Austin journal of surgery最新文献_第2页

Neglected Growing Skull Fracture: Details on Peroperative Findings and Surgical Repair 被忽视的颅骨生长骨折:手术发现和手术修复的细节

Austin journal of surgery Pub Date : 2021-11-23 DOI: 10.26420/austinjsurg.2021.1281

K. A, Kerima Ba, Imen B, Jalel K

引用次数: 0

Revascularization in Diabetic Foot Ulcer and Outcome 糖尿病足溃疡的血运重建及其结果

Austin journal of surgery Pub Date : 2021-10-30 DOI: 10.26420/austinjsurg.2021.1280

I. M

{"title":"Revascularization in Diabetic Foot Ulcer and Outcome","authors":"I. M","doi":"10.26420/austinjsurg.2021.1280","DOIUrl":"https://doi.org/10.26420/austinjsurg.2021.1280","url":null,"abstract":"Diabetes is a major public health problem regionally and globally. In 2019, the International Diabetes Federation estimated that 465 million (9.3%) people worldwide had diabetes, and by 2045, the number may rise to 700 million (10.9%) [1]. The pooled prevalence of diabetes in the general population of Bangladesh is 7.8% and prevalence of pre-diabetes is 10.1% [2]. Diabetes is a complex disease with many serious potential sequelae, including large vessel arterial disease and microvascular dysfunction. The lifetime risk for foot ulcers in people with diabetes is estimated to be 15% [3]. Development of diabetic foot ulcer is attributed to many interacting factors, the most common ones being peripheral neuropathy and Peripheral Arterial Disease (PAD) [4]. PAD is an important precipitating factor in the outcome of diabetic foot ulcer [4]. Peripheral arterial disease is a common large vessel complication of diabetes, implicated in the development of tissue loss in up to half of patients with diabetic foot ulceration [5]. Diabetic patients with PAD commonly show involvement of the arteries below the knee, especially at the tibial and peroneal arteries, and involvement of the profunda femoris [6]. Diabetic ulcers always require vascular evaluation, and when ischaemia is suspected the diagnostics should be organized rapidly to ensure revascularisation without delay. Foot ulcer in patients with diabetes is associated with an increased risk of lower limb amputation, and thus the primary aim of treatment for ischemic foot ulcer is limb preservation [4]. Invasive revascularization, including open reconstructive surgery and/or endovascular intervention, is the most effective treatment that may improve peripheral circulation and remedy symptoms [4]. The basic aim of any successful revascularization is to achieve pulsatile flow to the foot. The two methods currently available are peripheral bypass surgery and peripheral angioplasty [7]. Current literature shows that percutaneous transluminal angioplasty (PTA) is the first choice of procedures in revascularization of the lower limb [7].","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73020602","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

Vascular Care Services during the Covid-19 Pandemic in a South Asian Country: Implications for Limb Salvage 南亚国家2019冠状病毒病大流行期间的血管护理服务:对肢体保留的影响

Austin journal of surgery Pub Date : 2021-10-13 DOI: 10.26420/austinjsurg.2021.1279

Bashar Ahm, Rahman Mm, Islam Mf, Ghosh Sk, Reza S, M. S, Ahmed Smp, Sabah Mn, Islam Mm, Jamil Ms, Hossain Sz

{"title":"Vascular Care Services during the Covid-19 Pandemic in a South Asian Country: Implications for Limb Salvage","authors":"Bashar Ahm, Rahman Mm, Islam Mf, Ghosh Sk, Reza S, M. S, Ahmed Smp, Sabah Mn, Islam Mm, Jamil Ms, Hossain Sz","doi":"10.26420/austinjsurg.2021.1279","DOIUrl":"https://doi.org/10.26420/austinjsurg.2021.1279","url":null,"abstract":"Objective: Covid-19 continues its negative impact on limb salvage in patients with limb ischemia and vascular trauma. Bangladesh fought the 1st and 2nd waves of the Covid-19 pandemic during April through August, 2020 and in April-May, 2021, respectively. Infections have been rising once again since early June 2021 to reach a positivity rate over 30%. With limited resources, vascular surgical care during the pandemic has been an unprecedented challenge for a developing country like Bangladesh. As a small vascular community, we have adopted a strategy focused on conserving essential resources including manpower while delivering essential vascular care. The present study evaluates the effectiveness of our pandemic-time guideline-based working strategy with a focus on limb salvage. Methods: Essential vascular services were provided by customized teams throughout the Covid-19 pandemic at two referral centers according to our working guidelines. Data were analyzed and key limb salvage outcomes compared between the two pandemic waves by chi-square test. Results: A total of 1792 vascular surgical cases were addressed during the pandemic- over 90% of which involved limb or life-saving procedures. Overall mortality was 0.6% and overall limb salvage rate for acute and Chronic Limb Threatening Ischemia (CLTI) were 95.3% and 76.8%, respectively. Limb salvage rate for CLTI was significantly higher in the 2nd wave compared with the 1st (P<0.05). Rate of Covid-19 infection among vascular workforce was about 20%. Conclusion: Emergency-focused altered working guideline has produced satisfactory results in terms of continuing emergency vascular services, improving limb salvage and safeguarding vascular workforce during Covid-19 pandemic in a developing country. Conservation of resources including manpower remains relevant in the context of a highly probable 3rd wave of infection.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79175154","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

Granular Cell Tumor of the Breast: Clinical Presentation, Pathological Diagnosis and Treatment 乳腺颗粒细胞瘤的临床表现、病理诊断与治疗

Austin journal of surgery Pub Date : 2021-09-24 DOI: 10.26420/austinjsurg.2021.1278

Scardina L, D. A, Sanchez Am, D’Archi S, Biondi E, Carnassale B, D’Alessandris N, Scaglione G, S. A, M. A, Masetti R, F. G.

{"title":"Granular Cell Tumor of the Breast: Clinical Presentation, Pathological Diagnosis and Treatment","authors":"Scardina L, D. A, Sanchez Am, D’Archi S, Biondi E, Carnassale B, D’Alessandris N, Scaglione G, S. A, M. A, Masetti R, F. G.","doi":"10.26420/austinjsurg.2021.1278","DOIUrl":"https://doi.org/10.26420/austinjsurg.2021.1278","url":null,"abstract":"Introduction: Granular cell tumor is a rare neoplasm of soft tissue and only in 1% of cases, it can shows a malignant behaviour. It is presumed to be a tumor originating from perineural or putative Schwann cells of peripheral nerves. Materials and Methods: We reviewed five patients affected by Granular cell tumor of the breast treated between January 2011 and January 2021 at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS of Rome, Italy. Results: All of the granular cell tumors presented as solitary, painless and firm lump, highly suggestive of malignancy. The radiological findings were heterogeneous and non-specific. All lesions presented as masses, more clearly evident on ultrasound as hypoechoic lesions, with irregular shape, blurred contours and borderline features. The tumors were composed of large polygonal cells with abundant eosinophilic granular cytoplasm and small, central nuclei, being immunohistochemically positive for S100, Vimentin (with variable staining), CD56; negative for HMB45, MelanA, AE1/AE3, EMA, and Desmin. Conclusion: Granular cell tumor is a rare, usually benign breast disease that can have very similar characteristics to breast cancer both clinically and radiologically. Treatment of choice consists in wide resection or lumpectomy with margin assessment (no ink on tumor).","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75197083","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

Comparison of Functional and Clinical Outcomes between Minimally-Invasive and Conventional Approaches after Total Hip Replacement 全髋关节置换术后微创入路与常规入路的功能和临床效果比较

Austin journal of surgery Pub Date : 2021-09-08 DOI: 10.26420/austinjsurg.2021.1277

Goetz J, Renkawitz T, Meyer M, Woerner M, B. R., Grifka J, Weber M

引用次数: 0

Comparison between Free Anterolateral Thigh Flap and Free Medial Sural Artery Perforator Flap in Reconstruction of Post Traumatic Soft Tissue Defects of Dorsum of the Foot 游离股前外侧皮瓣与游离腓肠内侧动脉穿支皮瓣修复创伤后足背软组织缺损的比较

Austin journal of surgery Pub Date : 2021-08-26 DOI: 10.26420/austinjsurg.2021.1276

A. Ws, Abulezz Ta, Ali-Riza Ae, el-Khoury Gy

{"title":"Comparison between Free Anterolateral Thigh Flap and Free Medial Sural Artery Perforator Flap in Reconstruction of Post Traumatic Soft Tissue Defects of Dorsum of the Foot","authors":"A. Ws, Abulezz Ta, Ali-Riza Ae, el-Khoury Gy","doi":"10.26420/austinjsurg.2021.1276","DOIUrl":"https://doi.org/10.26420/austinjsurg.2021.1276","url":null,"abstract":"Background: The objective of this study was to compare the pliability, the function, aesthetic outcome, complications and patient satisfaction between free anterolateral thigh flap and free medial sural artery perforator flap in reconstruction of post traumatic soft tissue defects of dorsum of the foot. Method: The study was conducted on forty patients with post traumatic soft tissue defects of the dorsum of the foot between August 2018 and August 2019. Patients were divided randomly into two groups. In group1 (20 patients), the defects were reconstructed with free anterolateral thigh perforator flap. In group 2 (20 patients), reconstruction was done by free medial sural artery perforator flap. Result: In group 1 (ALT flap), Complete flap survival was achieved in 100% of cases. Thirteen patients required secondary debulking procedures and scar revisions. In group 2 (MSAP Flap), Complete flap survival was achieved in 85% with one flap totally lost and two flaps had distal necrosis. One patient needed scar revision and another patient needed flap advancement. Conclusion: MSAP flap is superior to ALT flap. It has many advantages: it is thin, pliable, fitted to normal footwear, less hairy and there is no need for secondary procedures in most cases.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86514872","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

Controlling Tumor Regression about the Physiological System 生理系统控制肿瘤消退

Austin journal of surgery Pub Date : 2021-08-26 DOI: 10.26420/austinjsurg.2021.1275

Makrushin Av

引用次数: 0

Congenital Diaphragmatic Hernia: More than Just a Lung Problem 先天性膈疝:不仅仅是肺部问题

Austin journal of surgery Pub Date : 2021-08-05 DOI: 10.26420/austinjsurg.2021.1274

E. D., Van der Veeken L, E. A, E. A, A. A., Deprest J

引用次数: 0

Surgical Shunt Procedures in Childhood Portal Hypertension: A Review Article 儿童门静脉高压症的外科分流术:综述文章

Austin journal of surgery Pub Date : 2021-07-30 DOI: 10.26420/austinjsurg.2021.1269

V. Erikçi

{"title":"Surgical Shunt Procedures in Childhood Portal Hypertension: A Review Article","authors":"V. Erikçi","doi":"10.26420/austinjsurg.2021.1269","DOIUrl":"https://doi.org/10.26420/austinjsurg.2021.1269","url":null,"abstract":"Normal portal pressure is between 0 and 10 mmHg and the pressure in the portal vein is slightly higher than that of the pressure in the inferior vena cava [1]. Portal Hypertension (PH) is usually defined as either a hepatice venous pressure gradient greater than 5mmHg or hepatic venous wedge pressure greater than 10mmHg [2]. It is usually encountered as a complication arising from chronic liver disease and cirrhosis. Common presentation of PH in children include catastrophic variceal hemorrhage usually from esophagus. Other common clinical features of PH include splenomegaly, hypersplenism, ascites, encephalopathy, and hepatopulmonary syndrome and portopulmonary hypertension. It has been reported that up to 15% of children with PH ultimately require shunt surgery [2]. Traditionally shunt surgery was a treatment option for children in whom control of variceal bleeding failed however; it was associated with relatively high rate of anastomotic stricture or thrombosis [1]. Nowadays it has also been reported that as the experience in vascular and transplant surgery together with microsurgical techniques have improved good success rates can be achieved even in small children [1]. In this review article, it is aimed to review the surgical treatment options in children with PH with special regard to shunt procedures under the light of relevant literature.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87921933","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

Combined Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Replacement in a Patient with Severe Post-Radiation Damage 联合冠状动脉旁路移植术和经导管主动脉瓣置换术治疗严重放射后损伤患者

Austin journal of surgery Pub Date : 2021-06-25 DOI: 10.26420/austinjsurg.2021.1273

Yagel O, E. R., Planer D, Lipey A, Rudis E, N. H, Leibowitz D, Elitzur Y, Alcalai R, Elbaz-Greener G

引用次数: 0