journal
https://read.qxmd.com/read/36873295/access-safety-and-barriers-in-adoption-of-emergency-laparoscopy-surgery-for-trauma-patients-in-a-low-resource-setting
#21
JOURNAL ARTICLE
Rahul Kumar, Arpan Mishra, Harikrishna Damde, Prasant Yadav, Sanjay Kumar Yadav
Introduction  This study analyzes barriers to the adoption of emergency laparoscopy (EL), safety, and accessibility in a low-resource setting of a low- and middle-income country (LMIC). Methods  In this prospective observational study, patients with blunt trauma abdomen (BTA) who required exploration were included and divided into two groups-open exploration (open surgery [OSx]) and laparoscopic exploration (laparoscopic surgery [LSx]). Data were compiled and analyzed. Results  Out of 94 BTA patients, 66 required exploration, and the rest were managed conservatively...
January 2023: Surgery Journal
https://read.qxmd.com/read/36793996/survival-outcome-in-critically-ill-patients-receiving-extracorporeal-membrane-oxygenation-support-early-experience-from-a-university-hospital-in-thailand
#22
JOURNAL ARTICLE
Pongsanae Duangpakdee, Sasitorn Sakkarat, Surasak Sangkhathat
Objective  Extracorporeal membrane oxygenation (ECMO) is a relatively new technology used for life support in patients with cardiopulmonary failure from various causes. The objective of this study is to review the first 5-year experience in adopting this technology in a teaching hospital in southern Thailand. Methods  The data of ECMO-supported patients in Songklanagarind Hospital, from the years 2014 to 2018, were retrospectively reviewed. Data sources were from electronic medical records and the database of the perfusion service...
January 2023: Surgery Journal
https://read.qxmd.com/read/36762001/xiphodynia-as-an-unusual-cause-of-chest-pain-a-case-series
#23
JOURNAL ARTICLE
Anniek van Boekel, Guido Stollenwerck, Ewan D Ritchie, Sanne Vogels
Introduction  Treatment options for xiphodynia are injections with local corticosteroid injections or surgical resection of the xiphoid process. Currently, there is no consensus as to which treatment is the most optimal. Objectives  The aim of this case series was to compare the safety and efficacy of conservative and surgical treatment for patients with xiphodynia. Patients and Methods  A retrospective case series was performed. All patients presenting with xiphodynia between 2016 and 2021 were eligible...
January 2023: Surgery Journal
https://read.qxmd.com/read/36756198/heterotopic-ossification-in-hip-arthroscopy
#24
JOURNAL ARTICLE
Roberto Seijas, David Barastegui, Carlos López de Celis, Ferran Montaña, Xavier Cuscó, Ramón Cugat
Introduction  Hip arthroscopy is a rising surgical technique due to the increase in hip diseases, especially femoroacetabular impingement. One of the several complications related to such procedures is heterotopic ossifications (HO). The aim of this study is to describe the prevalence of HO after hip arthroscopy in a series of patients with femoroacetabular impingement and to compare its preoperative and intraoperative variables with a matched control group of patients without HO. Methods  All patients who underwent hip arthroscopy for femoroacetabular impingement between 2010 and 2017 with a minimum follow-up of 2 years were included in this analysis...
January 2023: Surgery Journal
https://read.qxmd.com/read/36756197/selection-of-neurosurgical-applicants-in-the-high-income-developing-country-lacking-local-residency-program-a-cross-sectional-study
#25
JOURNAL ARTICLE
Jehad Al-Habsi, Fatema Alhabsi, Sara Al-Jahwari, Tariq Al-Saadi
Background  Neurosurgery residency became one of the most competitive specialties in the medical field worldwide, which is increasing with time in contrast to the limited positions. Therefore, the requirements for the program have increased. There are different criteria for each program, which are determined by specific factors. It has become increasingly important for medical students to be aware of the factors that affect their acceptance into the program. There was a lack of data regarding the factors that contribute to the selection of neurosurgery residents in Oman Methods  A questionnaire composed of 14 questions was conducted, using the SurveyMonkey Web site, among neurosurgeons in Oman which was distributed to the five hospitals that have neurosurgery departments in Oman...
January 2023: Surgery Journal
https://read.qxmd.com/read/36742159/%C3%B0-re-multivisceral-resections-for-gastric-cancer-acceptable-experience-from-a-high-volume-center-and-extended-literature-review
#26
JOURNAL ARTICLE
Nikola Vladov, Tsvetan Trichkov, Vassil Mihaylov, Ivelin Takorov, Radoslav Kostadinov, Tsonka Lukanova
Introduction  Multivisceral resections (MVRs) in gastric cancer are potentially curable in selected patients in whom clear resection margins are possible. However, there are still uncertain data on their feasibility and safety considering short- and long-term results. The study compares survival, morbidity, mortality, and other secondary outcomes between standard and MVRs for gastric cancer. Materials and Methods  A monocentric retrospective study in patients with gastric adenocarcinoma, covering 2004 to 2020...
January 2023: Surgery Journal
https://read.qxmd.com/read/36742158/an-unexpected-gist-causing-life-threatening-bleeding-after-an-elective-hernia-repair
#27
Athary Saleem, Fatemah Husain, Reem Boushehry, Mohammed Alshamali, Emad Fahim, Khaleel Mohammad
Background  Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the alimentary tract. They are usually manifested by GI bleeding. Case Presentation  A 53-year-old male patient was admitted to the hospital for elective inguinal hernia repair. The patient did not have any history of GI symptoms in the past. A day after open inguinal hernia repair, the patient developed recurrent attacks of hematemesis resulting in hemodynamic instability and admission to the intensive care unit...
January 2023: Surgery Journal
https://read.qxmd.com/read/36742157/cervical-cerclage-to-prevent-intrauterine-balloon-prolapse
#28
Toshifumi Suzuki, Jun Takeda, Rie Seyama, Shintaro Makino, Satoru Takeda, Atsuo Itakura
Intrauterine balloon prolapse sometimes occurs, and the intrauterine balloon must be reinserted. Furthermore, intrauterine balloon tamponade (IBT) failure can necessitate additional invasive procedures. We report a case of cervical cerclage with IBT for placenta previa with a cervical dilation. In our case, emergency cesarean section was performed at 35 + 4 weeks of gestation because of persistent hemorrhage. During the operation, we performed IBT to prevent further postpartum hemorrhage. However, immediately after the operation, uterine cervical dilatation was 6 cm, which resulted in cervical dilation and prolapse of the intrauterine balloon...
January 2023: Surgery Journal
https://read.qxmd.com/read/36742156/bilateral-breast-phyllodes-tumor-in-androgen-insensitivity-syndrome
#29
Aishwarya Sunil Dutt, Girish Bakhshi, Chandrakant Sabale, Ravi Landge, Sushrut Baligar, Rajalakshmi V, Madhu Jha, Sampada Joshi, Chettubattina Ravi Teja
Phyllodes is a rare tumor found exclusively in females. It can be classified into benign, intermediate, or malignant variety based on the aggressive nature of the disease. With adequate preoperative clinical assessment combined with histopathology and radiological investigations the adequate treatment strategy can be formulated to avoid future recurrences. Complete androgen insensitivity syndrome (CAIS) is associated with a genotypic male, which can be confirmed by karyotyping, with phenotypic female characteristics...
January 2023: Surgery Journal
https://read.qxmd.com/read/36649083/erratum-addendum-emergency-general-surgery-predicting-morbidity-and-mortality-in-the-geriatric-population
#30
Abubaker Elamin, Panagiotis Tsoutsanis, Laith Sinan, Seyedh Paniz Hashemi Tari, Wafa Elamin, Hayato Kurihara
[This corrects the article DOI: 10.1055/s-0042-1756461.].
October 2022: Surgery Journal
https://read.qxmd.com/read/36578468/the-impact-of-the-covid-19-pandemic-on-injury-patterns-in-inpatient-and-outpatient-orthopaedic-trauma
#31
JOURNAL ARTICLE
Thomas Gatt, Sharon Zammit, Kurt L Chircop, Denise Gatt, Luke Sultana, Terence Micallef, Adriana Grech, Ivan Esposito
The effect of banning of nonessential services during the novel coronavirus disease 2019 (COVID-19) pandemic led to a perceived change in the volume of trauma cases and injury patterns. Literature indicates trends toward less trauma overall, with a decrease in outdoor, sporting, and motor vehicle injuries. However, studies focusing on outpatient orthopaedic trauma are less common. The main aim of this study was to assess the effect of COVID-19 pandemic on differences in inpatient and outpatient injury patterns and mechanisms...
October 2022: Surgery Journal
https://read.qxmd.com/read/36568477/a-systematic-review-of-open-and-minimally-invasive-surgery-for-treating-recurrent-hallux-valgus
#32
REVIEW
Arun Nair, Matthew Bence, Jawaad Saleem, Azka Yousaf, Lena Al-Hilfi, Kumar Kunasingam
Background  Despite advancements in primary correction of hallux valgus (HV), significant rates of reoperation remain across common techniques, with complications following primary correction up to 50% according to some studies. 1 This study explored different methods of surgery currently used in treating HV recurrence specifically (for which literature on the subject has been limited), evaluating open and adapted minimally invasive surgical (MIS) primary techniques used for revision. Methods  In December 2020, literature search for both open and MIS surgical techniques in HV revision was conducted using PubMed, EMBASE, and MEDLINE library databases...
October 2022: Surgery Journal
https://read.qxmd.com/read/36468150/anterior-jugular-vein-hemangioma-a-diagnostic-conundrum-and-report-of-a-rare-case
#33
Vivek Dokania, Shashikant Mhashal, Devkumar Rengaraja, Prashant Kewle
Hemangioma is a common tumor accounting for 8 to 10 % of benign neoplasm. However, hemangioma arising from blood vessels is rare and even rarer if the vessel involved is anterior jugular vein (AJV). AJV hemangioma can be confused with jugular phlebectasia, laryngocele, thyroglossal cyst, simple cyst, or other vascular malformation of same origin. They should be considered in differential of midline/paramedian neck swelling. Surgical resection is the treatment of choice whenever possible, and even allows for histopathological evaluation and a confirmatory diagnosis...
October 2022: Surgery Journal
https://read.qxmd.com/read/36468149/general-surgery-requirements-rationale-and-robust-results
#34
JOURNAL ARTICLE
Sunil Jain, Ashok Puranik
Safe, timely, and affordable surgical care is desirable worldwide, but is largely an unmet need. Surgical care is recognized as an important component of public health. Vision for sustainable surgical development is desirable, and general surgeons can contribute substantially toward this mission. In the absence of surgical care, case-fatality rates are high for common and easily treatable conditions. These include congenital anomalies, hernia, fractures, appendicitis, etc. Solution is surgical care. Results of surgery on time are rewarding...
October 2022: Surgery Journal
https://read.qxmd.com/read/36468148/unusual-cause-of-acute-urinary-retention-in-young-male-patient-primary-synovial-sarcoma-of-prostate-a-case-report
#35
Santhoshkumar Bandegudda, Rakesh Sharma Manilal, Ashwin Giridhar, B Vishal Rao
Introduction  Primary synovial sarcoma (SS) of the prostate is the rarest variety of prostate sarcoma. The first documented and confirmed case of SS of the prostate was published by Iwasaki et al in the year 1999; since then, only a few cases of primary SS of the prostate have been published in English literature. Case Report  We report a unique case of primary SS in a young patient who presented with acute urinary retention and underwent emergency suprapubic catheterization, and on evaluation was diagnosed with primary SS of the prostate...
October 2022: Surgery Journal
https://read.qxmd.com/read/36425407/evidence-based-approach-to-the-surgical-management-of-acute-pancreatitis
#36
REVIEW
Alex James Sagar, Majid Khan, Niteen Tapuria
Background  Acute pancreatitis is a significant challenge to health services. Remarkable progress has been made in the last decade in optimizing its management. Methods  This review is a comprehensive assessment of 7 guidelines employed in current clinical practice with an appraisal of the underlying evidence, including 15 meta-analyses/systematic reviews, 16 randomized controlled trials, and 31 cohort studies. Results  Key tenets of early management of acute pancreatitis include severity stratification based on the degree of organ failure and early goal-directed fluid resuscitation...
October 2022: Surgery Journal
https://read.qxmd.com/read/36425406/fistulotomy-versus-fistulectomy-for-fistula-in-ano-a-randomized-prospective-study
#37
JOURNAL ARTICLE
Srikantaiah Chandra Sekhariah Hiremath, Rakesh Patil
Background  Fistula-in-ano is common surgical ailment yet challenging to treat. Current management remains majorly dependent on two conventional surgical options (fistulotomy and fistulectomy), surgeon's preference, and their experience. Methods  This prospective, randomized study was conducted to compare fistulotomy with fistulectomy in the management of patients with simple fistula-in-ano. Fifty patients were recruited and randomized into two groups each containing 25 patients: group I was managed by fistulotomy and group II was managed by fistulectomy...
October 2022: Surgery Journal
https://read.qxmd.com/read/36349086/intramural-jejunal-hematoma-causing-intermittent-bowel-obstruction-a-rare-manifestation-of-warfarin-toxicity
#38
Arun S Patil, Shriya Shriya, Nikhil Dhimole, Jalbaji More
Patients with thromboembolic disorders are commonly on anticoagulants; hence, they are susceptible to bleeding episodes such as ecchymosis, gingival, subconjunctival bleeding, and rarely can have intramural hematoma of small bowel causing patient to present with intestinal obstruction. It is a rare cause of mechanical bowel obstruction requiring a nonsurgical management. Our patient was a 55-year-old male, a known case of thromboembolism on warfarin medication, presented with abdominal pain and vomiting. Patient's laboratory reports reflected anemia and deranged coagulation profile with prothrombin time and international normalized ratio, both being elevated...
October 2022: Surgery Journal
https://read.qxmd.com/read/36349085/peri-appendicular-abscess-in-a-spigelian-hernia
#39
Rany Aoun, Rhea Akel, Roger Noun, Ghassan Chakhtoura
Background  Spigelian hernias are a rare type of lateral ventral abdominal hernia and their content can include any of the intra-abdominal organs. Many cases have described the presence of a variety of abdominal organs in Spigelian hernias, but only few cases report the presence of an incarcerated appendicitis. Imaging is an important step in the diagnosis to avoid the lack of knowledge in such cases. Surgical treatment can be through open or laparoscopic approach, with or without using a mesh according to the size of the defect...
October 2022: Surgery Journal
https://read.qxmd.com/read/36349084/rapunzel-syndrome-a-case-of-trichobezoar-with-small-bowel-complications
#40
Ramakrishna Narra, Anusha Guntamukkala, Chanda Bhaskara Rao, Tanveer Begum
Introduction  Rapunzel syndrome is characterized by a large trichobezoar in the stomach with a tail extending beyond the pylorus into the small bowel, causing mechanical obstruction of the small bowel. A 7-year-old girl presented to the emergency room with severe epigastric pain. Computed tomography suggested trichobezoar causing jejuno-jejunal intussusceptions, bowel wall thickening, and dilated small bowel loops proximal to the obstruction. On laparotomy, two concealed perforations were noted at the duodenojejunal (DJ) junction and 40 cm distal to the DJ junction...
October 2022: Surgery Journal
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