Global journal of surgery最新文献

Valentino Syndrome: Perforated Peptic Ulcer Masquerading as Acute Appendicitis 瓦伦蒂诺综合征伪装成急性阑尾炎的穿孔性消化性溃疡

Global journal of surgery Pub Date : 2024-01-24 DOI: 10.12691/js-12-1-1

Karina Castillo, Katty Coronel, Jenny Coronel

引用次数: 0

Management and the Outcome of Liver Abscess, a Single Reference Experience in United Arab Emirates 肝脓肿的处理和结果，在阿拉伯联合酋长国的单一参考经验

Global journal of surgery Pub Date : 2023-03-28 DOI: 10.12691/js-11-1-2

F. Alharmoodi, N. Al-Ali, Arab M. Hammoudeh, Muhammed Badar Zaman

引用次数: 0

The Coffee Ground for Wound Treatment is Effective, Safe, and Humanized 用于伤口治疗的咖啡粉有效、安全、人性化

Global journal of surgery Pub Date : 2023-01-17 DOI: 10.12691/js-11-1-1

Hendro Sudjono Yuwono, Luthfyah Salsabila, Ilham Mauludin, Sofyan Al Fauzi, Dicky Santosa, Dhian Indriasari, W. Setiowulan, Santun Bhekti Rahimah

引用次数: 1

Shortening of the Common Channel: Further Weight Loss after Gastric Bypass Surgery 缩短总通道:胃旁路手术后体重进一步减轻

Global journal of surgery Pub Date : 2022-07-26 DOI: 10.12691/js-10-1-1

Jonathan Jimenez, Brynne Rozell, P. Zajác, D. Roshan, Bryce W. Bunn, Chelsea Price, R. Schuster

引用次数: 0

Factors Affecting Implementation of Day of Surgery Admission in King Abdullah Medical City, Makkah 影响麦加阿卜杜拉国王医疗城实施手术日住院的因素

Global journal of surgery Pub Date : 2021-10-26 DOI: 10.12691/js-9-1-3

Osama Abed Al-Sahfi, Talaat Al-Demerdash Ibrahim

引用次数: 0

The Subcutaneous Pulp Flap for Management of Fingertip Injuries - Revisited 皮下牙髓皮瓣治疗指尖损伤再谈

Global journal of surgery Pub Date : 2020-09-28 DOI: 10.12691/JS-8-2-2

A. Emam, M. Maklad

引用次数: 0

Xanthogranulomatous Pyelonephritis – Challenges in Management

Global journal of surgery Pub Date : 2019-11-06 DOI: 10.12691/js-7-1-5

Arvind Navaneethkumar, W. Mokhzani

引用次数: 0

The Accuracy of Early Post-Operative Abdominal CT Scan 术后早期腹部CT扫描的准确性

Global journal of surgery Pub Date : 2019-04-08 DOI: 10.12691/js-7-1-4

M. Shpoliansky, Y. Nevo, Y. Klein, M. Amitai

{"title":"The Accuracy of Early Post-Operative Abdominal CT Scan","authors":"M. Shpoliansky, Y. Nevo, Y. Klein, M. Amitai","doi":"10.12691/js-7-1-4","DOIUrl":"https://doi.org/10.12691/js-7-1-4","url":null,"abstract":"Background: Data is lacking regarding the optimal CT timing for diagnosing intra-abdominal post-operative complications. Our aim was to examine the accuracy of CT imaging performed in the early post-operative period (POD 1-5) compared to late post-operative period (POD 6-14), in the detection of post-operative complications. Methods: Post-operative CT scans performed in the first 14 days following abdominal surgery, between 2011 and 2013 were reviewed and divided into two groups: early CT scans performed at POD 1-5 and late CT scans performed at POD 6-14. Analysis included clinical and laboratory parameters, radiologic findings and assessment of post-operative course according to CT scan results. Results: 318 CT scans were performed. The rate of repeated CT scans was higher in the patients included in the early CT scan group compared to the late CT scan group (23.1% vs. 11.2%, p=0.013). There were more re-operations in the early CT group, with no statistical difference (12.8% vs. 7.9%, p=0.23), whereas drainage procedures were more frequent in the late CT group (22.1% vs. 9.0%, p=0.008). Early CT scans were less sensitive in detecting post-operative GI complications (56% vs. 73%, p=0.018). The accuracy to detect post-operative complications was similar between the groups (83% vs. 88%, p=0.42). Conclusion: CT scans performed in the early post-operative period are less sensitive and tend to necessitate repeated scans. The accuracy of abdominal CT examination in detecting post-operative GI complications was not found to be statistically different between the early and late CT scan groups.","PeriodicalId":89556,"journal":{"name":"Global journal of surgery","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75759802","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

Anaemia in Surgical Sepsis and Stress: The Roles of Erythropoietin, Iron and Steroids 外科败血症和应激中的贫血:促红细胞生成素、铁和类固醇的作用

Global journal of surgery Pub Date : 2019-01-26 DOI: 10.12691/JS-7-1-3

M. Smits, C. Hart, G. Sivarajah, M. Radojcic, Saleh Abbas

{"title":"Anaemia in Surgical Sepsis and Stress: The Roles of Erythropoietin, Iron and Steroids","authors":"M. Smits, C. Hart, G. Sivarajah, M. Radojcic, Saleh Abbas","doi":"10.12691/JS-7-1-3","DOIUrl":"https://doi.org/10.12691/JS-7-1-3","url":null,"abstract":"Background: Inflammation in surgical sepsis and stress frequently causes anaemia, leading to increased rates of blood transfusions. Recent evidence shows that blood transfusions carry a greater risk for short- and long-term complications than previously thought. Objective: To review the role of erythropoietin (EPO), iron and/or steroids as an alternative treatment to blood transfusions in critically ill patients. Methodology: A systematic review was prepared from recent literature on inflammation-induced anaemia, anaemia in the critically ill and/or septic patient and the roles of EPO, iron and corticosteroids in these patients. A meta-analysis was completed for EPO. Results: Inflammatory cytokines alter haematopoietic and biochemical pathways, leading to anaemia. Inflammation decreases circulating EPO and upregulates hepcidin, resulting in decreased free iron. Twelve randomised-controlled trials demonstrate that EPO administration in critically ill patients reduces the need for blood transfusions by 31% (p=0.005) however does not significantly decrease mortality (p=0.15). Intravenous iron also reduces the need for blood transfusions but has not been utilised in sepsis-associated anaemia. No trials focusing on the effects of steroids on sepsis-associated anaemia were identified. Conclusion: Due to the lack of data specific to sepsis-associated anaemia in post-operative patients, the roles of EPO, iron and steroids remain under investigation. More research specific to surgical patients is needed.","PeriodicalId":89556,"journal":{"name":"Global journal of surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87218304","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

Outcome of Combining Ventral Hernia Repair with Abdominoplasty or Mesh-abdominoplasty in Multiparous Women 腹疝修补术联合腹壁成形术或网状腹壁成形术治疗多产妇女的效果

Global journal of surgery Pub Date : 2019-01-17 DOI: 10.12691/js-7-1-2

M. Sakr, M. Habib, Hossam M. Hamed, H. Kholosy

{"title":"Outcome of Combining Ventral Hernia Repair with Abdominoplasty or Mesh-abdominoplasty in Multiparous Women","authors":"M. Sakr, M. Habib, Hossam M. Hamed, H. Kholosy","doi":"10.12691/js-7-1-2","DOIUrl":"https://doi.org/10.12691/js-7-1-2","url":null,"abstract":"Objectives: to determine the outcome of ventral hernia repair during abdominoplasty and mesh-abdominoplasty regarding cosmesis, recurrence and post-operative complications. Subjects and Methods: The present retrospective study included 78 multiparous women with ventral hernia and abdominal wall deformity. Age ranged between 28 and 59 years with a mean of 41.37±11.18 years. Half of the patients suffered from episodes of colicky abdominal pain and 34 (43.6%) had chronic low back pain. Forty patients (with defect 3cm) underwent mesh-abdominoplasty (Group 2), both after primary suture hernia repair and midline fascial plication. The follow-up period ranged from 22 months to 11 years with a mean of 62.5 months. Results: Both groups were comparable regarding their demographic and clinical parameters. Patients with abdominoplasty had significantly (p=0.0193) more para-umbilical hernias (PUHs) than those with mesh-abdominoplasty (80% vs 55.3%, respectively), but had less incisional or recurrent PUHs. All repaired hernias did not recur except for one patient in each group. No mortality or major complications were encountered. Wound complications occurred in 7 patients (17.5%) in Group 1 vs 10 (26.3%) in Group 2 (p=0.346). Recurrence of abdominal wall deformity and the need for a second refashioning procedure were significantly higher among patients who underwent abdominoplasty alone (p=0.011 and p=0.0139, respectively). Conclusions: (1) During abdominoplasty, ventral hernia repair and midline plication can be performed in defects 3 cm, additional mesh reinforcement is indicated and (3) Prolene mesh-abdominoplasty for multiparous women with severe musculo-aponeurotic laxity and ventral hernia, yields lower recurrence of abdominal deformity and less refashioning procedures with minimal complications than abdominoplasty alone.","PeriodicalId":89556,"journal":{"name":"Global journal of surgery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86333759","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: 3