Journal of surgery and research最新文献_第6页

Emergency Department Management of Hip Fractures: Factors Predicting Readmission at 30 day, 60 day, 90 day and 1 year Intervals 髋部骨折的急诊科管理:间隔30天、60天、90天和1年再入院的预测因素

Journal of surgery and research Pub Date : 2023-01-01 DOI: 10.26502/jsr.10020295

Brian Begley, Francis Maguire, Tyler Hoskins, Justin M. Miller, James C. Wittig

引用次数: 0

Food Bolus Ileus as a Cause of High-Grade Bowel Obstruction: A Case Report 食物丸引起肠梗阻1例

Journal of surgery and research Pub Date : 2023-01-01 DOI: 10.26502/jsr.10020285

Jin Kook Kang, Zhifei Sun

引用次数: 0

The Learning Curve for Laparoscopic Totally Extraperitoneal Herniorrhaphy by Logarithmic Function: Consecutive 291 cases Performed by a Single Surgeon 用对数函数分析腹腔镜全腹膜外疝修补术的学习曲线:同一位外科医生连续291例

Journal of surgery and research Pub Date : 2023-01-01 DOI: 10.26502/jsr.10020300

Duyeong Hwang, Y. Baik

{"title":"The Learning Curve for Laparoscopic Totally Extraperitoneal Herniorrhaphy by Logarithmic Function: Consecutive 291 cases Performed by a Single Surgeon","authors":"Duyeong Hwang, Y. Baik","doi":"10.26502/jsr.10020300","DOIUrl":"https://doi.org/10.26502/jsr.10020300","url":null,"abstract":"Purpose: The Totally extraperitoneal (TEP) herniorrhaphy is not an easy technique for beginner surgeons because of the complexity of inguinal anatomy and narrow space of the operation field. The aim of this study is to estimate learning curve of laparoscopic TEP herniorrhaphy using logarithmic function model and the exponential function model. Revealing the number of cases needs to overcoming the early learning curve and minimizing the recurrence rate. Methods: A retrospective analysis of the first 291 patient who underwent laparoscopic TEP herniorrhaphy by a single surgeon consecutively. A logarithmic function and an exponential function were derived from operating time data. The population was divided into three consecutive groups. Each groups assigned the starting point, the slope of the curve, and the plateau of the curve. We calculated how many operation numbers are needed to achieve reduction expected operating time to mean operating time. Results: 291 patients underwent laparoscopic hernia repair. The mean operation time was 70.3 minutes for unilateral hernias. According to two learning curve models, the operation time was decreased less than mean operation time after the initial 88 cases was performed. As the operation time decreased, the recurrence rate decreased. Conclusion: According to the two learning curve models, 88 cases are required to overcome the learning curve, minimize revision surgery, and achieve a qualified surgery. Further studies on learning curves and training methods are needed to enable a scientific approach to surgical education and quality improvement in surgical education for surgeons and medical services for patients.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78966918","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}

引用次数: 0

Accessory Breast Cancer: A Case Series 辅助乳腺癌:一个病例系列

Journal of surgery and research Pub Date : 2023-01-01 DOI: 10.26502/jsr.10020299

Nicole Remmert, Nawal Moin, K. Daniele, Rakhsanda Layeequr Rahman

引用次数: 0

To ascertain the awareness among Triage Staff about Clinical Conditions treated in the department of Hand Surgery from their Referral Pattern: A Cross Sectional Observational Study in a Tertiary Care Center 从转诊模式确定分诊人员对手外科临床状况的认识:三级医疗中心的横断面观察研究

Journal of surgery and research Pub Date : 2023-01-01 DOI: 10.26502/jsr.10020308

M. Sethu, S. Rajappa

引用次数: 0

Geometric changes to the central nervous system organs at risk during chemoradiotherapy for locally advanced nasopharyngeal carcinoma 局部晚期鼻咽癌放化疗期间中枢神经系统器官的几何变化

Journal of surgery and research Pub Date : 2022-07-05 DOI: 10.1101/2022.07.01.22277168

W. Tan, J. Li, Z. Jiang

{"title":"Geometric changes to the central nervous system organs at risk during chemoradiotherapy for locally advanced nasopharyngeal carcinoma","authors":"W. Tan, J. Li, Z. Jiang","doi":"10.1101/2022.07.01.22277168","DOIUrl":"https://doi.org/10.1101/2022.07.01.22277168","url":null,"abstract":"BackgroundConsiderable geometric changes to the organs at risk (OARs) have been reported during treatment with chemotherapy and intensity modulated radiotherapy (chemo-IMRT) for locally advanced nasopharyngeal carcinoma (LA-NPC). This study aimed to quantify geometric changes to the central nervous system-related OARs (CNS-OARs), during chemo-IMRT for LA-NPC. MethodsThis prospective study included 20 patients with LA-NPC, treated with chemo-IMRT. Patients underwent a planning computed tomography (CT-plan) scan with intravenous contrast, followed by six weekly scans without contrast (CT-rep). For CNS-OARs, including the spinal cord, brainstem, optic chiasm and nerves, the globes of the eye, lens, and inner ears, their volume loss, the center of mass (COM) displacement, and spatial deformation was compared among weeks, respectively. The correlation between organ volume reduction and patients weight loss was estimated. ResultsThe volume of the brainstem, spinal cord, and the globe of left-and right-side eye averagely decreased by 2.6{+/-}2.3% (95% CI: 2.1%, 3.1%), 6.5{+/-}4.8% (5.6%,7.4%), 9.4{+/-}6.9% (8.1%, 10.6%) and 9.6{+/-}7.8% (8.2, 11.1%) respectively. The volume reduction of the spinal cord and that of the brainstem were significantly correlated with patients weight loss. For all OARs, the COM displacement was within 3 mm, except for the lower level of the spinal cord. The DSC value of the spinal cord, brainstem, and the globes of the eye was of >0.85 throughout treatment. ConclusionsThe volume and shape changes to the CNS-OARs during chemo-IMRT for NPC were quantifiable, which could be useful to refine radiation treatment protocols.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83762077","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}

引用次数: 0

Post-Operative Atrial Fibrillation: Current Treatments and Etiologies for a Persistent Surgical Complication 术后房颤:持续手术并发症的当前治疗和病因

Journal of surgery and research Pub Date : 2022-03-28 DOI: 10.26502/jsr.10020209

Leilani A Lopes, D. Agrawal

{"title":"Post-Operative Atrial Fibrillation: Current Treatments and Etiologies for a Persistent Surgical Complication","authors":"Leilani A Lopes, D. Agrawal","doi":"10.26502/jsr.10020209","DOIUrl":"https://doi.org/10.26502/jsr.10020209","url":null,"abstract":"Post-operative atrial fibrillation (POAF) is a persistent and serious surgical complication that occur in 20-55% of cardiac surgery cases. POAF may lead to adverse health outcomes such as stroke, thromboembolism, cardiac arrest, and mortality, and may develop long-term. Patients have a 2-fold increase in mortality risk and spend about 3.7 more days in the hospital and $16,000 more in medical costs during their visit. The mechanisms and risk factors of POAF are still poorly understood, yet a strong foundation of how a disease process occurs is needed to provide the most effective treatment. Current mechanisms that are postulated to contribute to POAF include an increase in sympathetic tone, oxidative stress, local and systemic inflammation, a trigger that induces atrial substrate changes, a driver to sustain POAF, and electrolyte disturbances such as hypomagnesemia. While needing more research, current risk factors include age, male sex, history of myocardial infarction or heart failure, hypertension, diabetes, obesity, and COPD. Treatments mostly include prophylaxis of repurposed drugs such as beta-blockers, statins, oral anticoagulants, antiarrhythmics, and Vitamin D and electrolyte supplementation. Autonomic denervation has also been a promising preventative measure for patients undergoing cardiac surgery. This critical review article provides an up-to-date and comprehensive summary of the pathophysiology of POAF, current clinical risk factors and management for POAF and discusses new pathways for further investigation.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"63 1","pages":"159 - 172"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80323224","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}

引用次数: 11

Impact of Transition from Conventional Open Radical Cystectomy to Laparoscopic Radical Cystectomy for Neobladder: A Retrospective Study 从传统开放根治性膀胱切除术到腹腔镜根治性膀胱切除术对新膀胱的影响:回顾性研究

Journal of surgery and research Pub Date : 2022-03-23 DOI: 10.1101/2022.03.20.22272324

R. Shah, A. Trivedi, K. Rajyaguru, P. Bhatt

{"title":"Impact of Transition from Conventional Open Radical Cystectomy to Laparoscopic Radical Cystectomy for Neobladder: A Retrospective Study","authors":"R. Shah, A. Trivedi, K. Rajyaguru, P. Bhatt","doi":"10.1101/2022.03.20.22272324","DOIUrl":"https://doi.org/10.1101/2022.03.20.22272324","url":null,"abstract":"Background: Early operative recovery and good Quality of life are important goals of radical cystectomy. We compare the pre, peri and post operative data between Open radical cystectomy (ORC) and Laparoscopic radical cystectomy (LRC) surgery of neobladder. Patients and Methods: Retrospective analysis of 13 male consecutive patients who underwent radical cystectomy by a single surgeon was done. Diagnosis of all patients was of invasive bladder cancer. Abdominal and preoperative staging was done using computed tomography. None of them received neoadjuvant chemotherapy. All the patients received same standard template bilateral pelvic lympadenenectomy. The urinary diversion included orthotopic neobladder. All patients were consented prior to study participation. Results: Of the 13 male patients, six had ORC with neobladder while 7 underwent LRC surgery. Baseline characteristics (age, BMI, comorbidities, tumour grade, lymph node status) were similar in both groups. Incision length was significantly smaller in LRC as compared to ORC group (p <0.0001). Although the operative time was longer in LRC group as compared to ORC it was sufficed by reduced time for analgesics, shorter hospital stay (p<0.05), besides earlier time to liquid intake with immediate removal of nasogastric tube (p<0.001). No major complications were observed in the LRC unlike ORC group where one patient died at 30 days. Conclusions: Based on the observations of our small study sample peri and postoperative outcomes are promising for LRC compared to ORC for patients undergoing neobladder in terms of the smaller incision length associated with less pain and complications, with speedy recovery without jeopardizing oncological outcomes.Transition of surgeon from ORC to LRC was advantageous to patients.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91038632","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}

引用次数: 0

Retroperitoneal Soft-Tissue Sarcoma: Retrospective Study from a Cancer Hospital in Pakistan 腹膜后软组织肉瘤:巴基斯坦一家肿瘤医院的回顾性研究

Journal of surgery and research Pub Date : 2022-02-01 DOI: 10.26502/JSR.10020110

J. Mohsin, A. Jamal, Noor Mubeen, A. Syed

{"title":"Retroperitoneal Soft-Tissue Sarcoma: Retrospective Study from a Cancer Hospital in Pakistan","authors":"J. Mohsin, A. Jamal, Noor Mubeen, A. Syed","doi":"10.26502/JSR.10020110","DOIUrl":"https://doi.org/10.26502/JSR.10020110","url":null,"abstract":"Objectives: To determine the clinicopathological aspects and factors determining the recurrence and 5-year survival of patients diagnosed with retroperitoneal soft-tissue sarcoma in a Pakistani cohort of patients. \u0000 \u0000Methods: This retrospective descriptive study was conducted at the Department of Surgical Oncology, Shaukat Khanum Memorial Hospital & Research Centre (SKMCH&RC), Lahore, Pakistan. Patients who underwent surgery for retroperitoneal sarcoma from January 2011 to December 2015 were included and followed for 5 years (December 2020). A total of 54 patients was included in this study. \u0000 \u0000Results: Fifty-seven percent (n=31) cases were male with a median age at the time of presentation 43 (30-60) years. Well-differentiated liposarcoma was the most common variant. Non-compartmental resection was done in 40 (74%) of the cases. The overall 5-year survival was 74% with median Disease-Free Survival (DFS) of 14 (6-48) months. Recurrence was seen in 28 cases (52%). \u0000 \u0000Conclusions: In the Pakistani cohort of patients. retroperitoneal soft-tissue sarcoma was more commonly seen in males at the median age of 43 years. The most common presentations were abdominal pain and mass. Well-differentiated liposarcoma was the most common histological variant. The overall 5-year survival was 74% that was affected by histological variant and grade. Recurrence was affected by histological variant and grade, margin positivity, and use of neoadjuvant therapy.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90819913","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}

引用次数: 0

Physical Activity Outcome In Early Vs Delayed Elderly Hip Fracture Surgery 老年髋部骨折早期与延迟手术的身体活动结果

Journal of surgery and research Pub Date : 2022-01-20 DOI: 10.21203/rs.3.rs-1240719/v1

A. Gopurathingal, Amar M. Kamat

引用次数: 0