Acta Chirurgica Belgica最新文献

Post-esophagectomy aortogastric-tube fistula treated successfully with TEVAR: case report and review of the literature.

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-20 DOI: 10.1080/00015458.2025.2470535

Natasha Hasemaki, Dimitrios Schizas, Chrysovalantis Vergadis, Stavros Sougioultzis, Athanasios Katsargyris, Christos Klonaris

引用次数: 0

TRUMATCH^TM Graft Cage-Long Bone as a solution for tibial bone defect in traumatic aseptic non-union: a case report.

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-18 DOI: 10.1080/00015458.2025.2467482

Maud A M Vesseur, Isobel M Dorling, Bert Boonen, Kostan W Reisinger, Raoul van Vugt

{"title":"TRUMATCHTM Graft Cage-Long Bone as a solution for tibial bone defect in traumatic aseptic non-union: a case report.","authors":"Maud A M Vesseur, Isobel M Dorling, Bert Boonen, Kostan W Reisinger, Raoul van Vugt","doi":"10.1080/00015458.2025.2467482","DOIUrl":"10.1080/00015458.2025.2467482","url":null,"abstract":"Background: Tibial fractures, with an annual incidence of 51.7 per 100.000 adults, often result in complications like non-union and infection, particularly in open fractures. Non-union rates after intramedullary nailing are 9.7%. Hypertrophic non-union stems from unstable fracture sites, while atrophic non-union arises from inadequate biological environments. Treatment involves rigid bone fixation for hypertrophic non-union and combining biological tissue supply with mechanical stability for atrophic non-unions. This case report outlines a complex tibial non-union post-high-impact injury, detailing the surgical technique and TRUMATCHTM Graft Cage-Long Bone usage. In addition, we outlined the current literature on this topic.Case report: A male patient suffered a traumatic Gustilo II comminuted tibia and fibula fracture, Lisfranc injury and a Schatzker I tibial plateau fracture of the right leg. During follow-up the patient developed an aseptic non-union with eight-centimeter anterolateral bone defect after primary surgery. Surgical intervention was performed using the three-dimensional printed TRUMATCHTM Graft Cage-Long Bone. At one year follow-up, clinical and radiological consolidation of the right tibia was seen.Conclusion: This case report describes a challenging case of aseptic traumatic non-union of the tibia with a critical-sized defect treated with a novel patient-specific implant in a one-stage procedure. The application of the TRUMATCHTM Graft Cage-Long Bone is promising and warrants further investigation in larger, more controlled studies to substantiate our findings.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-8"},"PeriodicalIF":0.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412703","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}

引用次数: 0

In memoriam: Emeritus Professor Dr. Jacques Aimé Gruwez 24 March 1927-9 July 2024.

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-04 DOI: 10.1080/00015458.2025.2460284

Paul De Leyn, André D'Hoore, Toni Lerut

引用次数: 0

In memoriam: Emeritus Professor Dr. Jacques Aimé Gruwez 24 March 1927-9 July 2024.

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-04 DOI: 10.1080/00015458.2025.2460284

Paul De Leyn, André D'Hoore, Toni Lerut

引用次数: 0

Brain natriuretic peptide is a long-term cardiovascular predictor in carotid endarterectomy. 脑钠肽是颈动脉内膜切除术的长期心血管预测指标。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-07-11 DOI: 10.1080/00015458.2024.2377889

Gustavo Martim Clemente Gouveia de Gramilho, Juliana Pereira-Macedo, Lara Romana Pereira Dias, Ana Rita Dias Ferreira, Piotr Myrcha, José Paulo Alves Vieira Andrade, João Manuel Palmeira da Rocha-Neves

{"title":"Brain natriuretic peptide is a long-term cardiovascular predictor in carotid endarterectomy.","authors":"Gustavo Martim Clemente Gouveia de Gramilho, Juliana Pereira-Macedo, Lara Romana Pereira Dias, Ana Rita Dias Ferreira, Piotr Myrcha, José Paulo Alves Vieira Andrade, João Manuel Palmeira da Rocha-Neves","doi":"10.1080/00015458.2024.2377889","DOIUrl":"10.1080/00015458.2024.2377889","url":null,"abstract":"Background: In noncardiac surgery, several biomarkers are known to play a role in predicting long-term complications, such as major adverse cardiovascular events (MACE), myocardial infarction, or death. Carotid endarterectomy (CEA) is considered a low to medium-risk surgery for carotid stenosis aimed at preventing stroke events. Brain natriuretic peptide (BNP) is a biomarker with potential prognostic value regarding MACE. Since its role in patients undergoing CEA is unknown, this study aims to assess the potential role of BNP as a short and long-term predictor of all-cause mortality and MACE in patients undergoing CEA.Methods: From a prospective database, patients who underwent CEA under regional anesthesia (RA) at a tertiary hospital center were enrolled, and a post hoc analysis was conducted. Patients on which BNP levels were measured up to fifteen days before surgery, and two groups based on the BNP threshold (200 pg/mL) were defined and compared. Kaplan Meier survival curves and adjusted hazard ratios (aHR) were assessed by multivariable Cox regression. The primary outcome was the incidence of long-term MACE and all-cause mortality. Secondary outcomes included the incidence of AMI and AHF.Results: A total of 89 patients were evaluated. The mean age of the cohort was 71.2 ± 8.7 years, with 71 (79.8%) males, and presented a median follow-up of 30 [13.5-46.4] months. BNP > 200 pg/mL has demonstrated positive predictive value for MACE (aHR: 5.569, confidence interval (CI): 2.441-12.7, p < 0.001) and all-cause mortality (aHR: 3.469, CI: 1.315-9.150, p = 0.018).Conclusion: BNP has been demonstrated to independently predict long-term all-cause mortality, MACE and AMI following CEA. It serves as a low-cost, ready-to-use biomarker, although further studies are necessary.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"22-28"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141553940","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}

引用次数: 0

Thoracic aortic coarctation with asbestos-induced pleural fibrosis presenting as lower limb claudication. 胸主动脉闭塞症伴有石棉诱发的胸膜纤维化，表现为下肢跛行。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-10-26 DOI: 10.1080/00015458.2024.2418150

Kerbi Alejandro Guevara-Noriega, Raquel Chavez-Abiega, Vladimir Cheranovskiy, Teresa Solanich Valldaura

引用次数: 0

A case report of a mesenteric cystic lymphangioma in a young adult woman presenting to the emergency room. 一例急诊室就诊的年轻成年女性肠系膜囊性淋巴管瘤病例报告。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI: 10.1080/00015458.2024.2424046

L C A van der Broeck, S H J Ketelaers, J G Bloemen

引用次数: 0

Impact of risk factors on the incidence of tunneled dialysis catheter infections: a systematic review and meta-analysis. 风险因素对隧道式透析导管感染发生率的影响：系统回顾和荟萃分析。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI: 10.1080/00015458.2024.2397177

Stijn van Meurs, Jonne Hopman, Guy Hubens, Niels Komen, Jeroen M H Hendriks, Dirk Ysebaert, David Nellensteijn, Philip Plaeke

{"title":"Impact of risk factors on the incidence of tunneled dialysis catheter infections: a systematic review and meta-analysis.","authors":"Stijn van Meurs, Jonne Hopman, Guy Hubens, Niels Komen, Jeroen M H Hendriks, Dirk Ysebaert, David Nellensteijn, Philip Plaeke","doi":"10.1080/00015458.2024.2397177","DOIUrl":"10.1080/00015458.2024.2397177","url":null,"abstract":"Introduction: Tunneled dialysis catheters (TDCs) are important for hemodialysis in patients awaiting a permanent surgical solution, kidney transplantation or without feasible surgical access. Infection of a TDC is a common and severe complication, which often requires removal of the TDC and causes high morbidity and mortality. To date, several risk factors for TDC infections have been reported. This systematic review and meta-analysis aim to provide an overview of currently known risk factors.Methods: A systematic literature search was conducted, including all studies describing patient-, catheter-, and dialysis-related risk factors for TDC infections. In case sufficient data was available for a risk factor, a meta-analysis with random effects model was performed.Results: Out of 1273 studies, 30 were included describing a total of 71 risk factors. A meta-analysis was conducted for 26 risk factors. The average incidence of TDC infections was 1.16 ± 0.70/1000 catheter days. Diabetes (odds ratio, OR 1.96), coronary artery disease (OR 2.16), peripheral artery disease (OR 2.28), history of sepsis (OR 2.79), and the number of prior TDCs (OR 1.24) were the most significant risk factors for infection.Conclusion: Several risk factors are associated with increased TDC infection rates. Most of these risk factors are also linked with infection in other populations and most likely reflect the general frailty of hemodialysis patients. The association between many risk factors and TDC infections was often unclear due to the low number of studies available. Additional large cohort studies are necessary to demonstrate the relevance of these risk factors.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-13"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131569","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}

引用次数: 0

Robotic subtotal D2-gastrectomy for gastric cancer after right hemiliver transplantation: case report and literature review. 右半肝移植后胃癌的机器人 D2 胃次全切除术：病例报告和文献综述。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-09-25 DOI: 10.1080/00015458.2024.2406603

Francesco Maria Crafa, Serafino Vanella, Emanuele Caruso, Enrico Coppola Bottazzi, Adele Noviello, Alfonso Amendola

{"title":"Robotic subtotal D2-gastrectomy for gastric cancer after right hemiliver transplantation: case report and literature review.","authors":"Francesco Maria Crafa, Serafino Vanella, Emanuele Caruso, Enrico Coppola Bottazzi, Adele Noviello, Alfonso Amendola","doi":"10.1080/00015458.2024.2406603","DOIUrl":"10.1080/00015458.2024.2406603","url":null,"abstract":"Background: With the progress achieved in transplant surgeries an improved long-term survival of patients is obtained due to more effective immunosuppressant therapy. De novo malignancy (DNM) has gained interest in this group of patients. DNM is a major cause of late mortality after liver transplantation.Methods: We report the case of a patient who underwent orthotopic liver transplantation with right hemiliver (right split) 18 years ago who came to our attention for gastric cancer. We performed a robotic subtotal gastrectomy D2 lymphadenectomy with manual latero lateral trans mesocolic BII gastro jejunal anastomosis using da Vinci robotic surgery system at our hospital.Results: The operation was successful, the operative time was 230 min, the intraoperative blood loss was 100 ml. The patient was discharged on day 8 after surgery, and no complications occurred. Postoperative pathological stages were pT2 N0 (0/25). During the follow-up period, the patient was in good health without long-term complications.Conclusion: Robotic approach is feasible in patients after liver transplantation.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"33-39"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339032","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}

引用次数: 0

Two-staged repair of a giant iliac aneurysm and open repair of a true deep femoral artery aneurysm in Loeys-Dietz syndrome type V: a case report and review of literature. Loeys-Dietz 综合征 V 型巨大髂动脉瘤的两阶段修复术和真正股深动脉瘤的开放式修复术：病例报告和文献综述。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-02-01 Epub Date: 2024-11-01 DOI: 10.1080/00015458.2024.2420422

Annefleur Mauritz, Karen Van Langenhove, Stijn Van Wiemeersch, Lieven Dedrye, Anneleen Verbrugghe, Stephan Ceuppens

{"title":"Two-staged repair of a giant iliac aneurysm and open repair of a true deep femoral artery aneurysm in Loeys-Dietz syndrome type V: a case report and review of literature.","authors":"Annefleur Mauritz, Karen Van Langenhove, Stijn Van Wiemeersch, Lieven Dedrye, Anneleen Verbrugghe, Stephan Ceuppens","doi":"10.1080/00015458.2024.2420422","DOIUrl":"10.1080/00015458.2024.2420422","url":null,"abstract":"Background: The syndrome of Loeys-Dietz (LDS) is a rare connective tissue disorder. A classic triad of symptoms is seen: hypertelorism, atypical uvula or clef palate, and multiple tortuous arteries and aneurysms of the aorta and main arterial branches. Mutations in genes involving the transforming growth factor-beta (TGFB) signaling pathway are the cause of this syndrome. There are six subtypes of LDS, categorized based on the gene mutation that is involved. LDS type V and VI, concerning the TGFB3 and SMAD2 gene respectively, are the two subtypes that are least frequently seen. Mostly, in the patients with LDS type V non-cardiovascular symptoms are most prominent and there is a lower prevalence of vascular abnormalities.Methods and results: This case report illustrates extensive vascular disease in Loeys-Dietz syndrome type V. We present open repair of a true deep femoral artery aneurysm and two-staged repair of a giant common iliac aneurysm with coiling of an ipsilateral internal iliac artery aneurysm and subsequent endovascular aortic repair (EVAR).Conclusion: Loeys-Dietz syndrome type V is a rare connective tissue disorder, that was thought to have non-cardiovascular symptoms at the forefront. However, this case represents multiple vascular abnormalities, including arterial tortuosity and iliac and femoral artery aneurysms, as the main symptom in LDS type V, presents our multi-stage treatment and discusses the different therapeutic strategies.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"53-61"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492674","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}

引用次数: 0