Acta Chirurgica Belgica最新文献

Potential source of Al-Zahrawi's knowledge of surgical instruments in the book of Al-Tasrif (10^th A.D.).

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-09 DOI: 10.1080/00015458.2024.2437271

Mahsima Abdoli, Kamran Mahlooji

{"title":"Potential source of Al-Zahrawi's knowledge of surgical instruments in the book of Al-Tasrif (10th A.D.).","authors":"Mahsima Abdoli, Kamran Mahlooji","doi":"10.1080/00015458.2024.2437271","DOIUrl":"10.1080/00015458.2024.2437271","url":null,"abstract":"Background: Surgery is one of the most important branches of medical science. The importance of using surgical tools in applying various surgical methods is clear. With the development of surgical instruments, the science of surgery made significant progress. At the beginning of the era of Islamic civilization (tenth century A.D.), The book entitled Al-Tasrif Leman Ujza an Al-Talif was written by Zahrawi, an Andalusian physician, which became world famous due to its section on surgery and surgical instruments. The original of this book was in Arabic and was translated into Latin by Gerald of Cremona. After that, he made his way to Europe and taught in European medical universities for many years. In this study, the possible source used by Zahrawi in writing this part of his book is discussed.Methods: This study was done by library and Internet research method. Reference books and relevant articles from reliable databases such as ISI, Scopus, PubMed and search engines such as Google Scholar, and also some archeological websites were used for gathering data. The date was analyzed.Results: Zahrawi has introduced more than 200 surgical tools in an illustrated form and described their use in the 30th chapter of the 3rd part of Al-Tasrif book. Also, there are some images of surgical instruments carved on a stone inscription on the wall of the Kom Ombo temple in Egypt, dating back to 305-30 BC, which are very similar to Al-Tasrif's.Discussion: The similarity between the images of these two mentioned documents, releaves a potential of Zahrawi's exposure to the Egyptian Kom Ombo and the use of that source in the compilation of al-Tasrif.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765372","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

Complete traumatic laceration of the superior mesenteric vein after a blunt abdominal injury in a pediatric patient.

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-03 DOI: 10.1080/00015458.2024.2436236

Jana Lešková, Michal Leško, Radek Štichhauer, Igor Guňka

{"title":"Complete traumatic laceration of the superior mesenteric vein after a blunt abdominal injury in a pediatric patient.","authors":"Jana Lešková, Michal Leško, Radek Štichhauer, Igor Guňka","doi":"10.1080/00015458.2024.2436236","DOIUrl":"https://doi.org/10.1080/00015458.2024.2436236","url":null,"abstract":"Background: Isolated injury to the superior mesenteric vein (SMV) caused by blunt abdominal trauma is rare but often lethal, especially in pediatric patients. Due to the low incidence of SMV injuries, there are no universal guidelines for its diagnosis and treatment. The diagnosis is made using either computed tomography (CT) or intraoperative exploration. Primary vascular repair is recommended.Case report: A 10-year-old girl was transferred to a trauma center after a high-energy motor vehicle collision. Under the diagnosis of acute abdomen with hemoperitoneum, the patient underwent urgent laparotomy, 34 min after admission to the hospital. A complete laceration of the SMV trunk was observed. Definitive vascular repair of the transected SMV was performed. An interposition graft from the internal jugular vein was used with a good postoperative course.Conclusion: This case report demonstrates that definitive vascular repair of the SMV reduces the risk of intestinal ischemia and should be performed in cases where ligation presents a real threat to small bowel viability. In cases of severe SMV injury, the internal jugular vein is a high-quality and easily accessible graft.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765364","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

Early parathyroid hormone (PTH) level as a predictor of post-surgical hypoparathyroidism. 早期甲状旁腺激素（PTH）水平可预测手术后甲状旁腺功能减退症。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-04-04 DOI: 10.1080/00015458.2024.2336676

Paolo Ossola, Andrea Borasi, Andrea Barberis, Silvia Marola, Francesco Ghiglione, Giuseppe Pentassuglia, Barbara Puligheddu, Paolo Riccardo Brustio, Ilaria Messuti, Marco Bononi, Renzo Leli, Fabio Lanfranco

{"title":"Early parathyroid hormone (PTH) level as a predictor of post-surgical hypoparathyroidism.","authors":"Paolo Ossola, Andrea Borasi, Andrea Barberis, Silvia Marola, Francesco Ghiglione, Giuseppe Pentassuglia, Barbara Puligheddu, Paolo Riccardo Brustio, Ilaria Messuti, Marco Bononi, Renzo Leli, Fabio Lanfranco","doi":"10.1080/00015458.2024.2336676","DOIUrl":"10.1080/00015458.2024.2336676","url":null,"abstract":"Introduction: Post-operative hypocalcemia and postoperative persistent hypoparathyroidism remain the most common complications after thyroidectomy. Many approaches have been developed to prevent them, but actually, a common protocol is not yet individuated.Materials and methods: We retrospectively analyzed the results of a prospectively collected database. We dosed PTH preoperatively and 4 h after surgery (PTH_4); calcium was evaluated preoperatively, on the first (I_POD) and on the second postoperative day (II_POD). Hypocalcemia was defined when calcium <8 mg/dl. PTH_4 and I_POD calcium serum levels are identified to predict postoperative hypocalcemia.Results: Three hundred and forty-eight patients were enrolled, 37 patients resulted as hypocalcemic on I_POD and 41 on the II_POD. PTH_4 is related to I_POD (p < 0.001, r = 0.45) and II_POD (p < 0.001, r = 0.44) calcemia. PTH_4-cut-off predicting I_POD hypocalcemia was 10.50 pg/ml (sensitivity: 78.7%, specificity: 72.7%). A PTH_4 value of 11.5 pg/ml is able to predict hypocalcemia during II_POD (sensitivity: 76.5%, specificity: 69.2%). We set up a combined test to predict II_POD hypocalcemia, using PTH_4 and I_POD calcium (sensitivity: 77.8%, specificity: 89.9%).Conclusion: This research shows the association between PTH_4 and postoperative hypocalcemia. The PTH_4 cut-off to predict I_POD-hypocalcemia was 10.5 pg/ml. We analyzed the calcemia trend during the postoperative period and we realized a combined test using PTH_4 and I_POD-calcemia. This test improves the accuracy of the previous test. Further studies, in particular multicentric, with a larger sample are necessary to validate the combined model.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"455-465"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140317597","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

A feeding vessel in the right paratracheal space: an insidious presence. 右侧气管旁间隙的进食血管：隐匿的存在。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1080/00015458.2024.2418148

Dario Amore, Dino Casazza, Umberto Caterino, Emanuele Muto

引用次数: 0

Sigmoidorectal intussusception caused by colon carcinoma. 结肠癌引起的乙状结肠直肠肠套叠

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-07-29 DOI: 10.1080/00015458.2024.2384796

Maud A S Schoenmakers, Anke H C Gielen, Kevin P Wevers, Jarno Melenhorst

引用次数: 0

The history of medieval bladder stone surgery in Persia. 波斯中世纪膀胱结石手术史。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-08-27 DOI: 10.1080/00015458.2024.2395136

Mohammad Hossein Asadi, Azam Khosravi, Robrecht Van Hee, Saeed Amini, Farshid Haghverdi, Saeed Changizi-Ashtiyani

{"title":"The history of medieval bladder stone surgery in Persia.","authors":"Mohammad Hossein Asadi, Azam Khosravi, Robrecht Van Hee, Saeed Amini, Farshid Haghverdi, Saeed Changizi-Ashtiyani","doi":"10.1080/00015458.2024.2395136","DOIUrl":"10.1080/00015458.2024.2395136","url":null,"abstract":"Introduction: People's understanding of bladder stones has a long history. Since around the sixth century BC, surgery has been selected as the most specialized and last treatment and has continuously evolved. Meanwhile, many missing links have sometimes been a turning point in bladder stone surgery. The efforts of Iranian medicine scholars in advancing this treatment method are part of the impressive ups and downs of this path, which is discussed in this research.Methods: This review research is based on Persian medicine sources, such as Al-Hawi fi al-Tabb, The Kitāb al-Taṣrīf, and Al-Qanun fi al-Tebb. It has also used reliable databases such as Pub Med, Scopus, and Elsevier, as well as search engines such as Google Scholar, with related keywords.Results: Surgery as the last treatment method for bladder stones was first proposed in the Golden Age (800-1300AD) of Persian traditional medicine by Ali ibn Rabben Tabari (810-895 AD) and Rhazes (865-925 AD), who discussed it in more detail. Then Hally Abbas, Albucasis, and Avicenna completed and enriched it. Albucasis's role is imposing due to his unique techniques in perineal cystolithotomy, forceps to extract bladder stones, and primary lithotrity until the nineteenth century.Conclusion: Examining the evolution and progress of bladder stone treatment shows the efforts of physicians in different medical schools. The brilliance of the sages of Persian Medicine, who invented seven different types of bladder stone surgery, improved the techniques of the predecessors and created a significant leap in the progress of this surgery.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"444-454"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003322","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

Pleuropulmonary blastoma (PPB) with central nervous system metastasis: case report, imaging findings, and review of literature. 伴有中枢神经系统转移的胸膜肺母细胞瘤（Ppb）：病例报告、影像学发现和文献综述。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-06-18 DOI: 10.1080/00015458.2024.2365503

Dusan J Petrovic, Polina Pavicevic

{"title":"Pleuropulmonary blastoma (PPB) with central nervous system metastasis: case report, imaging findings, and review of literature.","authors":"Dusan J Petrovic, Polina Pavicevic","doi":"10.1080/00015458.2024.2365503","DOIUrl":"10.1080/00015458.2024.2365503","url":null,"abstract":"Pleuropulmonary blastoma (PPB) is a very rare tumor of the chest seen predominantly in young children with great heterogeneity and clinical, biochemical, and biological complexity and recognized, described, and classified as distinct from the pulmonary blastoma typically encountered in adults. Unfortunately, it has a poor and dismal prognosis and is mainly classified as cystic (type 1), mixed type (type 2), and solid (type 3). Herein, we present one case of PPB type 2 presenting clinically with a right pulmonary abscess, a rare clinical presentation of PPB, which was initially treated with surgery, and after approximately 1 year of follow-up, pulmonary rest-recurrence and central nervous system secondary deposits were detected. When a large pleural-based mass is identified in a young child, PPB should also be considered, especially in a patient with a positive oncological family history. Suggestive findings include the absence of chest wall invasion, presence of pleural fluid, right-sided location, and heterogeneous native (NECT) low attenuation with variable postcontrast enhancement. The authors believe that a modern therapeutic approach should consider these results for a better understanding of the genetic nature and complex mechanism and process of PPB disease development (both clinical and preclinical data concerning PPB pathophysiology are still lacking and are not completely understood) so that it would be possible to establish new possible therapeutic options (i.e. nuclear medicine theranostics in PPB treatment, developments and innovation in FLASH radiotherapy and proton therapy) and approaches, and so that, given the severity of the disease, it would be possible to indicate the importance of genetic testing and counseling of close relatives. In line with the previous, the rapid development of artificial intelligence could potentially bring the development of a novel fusion of radio mics and semantic features and MRI-based machine learning in distinguishing PPB from similar pathology.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"499-503"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260515","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

Neck paragangliomas: a case report and literature review. 颈部副神经节瘤：病例报告与文献综述

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-08-20 DOI: 10.1080/00015458.2024.2392349

Thaïs De Witte, Klaas Van Den Heede, Nele Brusselaers, Sam Van Slycke

{"title":"Neck paragangliomas: a case report and literature review.","authors":"Thaïs De Witte, Klaas Van Den Heede, Nele Brusselaers, Sam Van Slycke","doi":"10.1080/00015458.2024.2392349","DOIUrl":"10.1080/00015458.2024.2392349","url":null,"abstract":"Objective: Thyroid-originated paragangliomas are very uncommon, and there is a lack of established guidelines regarding their management.Methods: A case study was presented, and a review of the literature was conducted.Results: Diagnosing a paraganglioma requires multiple diagnostic methods, including a 24-h measurement of metanephrines or catecholamines, anatomical imaging using magnetic resonance or computed tomography (CT) scans, and functional imaging using metaiodobenzylguanidine or 18F-DOPA PET/CT scans. Additionally, with the presence of somatostatin receptors on paragangliomas, the use of octreotide scans such as a 68Ga DOTATATE PET/CT scan is expected to increase soon. The primary treatment for laryngeal paragangliomas is surgical intervention aimed at achieving optimal tumor removal while retaining the highest possible level of laryngeal function. One should not do elective neck dissection given the low risk of metastasis and recurrence. Although the rate of recurrence and metastasis for paragangliomas is low, continued monitoring through clinic visits, biochemical testing, and imaging is still necessary. Furthermore, follow-up efforts should also consider genetic testing of the critical genes associated with paragangliomas.Conclusion: Although there is still debate regarding the existence of thyroid paraganglioma, it can nonetheless be classified as a subtype of laryngeal paragangliomas. All hypervascular thyroid nodules require the consideration of thyroid-associated paragangliomas.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"508-513"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970352","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

The bow tie technique for single stapled colorectal anastomosis: technical note. 弓形系带技术用于单钉大肠吻合术：技术说明。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-09-11 DOI: 10.1080/00015458.2024.2400800

Jaro Van Zande, Khozh Magamadov, Yves Van Molhem

{"title":"The bow tie technique for single stapled colorectal anastomosis: technical note.","authors":"Jaro Van Zande, Khozh Magamadov, Yves Van Molhem","doi":"10.1080/00015458.2024.2400800","DOIUrl":"10.1080/00015458.2024.2400800","url":null,"abstract":"Aim: In this technical note we describe a simplified totally transabdominal technique to perform a single stapled end-to-end colorectal anastomosis without the need for transanal transection, linear stapler line resection, purse string or dog-ear suturing.Method: The rationale and the technique itself are first explained by using a schematic design. Next, step-by-step pictures of one of our cases show the feasibility and advantages of this technique. At the end, the limits of this technique are illustrated.Results: The technique was used for 20 colorectal anastomosis, 9 benign and 11 oncological cases. Median age was 68 years and average BMI was 28 kg/m2. Risk factors for anastomotic leakage were reported in 10 cases. The bow tie technique was performed in every case and the linear stapler line was entirely resected in all cases. No positive air leak test or anastomotic leakage was reported.Conclusions: The bow tie technique is a feasible technique to perform an end-to-end single stapled colorectal anastomosis with promising results on anastomotic leakage. Further research with larger prospective data collection is necessary to validate this technique and show its potential benefit on anastomotic leakage.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"532-536"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118736","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

The effect of thoracic trauma scoring system in thoracic trauma patients with rib fracture. 胸部创伤评分系统对肋骨骨折的胸部创伤患者的影响。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-12-01 Epub Date: 2024-06-05 DOI: 10.1080/00015458.2024.2361540

Nihat Berk Sarmış, Mustafa Kuzucuoğlu, Keramettin İbrahim Taylan, Ali Cem Yekdeş, Mehmet Ünal, Serdar Şirzai, Bayram Çağrı Sakarıya, Arkın Acar

{"title":"The effect of thoracic trauma scoring system in thoracic trauma patients with rib fracture.","authors":"Nihat Berk Sarmış, Mustafa Kuzucuoğlu, Keramettin İbrahim Taylan, Ali Cem Yekdeş, Mehmet Ünal, Serdar Şirzai, Bayram Çağrı Sakarıya, Arkın Acar","doi":"10.1080/00015458.2024.2361540","DOIUrl":"10.1080/00015458.2024.2361540","url":null,"abstract":"Objective: Rib fractures are common in thoracic trauma patients. There are various factors, including flail chest, pulmonary contusion, and accompanying conditions, affecting morbidity and mortality. The study aimed to identify high-risk patients for morbidity and mortality with a scoring system that the authors created.Methods: Cases over the age of 18 admitted due to trauma and diagnosed with rib fractures between 1 January 2019 and 1 March 2023, were included. Trauma scores were determined by applying the new trauma scoring system. Trauma scores and other variables regarding morbidity and mortality were evaluated.Results: A total of 1023 cases were included in the study. The total trauma scores were higher in bilateral and multiple fractures. In those without respiratory failure, the total score was statistically significantly lower than in the groups with respiratory failure. The total score was significantly higher in those who needed surgery, those who were hospitalized, and those who needed intensive care compared to the non-surgical groups. However, there was no correlation between intensive care unit stay and total score. Trauma mechanism, presence of additional extrathoracic pathology, and thoracic trauma-age score were independent predictors of survival.Conclusion: The present study demonstrated that the number of rib fractures and the presence of pulmonary contusion did not have an effect on mortality and morbidity. The presence of extrathoracic pathology and age significantly affect survival.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"487-491"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160068","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