Acta Chirurgica Belgica最新文献_第2页

Image of the month: wooden branch ingestion crossing the mediastinum. 本月图片：木枝食入穿过纵隔。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2025-04-03 DOI: 10.1080/00015458.2025.2484885

Mahaudens M, Gumus A, Brunée L, Poncelet P-A, Dasnoy D, Schraverus P

{"title":"Image of the month: wooden branch ingestion crossing the mediastinum.","authors":"Mahaudens M, Gumus A, Brunée L, Poncelet P-A, Dasnoy D, Schraverus P","doi":"10.1080/00015458.2025.2484885","DOIUrl":"10.1080/00015458.2025.2484885","url":null,"abstract":"A 33-year-old patient was managed in the emergency room. After right thoracic drainage for a pneumothorax, intubation for hypoxemia, and extraction of wooden foreign bodies from his mouth, a full-body scan identified a 6 mm diameter tubular-shaped structure extending from the nasopharynx to the retroperitoneum, passing through the mediastinum, in between major cardiovascular structures and organs. Cardiothoracic surgeons performed a sternotomy to remove the foreign body, which was identified as a long tree branch, without finding any major collateral anatomical damage. The cause of this ingestion was attributed to psychiatric delirium. Post-operative care included prolonged antibiotic therapy, one drainage surgery, and intensive rehabilitation, ultimately leading to a slow and progressive recovery. This unique case of tree branch ingestion crossing the mediastinum in an adult is astounding as the patient survived remarkably this life-threatening self-inflicted trauma. Furthermore, this case highlights the critical role of multidisciplinary management, the importance of imaging, and the emphasis on coordinated medical efforts to achieve positive outcomes in similar self-inflicted multiple site injuries cases.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"120-123"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762631","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

Potential source of Al-Zahrawi's knowledge of surgical instruments in the book of Al-Tasrif (10^th A.D.). 《塔斯里夫书》（公元10年）中扎赫拉维外科器械知识的潜在来源。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub 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":"113-119"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","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

Primary percutaneous metal stenting above the ampulla in resectable perihilar cholangiocarcinoma. 可切除的肝周胆管癌安瓿上方的原发性经皮金属支架。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2024-11-23 DOI: 10.1080/00015458.2024.2432739

J A Luyten, S W M Olde Damink, C van der Leij, B Groot Koerkamp, O Detry, U P Neumann, M J L Dewulf

{"title":"Primary percutaneous metal stenting above the ampulla in resectable perihilar cholangiocarcinoma.","authors":"J A Luyten, S W M Olde Damink, C van der Leij, B Groot Koerkamp, O Detry, U P Neumann, M J L Dewulf","doi":"10.1080/00015458.2024.2432739","DOIUrl":"10.1080/00015458.2024.2432739","url":null,"abstract":"Introduction: We present a case of a patient with resectable perihilar cholangiocarcinoma (pCCA) who underwent primary metal stenting above the ampulla, followed by a successful surgical resection. Biliary drainage is a crucial step in the preoperative management of pCCA, yet there is no consensus on the optimal approach. Traditional drainage methods involve passing through the ampulla and/or the skin barrier, thereby increasing the risk of bacterial contamination of the biliary tree and secondary cholangitis.Method: A novel drainage technique was utilised in this case. A metal stent was percutaneously placed across the malignant hilar stenosis without external biliary drainage. During the procedure, both guidewires and stents were meticulously prevented from passing through the ampulla. Additionally, percutaneous access to the biliary tree was removed during the index procedure to minimise the risk of biliary colonisation and cholangitis.Results: Following the drainage, bilirubin levels rapidly normalised, and no clinical or biochemical signs of cholangitis were observed. This allowed for rapid and uncomplicated surgical resection.Conclusion: This case illustrates the potential of a novel biliary drainage technique in patients with pCCA. By minimising the risk of biliary colonisation and cholangitis, this approach could potentially improve surgical outcomes.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"103-107"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680182","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

Reconstruction of elbow flexion after sarcoma excision by a unipolar pedicled latissimus dorsi flap. 用单极带蒂背阔肌皮瓣重建肉瘤切除术后的肘关节屈曲。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2025-04-15 DOI: 10.1080/00015458.2021.1883392

Matthieu Garcia, Yohan Legallois, Eberhard Stoeckle, Audrey Michot

{"title":"Reconstruction of elbow flexion after sarcoma excision by a unipolar pedicled latissimus dorsi flap.","authors":"Matthieu Garcia, Yohan Legallois, Eberhard Stoeckle, Audrey Michot","doi":"10.1080/00015458.2021.1883392","DOIUrl":"10.1080/00015458.2021.1883392","url":null,"abstract":"Introduction: The latissimus dorsi flap is widely used in plastic surgery for covering the upper limb but also for reconstruction the function of the elbow or shoulder. We describe a case of a sarcoma of the anterior compartment of the arm, the surgical removal then the covering and reconstruction of the elbow flexion. This case was carried out by a unipolar pedicled flap of the latissimus dorsi.Material and methods: Three steps were performed (excision, flap preparation and flap fixation). The functional results (muscle strength, MRC scale) and range of motion (ROM) were analyzed. We performed a small literature review to compare the results.Results: A complete excision (R0) was carried out with a good vitality of the latissimus dorsi flap. A rapid scarring was obtained, allowing an early start of adjuvant radiotherapy. Muscular strength was 33% less compared to preoperative, MRC scale was classified 4. ROM of the elbow was rated at -10/0/130. One year after the operation, the patient is still in remission.Conclusion: Our functional results are comparable to those found in the literature. The muscle strength in our case appears to be superior, probably linked to a brachio-radialis muscle still functional. No difference in function has been found in the literature between a unipolar or a bipolar transfer of the latissimus dorsi. This case report confirms the reliable and effective nature of the latissimus dorsi flap. The use of this flap for reconstruction after sarcoma surgery has only few reports in the literature.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"95-99"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25327091","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. 纪念：名誉教授雅克·艾格·格鲁韦兹博士1927年3月24日- 2024年7月9日。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2025-02-04 DOI: 10.1080/00015458.2025.2460284

Paul De Leyn, André D'Hoore, Toni Lerut

引用次数: 0

Spontaneous splenic rupture two days after laparoscopic sleeve gastrectomy. 腹腔镜袖状胃切除术两天后自发性脾破裂。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2024-11-06 DOI: 10.1080/00015458.2024.2424047

M Mertens, L Verheyen, J Ceulemans

{"title":"Spontaneous splenic rupture two days after laparoscopic sleeve gastrectomy.","authors":"M Mertens, L Verheyen, J Ceulemans","doi":"10.1080/00015458.2024.2424047","DOIUrl":"10.1080/00015458.2024.2424047","url":null,"abstract":"Introduction: Sleeve gastrectomy is a common bariatric procedure to manage morbid obesity. Splenic injury such as splenic rupture after sleeve gastrectomy is a rare complication which can be treated both with a splenectomy or conservative approach, called spleen-preserving surgery.Patients and methods: A 42-year old male, in whom we performed a sleeve gastrectomy, presented with splenic rupture, within 48 h postoperative, for which spleen-preserving surgery was performed. As splenic rupture is a very rare complication, we performed an extensive literature search in the PubMed database. After obtaining patient informed consent, we aim to describe a sixth presentation of this rare surgical complication.Result: To the best of our knowledge, only five cases of splenic rupture after laparoscopic sleeve gastrectomy have been described before, all treated with a splenectomy. Furthermore, we are the first to describe spleen-preserving surgery.Conclusion: We present the sixth case of spontaneous splenic rupture after laparoscopic sleeve gastrectomy, and the first to treat it with spleen-preserving surgery.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"100-102"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543030","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. 小儿腹部钝性损伤后肠系膜上静脉完全创伤性撕裂。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub 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":"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":"108-112"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","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

John Moyle's singular Sea-Chirurgion, the pioneering treatise of Maritime surgery. 约翰·莫伊尔的《海洋外科》，航海外科的先驱论文。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.1080/00015458.2025.2489799

Katsamoundis K, Mourellou E, Laios K, Tsoucalas G

引用次数: 0

How to address post-Roux-en-Y gastric bypass late dumping in a patient with a history of Nissen fundoplication converted to bypass for obesity. 如何处理有尼森胃底扩张史的肥胖患者转行胃分流术后roux -en- y胃分流术晚期倾倒。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-03-04 DOI: 10.1080/00015458.2025.2468063

Jean-Philippe MmK Magema, Jacques Himpens

{"title":"How to address post-Roux-en-Y gastric bypass late dumping in a patient with a history of Nissen fundoplication converted to bypass for obesity.","authors":"Jean-Philippe MmK Magema, Jacques Himpens","doi":"10.1080/00015458.2025.2468063","DOIUrl":"10.1080/00015458.2025.2468063","url":null,"abstract":"Introduction: Reversal of Roux-en-Y gastric bypass (RYGB) may be indicated for possible side effects such as malnutrition, intolerance, dumping syndrome, or late dumping. Reversal can however induce significant gastro-esophageal reflux disease (GERD).Method: We report the case of a 55 years old Caucasian woman, who had undergone conversion of Nissen fundoplication performed for GERD (Grade B) into RYGB because of recurrent reflux, though Grade A esophagitis and increasing obesity (37.5 kg/m2 BMI). She developed invalidating symptoms of late dumping syndrome and severe diarrhea. Pre- and postoperative evaluation an eso-gastroscopy with esophagitis grade evaluation. Treatment consisted of physiologic reversal of the RYGB, by reimplantation of the alimentary limb into the remnant stomach.Result: Pre-reversal endoscopy showed Grade A esophagitis. Oral glucose test demonstrated severe hypoglycemia persisting till 120 min post-ingestion and clinical symptoms of hypoglycemia (Whipple triad) (40 to 53 mg/dl). Three months after reversal the diagnostic tests had significantly improved, both in terms of glucose metabolism and GERD symptoms. At 22 months after surgery, the patient still did not suffer from diarrhea anymore, her glycemic profile was stable under antidiabetic medications and her BMI raised to 29 kg/m2.Discussion and conclusion: Reversal of Roux-en-Y gastric bypass by incorporation of the alimentary limb between the gastric pouch and the gastric remnant seems to successfully address the dual issue of post-RYGB late dumping and preventing GERD, the different mechanisms involved will be explained latter in this paper.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497813","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

Post-esophagectomy aortogastric-tube fistula treated successfully with TEVAR: case report and review of the literature. TEVAR成功治疗食管切除术后主动脉胃管瘘1例报告及文献复习。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2025-03-03 DOI: 10.1080/00015458.2025.2470535

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

{"title":"Post-esophagectomy aortogastric-tube fistula treated successfully with TEVAR: case report and review of the literature.","authors":"Natasha Hasemaki, Dimitrios Schizas, Chrysovalantis Vergadis, Stavros Sougioultzis, Athanasios Katsargyris, Christos Klonaris","doi":"10.1080/00015458.2025.2470535","DOIUrl":"10.1080/00015458.2025.2470535","url":null,"abstract":"Background: Aortogastric-tube fistula is a rare but fatal complication of esophagectomy, most commonly induced by anastomotic leakage and peptic ulcer formation.Methods: We report a rare case of a 55-year-old male patient presenting with an aortogastric-tube fistula located in the gastric conduit due to a recurrence of esophageal carcinoma.Results: The patient was treated successfully with Thoracic Endovascular Aortic Repair (TEVAR) followed by esophageal stent placement to relieve dysphagia.Conclusion: Although aortogastric-tube fistula is an extremely rare entity, the advent of esophageal cancer surgery, has led to the recognition of aortogastric-tube fistula with increasing frequency in the literature. Herein, we provide a comprehensive review of the literature, focusing on the pathophysiology, time interval between surgery and presentation, type of treatment and survival of reported cases with post-esophagectomy aortogastric-tube fistula.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"1-8"},"PeriodicalIF":0.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466618","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