Open Access Surgery最新文献_第2页

Effectiveness of Leg-Elevation to Prevent Post-Spinal Hypotension in Elective Cesarean Section: A Systematic Literature Review of Randomized Controlled Trial 选择性剖宫产术中抬高腿部预防脊髓后低血压的有效性:一项随机对照试验的系统文献综述

Open Access Surgery Pub Date : 2023-10-01 DOI: 10.2147/oas.s426771

Aschalew Besha Desta, Belete Alemu, Addisu Mossie, Minda Abebe, Adanech Shiferaw, Bizuwork Girma, Tajera Ilala, Kidanamariam Tamrat Yilma, Khalid Mohamed

引用次数: 0

Post-Thyroidectomy Complications at St Paul’s Hospital Millennium Medical College, Ethiopia: Associated Factors and Outcomes 埃塞俄比亚圣保罗医院千年医学院甲状腺切除术后并发症:相关因素和结果

Open Access Surgery Pub Date : 2023-10-01 DOI: 10.2147/oas.s428155

Shimelis Abegaz Daba, Berhanetsehay Teklewold, Yisihak Suga, Tolesa Diriba Biratu, Ibsa Kedir Hassen

{"title":"Post-Thyroidectomy Complications at St Paul’s Hospital Millennium Medical College, Ethiopia: Associated Factors and Outcomes","authors":"Shimelis Abegaz Daba, Berhanetsehay Teklewold, Yisihak Suga, Tolesa Diriba Biratu, Ibsa Kedir Hassen","doi":"10.2147/oas.s428155","DOIUrl":"https://doi.org/10.2147/oas.s428155","url":null,"abstract":"Introduction: Major post-thyroidectomy complications, including recurrent laryngeal nerve injury, hypocalcemia, hypothyroidism, and hematoma, are associated with various risk factors, including the type of thyroid pathology, underlying patient comorbidities, extent of surgical resection, and the level of expertise of the surgeon. This study aimed to assess the magnitude of post-thyroidectomy complications and associated factors. Methods: A retrospective review of the medical records of 262 patients was conducted, and the data were analyzed using IBM SPSS Statistics version 25. Bivariate and multivariate logistic regression analyses were used to assess the association between the risk factors and post-thyroidectomy complications. Statistical significance was set at P < 0.05. Results: The majority of the patients (234, 89.4%) were females, and 56.4% were aged between 20 and 40 years. Seventy-seven (29.4%) patients had complication at first follow-up visit, and 54 (20.6%) had permanent complications at the 6-month follow-up. The most frequent complications at the first visit were hypothyroidism (9.9%), symptomatic hypocalcemia (9.5%), and voice hoarseness (5.7%). At the 6-month follow-up, 14.5%, 6.1%, and 2.7% of patients had hypothyroidism, hypocalcemia, and hoarseness of voice, respectively. Subtotal thyroidectomy was significantly associated with post-thyroidectomy complications ( P < 0.01). Conclusion: The prevalence of post-thyroidectomy complications at the SPHMMC was higher than the acceptable rates across guidelines. The complication rate at SPHMMC on first postoperative follow-up and 6-month follow-up visits was higher than that at the other centers. Subtotal thyroidectomy should be avoided or the last option to be considered because it is significantly associated with post-thyroidectomy complications.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135810962","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

Ileoileal Knotting as a Rare Cause of Acute Small Bowel Obstruction: Report of a Case with Review of Literature 回回肠结是一种罕见的急性小肠梗阻的病因:1例报告并文献复习

Open Access Surgery Pub Date : 2023-10-01 DOI: 10.2147/oas.s433281

Telila Mesfin, Abdella Degefa, Ibsa Hassen, Degefa Gomora, Hamza Sultan, Kenbon Seyoum, Elias Ibrahim, Girma Geta, Neway Ejigu, Sisay Abebe, Teketel Tilahun, Demisu Zenbaba, Biniyam Sahiledengle, Fikreab Desta, Getu Wakoya, Saddam Mohamoud, Mesfin Tsegaye

引用次数: 0

Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study 战争和COVID-19对埃塞俄比亚提格雷一家三级医院大手术的影响:一项中断的时间序列研究

IF 1

Open Access Surgery Pub Date : 2023-06-01 DOI: 10.2147/oas.s411401

K. Gebresilassie, Mengistu Hagazi Tequare, Micheal Berhe Gebremedhin, Wegen Beyene Tesfamariam, Tesfaye Tekle, Teame Tekleab Gebremedhin, Kidanemariam Alem Berhie, Hailemariam Berhe, Hiluf Ebuy Abraha

引用次数: 0

NELA Risk Calculator Significantly Underestimates Mortality Risk of Laparotomy for Mesenteric and Colonic Ischaemia in Older Adult Surgical Patients [Retraction] NELA风险计算器显著低估高龄手术患者剖腹手术治疗肠系膜和结肠缺血的死亡风险[牵回]

Open Access Surgery Pub Date : 2023-06-01 DOI: 10.2147/oas.s425148

Louis Connell

引用次数: 0

Perioperative Nutrition Support for Elective Surgical Cancer Patients: A Narrative Review 选择性手术癌症患者的围手术期营养支持：叙述性综述

IF 1

Open Access Surgery Pub Date : 2023-05-01 DOI: 10.2147/oas.s405799

Misgan Mulatie Zewudie, Debas Yaregal Melesse, Tesera Dereje Filatie, A. Getahun, Biruk Adie Admass

引用次数: 0

Gossypiboma – A Rare Cause of Palpable Intra-Abdominal Mass: A Case Report 棉鞘瘤-一种罕见的可触及的腹部肿块:1例报告

IF 1

Open Access Surgery Pub Date : 2023-05-01 DOI: 10.2147/oas.s407868

Mulugeta Taeme Gebretsion, Tilahun Sisay Alemu, Yimam Ali Mergiyaw

引用次数: 0

Colostomy Patient Lived Experience at Public Hospitals of Addis Ababa, Ethiopia: Phenomenology 埃塞俄比亚亚的斯亚贝巴公立医院结肠造口病人的生活经验:现象学

IF 1

Open Access Surgery Pub Date : 2023-05-01 DOI: 10.2147/oas.s406211

Daniel Aboma, M. Kaba

引用次数: 0

Case Report and Literature Review: Intraoperative Injury to Cisterna Chyli During an Elective Pancreatic Resection Leads to Chylous Ascites and a Poor Outcome 病例报告和文献综述：选择性胰腺切除术中Chyli池损伤导致Chyli腹水，疗效不佳

IF 1

Open Access Surgery Pub Date : 2023-04-01 DOI: 10.2147/oas.s394350

W. Al-Kubati, H. Rihani, Abdelaziz Zeadat

引用次数: 0

NELA Risk Calculator Significantly Underestimates Mortality Risk of Laparotomy for Mesenteric and Colonic Ischaemia in Older Adult Surgical Patients NELA风险计算器显著低估了高龄手术患者肠系膜和结肠缺血剖腹手术的死亡风险

IF 1

Open Access Surgery Pub Date : 2023-03-01 DOI: 10.2147/oas.s401635

Louis Connell

{"title":"NELA Risk Calculator Significantly Underestimates Mortality Risk of Laparotomy for Mesenteric and Colonic Ischaemia in Older Adult Surgical Patients","authors":"Louis Connell","doi":"10.2147/oas.s401635","DOIUrl":"https://doi.org/10.2147/oas.s401635","url":null,"abstract":"Aim: To establish if the NELA risk calculator underestimates mortality risk in older adults undergoing laparotomy for mesenteric or colonic ischaemia. Methods: A retrospective search of the operative database was performed for all patients over age 65 years who underwent laparotomy across two tertiary centres over a 3-year period. Cases of mesenteric or colonic ischaemia were identified from the operative records. Cases where ischaemia occurred secondarily to a primary obstructive or other pathology were excluded. Cases where a NELA score was not documented preoperatively were excluded. We then compared the NELA scores to the observed 30-day mortality rate. Secondary outcomes were hospital length of stay and intensive care unit length of stay. Results: Sixty cases were included in our analysis. There were 27 cases of colonic ischaemia and 33 cases of mesenteric ischaemia (mesenteric ischaemia group included five cases of distal small-bowel and colonic ischaemia). The overall mean NELA score was 21.9%, while the actual 30-day mortality was 43.3% ( p =0.0094). Mean NELA score for mesenteric ischaemia cases only was 20.6% with an actual mortality rate of 45.5%. Mean NELA score for the colonic ischaemia cases was 23.5% with an actual mortality rate of 40.7%. The median time from operation to mortality was 8 days. Mean age was 77 years. Length of stay for survivors was a mean 27 days with intensive care unit length of stay of 9.3 days. Conclusion: The NELA risk score for mortality post–emergency laparotomy underestimates mortality risk by a factor of two in older adults where the primary pathology is mesenteric or colonic ischaemia.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48132778","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