Journal of surgery and research最新文献

{"title":"Post-Operative Cerebral Oximetry for Detection of Low - Cardiac Output Syndrome after Coronary Artery Bypass Surgery in Patients with Low Pre-Operative Left Ventricular Ejection Fraction - A Protocol for an Observational Study on Simultaneous Monitoring of Cerebral Oximetry and Cardiac Index","authors":"Miriam Silaschi, Markus Velten, Marc Rohner, Marcus Thudium, Jacqueline Kruse","doi":"10.26502/jsr.10020310","DOIUrl":"https://doi.org/10.26502/jsr.10020310","url":null,"abstract":"Background: While cerebral near infrared spectroscopy (NIRS) is a valuable diagnostic tool to monitor brain oxygenation during cardiac surgery, its value in situations of low cardiac output in critical care patients has not been thoroughly evaluated. Thus, the aim of this study is to evaluate the correlation of NIRS with cardiac index in low cardiac output syndrome (LCOS). The hypothesis of this study is that NIRS shows significant decline during LCOS earlier than routine hemodynamic measurements.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136299270","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":"Sepsis in Polytrauma Patients: A Comparative Analysis of Damage Control versus Early Total Care regarding the Injury Severity Score using IBM Watson Pathway Explorer®","authors":"Jan Hambrecht, Philipp Vetter, Cedric Niggli, Hans-Christoph Pape, Ladislav Mica","doi":"10.26502/jsr.10020318","DOIUrl":"https://doi.org/10.26502/jsr.10020318","url":null,"abstract":"Sepsis presents a challenge in polytrauma patients care, where timing of procedures is crucial. The University Hospital of Zurich and IBM developed IBM Watson Trauma Pathway Explorer for predicting polytrauma complications such as SIRS, Sepsis, and early death within 72 hours. We intended to investigate the association of surgical treatment (Damage Control, DCS and Early Total Care, ETC) and injury severity (Injury Severity Score, ISS) with the development of sepsis. Data from 3653 patients was included. Patients were divided into two groups based on the type of surgical management (DCS, ETC) and injury severity (ISS ≤ 30, ISS > 30). The groups were assessed for the development of sepsis. Totally, 1242 patients had an ISS > 30 (34.6%), while 2374 had an ISS ≤ 30 (65.4%). DCS was conducted in 66.3% of cases versus 33.7% for ETC. DCS was performed in 73.5% of patients with an ISS > 30 and in 62.5% of patients with an ISS ≤ 30. ETC was performed in 26.5% for ISS > 30 and 37.5% for ISS ≤ 30. Sepsis was detected in 15% of the patients. 50.8% of sepsis cases had an initial ISS > 30. Regarding ETC, sepsis occurred in 9.6% of cases with ISS ≤ 30 and in 18.5% of cases with an ISS > 30. Regarding DCS, sepsis was detected in 12.3% with ISS ≤ 30 and in 23.4% with ISS > 30. Development of sepsis was associated with ISS > 30 (OR 2.21, p < 0.001) and DCS treatment (OR 1.45, p< 0.001). The findings confirm the association of sepsis development in polytrauma patients with a higher injury severity (ISS < 30). On the other hand, DCS does not generally imply a lower risk for this complication.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959050","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":"Pain Control during Outpatient Operative Hysteroscopy: What do we know nowdays?","authors":"Alessandro Messina, Giovanni Lipari, Paolo Alessi, Livio Leo, Bianca Masturzo, Alberto Revelli","doi":"10.26502/jsr.10020317","DOIUrl":"https://doi.org/10.26502/jsr.10020317","url":null,"abstract":"Pain is the primary cause of failure of hysteroscopy. It is attributable to multiple causes, such as manipulation of the cervical canal, uterine distention due to the liquid means of distension used during the procedure, operative procedures on the endometrial mucosa, up to the release of prostaglandins following manipulation of the cervix and uterine distension. There are few studies in the literature that have compared the various methods of pain control during hysteroscopic examination; so far there is no review that defines which are the best strategies to implement. For this reason, the aim of this Review is to summarize what we know today about pain control during Outpatient Operative Hysteroscopy, and to clarify what could be the best strategies to make the hysteroscopic examination increasingly tolerable for the patients and consequently to increasingly limit entrances to the operating room.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135650314","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":"Simultaneous Bladder Drainage via Suprapubic and Urethral Catheters: Which Drains More Completely and Why?","authors":"Aurash Naser-Tavakolian,&nbsp;John M Masterson,&nbsp;Jeremiah Dallmer,&nbsp;Catherine Bresee,&nbsp;Michael Zaliznyak,&nbsp;Hanson Zhao,&nbsp;Sandeep Sandhu,&nbsp;Maurice M Garcia","doi":"10.26502/jsr.10020316","DOIUrl":"10.26502/jsr.10020316","url":null,"abstract":"<p><strong>Background: </strong>Reconstructive urologists often place both a urethral and suprapubic catheter intraoperatively to prevent extravasation of undrained urine across anastomosis sutures. As no consensus exists on which catheter drains the bladder more completely, many surgeons leave one catheter to gravity drainage and cap the other postoperatively. We sought to identify differences in catheter urine outflow during dual bladder drainage with suprapubic and urethral catheters in postoperative urology patients.</p><p><strong>Methods: </strong>Urine output (UOP) from transgender men who underwent Stage II Phalloplasty with urethral lengthening was retrospectively reviewed. Both 16 French urethral and suprapubic catheters were placed to gravity drainage postoperatively. Urine output from each catheter was recorded separately, twice daily. Mixed model regression modeling tested for differences in urine output by time of day (day/night) and activity status (Bedrest: Postop Day 0-2, Ambulatory: Postop Day 3+).</p><p><strong>Results: </strong>The aggregate number of 12-hour shift urine output observations was 250 (125 for urethral and 125 for suprapubic catheters) across 14 inpatients. Suprapubic catheters had a mean 410 ml higher output than urethral catheters per 12-hour shift (p=0.002; 95% CI: 185, 636 ml). During daytime, Suprapubic catheters demonstrated higher UOP than urethral catheters per 12-hour shift (Estimated Difference: 464 ml; p=0.002; 95% CI: 211, 718 ml). During nighttime, a similar phenomenon was observed (Estimated Difference: 356 ml; p=0.009; 95% CI: 104, 606 ml). When comparing mean UOP from each catheter during the Bedrest Phase, suprapubic catheters averaged an estimated 295 ml higher UOP compared to urethral catheters per 12-hour shift with a trend toward statistical significance (p=0.052; 95% CI -3, 594 ml). During the Ambulatory Phase, mean suprapubic catheter UOP was an estimated 472 ml higher than urethral catheters per 12-hour shift (p=0.009; 95% CI 142, 802 ml).</p><p><strong>Conclusions: </strong>Simultaneous bladder drainage with urethral and suprapubic catheters shows greater drainage from the suprapubic catheter (35% vs 65%). When using two catheters, both can be placed to gravity to maximize bladder drainage as the suprapubic catheter can drain residual urine not adequately drained by the urethral catheter.</p>","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"6 3","pages":"317-322"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considerations for Readmissions in Simultaneous Bilateral Total Knee Arthroplasty","authors":"Brian B. Begley, Justin M Miller, Christopher J. Mazzei, Francis C. Maguire, Tyler Hoskins, James C. Wittig","doi":"10.26502/jsr.10020297","DOIUrl":"https://doi.org/10.26502/jsr.10020297","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73526038","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":"Best Palliation for Malignant Bowel Obstruction- A Retrospective study","authors":"Laxmidhar Padhy, S. K. Barma, Pranay Kumar Patro","doi":"10.26502/jsr.10020287","DOIUrl":"https://doi.org/10.26502/jsr.10020287","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"141 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76728033","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":"A Comparison of Re-admission and Emergency Department Visits in a Colorectal Surgical Home versus Traditional Perioperative Care","authors":"Caroline A Couch, Kristen L Coleman, Angela N Fellner, H. Guend","doi":"10.26502/jsr.10020303","DOIUrl":"https://doi.org/10.26502/jsr.10020303","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84247859","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":"Outcome of Early Reversal of Intestinal Stoma: A Cross-Sectional Study","authors":"Md. Monoarul Islam Talukdar, Nazia Islam, Mohammed Tanvir Jalal, Mir Rasekh Alam Ovi, Shamima Nasrin, Md. Shahadot Hossain Sheikh","doi":"10.26502/jsr.10020320","DOIUrl":"https://doi.org/10.26502/jsr.10020320","url":null,"abstract":"Background: Early reversal of temporary intestinal stoma might bring good clinical outcome as like as late reversal in the context of anastomotic leakage, postoperative ileus, sepsis, intraoperative bleeding etc. This may avoid stoma related morbidity & complications. This study was designed to find out the short-term outcomes of early reversal of intestinal stoma within 14 days of index surgery.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959059","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 Transperitoneal Pyeloplasty Outcomes in Adult Patients with Ureteropelvic Junction Obstruction","authors":"Md. Shahidul Islam, Anirudha Sardar, Mitheel-Ibna Islam, Md. Tarikul Islam","doi":"10.26502/jsr.10020315","DOIUrl":"https://doi.org/10.26502/jsr.10020315","url":null,"abstract":"Background: Ureteropelvic junction obstruction (UPJO) is a frequently observed abnormality in the ureters of children. It has been reported that UPJO is approximately 5 cases per 100,000 infants each year. The obstruction at the ureteropelvic junction can be attributed to factors originating within the ureter itself (intrinsic UPJO). In contrast, cases caused by external factors are uncommon and usually result from abnormal vessels crossing the area crossing aberrant vessels.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135440561","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":"Use of Indocyanine Green Imaging in Gastroyeyunal Reconstruction For Recalcitrant Gastroparesis - Case Report","authors":"Adolfo Leyva Alvizo, Cristina Villar- Canton, Giovanna Yazmin Arteaga-Müller, Meri Yeghiazaryan","doi":"10.26502/jsr.10020292","DOIUrl":"https://doi.org/10.26502/jsr.10020292","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73494867","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}