparoscopic surgery.</div></div>","PeriodicalId":55454,"journal":{"name":"Asian Journal of Surgery","volume":"48 5","pages":"Pages 2933-2936"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical evaluation of advantages and feasibility of four-port laparoscopic radical gastrectomy for cancer 四孔腹腔镜胃癌根治术的优点及可行性的临床评价

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.11.200

Jingyuan Ma , Yiquan Sun , Xing Wan , Changmiao Wang

引用次数: 0

Bibliometric analysis of 100 most highly cited publications on endoscopic submucosal dissection in early gastric cancer 早期胃癌内镜下粘膜剥离100篇高被引文献计量分析

IF 3.5 3区医学

Asian Journal of Surgery Pub Date : 2025-05-01 DOI: 10.1016/j.asjsur.2024.12.197

Zhenxiang Zuo, Jinfeng Qi, Shihao Shi, Honglei Wu

引用次数: 0

Navicular impingement syndrome of the wrist: A case report 腕关节舟状撞击综合征：病例报告