keyword
https://read.qxmd.com/read/38709799/-tsukamurella-bacteremia-in-a-surgical-patient-case-report-and-review-of-the-literature
#1
JOURNAL ARTICLE
Sunnie Yan-Wai Wong, Joseph Derek Forrester
Background: Tsukamurella species were first isolated in 1941. Since then, 48 cases of Tsukamurella bacteremia have been reported, a majority of which were immunosuppressed patients with central venous catheters.A case is described and previous cases of Tsukamurella bacteremia are reviewed. Patients and Methods: A 70-year-old total parenteral nutrition (TPN)-dependent female with recurrent enterocutaneous fistula (ECF), developed leukocytosis one week after a challenging ECF takedown. After starting broad-spectrum antibiotic agents, undergoing percutaneous drainage of intra-abdominal abscess, and subsequent repositioning of the drain, her leukocytosis resolved...
May 6, 2024: Surgical Infections
https://read.qxmd.com/read/38704969/iatrogenic-enterocutaneous-fistula-following-an-incarcerated-richter-s-femoral-hernia-misdiagnosed-for-an-inguinal-abscess-a-case-report
#2
Baanitse Munihire Jeannot, Mugarura Anwar Biraali, Micheal Mugenyi, Richi Mukandirwa Wetemwami, Joshua Muhumuza, Franck Katembo Sikakulya
INTRODUCTION AND IMPORTANCE: As the Richter's hernia contains anti-mesenteric intestinal wall, patients usually do not present with obstructive symptoms. Consequently, this leads to delays in diagnosis and increased morbidity and mortality. Early detection and surgical treatment are therefore paramount to improving outcomes. CASE PRESENTATION: A 51-year-old female presented with an incarcerated Richter's femoral hernia misdiagnosed as inguinal abscess that underwent incision and drainage...
May 4, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38686745/etiology-and-management-outcomes-of-adult-mechanical-bowel-obstruction-in-nigeria-a-systematic-review-and-meta-analysis
#3
JOURNAL ARTICLE
Adebayo Feranmi Falola, Oluwasina Samuel Dada, Abdourahmane Ndong, Damilola Grace Akande
BACKGROUND: Adult mechanical bowel obstruction (AMBO) has been previously reported to be majorly caused by hernias in developing countries. In Nigeria, however, there has been a recent change in pattern with adhesions now being the leading cause. The aim of this systematic review is to examine the changing pattern of the causes, and outcomes of patients managed for AMBO in Nigeria. METHODS: Relevant keywords relating to AMBO were used to conduct a search on PubMed, Web of Science, Google Scholar, and AJOL...
January 2024: World Journal of Surgery
https://read.qxmd.com/read/38659534/amyand-s-hernia-a-rare-case-study-of-perforated-appendicitis-in-an-inguinal-hernia
#4
Laura Chagam, Raahi Modi, Frank Toub
Amyand's hernia is defined as the presence of an appendix contained within an inguinal hernia. An inguinal hernia is the protrusion of a small or large bowel through a peritoneal defect of the groin. In rare cases, the appendix can become incarcerated or strangulated within the hernia, cutting off the blood supply to the organ. If incarcerated, the appendix is at risk for strangulation, which can lead to rupture and cause worsening of symptoms and/or collapse. We report a case of a 76-year-old male with a history of inguinal hernia repair 30 years prior, who presented with 30 days of intermittent right lower quadrant pain and unintentional weight loss...
March 2024: Curēus
https://read.qxmd.com/read/38644246/-construction-of-a-model-based-on-multipoint-full-layer-puncture-biopsy-for-predicting-pathological-complete-response-after-neoadjuvant-therapy-for-locally-advanced-rectal-cancer
#5
JOURNAL ARTICLE
Y Jin, Z W Zhai, L T Sun, P D Xia, H Hu, C Q Jiang, B C Zhao, H Qu, Q Qian, Y Dai, H W Yao, Z J Wang, J G Han
Objective: To investigate the value of transanal multipoint full-layer puncture biopsy (TMFP) in predicting pathological complete response (pCR) after neoadjuvant radiotherapy and chemotherapy (nCRT) in patients with locally advanced rectal cancer (LARC) and to establish a predictive model for providing clinical guidance regarding the treatment of LARC. Methods: In this multicenter, prospective, cohort study, we collected data on 110 LARC patients from four hospitals between April 2020 and March 2023: Beijing Chaoyang Hospital of Capital Medical University (50 patients), Beijing Friendship Hospital of Capital Medical University (41 patients), Qilu Hospital of Shandong University (16 patients), and Zhongnan Hospital of Wuhan University (three patients)...
April 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38642316/open-intraperitoneal-onlay-mesh-repair-with-anterior-component-separation-as-a-bail-out-procedure-in-the-management-of-complex-hernias
#6
JOURNAL ARTICLE
M Vierstraete, A Molnar, F Berrevoet
PURPOSE: Surgical repair of complex abdominal wall hernias remains technically demanding and is widely recognized as a risk factor for unfavorable outcomes with high recurrence and morbidity rates. The objective is to assess short- and long-term complications after open intraperitoneal onlay mesh (IPOM) repair combined with bilateral anterior component separation (ACS) for large and difficult incisional hernias, alongside evaluating hernia recurrence rates. METHODS: This retrospective analysis utilized data sourced from Hospital electronic health records and a prospective database at an academic tertiary referral center...
April 20, 2024: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/38592102/entero-cutaneous-and-entero-atmospheric-fistulas-insights-into-management-using-negative-pressure-wound-therapy
#7
REVIEW
Gilda Pepe, Maria Michela Chiarello, Valentina Bianchi, Valeria Fico, Gaia Altieri, Silvia Tedesco, Giuseppe Tropeano, Perla Molica, Marta Di Grezia, Giuseppe Brisinda
Enteric fistulas are a common problem in gastrointestinal tract surgery and remain associated with significant mortality rates, due to complications such as sepsis, malnutrition, and electrolyte imbalance. The increasingly widespread use of open abdomen techniques for the initial treatment of abdominal sepsis and trauma has led to the observation of so-called entero-atmospheric fistulas. Because of their clinical complexity, the proper management of enteric fistula requires a multidisciplinary team. The main goal of the treatment is the closure of enteric fistula, but also mortality reduction and improvement of patients' quality of life are fundamental...
February 23, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38590981/intraperitoneal-onlay-mesh-ipom-plus-repair-versus-extended-view-totally-extraperitoneal-rives-stoppa-etep-rs-repair-in-primary-ventral-hernias-experience-with-50-cases-in-a-tertiary-care-hospital
#8
JOURNAL ARTICLE
Sachin Sholapur, Aftab Shaikh, Abhinav C G, Amarjeet Tandur, Harshal D Padekar, Ajay Bhandarwar, Saurabh Jagdale
Background Primary ventral hernias are abnormal protrusions of abdominal viscera through the areas of weakness in the fascia of the abdominal wall. The aim of this study was to compare the benefits and complications, and the overall outcome in the Extended-View Totally Extraperitoneal Rives-Stoppa (eTEP-RS) repair versus Intraperitoneal Onlay Mesh (IPOM Plus) repair in the management of primary ventral hernias. Methods After obtaining institutional ethical committee clearance, this prospective comparative study between IPOM Plus and eTEP-RS was conducted in a tertiary care hospital from December 2020 to January 2022...
April 2024: Curēus
https://read.qxmd.com/read/38532586/-evaluation-of-safety-of-early-enteral-nutrition-in-patients-with-severe-intra-abdominal-infection-and-intestinal-fistulas
#9
JOURNAL ARTICLE
T Xie, C Chen, D L Yang, W Y Wang, F Chen, Y N He, P F Wang, Y S Li
Objective: To evaluate the safety of early enteral nutrition (EEN) support in patients with severe intra-abdominal infection and intestinal fistulas. Methods: This was a retrospective cohort study. We collected relevant clinical data of 204 patients with severe intra-abdominal infection and intestinal fistulas who had been managed in the No. 1 Department of General Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University between 1 January 2017 and 1 January 2020. The patients were allocated to EEN or delayed enteral nutrition (DEN) groups depending on whether enteral nutrition had been instituted within 48 hours of admission to the intensive care unit...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532253/heterotopic-ossification-of-the-abdomen-a-rare-sequela-following-trauma-and-damage-control-laparotomy
#10
JOURNAL ARTICLE
Patrick Cherfan, Michael D Cobler-Lichter, Joshua P Kronenfeld, Zoe Weiss, Patricia M Byers
Heterotopic ossification (HO) of the abdomen is a rare yet highly morbid complication following blunt and penetrating trauma requiring damage control laparotomy. We present the case of a 22-year-old man, 20 months after life-threatening motor vehicle crash with major vascular injury requiring multiple abdominal surgeries. The patient was initially treated at a community hospital and subsequently developed a chronic left lower quadrant enterocutaneous fistula, accompanied by a gradually worsening diffuse abdominal pain...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38520633/a-method-for-treatment-of-deep-and-superficial-enteroatmospheric-fistulas-in-an-open-abdomen-chimneyvac-ten-years-experience
#11
JOURNAL ARTICLE
Arne Seternes, Lars Cato Rekstad, William Lossius, Hans H Wasmuth
BACKGROUND: Leakage of intestinal fluid is a challenging event when it appears in an open abdomen (OA) and surgical deviation does not seem possible. Intestinal contents in the abdominal cavity maintain inflammation and drainage is there for essential. We have developed a method, ChimneyVAC, to treat both deep and superficial enteroatmospheric fistulas (EAF) AIMS: To describe this innovative surgical technique and our 10-year experience. MATERIAL & METHODS: This single-center observational cohort study included all 16 consecutive patients treated with ChimneyVAC...
March 23, 2024: World Journal of Surgery
https://read.qxmd.com/read/38465268/injectable-nanoengineered-adhesive-hydrogel-for-treating-enterocutaneous-fistulas
#12
JOURNAL ARTICLE
Natan Roberto de Barros, Ankit Gangrade, Ahmad Elsebahy, RunRun Chen, Fatemeh Zehtabi, Menekse Ermis, Natashya Falcone, Reihaneh Haghniaz, Safoora Khosravi, Alejandro Gomez, Shuyi Huang, Marvin Mecwan, Danial Khorsandi, Junmin Lee, Yangzhi Zhu, Bingbing Li, HanJun Kim, Finosh G Thankam, Ali Khademhosseini
Enterocutaneous fistula (ECF) is a severe medical condition where an abnormal connection forms between the gastrointestinal tract and skin. ECFs are, in most cases, a result of surgical complications such as missed enterotomies or anastomotic leaks. The constant leakage of enteric and fecal contents from the fistula site leads to skin breakdown and increases the risk of infection. Despite advances in surgical techniques and postoperative management, ECF accounts for significant mortality rates, estimated between 15-20%, and causes debilitating morbidity...
January 2024: Acta Biomaterialia
https://read.qxmd.com/read/38456319/the-impact-of-stapled-compared-to-handsewn-repair-on-anastomotic-outcomes-in-trauma-patients-a-systematic-review-and-meta-analysis
#13
REVIEW
Khang Duy Ricky Le, Katherine Martin, David Read
BACKGROUND: Approach to enteric anastomotic technique has been a subject of debate, with no clear consensus as to whether handsewn or stapled techniques are superior in trauma settings, which are influenced by unique perturbances to important processes such as immune function, coagulation, wound healing and response to infection. This systematic review and meta-analysis compares the risk of anastomotic complications in trauma patients with gastrointestinal injury requiring restoration of continuity with handsewn versus staples approaches...
March 8, 2024: ANZ Journal of Surgery
https://read.qxmd.com/read/38441138/current-fistula-management
#14
REVIEW
Erin Vanzant, Ashley Thompson, April Mendoza, Dante Yeh
PURPOSE OF REVIEW: Enterocutaneous fistulas (ECFs) pose a significant impact in the healthcare system, both financially and in resource utilization. Delivery of optimal care is complex and involves intensive wound care, complex nutritional delivery and multidisciplinary care teams for optimization. Recently, there have been pushes to modernize the traditional approach to ECF care to a new paradigm of protocol-based individualized delivery of care. RECENT FINDINGS: There is an increased trend towards pushing enteral nutrition for the management of ECF patients...
April 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38371345/association-of-covid-19-pneumonitis-and-acute-mesenteric-ischemia
#15
James Norman, Mohamed Siddig Mohamed, Hussam Khougali Mohamed, Mirza Khurrum Baig
KEY CLINICAL MESSAGE: D. dimer could be useful as an indicator in diagnosis of mesenteric ischemia in COVID patients. A two staged damage control emergency laparotomy is of good benefits in such patients. ABSTRACT: Bowel ischemia in COVID 19 patients is extremely rare condition results from migrating thrombus formed by a hypercoagulable inflammatory state that is frequently associated COVID 19 infection. A two staged damage control emergency laparotomy is of good benefits in general especially in those with active COVID 19 infection...
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38361667/spontaneous-stoma-closure-a-case-report-and-review-of-the-literature
#16
Mahdi Albandar, Jumana A Fatani
Stomas serve various purposes, and surgical closure of temporary stomas is typically performed once the underlying reason for their creation has been resolved. However, spontaneous closure of a stoma without surgical intervention is exceptionally rare. Here, we present a case of spontaneous stoma closure. A 67-year-old female presented with symptoms indicative of partial bowel obstruction. A computed tomography (CT) scan revealed circumferential wall thickening involving the transverse, splenic flexure, and proximal descending colon, along with a dilated proximal colon...
January 2024: Curēus
https://read.qxmd.com/read/38312749/a-rare-case-report-of-patent-vitellointestinal-duct-presenting-as-a-periumbilical-pain-in-an-adult
#17
Krishnaraj Aryal, Pradeep Raj Regmi, Gauri Adhikari, Bigya Shrestha, Priyesh Lohani
The vitellointestinal duct (VID) is an embryological remnant of the vitelline duct, a structure that connects the developing fetus to the yolk sac and is responsible for the nutritional support of the fetus during the early embryological days. The VID usually gets obliterated by the fifth to ninth week of gestational age after the establishment of placental nutrition. The patent VIDellointestinal duct is a relatively rare congenital condition that occurs in approximately 2% of the general population, with the most common presentation being Meckel's diverticulum...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38276922/aga-clinical-practice-update-on-diet-and-nutritional-therapies-in-patients-with-inflammatory-bowel-disease-expert-review
#18
Jana G Hashash, Jaclyn Elkins, James D Lewis, David G Binion
DESCRIPTION: Diet plays a critical role in human health, but especially for patients with inflammatory bowel disease (IBD). Guidance about diet for patients with IBD are often controversial and a source of uncertainty for many physicians and patients. The role of diet has been investigated as a risk factor for IBD etiopathogenesis and as a therapy for active disease. Dietary restrictions, along with the clinical complications of IBD, can result in malnutrition, an underrecognized condition among this patient population...
January 23, 2024: Gastroenterology
https://read.qxmd.com/read/38195166/a-cost-effectiveness-analysis-of-wittmann-patch-assisted-abdominal-closure-compared-to-planned-ventral-hernia-in-management-of-the-open-abdomen
#19
JOURNAL ARTICLE
Wael Abosena, Alexandra Tedesco, Sam M Han, Nikolay Bugaev, Horacio M Hojman, Benjamin P Johnson, Woon C Kim, Mohammed Bawazeer, Joshua A Bloom
BACKGROUND: Inability to achieve primary fascial closure after damage control laparotomy is a frequently encountered problem by acute care and trauma surgeons. This study aims to compare the cost-effectiveness of Wittmann patch-assisted closure to the planned ventral hernia closure. METHODS: A literature review was performed to determine the probabilities and outcomes for Wittmann patch-assisted primary closure and planned ventral hernia closure techniques. Average utility scores were obtained by a patient-administered survey for the following: rate of successful surgeries (uncomplicated abdominal wall closure), surgical site infection, wound dehiscence, abdominal hernia and enterocutaneous fistula...
January 9, 2024: American Surgeon
https://read.qxmd.com/read/38184318/pazec-a-dutch-gynaecological-oncology-group-open-label-multicenter-phase-ii-study-of-pazopanib-in-metastatic-and-locally-advanced-hormone-resistant-endometrial-cancer
#20
JOURNAL ARTICLE
Anneke Westermann, Petronella Ottevanger, An Reyners, Judith R Kroep, Martijn G H Van Oijen, Roy Lalisang, Petronella O Witteveen
OBJECTIVE: There is a continued need for improvement of second-line systemic treatment for metastatic and/or recurrent endometrial cancer. METHODS: In this phase II, open-label study, eligible patients had histologically or cytologically confirmed endometrial cancer, documented progressive disease, and a WHO performance status of ≤2. All participants received treatment with pazopanib 800 mg once daily until progression, unacceptable toxicity, or patient refusal...
January 6, 2024: International Journal of Gynecological Cancer
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