ISRN surgery最新文献_第8页

Fournier's Gangrene: Current Practices. Fournier 坏疽：当前的做法。

ISRN surgery Pub Date : 2012-01-01 Epub Date: 2012-12-03 DOI: 10.5402/2012/942437

M N Mallikarjuna, Abhishek Vijayakumar, Vijayraj S Patil, B S Shivswamy

引用次数: 0

Living Donor Liver Transplantation for Caroli's Disease: A Report of Two Cases. 活体肝移植治疗卡罗里病2例报告

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-04-27 DOI: 10.5402/2011/106487

Klaus Steinbrück, Marcelo Enne, Reinaldo Fernandes, Jose M Martinho, Lúcio F Pacheco-Moreira

引用次数: 4

Transanal resection of rectal lipoma mimicking rectal prolapse: description of a case and review of the literature. 经肛切除模拟直肠脱垂的直肠脂肪瘤一例及文献复习。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-04-10 DOI: 10.5402/2011/170285

Jacopo Martellucci, Serenella Civitelli, Gabriello Tanzini

引用次数: 6

Cerebral melanoma metastases: a critical review on diagnostic methods and therapeutic options. 脑黑色素瘤转移:对诊断方法和治疗选择的重要回顾。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-05-25 DOI: 10.5402/2011/276908

Carlos R Goulart, Tobias Alecio Mattei, Ricardo Ramina

{"title":"Cerebral melanoma metastases: a critical review on diagnostic methods and therapeutic options.","authors":"Carlos R Goulart, Tobias Alecio Mattei, Ricardo Ramina","doi":"10.5402/2011/276908","DOIUrl":"10.5402/2011/276908","url":null,"abstract":"Malignant melanoma represents the third most common cause for cerebral metastases after breast and lung cancer. Central nervous system (CNS) metastases occur in 10 to 40% of patients with melanoma. Most of the symptoms of CNS melanoma metastases are unspecific and depend on localization of the lesion. All patients with new neurological signs and a previous primary melanoma lesion must be investigated. Although primary diagnosis may rely on computed tomography scan, magnetic resonance images are usually used in order to study more precisely the characteristics of the lesions in and to embase the surgical plan. Other possible complementary exams are: positron emission tomography, iofetamine cintilography, immunohistochemistry of liquor, monoclonal antibody immunocytology, optical coherence tomography, and transcriptase-polymerase chain reaction. Treatment procedures are indicated based on patient clinical status, presence of unique or multiple lesions, and family agreement. Often surgery, radiosurgery, whole brain radiotherapy, and chemotherapy are combined in order to obtain longer remissions and optimal symptom relieve. Corticoids may be also useful in those cases that present with remarkable peritumoral edema and important mass effect. Despite of the advance in therapeutic options, prognosis for patients with melanoma brain metastases remains poor with a median survival time of six months after diagnosis.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"276908"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/276908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30110249","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: 35

Ectopic sequestered thyroid tissue: an unusual cause of a mediastinal mass. 异位隐匿性甲状腺组织:引起纵隔肿块的不寻常原因。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-04-17 DOI: 10.5402/2011/313626

A D Mace, A Taghi, S Khalil, A Sandison

引用次数: 21

Trocar site hernia after laparoscopic colectomy: a case report and literature review. 腹腔镜结肠切除术后套管针部位疝1例并文献复习。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-05-29 DOI: 10.5402/2011/725601

Delmonaco Pamela, Cirocchi Roberto, La Mura Francesco, Morelli Umberto, Migliaccio Carla, Napolitano Vincenzo, Trastulli Stefano, Farinella Eriberto, Giuliani Daniele, Desol Angelo, Milani Diego, Di Patrizi Micol Sole, Spizzirri Alessandro, Bravetti Maurizio, Sciannameo Vito, Avenia Nicola, Sciannameo Francesco

{"title":"Trocar site hernia after laparoscopic colectomy: a case report and literature review.","authors":"Delmonaco Pamela, Cirocchi Roberto, La Mura Francesco, Morelli Umberto, Migliaccio Carla, Napolitano Vincenzo, Trastulli Stefano, Farinella Eriberto, Giuliani Daniele, Desol Angelo, Milani Diego, Di Patrizi Micol Sole, Spizzirri Alessandro, Bravetti Maurizio, Sciannameo Vito, Avenia Nicola, Sciannameo Francesco","doi":"10.5402/2011/725601","DOIUrl":"https://doi.org/10.5402/2011/725601","url":null,"abstract":"Background. Trocar Site Hernia (TSH) is defined as an incisional hernia which occurs after minimally invasive surgery on the trocar incision site.In 2004 Tonouchi classified trocar site hernias into 3 types: Early onset type; Late onset type; Special type. Case Report. We report the case of a 76-year old woman that underwent an emergency explorative laparotomy on the 10th p.o. day after a laparoscopic left hemicolectomy. Surgery showed a small bowel herniation through the 12 mm trocar incision site; the intestinal loop appeared necrotic and had to be resected, and the hernia orifice was repaired. We carried out a review of literature about this topic. Discussion. The clinical onset of a trocar site hernia is usually early, occurring within the 30th post operative day and it is caused by the omentum or small bowel entrapment into the trocar orifice. The clinical presentation is insidious, with progression to an acute abdomen, and an emergency surgical approach is often required. Conclusions. TSH is a severe complication of operative laparoscopy especially with large-bore trocar ports. The incidence of TSH resulting from our review ranges from 0.007% to 22% with an average of 1.85%. Prevention of TSH appears to be more effective when trocar insertion through the abdominal wall is tangential, the closure of both the fascia and the peritoneum is performed if the incision is greater than 7 mm, the suture of extra umbilical port site is performed under laparoscopic vision.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"725601"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30253071","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: 31

Patient demographics in acute care surgery at the ruijin hospital in shanghai. 上海瑞金医院急症外科病人的人口统计。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-07-07 DOI: 10.5402/2011/801404

Willem Folmer, Wim Lammers, Terry Mulligan, Esther M M Van Lieshout, Peter Patka, Zhenye Xu, Yiming Lu, Dennis Den Hartog

{"title":"Patient demographics in acute care surgery at the ruijin hospital in shanghai.","authors":"Willem Folmer, Wim Lammers, Terry Mulligan, Esther M M Van Lieshout, Peter Patka, Zhenye Xu, Yiming Lu, Dennis Den Hartog","doi":"10.5402/2011/801404","DOIUrl":"https://doi.org/10.5402/2011/801404","url":null,"abstract":"Acute Care Surgery is a discipline that includes trauma care, surgical critical care, and emergency surgery. It is organized in different models and provides mainly operative and nonoperative care. The aim of this study was to provide a demographic analysis of the care of surgical patients at the Emergency Department (ED) in a large teaching hospital in Shanghai, where general surgeons and orthopedic surgeons take care for most of all acute surgery. A bilingual questionnaire was developed to collect data for patients referred to the general or orthopedic surgeon in the ED (June-September 2008). Data about the gender, age, diagnosis, diagnostic tools, treatments, and outcomes were collected. A total of 255 questionnaires were collected; the most common diagnoses of patients were infections of abdominal organs and fractures. Complementary diagnostics like X-ray (59%), blood tests (36%), and ultrasound (17%) were frequently used. More than half of the patients were discharged afterwards most of them with followup. This study gives a first overview of acute care surgery of the emergency patients of the ED in a large Chinese metropolitan hospital.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"801404"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/801404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254013","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

Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head. 急性后肩脱位伴肱骨头骨骺反向丘-萨克斯病变。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-07-25 DOI: 10.5402/2011/851051

Luigi Patrizio, Ettore Sabetta

引用次数: 19

Treatment of maxillary deficiency by miniplates: a case report. 微型钢板治疗上颌缺损1例。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-05-10 DOI: 10.5402/2011/854924

Rahman Showkatbakhsh, Abdolreza Jamilian, Mohammad Behnaz

引用次数: 18

Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them? 甲状腺手术中偶发的甲状旁腺疾病:我们应该切除它们吗?

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-04-20 DOI: 10.5402/2011/962186

S Helme, A Lulsegged, P Sinha

{"title":"Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them?","authors":"S Helme, A Lulsegged, P Sinha","doi":"10.5402/2011/962186","DOIUrl":"https://doi.org/10.5402/2011/962186","url":null,"abstract":"Aim. Despite an incidence of parathyroid \"incidentalomas\" of 0.2%-4.5%, only approximately 135 cases have been reported in the literature. We present eight patients in whom an incidental abnormal parathyroid gland was found during routine thyroid surgery. We have reviewed the literature and postulate whether these glands could represent further evidence of a preclinical stage of primary hyperparathyroidism. Methods. A retrospective analysis of all 236 thyroid operations performed by a single surgeon was performed to identify patients in whom abnormal parathyroid tissue was removed at surgery. Results. 8/236 patients (3.39%) had a single macroscopically abnormal parathyroid gland removed and sent for analysis. Seven patients were found to have histological evidence of a parathyroid adenoma or hyperplasia. None of the patients had abnormal serum calcium detected preoperatively. Postoperatively, four patients had normal calcium, three had temporary hypocalcaemia and one refused followup. No patients had recurrent laryngeal nerve impairment. Conclusions. Despite the risk of removing a histologically normal gland, we believe that when parathyroid \"incidentalomas\" are found during surgery they should be excised and sent for histological analysis. We have found this to be a safe procedure with minimal morbidity to the patient. As the natural history of primary hyperparathyroidism is better understood, these glands found in normocalcaemic patients may in fact represent the early or preclinical phase of the disease. By removing them at the original operation, the patient is saved redo neck surgery with its high complication rate as or when clinically apparent primary hyperparthryoidism develops in the future.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"962186"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/962186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30259763","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: 5