Journal of medical research and surgery最新文献

{"title":"Efficacy and Safety of Transurethral Enucleation of Prostate","authors":"S. Bhat, M. Bhat, Adil Ahmad, M. Ahmed, Syed Javaid Qadri","doi":"10.52916/jmrs224092","DOIUrl":"https://doi.org/10.52916/jmrs224092","url":null,"abstract":"Background: Benign Prostatic Hyperplasia (BPH) is one of the most common urological diseases seen in aging men. Surgical treatment is recommended for patients unresponsive to medical therapy or those who have developed BPH-related complications. Enucleation procedure distinguished itself as a successful treatment option in large BPH patients, mimics open prostate enucleation, characterized by good surgical efficiency, reduced complications, faster postoperative recovery, similar prostatic tissue ablation capabilities and satisfactory follow-up results compared with the open technique. Objectives: To assess the safety and efficacy of transurethral enucleation of prostate. Methods: Patients aged above 45 years with symptoms of bladder outlet obstruction due to BPH, with maximal urinary flow rate (Qmax) of <15 ml/s, failure to relieve symptoms by medications or acute urinary retention failing at least one trial without catheter or recurrent gross hematuria due to prostatomegaly or upper urinary tract changes due to bladder outlet obstruction due to BPH and patient willing to undergo Transurethral Resection of the Prostate (TUEP) were included in this study. Results: In our study patients aged between 55-90 years were enrolled. Most common presenting complaints were frequency and acute urinary retention. Mean preoperative prostate size was 102.9 ± 10.90g with a range of 84-126 g. Mean operative time was 86.71 ± 5.24 minutes. The mean postoperative ID catheter was 2.1+1.63 days. Postoperative uroflowmetry and International Prostate Symptom Score (IPSS) improved significantly. Conclusion: TUEP represents a promising endoscopic approach in large Benign Prostate Enlargement (BPE) cases, mimics conventional open method of enucleation of the prostate while having all the advantages of a minimally invasive surgery.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42327185","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}

{"title":"Cancer in Kidney Transplant Recipients: Latest Findings","authors":"F. Tewes","doi":"10.52916/jmrs224091","DOIUrl":"https://doi.org/10.52916/jmrs224091","url":null,"abstract":"Acute renal failure in cancer patients may be due to the existence of tumor cell lysis, in which large amounts of potassium, phosphate, and nucleic acids are released into the bloodstream and cause a cancerous emergency [1]. In addition, it causes metabolic abnormalities that lead to the formation of calcium phosphate, which precipitates into the tissues and some into the kidneys. Metabolic abnormalities increase levels of uric acid, which precipitates in the kidneys. Both situations can lead to End-Stage Renal Failure (ESRF) [2]. The medical solution at this stage is for patients on dialysis or solid organ kidney transplantation.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49337280","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}

{"title":"Laparoscopic Approach to Pancreatic Pseudocyst: A Case Report","authors":"FJ Buils Vilalta, J. Cano, R. P. Butillé, J. Menéndez, M. García, G. Renau, N. Lobo, S. Haupt, A. S. Marín","doi":"10.52916/jmrs224090","DOIUrl":"https://doi.org/10.52916/jmrs224090","url":null,"abstract":"Pancreatic Pseudocyst (PP) is a local complication due to rupture of the pancreatic duct in acute or chronic pancreatitis, trauma or obstruction of the pancreatic duct. Acute forms usually resolve spontaneously in more than 40% of cases and chronic forms usually do not disappear and are at higher risk of complications. They can be drained by surgical, laparoscopic, percutaneous and endoscopic methods. Percutaneous drainage may lead to an external pancreatic fistula and is not preferred Endoscopic internal drainage of pseudocysts has been shown to be effective and is less invasive compared to open surgery . We present a 70 year old male with a history of several episodes of acute pancreatitis with subsequent residual pseudocyst. Initially, an EUS-FNA/ERCP is performed with aspiration of the pseudocyst. Due to the subsequent recurrence months later, it was decided to consider a laparoscopic approach, to solve the recurrence, performing a laparoscopic cystogastrostomy. Postoperative period was uneventful and was discharged on the seventh post-intervention day.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47311147","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}

{"title":"Maternal Breastfeeding Methods, Breastmilk-Derived Antibodies and Cells Concentrations and Their Impact on Infant Morbidity: Results from a Prospective Cohort in Southern Benin","authors":"G. A. Lokossou, Pierre B Adjevi, Omar AK Maladé, Syeda Baneen Fatima, Muhammad Ayub Mansoor","doi":"10.52916/jmrs224088","DOIUrl":"https://doi.org/10.52916/jmrs224088","url":null,"abstract":"Breastfeeding is associated with long-term well-being including low risks for infectious diseases and non-infectious diseases such as asthma, cancer, autoimmune diseases and obesity during childhood. However, very few studies assessed the real-impact of different methods of breastfeeding on infant morbidity in low-income countries such as Benin. Our study aimed to evaluate the dynamic change of immune components and the impact on infant morbidity among Beninese children population. Seventy-six children and their mothers were enrolled in colostrum, transitional and mature milk groups at the District Hospital of Comè in Bénin. Breast milk samples were collected one-time from mothers to assess total IgA, IgG and IgM and leukocytes by using spectrophotometry and level of microscopy, respectively. Mean or proportion comparisons were appreciated using a Mann-Whitney or Fisher’s exact tests, when appropriate. Forty (54.63%), six (7.89%) and thirty (39.47%) mother-infant pairs were enrolled in colostrum, transitional and mature milk groups respectively. The total number of leucocytes and antibodies were different in colostrum, transitional and mature milk. The prevalence of breastfeeding was 90.79% (n=69) in the population with 69.74% (n=53) of exclusive breastfed. Forty-five infants (84.91%) among exclusively breastfed infants were healthy whereas 4 (25%) among mixed breastfed infants and 4 (57.14%) among formula group were healthy (p=0.001). The total leucocytes count and IgA, IgG and IgM concentration decreases from colostrum through transition milk to mature milk. Our data showed a prevalence of exclusive breastfeeding which is associated to a positive clinical outcome on infant’s health. We have also confirmed decrease of antibodies and leucocytes during the maturation of breast milk.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42116825","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}

{"title":"Artificial Intelligence in the American Healthcare Industry: Looking Forward to 2030","authors":"F. Tewes","doi":"10.52916/jmrs224089","DOIUrl":"https://doi.org/10.52916/jmrs224089","url":null,"abstract":"Artificial intelligence (AI) has the potential to speed up the exponential growth of cutting-edge technology, much way the Internet did. Due to intense competition from the private sector, governments, and businesspeople around the world, the Internet has already reached its peak as an exponential technology. In contrast, artificial intelligence is still in its infancy, and people all over the world are unsure of how it will impact their lives in the future. Artificial intelligence, is a field of technology that enables robots and computer programmes to mimic human intellect by teaching a predetermined set of software rules to learn by repetitive learning from experience and slowly moving toward maximum performance. Although this intelligence is still developing, it has already demonstrated five different levels of independence. Utilized initially to resolve issues. Next, think about solutions. Third, respond to inquiries. Fourth, use data analytics to generate forecasts. Fifth, make tactical recommendations. Massive data sets and \"iterative algorithms,\" which use lookup tables and other data structures like stacks and queues to solve issues, make all of this possible. Iteration is a strategy where software rules are regularly adjusted to patterns in the data for a certain number of iterations. The artificial intelligence continuously makes small, incremental improvements that result in exponential growth, which enables the computer to become incredibly proficient at whatever it is trained to do. For each round of data processing, the artificial intelligence tests and measures its performance to develop new expertise. In order to address complicated problems, artificial intelligence aims to create computer systems that can mimic human behavior and exhibit human-like thought processes [1]. Artificial intelligence technology is being developed to give individualized medication in the field of healthcare. By 2030, six different artificial intelligence sectors will have considerably improved healthcare delivery through the utilization of larger, more accessible data sets. The first is machine learning. This area of artificial intelligence learns automatically and produces improved results based on identifying patterns in the data, gaining new insights, and enhancing the outcomes of whatever activity the system is intended to accomplish. It does this without being trained to learn a particular topic. Here are several instances of machine learning in the healthcare industry. The first is the IBM Watson Genomics, which aids in rapid disease diagnosis and identification by fusing cognitive computing with genome-based tumour sequencing. Second, a project called Nave Bayes allows for the prediction of diabetes years before an official diagnosis, before it results in harm to the kidneys, the heart, and the nerves. Third, employing two machine learning approaches termed classification and clustering to analyse the Indian Liver Patient Data (ILPD) set in orde","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45077068","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}

{"title":"Evaluation of Traumatic Vertebra and Rib Fractures","authors":"Ahmet Dumanlı, Suphi Aydın, Gülcan Gencer","doi":"10.52916/jmrs224086","DOIUrl":"https://doi.org/10.52916/jmrs224086","url":null,"abstract":"Background: In our study, we aimed to examine the relationship between trauma-related thoracic vertebral fractures and/or rib fractures location, age and gender. Methods: Between January 1, 2020 and December 31, 2020, 100 patients with trauma-related thoracic vertebral fracture and/or rib fracture were included in the study. Rib fractures and thoracic vertebral fractures were analyzed according to age, gender, level and fracture type. The correlation between rib and vertebral fractures was investigated. Results: 72% of the patients were male and 28% were female, mean age was 48.49 ± 18.83. Thoracic vertebral corpus fractures were detected most frequently in T8 in 22 patients and in T1 in at least 1 patient. Spinous process fracture was found to be highest in T2 with 9 patients, and 1 patient each in T5, T6, and T12. Transverse processes fracture was seen in T9 with a maximum of 5 patients. Rib fractures were observed more frequently on the right. Displaced rib fractures were most common in the 6th and 7th ribs, and non-displaced rib fractures were observed in the 5th ribs with 9 patients. Left rib fractures were most common in the 5th rib, with 6 displaced patients and 8 non-displaced patients. When the thoracic vertebral fractures and rib fractures were examined depending on the age variable, it was determined that the fractures in the T2 spinous, T3 spinous, T5 corpus and T8 vertebral corpus, and rib fractures in the right 4,6,8,10 and left 2 and 4 differ depending on the age variable (p<0.05). When thoracic vertebral fractures and rib fractures were analyzed depending on gender, a correlation was found between T7 vertebral body fractures and left 6th rib fractures (p<0.05). Conclusion: The coexistence of vertebral and rib fractures should be kept in mind in trauma patients, and plans for diagnosis and treatment should be made accordingly.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46813494","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}

{"title":"Post-Cholecystectomy Gossypiboma Mimicking the Liver Hydatid Cyst","authors":"I. Ali, R. Zainab, Khubab Khalid, Syeda Baneen Fatima, Muhammad Ayub Mansoor, Khansa Abro","doi":"10.52916/jmrs224087","DOIUrl":"https://doi.org/10.52916/jmrs224087","url":null,"abstract":"Gossypiboma is also called as retained foreign body or surgical sponge a rare and serious complication following the major surgical intervention. It is commonly occurred after major abdomino-pelvic surgery and can cause significant morbidity and mortality. We present a case of large gossypiboma within the liver parenchyma in post-operative patient radiologically mimicking the hydatid cyst and its surgical findings.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48615860","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}

{"title":"Hazim Alhiti's Method for Local Burn Treatment","authors":"Hazim abdul rahman Alhiti","doi":"10.52916/jmrs22s205","DOIUrl":"https://doi.org/10.52916/jmrs22s205","url":null,"abstract":"In July 2017, an Iraqi teenager girl suffered an acute burn on her right foot. She was in distress, in severe pain, with all stages of the burn. After the girl/her family's consent, I gave analgesia; utilized a mixed solution of olive oil and honey; dressed the burn; washed the oil mixture after one hour; encouraged the girl to walk with analgesi; ordered nutritional support; advised her to lift her burnt foot during rest. Two weeks later, this girl had an itching, so I applied cactus oil twice daily. After four weeks, the girl walked better, and the burn healed.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44711393","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}

{"title":"Cecal Perforation: Gastrointestinal Menifestation of Acute Lymphoblastic Leukemia","authors":"Aliya Ishaq, Muhammad jamshaid Khan, F. I. B. Juma, L. Itu, Sameera Naureen, Nisha Kunal, Yasir Aminabdellatif, A. Awa, Z. Abdulaziz","doi":"10.52916/jmrs22s204","DOIUrl":"https://doi.org/10.52916/jmrs22s204","url":null,"abstract":"Background: Hematological malignancies present with gastrointestinal manifestations in the form of typhlitis, colitis and bowel perforation. Prompt diagnosis and appropriate treatment of these entities is essential because they are associated with high morbidity and mortality. Case report: We present a case report of a young female patient who was diagnosed with acute lymphoblastic leukemia and while being on induction chemotherapy started having fever, pneumonia, positive blood culture and was started for that on broad spectrum antibiotics after which she developed abdominal pain and loose motion and was found to have clostridial difficile a toxin positive in blood. Surgical consult was taken for non-settling abdominal pain. It was a challenging diagnosis as patient was having loose motion with positive clostridial difficile further more ct scan abdomen done with contrast showed only bowel thickening which was in favor of colitis along with ascites. She was initially managed conservatively and ascitic diagnostic tap also was done which showed serous fluid. However, her persistent abdominal pain which was not settling led her to go another ct scan abdomen after 3 days of initial ct scan and showed specks of free air around cecum based on which she was taken to operation theatre and was found to have big cecal perforation with fecal peritonitis, she ended up having right hemicolectomy and ileo transverse stoma formation. She had prolonged Intensive Care Unit (ICU) stay but eventually recovered fully and was shifted to general ward where after wound healing was taken over by hematology department for continuation of her chemotherapy. Final histopathology of right hemicolectomy specimen showed focal marked mucosal ulcerations/erosions with patchy submucosal neutrophilic abscesses with fibrinosuppurative necrosis, and marked serositis with dense acute (fibrinopurulent) inflammation, all bowel layers mucosa, sub mucosa, muscularis and serosa showed neutrophilic infiltrates, there was no evidence of pseudomembranous colitis, granuloma or malignancy. Conclusion: Patients on chemotherapy for hematological malignancies are neutropenic and are at high risk of bowel ischemia and perforation emanating to there primary disease, immunocompromised status and direct and indirect side effects of chemotherapeutic agents. A high index of suspicion is needed to diagnose these cases accurately and treat accordingly to prevent mortality.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48203186","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}

{"title":"Primary Large Diffuse B Cell Lymphoma Presenting as Rapidly Enlarging Thyroid Mass with Compressive Symptoms: A Case Report","authors":"Aliya Ishaq, Yasir Amin Abdellatif, Syed Mohammed Javed, Nisha Kunal, Sameera Naureen, Muhammad jamshaid Khan, M. Ali, A. Awa, E. Ghazi, Z. Abdulaziz","doi":"10.52916/jmrs22s203","DOIUrl":"https://doi.org/10.52916/jmrs22s203","url":null,"abstract":"Background: Primary thyroid lymphoma are seen occasionally accounting for 5% among thyroid tumors. Commonest of these lymphomas is diffuse large B cell type. Case report: A 66 years old female presented to our Department with rapidly enlarging thyroid mass having difficulty in swallowing as well as breathing. She underwent left hemithyroidectomy 30 years ago for a benign disease. Clinicallly it was a large mass 20 × 20 cm hard inconsistency and clinically attached to sternocleidomastoid muscles with no skin and lymph node involvement. Computed Tomography (CT) scan of neck with contrast showed large ill-defined mass noted arising from the right lobe of the thyroid gland encasing the common carotid with loss of fat planes between the mass and the right jugular vein, sternocleidomastoid, trachea, esophagus suggesting involvement. She underwent incisional biopsy of mass which showed Diffuse Large B Cell Lymphoma (DLBCL). Discussion: Most of thyroid lymphomas originate from B cells. Fine Needle Aspiration Cytology (FNAC) can diagnose 80-85% of cases but definitive diagnosis can be made by biopsy only. Surgery has a limited role in treatment and main modality is chemoradiotherapy. Conclusion: A rapidly enlarged thyroid swelling should be suspected of having lymphoma specially on the background of lymphocytic thyroiditis and multidisciplinary team approach should be used for management.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41336377","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}