Journal of surgery and research最新文献

{"title":"Study to Compare Bilateral Lichtenstein Repair with Stoppa’s (Giant Prosthetic Reinforcement of The Visceral Sac) Repair in Cases of Bilateral Inguinal Hernia","authors":"J. Prakash, Rajiv Nandan Sahai","doi":"10.26502/jsr.10020264","DOIUrl":"https://doi.org/10.26502/jsr.10020264","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76247942","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":"Cost-effectiveness of Colorectal Screening in a European Country. A Comparison of Five Alternative Screening Strategies","authors":"Luís Lopes, M. Certo, Paula Veiga, J. Canena","doi":"10.26502/jsr.10020253","DOIUrl":"https://doi.org/10.26502/jsr.10020253","url":null,"abstract":"Background: The implementation of an organized screening strategy should include a cost-effectiveness analysis for the governments to take decisions that promote health and better allocate resources which does not happen most of the times. This study aimed to evaluate the most cost-effective strategy for CRC screening in a European Country. Methods: A cost-effectiveness (CE) probabilistic Markov model was developed to compare the costs and the quality-adjusted life expectancy of 50-year-old average-risk individuals submitted to five alternative screening strategies based on colonoscopy, computed tomography (CT) and FIT, as well as no screening. We calculated the costs from the perspective of a third payer (Portuguese National Health Service) and populated the model with data from published literature. Probability of being cost-effective was estimated for different thresholds of willingness-to-pay. Results: Colonoscopy 3/10 years is the most cost-effective strategy for colorectal screening in Portugal, with an estimated ICER of 802 €/ QALY when compared with colonoscopy every 10 years. The FIT and CT colonography based strategies are dominated by colonoscopy-based strategies. Biennial FIT, the strategy currently being used in Portugal, showed the smallest gains in life years gained (498.3 days) the smallest reduction in the incidence of CRC (-37%) and the smallest reduction in CRC mortality (-57%) between all the screening strategies. The findings were robust to probabilistic sensitivity analysis. Conclusions: Colonoscopy based strategies offer the best value for the money in Portugal. Biennial FIT, the screening strategy in Portugal should be replaced by a colonoscopy-based strategy. Screening European Country. A Comparison of Five Alternative Screening Strategies.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"198 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79672620","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":"Effects of Granulocyte Colony-Stimulating Factor Administration on Liver Hypertrophy After Portal Vein Embolization in a Rabbit Model","authors":"K. Nishio, K. Kimura, A. Yamamoto, R. Amano, G. Ohira, Ken Kageyama, Kotaro Miura, Naoki Kametani, T. Ishizawa","doi":"10.26502/jsr.10020249","DOIUrl":"https://doi.org/10.26502/jsr.10020249","url":null,"abstract":"Background: Postoperative liver failure is one of the most frequent causes of perioperative mortality in hepatectomy patients, even with preoperative portal vein embolization (PVE). However, recent research has found that administration of granulocyte colony-stimulating factor (G-CSF) improves liver function and increases the survival rate of patients with decompensated liver cirrhosis. This study aimed to determine the effects of G-CSF administration on liver hypertrophy after PVE in a rabbit model. Methods: Eight rabbits were divided into an embolization only (PVE) group (n = 4) and an embolization with G-CSF administration (G-CSF) group (n = 4). The degree of nonembolized liver volume hypertrophy (DLV) and the immunohistochemistry for Ki67, RAM11, and CD34 levels were compared between the two groups to quantify macrophage and cell proliferation and the presence of CD34-positive cells in the liver. Results: The median DLV in the PVE group was 14.7%, compared to 18.8% in the G-CSF group. This was a significant difference (p = 0.042). The expression of both Ki67 and RAM11 in the nonembolized parts of the livers of the G-CSF group was significantly greater than in the nonembolized livers of the PVE group (p = 0.0003). There was no significant difference in CD34 expression in the nonembolized livers of the rabbits in the two groups. Conclusions: In our rabbit model, the DLV and cell proliferation in the G-CSF group were significantly greater than in the PVE group. This suggests that G-CSF administration with PVE prompts the proliferation of liver","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86040906","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":"Aberrant Left Subclavian Artery with Kommerell’s Diverticulum And Right Sided Aortic Arch: Hybrid Approach","authors":"Juliette Strella, Q. Langouet, É. Marchand, J. Pucheux, A. Legras, Robert R. Martinez","doi":"10.26502/jsr.10020229","DOIUrl":"https://doi.org/10.26502/jsr.10020229","url":null,"abstract":"Aberrant Left Subclavian Artery with Kommerell’s Diverticulum And Right Sided Aortic Arch: Hybrid Approach Abstract A 58 years-old woman presented a rare right-sided aortic arch with an aberrant left subclavian retro-esophageal artery, originates from Kommerell’s diverticulum. After left subclavian to carotid transposition, we implanted a thoracic endoprosthesis under ventricular fibrillation. Type IA symptomatic proximal endoleak was treated with a second endograft a week later. We shared here technical aspects and challenges of endovascular management, including precise preoperative imaging (CT angiography, lymphangio-MRI), the need of a hybrid operative room, conformable endoprosthesis and right ventricle overstimulation.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85238182","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":"Mastectomy and Immediate Breast Reconstruction with Pre-Pectoral or Sub-Pectoral Implant: Assessing Clinical Practice, Post-Surgical Outcomes, Patient's Satisfaction and Cost.","authors":"Gilles Houvenaeghel,&nbsp;Monique Cohen,&nbsp;Laura Sabiani,&nbsp;Aurore Van Troy,&nbsp;Olivia Quilichini,&nbsp;Axelle Charavil,&nbsp;Max Buttarelli,&nbsp;Sandrine Rua,&nbsp;Agnès Tallet,&nbsp;Alexandre de Nonneville,&nbsp;Marie Bannier","doi":"10.26502/jsr.10020250","DOIUrl":"https://doi.org/10.26502/jsr.10020250","url":null,"abstract":"<p><p>Immediate breast reconstruction (IBR) rates increase during last years and implant-based reconstruction was the most commonly performed procedure. We examined data collected over 25 months to assess complication rate, duration of surgery, patient's satisfaction and cost, according to pre-pectoral or sub-pectoral implant-IBR. All patients who received an implant-IBR, from January 2020 to January 2022, were included. Results were compared between pre-pectoral and sub-pectoral implant-IBR in univariate and multivariate analysis. We performed 316 implant-IBR, 218 sub-pectoral and 98 (31%) pre-pectoral. Pre-pectoral implant-IBR was significantly associated with the year (2021: OR=12.08 and 2022: OR=76.6), the surgeons and type of mastectomy (SSM vs NSM: OR=0.377). Complications and complications Grade 2-3 rates were 12.9% and 10.1% for sub-pectoral implant-IBR respectively, without significant difference with pre-pectoral implant-IBR: 17.3% and 13.2%. Complications Grade 2-3 were significantly associated with age <50-years (OR=2.27), ASA-2 status (OR=3.63) and cup-size >C (OR=3.08), without difference between pre and sub-pectoral implant-IBR. Durations of surgery were significantly associated with cup-size C and >C (OR=1.72 and 2.80), with sentinel lymph-node biopsy and axillary dissection (OR=3.66 and 9.59) and with sub-pectoral implant-IBR (OR=2.088). Median hospitalization stay was 1 day, without difference between pre and sub-pectoral implant-IBR. Cost of surgery was significantly associated with cup-size > C (OR=2.216) and pre-pectoral implant-IBR (OR=8.02). Bad-medium satisfaction and IBR-failure were significantly associated with local recurrence (OR=8.820), post-mastectomy radiotherapy (OR=1.904) and sub-pectoral implant-IBR (OR=2.098).</p><p><strong>Conclusion: </strong>Complications were not different between pre and sub-pectoral implant-IBR. Pre-pectoral implant-IBR seems a reliable and faster technique with better patient satisfaction but with higher cost.</p>","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"5 3","pages":"500-510"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10466306","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":"Use of Voice Recordings in the Consultation of Patients Seeking Genital Gender-Affirming Surgery: An Opportunity for Broader Application Throughout Surgery?","authors":"Shannon M Smith,&nbsp;Jenna Stelmar,&nbsp;Grace Lee,&nbsp;Peter R Carroll,&nbsp;Maurice M Garcia","doi":"10.26502/jsr.10020269","DOIUrl":"https://doi.org/10.26502/jsr.10020269","url":null,"abstract":"<p><strong>Introduction: </strong>It has been demonstrated that patient memory for medical information is often poor and inaccurate. The use of audio recordings for patient consultation has been described; however, to our knowledge this is the first reported use of audio recordings in consultation for gender-affirming surgery. Our aim was to determine whether, and specifically how, audio recording the consultation of patients presenting for genital gender-affirming surgery would be of benefit to patients.</p><p><strong>Materials and methods: </strong>We began to offer all new patients the opportunity to have their consultations recorded. At the end of the consultation the recording was uploaded to a USB, which was given to the patient to keep. We then surveyed all patients who had received a copy of their recorded consultation to query the utility of having access to an audio recording of their consultation.</p><p><strong>Results: </strong>71/72 (98.6%) patients who were given the option to have their consultation recorded chose to do so. 50/71 (70%) of patients who had their consultation recorded responded to our survey. Patients reported that having access to a voice recording of their consultation was beneficial and was viewed overwhelmingly positively.</p><p><strong>Conclusions: </strong>Routine audio recording of patient consultations is highly beneficial to patients, with little cost to providers, and should be considered as a valuable addition to the new patient consultation. This approach may have applications in broader clinical contexts where patients face numerous, complex, and nuanced management options. The study would benefit from continued application and a larger (multi-center, international) sample.</p>","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"5 4","pages":"618-625"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10538884","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":"Medical Emergency Services in Albania, the Challenges and Improvements of Concepts in Management","authors":"A. Dogjani, K. Haxhirexha, A. Ibrahimi, Amarildo Blloshmi","doi":"10.26502/jsr.10020242","DOIUrl":"https://doi.org/10.26502/jsr.10020242","url":null,"abstract":"Introduction: Emergency medical service for patients in emergency situations is the most important aspect of all health systems in the world, as this is the first and most delicate point of confrontation of the patient with the health system of a country. All patients seeking urgent medical care, and the slightest delay in access to this service, by the population, is understood as a matter of \"life or death\" for them, to which they are quite sensitive. While learning or training during the process of exercising said activity combined with actual study data and comparisons with the results of international emergency medical services remains a challenge of the future. Thus the evaluation criteria of performance indicators of the emergency service based on scientific research evidence are unified. Ambulance services were basically just small vehicles, some with two stretchers, without the necessary equipment. Managers working as emergency personnel had only a few hours of limited first aid training which were referred to as \"suitable personnel\". The duties of the ambulance service personnel were two-fold. On the one hand, they transported the sick and planned the so-called regulated ambulance service… Conclusion: The changes and diversity of medical emergencies including increasing trends of traumatic, mortal, and post-traumatic morbidity emergencies constantly put pressure on medical emergency services. All of these improvements will yield results in increasing efficiency by improving the quality of treatment and reducing the cost of medical care.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88864438","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":"Caustic Esophageal Strictures in Children: Diagnosis, Treatment and Evolution in the City of Douala","authors":"Pauline Mantho, Jean Paul Ndamba Engbang, Calixte Danielle Ndzana Awono, B. Essola, Théophile Kamguep, D. Noah Noah, M. Ngowe Ngowe","doi":"10.26502/jsr.10020248","DOIUrl":"https://doi.org/10.26502/jsr.10020248","url":null,"abstract":"Background: Pediatric caustic ingestion remains frequent and the formation of esophageal strictures is one it’s most dangerous and major complications. The treatment is usually long and difficult and the success of treatment usually depends on the characteristics of the esophageal stricture. The main purpose of our study was to evaluate the diagnosis, treatment and the evolution of cases of caustic esophageal strictures in children in 3 hospitals of the city of Douala. Methods: It was a retrospective and analytic study conducted at the general hospital of Douala, Laquintie hospital of Douala and the Douala gyneco-obstetric and pediatric hospital of Douala from January, 1 st 2011 to December 31 st 2020, from which we had 31 cases of esophageal strictures post ingestion of caustic substances. Results: Cases of caustic esophageal strictures accounted for 23.7% of caustic ingestions and represented 88.6% of the cases of esophageal strictures in children. The mean age of patients was 3.8±2.1 year with extremes going from 1 to 11 years and 61.3% (n=19) of our patients were aged from 2 to 6 years. The male sex was the most predominant with a sex ratio of 1.6. The ingestion was accidental in all the cases, with caustic soda being the most ingested substance in 32.3% of the cases. Drooling was the most frequent initial sign in 45.2% of the cases and dysphagia developed in 93.5% of patients at the stricture phase. 61.3% of our patients had signs of malnutrition and feeding gastrostomy was done in 64.5% of patients. The upper third esophagus was the most frequent localization in 65.6% of the cases. 64.5% of patients were treated by endoscopic dilation and 9.7% required an esophageal replacement. The average duration of treatment was 11.53±4.6 months; it was significantly shorter for patient with short and passable strictures. Dysphagia, drooling, weight loss and ingestion of alkaline were significantly associated with the formation of esophageal strictures. Conclusion: Cases of caustic substance ingestion remain common in our hospitals; endoscopic dilatation occupies the first place in the treatment of caustic esophageal strictures. Prevention still remains the key treatment in the formation of esophageal strictures.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"340 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72918229","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":"De-Implementation of Urinary Catheters in Neurosurgical Patients during the Operation and on the Ward: A Mixed-Methods Multicentre Study Protocol","authors":"Jeanne-Marie Nollen RN, MSc, Anja H Brunsveld-Reinders RN, PhD, MSc, Wilco C Peul MD, PhD, MPH, MBA, Wouter R Van Furth MD, PhD","doi":"10.26502/jsr.10020208","DOIUrl":"https://doi.org/10.26502/jsr.10020208","url":null,"abstract":"Background Indwelling urinary catheters (IDUCS) are routinely inserted during transsphenoidal pituitary gland tumour surgery or spinal fusion surgery, despite literature stating that there are no indications for using IDUCS during or following these surgeries. The aim of the study is to reduce the number of inappropriately inserted IDUCS during or post transsphenoidal pituitary gland tumour surgery and spinal fusion surgery with an operation time of less than 4 hours. observational study was initiated in a multicentre neurosurgical context. This study includes medical chart analysis, satisfaction surveys with patients and healthcare professionals, and multidisciplinary group interviews to assess the effectiveness of, and experiences with, This paper presents the study protocol of a multi-centred before and after trial that aims to reduce inappropriate IDUC use after transsphenoidal pituitary gland tumour surgery and spinal fusion surgery, thereby reducing UTIs, shortening length of hospital stay, and increasing patient comfort. The results can be used to de-implement IDUCS after a broad range of surgeries on several wards. The","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91305794","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":"Cherry Fruit-Stem Stapled into J-J anastomoses during Roux-en-Y Gastric Bypass: A Case Report of a Rare Complication","authors":"Logan D Glosser, Alexander Young, Justin A. Smith, Conner V. Lombardi, Abdullah Alalwan, Motaz Al-yafi, Stephen M. Stanek","doi":"10.26502/jsr.10020212","DOIUrl":"https://doi.org/10.26502/jsr.10020212","url":null,"abstract":"Cherry Fruit-Stem Stapled into J-J anastomoses during Roux-en-Y Gastric Bypass: A Case Report of a Rare Complication. Journal of Surgery and Research 5 (2022): 194-201. Abstract gastrointestinal bleeding, internal herniation, and marginal ulceration. No prior literature discusses intermittent obstructive symptoms secondary to a foreign body anchored by the anastomotic staples. Furthermore, there are currently no universal dietary guidelines for patients in the immediate pre-operative period with regard to avoiding certain foods that could get stapled during the anastomotic construction. Conclusion There are two main take-away lessons from this case. First, this case denotes an unusual complication following RYGB surgery requiring surgical intervention in which the stem of a cherry fruit was stapled into the JJ anastomosis causing obstruction-related intermittent abdominal pain. Second, there is a need for standardized guidelines to outline foods to avoid, such as cherries with a stem, leading up to the procedure.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89449010","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}