Hellenike cheirourgike. Acta chirurgica Hellenica最新文献_第6页

Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen. 预防肠-大气瘘:初步关闭腹部。

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 Epub Date: 2021-03-22 DOI: 10.1007/s13126-020-0580-5

Dionysios Voros, G Anastasopoulos, G Sarris, A Fotopoulos, A Marinis, K Dougli

{"title":"Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen.","authors":"Dionysios Voros, G Anastasopoulos, G Sarris, A Fotopoulos, A Marinis, K Dougli","doi":"10.1007/s13126-020-0580-5","DOIUrl":"https://doi.org/10.1007/s13126-020-0580-5","url":null,"abstract":"Background and aims: The \"Open Abdomen\" technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5-75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible.Methods and materials: We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure.Results and conclusions: The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 5","pages":"208-210"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0580-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25524067","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}

引用次数: 0

Characteristics, Management and Outcome of Primary Hyperparathyroidism in a Predominantly Vitamin D Deficient Population: A Single-Center Experience 维生素D主要缺乏人群原发性甲状旁腺功能亢进症的特点、治疗和转归：单中心经验

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 DOI: 10.1007/s13126-020-0534-y

P. Dar, Liaqat Ahmad Malik, A. Wani, Supreet Kaur, S. Wani, M. A. Wani, S. Masoodi, K. Wani, W. Gulshan

引用次数: 2

Retraction Note to: The Amsterdam Guild of Surgeons and the Training of Surgeons in the Early Modern Period 回退说明:阿姆斯特丹外科医生协会和早期现代外科医生的培训

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 DOI: 10.1007/s13126-020-0543-x

E. de Bree, G. Schoretsanitis

引用次数: 0

A Rare Cause of Esophageal Rupture: Anterıor Cervıcal Fıxatıon 一个罕见的原因食管破裂:Anterıor Cervıcal Fıxatıon

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 DOI: 10.1007/s13126-020-0542-y

Hüma Bölük Şenlikci, I. Karabay, G. Öztürk, T. Tiftik, H. Tunç, M. Ersöz

引用次数: 0

Adult-Type Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Syndrome 肺动脉综合征引起的成人型左冠状动脉异常起源

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 DOI: 10.1007/s13126-020-0539-6

M. Kanakis, Evangelia Grisbolaki, K. Alexiou, A. Lioulias, D. Bobos, N. Giannopoulos

引用次数: 0

What Else but Covid-19 Pandemic? Lessons Learned. 除了Covid-19大流行还有什么?吸取的教训。

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 Epub Date: 2020-07-11 DOI: 10.1007/s13126-020-0544-9

Iakovos N Nomikos

引用次数: 0

Determinants of Mortality in Necrotizing Soft Tissue Infections. 坏死性软组织感染死亡率的决定因素。

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 Epub Date: 2021-03-22 DOI: 10.1007/s13126-020-0568-1

Tarun Kumar, Robin Kaushik, Simrandeep Singh, Rajeev Sharma, Ashok Attri

{"title":"Determinants of Mortality in Necrotizing Soft Tissue Infections.","authors":"Tarun Kumar, Robin Kaushik, Simrandeep Singh, Rajeev Sharma, Ashok Attri","doi":"10.1007/s13126-020-0568-1","DOIUrl":"https://doi.org/10.1007/s13126-020-0568-1","url":null,"abstract":"Background: Necrotizing soft tissue infections (NSTI) are frequently encountered, with a high mortality despite advances in health care.Material and methods: Patients presenting with NSTI were prospectively followed up in an attempt to identify factors that were significantly associated with mortality.Results: There were a total of 86 patients [65 males (75.6%) and 21 females (24.4%)] with an overall mortality of 33.7% (29 patients). The average age was 50.37 years and trauma was the commonest aetiology (34 patients, 66.7%). The average duration of symptoms prior to presentation was 10.56 days; the lower limb was most commonly involved (62 patients, 72.09%). Fifty nine patients had comorbidities (commonest being diabetes mellitus in 41). Age above 50 years, symptoms for more than 8.5 days, involved surface area more than 15.5%, of the total body surface, on-admission pulse rate more than 99 beats/minute, systolic blood pressure less than 103 mm Hg, Glasgow scale less than 12, need for inotropes, low hemoglobin, high leukocyte counts, uraemia, deranged coagulation, low serum albumin, and high levels of lactic acid were significant for mortality. On multivariate analysis, only age above 50 years, presence of acidosis and low serum albumin significantly affected survival.Conclusion: NSTI carry high mortality. The identification of potential risk factors associated with mortality might help in guiding and optimizing the management of patients who present with NSTI.","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 5","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0568-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25524065","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}

引用次数: 3

Surgical Volunteerism. 手术志愿服务。

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 Epub Date: 2020-05-27 DOI: 10.1007/s13126-020-0533-z

Iakovos N Nomikos

引用次数: 0

Obstructive Jaundice: A Rare Presentation of Amoebic Liver Abscess 梗阻性黄疸：罕见的阿米巴肝脓肿

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2020-01-01 DOI: 10.1007/s13126-020-0538-7

Amritanshu Saurabh, R. Chauhan, Vishesh Guglani, S. Nizam

引用次数: 0

Duplication of the Common Bile Duct Associated with an Abnormal Pancreatico-Bile Duct Junction. Case Report and Literature Review 胆总管重复合并胰胆管连接异常。病例报告与文献综述

Hellenike cheirourgike. Acta chirurgica Hellenica Pub Date : 2019-10-01 DOI: 10.1007/s13126-019-0530-2

C. Palanivelu, M. Rangarajan, P. Jategaonkar

引用次数: 0