American Journal of Surgery and Clinical Case Reports最新文献

{"title":"Distal Biceps Tendon Reconstruction with Achilles Tendon Allograft: A Case-Series","authors":"Kory M Ford, Joseph A Buckwalter V, Ignacio Garcia Fleury","doi":"10.33597/2766-8304-v4-id1071","DOIUrl":"https://doi.org/10.33597/2766-8304-v4-id1071","url":null,"abstract":"Background: Chronic, complete ruptures of the distal biceps tendon are often difficult to surgically repair due to significant fibrosis and retraction. The use of a graft is recommended, with recent literature suggesting that an Achilles tendon allograft leads to superior clinical outcomes. The purpose of this study is to present the surgical technique and retrospectively review the clinical outcomes of a distal biceps reconstruction technique that utilizes an Achilles tendon allograft with an Endobutton bicortical fixation system through a single S-shaped incision. Methods: Seven male patients and eight cases of distal biceps reconstruction with Achilles tendon allograft were identified between January 2017 and March 2022. The mean age was 48.3 ± 8.9 years with a mean time from initial injury to surgery of 6.1 ± 3.8 months. Charts were retrospectively reviewed for patient demographics, procedural technique, preoperative and postoperative evaluation, and complications. Results: The cohort had a mean follow-up of 4.6 ± 2.0 months (range, 1.4-8.2). At the final office visit, full range of motion had returned for all patients except one, who had a persistent 10° extension deficit. Flexion strength had returned to equal preoperative and preinjury gross strength out of 5 (4.7 ± 0.5 preoperatively vs. 4.4 ± 0.5 postoperatively) and supination improved from preoperative strength (2.2 ± 1.1 preoperatively vs. 3.6 ± 1.2 postoperatively). Four out of eight cases resulted in a new neuropraxia identified in postoperative care: two lateral antebrachial cutaneous nerves, one superficial branch of radial nerve, and one ulnar nerve, with insufficient follow-up duration to determine resolution. One patient reported excessive scar formation; otherwise, there were no major complications. Conclusion: Reconstruction of the distal biceps tendon using an Achilles tendon allograft is a technically challenging, yet effective approach for the treatment of complete distal biceps tendon ruptures that are chronic in nature, resulting in an improvement in preoperative disability with few postoperative complications.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135383126","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":"Laparorrhaphy in patients with colorectal cancer. Enrique cabrera hospital. 2019-2021","authors":"Dr. Yusnie Lugo Echevarría, Dr. Anaisa León Mursuli, Dr. Pedro Roklando López Rodríguez","doi":"10.58489/2837-3332/005","DOIUrl":"https://doi.org/10.58489/2837-3332/005","url":null,"abstract":"Introduction: Until now, no ideal technique has been established that allows performing a laparotomic closure with a guarantee of greatly reducing the incidence of complications. Objective: To compare the results of abdominal wall closure using internal subtotal points (PS) and total points (PT) in patients operated on for colorectal cancer. Methodological design: An observational, descriptive, prospective and cross-sectional study was carried out at the General Teaching Hospital \"Dr. Enrique Cabrera\" between January 2019 and December 2021. Results: The median age in the PT group was 70 ± 18 years and in the PS 68 ± 18 years. 65% of the PT group and 61.7% of the PS were women. The tumor was located in the sigmoid colon in 35% of the PT cases and in 31.7% of the PS group. Surgery was urgent in 80% of the PT group and elective in 75% of the PS. The incision was medium supra and infraumbilical in 70% of the patients in the PT group and xipho-pubic in 66.7% of those in the PS. There was a median of 3 ± 2 and 1 ± 0 complications for the PT and PS group, respectively. The median hospital stay was 8 ± 6 days in the PT group and 7 ± 2 days in the PS. Conclusions: The results of the use of internal subtotal stitches in the closure of the abdominal wall were superior with respect to the total stitches.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135718030","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":"Assessment of Mental Imagery of Movement in Schizophrenia","authors":"Savvidis George, Sofologi Maria, Hanopoulou Margarita, Tsagaridis Konstantinos, Karakatsoulis Grigoris, Fountoulakis Konstantinos, Nimatoudis Ioannis, Papaxanthis Charalampos","doi":"10.58489/2837-3332/004","DOIUrl":"https://doi.org/10.58489/2837-3332/004","url":null,"abstract":"Schizophrenia patients often present with neurological signs such as left/right confusion, impaired coordination of movements, and motor abnormalities may occur secondary to antipsychotic medications. Neuropsychological tests identify various dysfunctions, such as difficulty in focusing attention, difficulty in abstract thinking or difficulty in changing the response frame, while Neurophysiological tests show slowing down of reaction time, problems with eye tracking, etc. There are no studies in the international literature dealing with the investigation of mental imagery of movement in Greek patients with schizophrenia. Also, the position that patients with schizophrenia – regardless of their symptom profile, age, sex, and chronicity of the disease – have a permanent difficulty in creating and manipulating an internal model of their movement prediction, has not been substantiated enough to date. Aim: In the present study we examine the function of visual-motor coordination and the time to achieve the goal-directed movement of the dominant hand of patients with schizophrenia Method: The sample we used in our research consisted of patients with diagnosed schizophrenia and healthy individuals. Schizophrenia patients belonged to the experimental group and healthy subjects to the control group. The number of examined patients was 39 and the healthy 51. the assessment of the movement and its mental representation was carried out with the real and mental movement of the dominant hand between two square targets located at a distance of 20 cm, on white paper of A4 size. Conclusions: Visuomotor coordination of a specific hand movement differs between patients with schizophrenia and the normal population. In particular, the means of the goal-directed hand movement achievement time in the actual execution condition and in the mental execution condition of the patients were significantly higher than the corresponding times of the standard population.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82942514","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":"Innovative advances overcoming xx-xy male female system theory aberrations keeping social legacies survive forever","authors":"","doi":"10.58489/2837-3332/003","DOIUrl":"https://doi.org/10.58489/2837-3332/003","url":null,"abstract":"A recent breakthrough innovation on pondering cases on xx-xy male female system aberrations emerged which have been getting applied for betterments in diverse directions of life course advancements. The present study was devoted on making social legacies survive forever, which flourished and then vanished creating its disappearances.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83754052","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":"Disorders Of Mitochondrial Respiration in Rats with Subtotal Cerebral Ischemia Under Conditions of The Use of Modulators of the L-Arginine-No Pathway and Against the Background of The Administration of Omega-3 Polyunsaturated Fatty Acids","authors":"Maksimovich N. Ye, Dremza I.K.,, Kovalenya T.A.,, Kokhan N.V.","doi":"10.58489/2837-3332/002","DOIUrl":"https://doi.org/10.58489/2837-3332/002","url":null,"abstract":"The urgency of the problem of cerebrovascular diseases can rightfully be defined as an emergency, requiring the concentration of efforts of specialists. This is due to the fact that cerebrovascular diseases of ischemic origin tend to grow, rejuvenate, are associated with a severe clinical course, high rates of disability and mortality. Omega-3 polyunsaturated fatty acids are involved in the implementation of the basic functions of neurons, such as the transmission of impulses and the functioning of receptors. In this regard, it is of interest to study the morphofunctional features of brain neurons in rats with subtotal cerebral ischemia against the background of the introduction of Omega-3 polyunsaturated fatty acids and L-NAME. There was a significant improvement in the parameters of mitochondrial respiration when using succinate as a substrate in the group of animals treated with Omega-3 PUFAs and even greater activation in the groups of animals SCI + L-NAME + Omega-3 and SCI + L-NAME + L-arginine + Omega-3. When malate/glutamate was used as a substrate in these groups, the same trend in respiration was observed as when succinate was used to activate mitochondrial respiration. However, changes in succinate-dependent respiration were more pronounced.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81746993","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":"Psychosocial Intervention to Prevent the Tobacco in Patients with Diabetes Mellitus","authors":"Mercedes Fusté Bruzaín","doi":"10.58489/2837-3332/001","DOIUrl":"https://doi.org/10.58489/2837-3332/001","url":null,"abstract":"Background: the analysis in adolescent’s smokers as prevention from the medical sciences is one of the lines of the work team in the consultation of ceasing tobacco. Objective: to analyze the psychosocial intervention to prevent the tobacco in patients with Diabetes Mellitus.The investigation embraced one period from October 2018 to September 2019. Method: was carried out a study decriptive, restrospective, for sampling intentional non probabilistic and with an universe composed by 18 old adolescents of the Policlinic \"José Ramón León Acosta. It gathers it of the data was carried out through the empiric method as the clinical histories, interviews structured, the questionnaire and for the analysis of the data the statistical calculation was used. Results: the state of individual health of this group prevailed as for knowledge that will allow them to modify its lifestyle and in turn an aging very happened to the minimum of limitations. Conclusion: the difficulties are focused in the sistematic of the development psicosocial and to prevent risk factors in adolescentes with addiction.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76944705","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":"The Value of Colon Cancer Screening in Developing Countries","authors":"Bele Dan-Nicolae","doi":"10.33597/2766-5844-v4-id1074","DOIUrl":"https://doi.org/10.33597/2766-5844-v4-id1074","url":null,"abstract":"Abstract Objectives: Colorectal cancer is the third most diagnosed cancer worldwide and the second most common cause of cancer death. If diagnosed at an early stage, however, it is one of the most curable malignancies. Patients with biopsy-proven adenocarcinoma of the colon without evidence of distant metastasis, and without contraindications to major surgery, are commonly treated with surgical resection. Methods and results: A 49-year-old male patient without any significant history is admitted at Surgery 5 Service, Cluj-Napoca for abdominal pain, diarrhoea, and important weight loss in the last 7 months. CT showed thickening of the sigmoid colon as well as bladder and small bowel invasion. The final diagnosis was completed by a colonoscopy and biopsy which was of stenotic sigmoid tumour, chemo treated. Unfortunately, the chemotherapy was unsuccessful, as the tumour did not regress. A multidisciplinary team was gathered debating the possibility of pelvic exenteration. As of surgical treatment, the following were performed: Sigmoidectomy with manual colo-rectal T-T anastomosis and central lymphadenectomy, ileal segmental resection with manual T-T anastomosis, resection of 2/3 of bladder, jejunostomy, evacuation of bladder abscess and the introduction of a double J ureteral stent. Consecutive to all procedures, the patient is in good health and can live a normal life. Conclusion: Even though surgery is curative in most cases of colorectal cancer, the survival rate of unoperated colorectal cancer is 0%. Thus, it is of utmost importance to diagnose colorectal cancer as soon as possible. Identification of populations at risk and screening of asymptomatic patients are therefore crucial imperatives.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81579700","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":"Link between Two Decades of Oral Contraceptives and Bowel Infarction: A Case Report","authors":"Balosin Marina-Georgia","doi":"10.33597/2766-5844-v4-id1073","DOIUrl":"https://doi.org/10.33597/2766-5844-v4-id1073","url":null,"abstract":"Abstract Objectives: Partial or total necrosis of the bowel is a frequent cause of obstruction of the mesenteric artery or vein. Mesenteric infarction is usually the consequence of other associated pathologies of the patient and most often revealed by acute intestinal obstruction. Thus, it is of utmost importance to recognize the risk factors and treat all conditions that might have a link with a hypercoagulability state. Acute mesenteric ischemia is pathology difficult to treat due to the nonspecific symptomatology and late diagnosis consequently. Moreover, the majority the patients have other comorbidities resulting a mortality in over 50% of the cases. Methods and results: Identified risk factors in our patient’s case for the thrombus formations were oral contraceptive medication, hypertension, and obesity. Other secondary causes of Superior Mesenteric Vein (SMV) and Portal Vein (PV) thrombosis were investigated but all tests were negative leading to the incrimination of obesity and chronic use of oral contraceptives for over two decades. Conclusion: Rare, life-threatening complications of associated pathologies such as venous mesenteric thrombosis and bowel obstruction are unanticipated. Thus, it is of utmost importance to diagnose complications and risk factors as soon as possible whose resolutions will make it possible to prolong survival of many patients. Identification of populations at risk and screening of asymptomatic patients are therefore crucial imperatives.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89058223","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":"Patent Omphalomesenteric Duct with Hemorrhagic Cyst with Urachus: Rare Case and Review of Literature","authors":"None Gupta M, None Dhawan DR, None Goyal S","doi":"10.47829/ajsccr.2022.61701","DOIUrl":"https://doi.org/10.47829/ajsccr.2022.61701","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"5 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":"135784249","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":"Morphological and Hematological Symptoms of Aeromonas Hydrophila Infections in Pelteobagrus Fulvidraco","authors":"None Wang L, None Prodhan ZH, None Ao L, None Zou Y, None Zhao Q, None Chen S","doi":"10.47829/ajsccr.2023.61501","DOIUrl":"https://doi.org/10.47829/ajsccr.2023.61501","url":null,"abstract":"1. Abstract Aeromonas hydrophila is a gram-negative conditional pathogen of the genus Aeromonas in the family Vibrionaceae that generates exotoxins and other virulence factors that can cause pathological alterations in the tissues and organs of numerous aquatic animals. A. hydrophila infection can cause large-scale illness in Pelteoba-grus fulvidraco aquaculture, which can cause fish mortality and financial losses for the aquaculture sector. In this study, different concentrations of A. hydrophila (9.00×10 2 , 9.00×10 5 , and 9.00×10 8 CFU/mL) were used to infect healthy P. fulvidraco at room temperature, and the pathological changes and blood cell concentrations of the diseased fish were investigated using morphologi - cal observation and blood cell count. The findings revealed that A. hydrophila infection caused lesions in the gills, kidney, liver, and stomach of P. fulvidraco , manifesting as hemorrhage, ascites, and septicemia. As the concentration of A. hydrophila infection increased, the tissue damage of P. fulvidraco became more serious and the hemocyte concentration tended to decrease. However, there was a recovery in the decrease of hemocyte concentration at a lower bacterial infection concentration (9.00×10 2 CFU/mL). The results of this study demonstrated that P. fulvidus hemocyte concentrations were resistant to low concentrations of A. hydrophila (9.00×102 CFU/mL), and the morphological and blood cell concentration changes can provide a scientific basis for determining and identifying A. hydrophila infection in aquaculture production.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"53 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":"135798575","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}