Acta Chirurgica Belgica最新文献_第4页

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

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 : 2025-02-04 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. 纪念：雅克·艾格·格鲁韦兹名誉教授1927年3月24日至2024年7月9日。

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

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

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

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

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