Clinics of surgery最新文献

‘No-Option Chronic Limb-Threatening Ischaemia: What Can We Do To Save Limb? 无选择的慢性肢体威胁缺血性:我们能做些什么来拯救肢体?

Clinics of surgery Pub Date : 2023-01-01 DOI: 10.47829/cos.2023.9602

Florio A, Dennis Ms, Sallustro M

{"title":"‘No-Option Chronic Limb-Threatening Ischaemia: What Can We Do To Save Limb?","authors":"Florio A, Dennis Ms, Sallustro M","doi":"10.47829/cos.2023.9602","DOIUrl":"https://doi.org/10.47829/cos.2023.9602","url":null,"abstract":"The aim of this study is to describe the characteristics, the management and the outcome of a series of patients with no-option critical limb ischemia (CLI) treated with a conservative multidisciplinary combined approach including best wound care, NPWT and dermal substitutes. The primary end was limb salvage and 1-year amputation-free survival. The secondary end was mortality and healing time of lesion. Between January 2016 and January 2021, 76 patients with no options CLI were admitted. In 14 patients, there was a failure in distal revascularization with a persistent CLI after the procedure. In 58 patients, revascularization was not feasible. Despite the persistent CLI, a group of patients of this cohort obtained no progression of CLI, complete wound healing treated with surgical debridement or distal amputation and application of NPWT in association with dermal substitute .Any superimposed infection was treated with antimicrobials. Pain was controlled with analgesics. Overall limb was saved in 72 % of the cases. A 1-year survival was 84%.Use of NPWT, dermal substitutes combined with a conservative foot surgery with an approach with minor amputation in patients with no-option CLI may save patient limb and life","PeriodicalId":92767,"journal":{"name":"Clinics of surgery","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76631847","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

Treatment of Multifocal Neuroendocrine Tumor of the Ileum Whit Lymphatic Metastasis (NETG1) And Low Mutational Burden (TMB).Precision Surgery, Case Report and Review Literature 回肠白色淋巴转移多发神经内分泌肿瘤(NETG1)和低突变负担(TMB)的治疗。精确外科，病例报告和文献综述

Clinics of surgery Pub Date : 2023-01-01 DOI: 10.47829/cos.2023.9604

Losada J, Sarriugarte A, Irizar E, Maestro B, Urizar E, Losada I

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Assessment of Asian Pacific Screening Score for Risk Factor Stratification of Colorectal Cancer Patients: A Retrospective Audit from a Tertiary Care Institute, Pakistan 亚太地区结直肠癌患者危险因素分层筛查评分评估:来自巴基斯坦三级医疗机构的回顾性审计

Clinics of surgery Pub Date : 2023-01-01 DOI: 10.47829/cos.2023.9601

Khan MS, Hassan SR, Fatima G, Muhammad S, Sherazi B

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Perioperative Results of Open Renal Surgery in Patients with Dual Antiplatelet Therapy 双重抗血小板治疗的开放肾手术围手术期疗效观察

Clinics of surgery Pub Date : 2023-01-01 DOI: 10.47829/cos.2023.9203

Staehler M, Graser AK, Marcon J, Götz M, Ziegelmüller B, Rodler S

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Role of Cholecystostomy Drain in Severe Acute Cholecystitis in Critically Ill Patients 胆囊造瘘引流在重症急性胆囊炎患者中的作用

Clinics of surgery Pub Date : 2023-01-01 DOI: 10.47829/cos.2023.8701

M. B, Chauhan Mn, Nahboo Sz, Wilkinson E, Canelo R

{"title":"Role of Cholecystostomy Drain in Severe Acute Cholecystitis in Critically Ill Patients","authors":"M. B, Chauhan Mn, Nahboo Sz, Wilkinson E, Canelo R","doi":"10.47829/cos.2023.8701","DOIUrl":"https://doi.org/10.47829/cos.2023.8701","url":null,"abstract":"Aims: To investigate the outcome of Cholecystostomy drains in the management of Acute Cholecystitis at Cumberland Infirmary. To develop a Cholecystostomy Pathway for patient selection, management and post procedure management. Method: A retrospective study of all patients with Cholecystostomy drains over the last 3 years at Cumberland Infirmary. 58 Inpatients at Cumberland Infirmary and West Cumberland Hospital who had cholecystostomy drains inserted for Acute Cholecystitis from January 2019 to January 2022 were included in the study. The patient list was collected from the Information Department at Cumberland Infirmary, with the Cholecystostomy code J 24.1 used in the search. Results: CRP ranged from 10-450 (mean 200) pre-insertion and on 5th post-procedure day, 37(63.79%) patients had a CRP of less than 50. Similar trends have been observed with the WBC counts. Follow-up investigations post drain insertion varied between CT abdomen, ultrasound abdomen and tubogram. The overall morality in the study group was 8(13.79%). Non of the mortalities were Cholecystostomy related. Reported over all complications were 2 (3.44%) which were sub-phrenic abscess and Cholo-Cutaneous fistula. Conclusion: We conclude that Insertion of a Cholecystostomy drain is a useful and safe procedure for the management of Severe Cholecystitis, especially in critically ill patients, with good early and late outcomes, and a low mortality rate. It can be used as a temporary management option with plan for Interval Laparoscopic Cholecystectomy, or can be the Definitive Management, especially in those patients with High Operative Risk","PeriodicalId":92767,"journal":{"name":"Clinics of surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81541175","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

STARR Single Stapler? yes, we can. Starrone: Stapled Trans-Anal Rectal Resection with only one High-Volume Device. Review of 155 Personal Cases from 2009 to 2021 STARR单订书机?是的，我们可以。Starrone:只使用一个大容量装置的经肛直肠吻合器切除术。2009年至2021年155宗个案检讨

Clinics of surgery Pub Date : 2022-01-01 DOI: 10.47829/cos.2021.61401

Nando Gallese

引用次数: 0

Ekos Thrombolysis for The Management of Ilio-Femoral Dvt at Cumberland Infirmary 坎伯兰医院Ekos溶栓治疗髂股静脉血栓

Clinics of surgery Pub Date : 2022-01-01 DOI: 10.47829/cos.2022.8503

M. B, N. I., Eifell R, Cusso M, Barakat T, Babikir S, Taran D, M. C., Ojimba T, Naqvi S

{"title":"Ekos Thrombolysis for The Management of Ilio-Femoral Dvt at Cumberland Infirmary","authors":"M. B, N. I., Eifell R, Cusso M, Barakat T, Babikir S, Taran D, M. C., Ojimba T, Naqvi S","doi":"10.47829/cos.2022.8503","DOIUrl":"https://doi.org/10.47829/cos.2022.8503","url":null,"abstract":"Introduction: Venous-thromboembolism is common vascular disease affecting lower limbs composed of DVT (2/3 of VTE) and PE (1/3 of VTE). The goal of management of DVT is to prevent PE, recurrence or PTS .Anticoagulation was the cornerstone of DVT management to prevent PE or recurrent DVT. Aim: To review our experience and assess efficacy of EKOS® thrombolysis in management of ilio-femoral DVT at Cumberland infirmary focusing on clinical outcome and any post procedure complications. Results: 22 patients had thrombolysis for illiofemoral DVT over 7years in Cumberland infirmary (Females 16 Males 5). Median age 20-89 years. Total number of treatment Sessions; 1 session: 18.18% (n=4), 2 Session: 54.54% (n=12), 3 sessions: 22.73% (n=5), 4 sessions: 04.55% (n=1). Success rate more than 80%: 90.91.7 % (n=20). Further procedures needed, Stents placement %77.27 (n=17), angioplasty 36.36% (n=8). Outcome; Improvement of symptoms in 90.91% % (n=20) leg ulcer healed in 9.52% (n=2). Post procedure complications: Leg swelling 28.6% (n=6) all are short terms resolved within six weeks and just one long standing leg swelling. Post procedure leg pain is in 19.04% (n=4). Ongoing issues were in 9.52% (n=2) and were persistent leg ulcer and PTS in each. One patient had recurrence. No patient had PE/ intracranial bleeding. Conclusion: EKOS is effective in treating acute ilio-femoral DVT with patency at 80% and more at the cessation of treatment, as well as prevention of DVT related long term complication (recurrence-PE and PTS) in comparison of conventional CDT or anticoagulation alone.","PeriodicalId":92767,"journal":{"name":"Clinics of surgery","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88945955","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}

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Incisional Hernia Occurring after Ventriculoperitoneal Shunt Fixation 脑室腹腔分流器固定后发生的切口疝

Clinics of surgery Pub Date : 2022-01-01 DOI: 10.47829/cos.2022.8601

Alsharji M, Aljabri M, Elgohary H, Alhashmi M, Almuadi A

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A Case of Superior Mesenteric Artery Occlusion without causing Non-Cirrhotic Portal Hypertension 肠系膜上动脉闭塞无肝硬化门静脉高压症1例

Clinics of surgery Pub Date : 2022-01-01 DOI: 10.47829/cos.2022.71001

Ekladious A, L. L

引用次数: 0

Robotic Ileal Interposition Surgery with Duodenal Exclusion and Sleeve Gastrectomy For Diabetes: The First Case Report and 1-Year Follow-Up 机器人回肠介入手术联合十二指肠切除及袖式胃切除术治疗糖尿病:1例报告及1年随访

Clinics of surgery Pub Date : 2022-01-01 DOI: 10.47829/cos.2021.8502

Branco Filho AJ, C. Mrr, Brioschi Ml, Lavalle Acr

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