Panamerican journal of trauma, critical care & emergency surgery最新文献_第4页

Risk Factors and Complications Associated with Difficult Emergency Cholecystectomies: Experience of a Single Urban Center 困难的紧急胆囊切除术的危险因素和并发症:单一城市中心的经验

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1311

D. Sarmiento, A. Himmler, Nube Flores, J. Puyana, J. Molina

{"title":"Risk Factors and Complications Associated with Difficult Emergency Cholecystectomies: Experience of a Single Urban Center","authors":"D. Sarmiento, A. Himmler, Nube Flores, J. Puyana, J. Molina","doi":"10.5005/JP-JOURNALS-10030-1311","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1311","url":null,"abstract":"Aim and objective: The aim and objective of this study is to determine the prevalence, risk factors, and complications of difficult cholecystectomy in our population. Materials and methods: A retrospective study was conducted from January 2016 through March 2017. Difficult cholecystectomy was the primary endpoint as defined by the surgeon in the operative report. Preoperative risk factors evaluated included: age, sex, obesity, pregnancy, resolved pancreatitis, choledocholithiasis resolved by endoscopic retrograde cholangiopancreatography (ERCP), and surgical wait time. Intraoperative factors evaluated including the presence of anatomical variants, operative time > 90 minutes, and the presence of liver disease. We measured the rate of conversion from laparoscopic to open, the incidence of postoperative complications, and overall mortality in this population. Results: Of 585 patients, 77.9% were admitted for acute cholecystitis, and 22.1% for symptomatic cholelithiasis, acute pancreatitis, or choledocholithiasis treated by ERCP. The prevalence of difficult cholecystectomy in our population was 37.6%. Preoperative risk factors correlating with difficult cholecystectomy included: male sex, and age > 65 years. Intraoperative risk factors included: the presence of an anatomic variant and surgical time > 90 minutes. Conclusion: The prevalence of difficult emergency cholecystectomy at our institution is high. There was a low rate of complications and conversion among patients with difficult cholecystectomies.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85636890","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

Our Surgical Heritage: The Legends of Exposure 我们的外科遗产:曝光的传奇

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1303

R. Ivatury

引用次数: 0

Acute Psychological Impact of Coronavirus in a Non-COVID Palliative Patient 冠状病毒对非covid姑息患者的急性心理影响

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1308

Amarjeet Kumar, C. Sinha, Ajeet Kumar, P. Kumari

引用次数: 0

A Case Report: Regarding Transduodenal Sphincteroplasty 经十二指肠括约肌成形术一例报告

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1316

J. Reinoso, J. Salamea, María Soledad Ordóñez, J. A. Arteaga, A. Himmler

{"title":"A Case Report: Regarding Transduodenal Sphincteroplasty","authors":"J. Reinoso, J. Salamea, María Soledad Ordóñez, J. A. Arteaga, A. Himmler","doi":"10.5005/JP-JOURNALS-10030-1316","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1316","url":null,"abstract":"Ab s t r Ac t Introduction: Stenosing papillitis is rare. It can be primary or secondary and occurs due to the presence of stones in the common bile duct. The initial treatment of choledocholithiasis is endoscopic retrograde cholangiopancreatography (ERCP). However, when ERCP is unsuccessful, the transduodenal sphincteroplasty is an alternative strategy that obtains satisfactory results in select patients. Case description: A 27-year-old female patient presents right-upper quadrant pain associated with scleral icterus. She had choledocholithiasis and cholestasis. The ERCP performed was failed, so an open cholecystectomy with common bile duct exploration was undertaken. As the ampulla could not be cannulated, a “T” tube was placed. On a postoperative day 15, a cholangiography was performed without evidence of contrast passage into the duodenum. A re-exploration of the bile duct was undertaken 30 days after and a papillary exploration through a transduodenal approach was performed. A new cholangiography was done on postoperative day 9, at which point adequate passage of contrast into the duodenum was appreciated. Conclusion: Transduodenal sphincteroplasty is a procedure rarely performed in the era of endoscopy. Nonetheless, when these cases do come up, knowing the appropriate surgical technique is crucial to obtain satisfactory results for the patient.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87408370","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: 1

Our Surgical Heritage: Great Scots of Anatomy and Surgery 我们的外科遗产:解剖学和外科的伟大苏格兰人

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1315

R. Ivatury

引用次数: 0

Epidemiological Profile of Thoracic Trauma in Brazil: A Systematic Review 巴西胸外伤的流行病学概况:一项系统综述

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1306

G. Roberto, C. Rodrigues, S. A. Gabriel, Rodrigo Sardenberg

{"title":"Epidemiological Profile of Thoracic Trauma in Brazil: A Systematic Review","authors":"G. Roberto, C. Rodrigues, S. A. Gabriel, Rodrigo Sardenberg","doi":"10.5005/JP-JOURNALS-10030-1306","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1306","url":null,"abstract":"Ab s t r Ac t Background: One of the main injuries found in traumatized patients is thoracic trauma (TT) and corresponds to 25% of deaths in polytrauma patients. According to the World Health Organization, more than nine people die per minute from some type of trauma, with an expense equivalent to 12% for all diseases. Materials and methods: This is a study that addresses the epidemiology of TT in Brazil through a systematic review of the literature on TT in Brazil, conducted in electronic databases following the guidelines of Preferred Notification Items for Systematic Reviews and Meta-analyses (PRISMA). Exclusion criteria were: case reports of other causes of trauma, animal studies, literature reviews, and studies that did not cover chest trauma. The Statistical Package for Social Sciences (SPSS) version 21.0 was used to analyze the results. Results: Initially, 760 studies were found, of which 36 articles were selected as relevant to the study on the epidemiological characteristics of TT. With a high global prevalence, trauma is considered a public health problem, associated with high morbidity and mortality, in developed and developing countries. Interpretation: The Southeast Region had greater statistical relevance (p = 0.033) for mechanisms and causes of TT. The penetrating chest trauma [gunshot wounds (GSW) and stab wounds (SW)], showed greater statistical relevance in the South (p = 0.04) and Midwest (p = 0.04), among the other regions, the value was (p ≥ 0.5).","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77532171","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

Response to the Letter: Acute Psychological Impact of Coronavirus in a Non-COVID Palliative Patient 对信件的回应:冠状病毒对非covid姑息患者的急性心理影响

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1307

T. Agarwal

引用次数: 0

Valve Dysfunction of Injection Port Causing the Leaking Intravenous Cannula 注射口瓣膜功能障碍导致静脉插管漏出

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1304

Amarjeet Kumar, Neeraj Kumar, Ajeet Kumar, Sanjeev Kumar

{"title":"Valve Dysfunction of Injection Port Causing the Leaking Intravenous Cannula","authors":"Amarjeet Kumar, Neeraj Kumar, Ajeet Kumar, Sanjeev Kumar","doi":"10.5005/JP-JOURNALS-10030-1304","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1304","url":null,"abstract":"A bstrAct We report a situation of leaking peripheral intravenous cannula (PIVC) due to dysfunction of the injection port valve. After shifting the patient to the operating room, anesthesia monitors were attached. The patient was having a 20-G peripheral intravenous cannula (Vygonule V, Vygon Haryana India Pvt. Ltd.) in situ over the dorsum of the right hand. We noticed that fluid is coming out freely through the injection port (Fig. 1). The PIVC was removed and the puncture site was properly dressed. Another PIVC was secured over the dorsum of the left hand. However, we did not have a suitable guidewire to replace it and had to place it afresh. Also, using such a set to replace the PIVC would involve significant costs which might be more than the cost of the cannula. The quality control unit of the manufacturing company should be notified of such an incident as was done in our case. We report a situation of leaking peripheral intravenous cannula (PIVC) due to dysfunction of the injection port valve. After shifting the patient to the operating room, anesthesia monitors were attached. The patient was having a 20-G peripheral intravenous cannula (Vygonule V, Pvt. Ltd.) in hand. An","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80364209","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

Welcome to the First Issue of the PAJTCCES in 2021 欢迎阅读2021年第一期PAJTCCES

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1310

S. Rizoli

引用次数: 0

Coronavirus Disease 2019 and Pregnancy: What An Anesthesiologist Needs to Know 2019冠状病毒病和怀孕:麻醉师需要知道的事情

Panamerican journal of trauma, critical care & emergency surgery Pub Date : 2021-04-01 DOI: 10.5005/JP-JOURNALS-10030-1313

Amarjeet Kumar, C. Sinha, Ajeet Kumar, P. Kumari

引用次数: 0