Introduction: Prostate cancer is a significant health issue for men. This study investigates whether women’s sexual health and relationship satisfaction influence prostate cancer risk in their male partners. Methods: We conducted a prospective cohort study involving 1,000 heterosexual couples where the male partner was over 40 years old. Couples in stable relationships with no prior history of prostate cancer were included. Baseline data included demographic information, medical history, lifestyle factors, the Female Sexual Function Index (FSFI) and the Dyadic Adjustment Scale (DAS) to assess women’s sexual health and relationship satisfaction. Sexual activity frequency was also recorded. Participants were followed annually for 10 years to track prostate cancer incidence in men. We used Pearson correlation and multivariate Cox proportional hazards regression for statistical analysis. Results: We found a significant negative correlation between FSFI scores and prostate cancer incidence (r = -0.42, p < 0.05). Higher DAS scores and more frequent sexual activity were also associated with a reduced risk of prostate cancer (r = -0.35 and r = -0.38, respectively, both p < 0.05). These results suggest that better sexual function and relationship satisfaction in women are linked to a lower risk of prostate cancer in their male partners. Conclusion: Women’s positive sexual health and relationship satisfaction may reduce prostate cancer risk in men. These findings underscore the importance of considering partner dynamics in prostate cancer prevention strategies and encourage further research into underlying mechanisms.
导言前列腺癌是男性的重大健康问题。本研究调查了女性的性健康和关系满意度是否会影响其男性伴侣患前列腺癌的风险：我们进行了一项前瞻性队列研究，涉及 1000 对男性伴侣年龄超过 40 岁的异性伴侣。研究对象包括关系稳定、无前列腺癌病史的夫妇。基线数据包括人口统计学信息、病史、生活方式因素、女性性功能指数（FSFI）以及用于评估女性性健康和夫妻关系满意度的 "夫妻适应量表"（DAS）。此外，还记录了性活动频率。每年对参与者进行为期 10 年的跟踪调查，以追踪男性前列腺癌的发病率。我们使用皮尔逊相关性和多变量考克斯比例危险回归进行统计分析：我们发现，FSFI 评分与前列腺癌发病率之间存在明显的负相关（r = -0.42，p < 0.05）。更高的 DAS 评分和更频繁的性活动也与前列腺癌风险的降低有关（r = -0.35 和 r = -0.38，均 p <0.05）。这些结果表明，女性较好的性功能和关系满意度与其男性伴侣患前列腺癌的风险较低有关：结论：女性积极的性健康和关系满意度可降低男性患前列腺癌的风险。这些发现强调了在前列腺癌预防策略中考虑伴侣动态的重要性，并鼓励进一步研究其潜在机制。
{"title":"Impact of Women's Sexual Health on Prostate Cancer Risk in Men","authors":"Mboudou Michel Salomon","doi":"10.46889/jsrp.2024.5207","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5207","url":null,"abstract":"Introduction: Prostate cancer is a significant health issue for men. This study investigates whether women’s sexual health and relationship satisfaction influence prostate cancer risk in their male partners.\u0000\u0000Methods: We conducted a prospective cohort study involving 1,000 heterosexual couples where the male partner was over 40 years old. Couples in stable relationships with no prior history of prostate cancer were included. Baseline data included demographic information, medical history, lifestyle factors, the Female Sexual Function Index (FSFI) and the Dyadic Adjustment Scale (DAS) to assess women’s sexual health and relationship satisfaction. Sexual activity frequency was also recorded. Participants were followed annually for 10 years to track prostate cancer incidence in men. We used Pearson correlation and multivariate Cox proportional hazards regression for statistical analysis.\u0000\u0000Results: We found a significant negative correlation between FSFI scores and prostate cancer incidence (r = -0.42, p < 0.05). Higher DAS scores and more frequent sexual activity were also associated with a reduced risk of prostate cancer (r = -0.35 and r = -0.38, respectively, both p < 0.05). These results suggest that better sexual function and relationship satisfaction in women are linked to a lower risk of prostate cancer in their male partners.\u0000\u0000Conclusion: Women’s positive sexual health and relationship satisfaction may reduce prostate cancer risk in men. These findings underscore the importance of considering partner dynamics in prostate cancer prevention strategies and encourage further research into underlying mechanisms.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141919490","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}
Introduction: Prostate cancer is a significant health issue for men. This study investigates whether women’s sexual health and relationship satisfaction influence prostate cancer risk in their male partners. Methods: We conducted a prospective cohort study involving 1,000 heterosexual couples where the male partner was over 40 years old. Couples in stable relationships with no prior history of prostate cancer were included. Baseline data included demographic information, medical history, lifestyle factors, the Female Sexual Function Index (FSFI) and the Dyadic Adjustment Scale (DAS) to assess women’s sexual health and relationship satisfaction. Sexual activity frequency was also recorded. Participants were followed annually for 10 years to track prostate cancer incidence in men. We used Pearson correlation and multivariate Cox proportional hazards regression for statistical analysis. Results: We found a significant negative correlation between FSFI scores and prostate cancer incidence (r = -0.42, p < 0.05). Higher DAS scores and more frequent sexual activity were also associated with a reduced risk of prostate cancer (r = -0.35 and r = -0.38, respectively, both p < 0.05). These results suggest that better sexual function and relationship satisfaction in women are linked to a lower risk of prostate cancer in their male partners. Conclusion: Women’s positive sexual health and relationship satisfaction may reduce prostate cancer risk in men. These findings underscore the importance of considering partner dynamics in prostate cancer prevention strategies and encourage further research into underlying mechanisms.
导言前列腺癌是男性的重大健康问题。本研究调查了女性的性健康和关系满意度是否会影响其男性伴侣患前列腺癌的风险：我们进行了一项前瞻性队列研究，涉及 1000 对男性伴侣年龄超过 40 岁的异性伴侣。研究对象包括关系稳定、无前列腺癌病史的夫妇。基线数据包括人口统计学信息、病史、生活方式因素、女性性功能指数（FSFI）以及用于评估女性性健康和夫妻关系满意度的 "夫妻适应量表"（DAS）。此外，还记录了性活动频率。每年对参与者进行为期 10 年的跟踪调查，以追踪男性前列腺癌的发病率。我们使用皮尔逊相关性和多变量考克斯比例危害回归进行统计分析：我们发现，FSFI 评分与前列腺癌发病率之间存在明显的负相关（r = -0.42，p < 0.05）。更高的 DAS 评分和更频繁的性活动也与前列腺癌风险的降低有关（r = -0.35 和 r = -0.38，均 p <0.05）。这些结果表明，女性较好的性功能和关系满意度与其男性伴侣患前列腺癌的风险较低有关：结论：女性积极的性健康和关系满意度可降低男性患前列腺癌的风险。这些发现强调了在前列腺癌预防策略中考虑伴侣动态的重要性，并鼓励进一步研究其潜在机制。
{"title":"Impact of Women's Sexual Health on Prostate Cancer Risk in Men","authors":"Mboudou Michel Salomon","doi":"10.46889/jsrp.2024.5207","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5207","url":null,"abstract":"Introduction: Prostate cancer is a significant health issue for men. This study investigates whether women’s sexual health and relationship satisfaction influence prostate cancer risk in their male partners.\u0000\u0000Methods: We conducted a prospective cohort study involving 1,000 heterosexual couples where the male partner was over 40 years old. Couples in stable relationships with no prior history of prostate cancer were included. Baseline data included demographic information, medical history, lifestyle factors, the Female Sexual Function Index (FSFI) and the Dyadic Adjustment Scale (DAS) to assess women’s sexual health and relationship satisfaction. Sexual activity frequency was also recorded. Participants were followed annually for 10 years to track prostate cancer incidence in men. We used Pearson correlation and multivariate Cox proportional hazards regression for statistical analysis.\u0000\u0000Results: We found a significant negative correlation between FSFI scores and prostate cancer incidence (r = -0.42, p < 0.05). Higher DAS scores and more frequent sexual activity were also associated with a reduced risk of prostate cancer (r = -0.35 and r = -0.38, respectively, both p < 0.05). These results suggest that better sexual function and relationship satisfaction in women are linked to a lower risk of prostate cancer in their male partners.\u0000\u0000Conclusion: Women’s positive sexual health and relationship satisfaction may reduce prostate cancer risk in men. These findings underscore the importance of considering partner dynamics in prostate cancer prevention strategies and encourage further research into underlying mechanisms.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"54 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918976","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}
Penetrating Atherosclerotic Ulcer (PAU) is one of the acute aortic syndromes representing a medical and surgical emergency that could lead to rapid evolution and significant complications. Depending on the aortic section involved in the PAU, the treatment with endovascular prosthesis could be challenging and often requires personalized prosthesis to face anatomical peculiarities. The aortic arch could be one of the most complex locations due to the origin of supra-aortic branches and the need for previous or subsequent carotid-subclavian bypass grafting. The use of scalloped and fenestrated prostheses makes it possible to manage aortic pathology without further vascular surgery.
{"title":"Avoiding Aortic Arch Debranching with a Custom-Made Solution a Tailored Approach to Aortic Disease","authors":"Daniele Linardi","doi":"10.46889/jsrp.2024/5206","DOIUrl":"https://doi.org/10.46889/jsrp.2024/5206","url":null,"abstract":"Penetrating Atherosclerotic Ulcer (PAU) is one of the acute aortic syndromes representing a medical and surgical emergency that could lead to rapid evolution and significant complications. Depending on the aortic section involved in the PAU, the treatment with endovascular prosthesis could be challenging and often requires personalized prosthesis to face anatomical peculiarities. The aortic arch could be one of the most complex locations due to the origin of supra-aortic branches and the need for previous or subsequent carotid-subclavian bypass grafting. The use of scalloped and fenestrated prostheses makes it possible to manage aortic pathology without further vascular surgery.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"7 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141686392","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}
We present a distinctive case of solid pseudo papillary neoplasm as seen in a 45-year-old woman with no personal history of interest, presented with entire pancreatic tissue appears oval large globular mass measuring 12.0 x 8.0 x 6.0 cms. Pancreatic mass shows appear variegated with solid grey-brown areas, necrosis and hemorrhagic areas noted. Also seen are cystic areas with necrosis and mucin with Calcification. Spleen measuring 8.0 x 7.0 x 5.0 cms, the mass appears congested. Her symptomatology such as complaints like abdominal pain. It was discovered that she possessed a significant mass covering the pancreatic body and tail, exhibiting typical physical and histological characteristics. She subsequently had a successful surgery and she is currently in remission.
我们介绍了一例独特的实性假乳头状瘤病例，患者是一名 45 岁女性，无个人相关病史，整个胰腺组织呈椭圆形大球状肿块，大小为 12.0 x 8.0 x 6.0 厘米。胰腺肿块呈灰褐色实变区、坏死区和出血区。此外，还可见囊性坏死区和粘蛋白钙化区。脾脏大小为 8.0 x 7.0 x 5.0 厘米，肿块充血。她的症状包括腹痛。手术发现，她的胰腺体和胰腺尾部有一个明显的肿块，表现出典型的物理和组织学特征。她随后成功接受了手术，目前病情有所缓解。
{"title":"Solid Pseudo Papillary Neoplasm of the Pancreas in a 45-Year-Old Woman: A Case Report","authors":"Vinay Hg","doi":"10.46889/jsrp.2024/5205","DOIUrl":"https://doi.org/10.46889/jsrp.2024/5205","url":null,"abstract":"We present a distinctive case of solid pseudo papillary neoplasm as seen in a 45-year-old woman with no personal history of interest, presented with entire pancreatic tissue appears oval large globular mass measuring 12.0 x 8.0 x 6.0 cms. Pancreatic mass shows appear variegated with solid grey-brown areas, necrosis and hemorrhagic areas noted. Also seen are cystic areas with necrosis and mucin with Calcification. Spleen measuring 8.0 x 7.0 x 5.0 cms, the mass appears congested. Her symptomatology such as complaints like abdominal pain. It was discovered that she possessed a significant mass covering the pancreatic body and tail, exhibiting typical physical and histological characteristics. She subsequently had a successful surgery and she is currently in remission.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"86 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695963","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}
Background: Nerve decompression represents the treatment in which a nerve is freed from compressing surrounding. It should be ideally performed before neural changes become irreversible following long-term entrapment. No consensus exists on a critical time limit that would make surgery worthwhile. This study aims to investigate whether or not late (12 months after occurrence of symptoms) nerve decompression has still a positive impact on patient’s symptoms. Methods: This prospective study included 16 patients with carpal tunnel syndrome (8) or ulnar nerve entrapment (8) lasting for more than 12 months. Symptoms, motor and sensory functions were assessed before surgery, at 3,6 and 12 months after nerve decompression. Results: After median nerve decompression, pain decreased by 85%. Paresthesia resolved in all patients and nighttime symptoms decreased in 83% cases. Following ulnar decompression, pain decreased by 75 % and numbness resolved in 87% patients. Subjective sensibility increased by 25%, attested with Ten test. Measure of 2-PD decreased by 60% when compared to preoperative values. Grip strength improved to 40%. Conclusion: Despite uncomplete recovery one year after surgery, we believe that nerve decompressions should be indented even in case of chronic symptoms.
{"title":"Outcome of Late Neurolysis on Median and Cubital Nerve Neuropathies: Insights from A Preliminary Prospective Study","authors":"Mauro Maniglio","doi":"10.46889/jsrp.2024.5203","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5203","url":null,"abstract":"Background: Nerve decompression represents the treatment in which a nerve is freed from compressing surrounding. It should be ideally performed before neural changes become irreversible following long-term entrapment. No consensus exists on a critical time limit that would make surgery worthwhile. This study aims to investigate whether or not late (12 months after occurrence of symptoms) nerve decompression has still a positive impact on patient’s symptoms.\u0000\u0000Methods: This prospective study included 16 patients with carpal tunnel syndrome (8) or ulnar nerve entrapment (8) lasting for more than 12 months. Symptoms, motor and sensory functions were assessed before surgery, at 3,6 and 12 months after nerve decompression.\u0000\u0000Results: After median nerve decompression, pain decreased by 85%. Paresthesia resolved in all patients and nighttime symptoms decreased in 83% cases. Following ulnar decompression, pain decreased by 75 % and numbness resolved in 87% patients. Subjective sensibility increased by 25%, attested with Ten test. Measure of 2-PD decreased by 60% when compared to preoperative values. Grip strength improved to 40%.\u0000\u0000Conclusion: Despite uncomplete recovery one year after surgery, we believe that nerve decompressions should be indented even in case of chronic symptoms.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"28 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334923","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}
Background: Chondroid syringomas are rare benign mixed epithelial tumors of the skin which share similarities with pleomorphic adenomas of the parotid gland. Clinical Description: Middle-aged female with swelling over the right parietal region of scalp for 5 years with a history of recurrence for 2 years. Management: Ultrasonography and fine needle aspiration of the swelling was done. Excision under local anesthesia was carried out and the specimen was sent for histopathological analysis. Conclusion: Histopathological diagnosis of excised tumors is crucial in planning further management for the patient and has to be made compulsorily in all cases.
{"title":"Chondroid Syringomas of Scalp in a Middle-Aged Female: A Case Report","authors":"Ramprashanth Mp","doi":"10.46889/jsrp.2024.5202","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5202","url":null,"abstract":"Background: Chondroid syringomas are rare benign mixed epithelial tumors of the skin which share similarities with pleomorphic adenomas of the parotid gland.\u0000\u0000Clinical Description: Middle-aged female with swelling over the right parietal region of scalp for 5 years with a history of recurrence for 2 years.\u0000\u0000Management: Ultrasonography and fine needle aspiration of the swelling was done. Excision under local anesthesia was carried out and the specimen was sent for histopathological analysis.\u0000\u0000Conclusion: Histopathological diagnosis of excised tumors is crucial in planning further management for the patient and has to be made compulsorily in all cases.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"37 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334953","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}
Carcinoid tumors are rare malignancies that develop from epithelial cells in the diffuse endocrine system, with a notable proportion originating in the gastrointestinal tract. Delayed diagnosis due to their nonspecific symptoms often results in advanced disease upon presentation. Surgery is the main treatment, involving tumor removal while preserving bowel function. We present a case of a patient with pain and palpable abdominal mass, who was diagnosed with carcinoid tumor and referred for surgical treatment. This case highlights the diagnostic challenges and emphasizes the significance of early detection in patients with this disease.
{"title":"Rare Small Bowel Carcinoid Tumor: A Case Report","authors":"Garritano C, MD","doi":"10.46889/jsrp.2024.5201","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5201","url":null,"abstract":"Carcinoid tumors are rare malignancies that develop from epithelial cells in the diffuse endocrine system, with a notable proportion originating in the gastrointestinal tract. Delayed diagnosis due to their nonspecific symptoms often results in advanced disease upon presentation. Surgery is the main treatment, involving tumor removal while preserving bowel function. We present a case of a patient with pain and palpable abdominal mass, who was diagnosed with carcinoid tumor and referred for surgical treatment. This case highlights the diagnostic challenges and emphasizes the significance of early detection in patients with this disease.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334897","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}
Background: Non-obstructive intussusception in adults is rare and is seen in less than 1 per 1300 abdominal surgeries. 95% of intussusception in adults usually presents as obstruction, commonly due to a pathological cause for the lead point. Clinical Description: A 45-year-old young gentleman with non-radiating chronic intermittent abdominal pain for four to five years of duration without any significant weight loss. Clinical examination was non-specific with stable vitals. Management: Ultrasonography of the abdomen and pelvis was done and it was reported to have ileocecal intussusception of approximately 10 cm. Contrast-enhanced computed tomography revealed an ileal lipoma as a lead point for ileocecal intussusception. The laparoscopic reduction was attempted and was ultimately manually reduced with resection of the lipoma and the bowel as resected and anastomosed. Conclusion: Though the diagnosis of adult intussusception is challenging at times, a surgeon should anticipate the diagnosis in bizarre surgical circumstances and manage patients with rare complications swiftly and precisely to prevent permanent future disabilities.
{"title":"A Rare Case of Multiple Ileal Lipoma in A Young Male","authors":"Ramprashanth Mp","doi":"10.46889/jsrp.2024.5106","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5106","url":null,"abstract":"Background: Non-obstructive intussusception in adults is rare and is seen in less than 1 per 1300\u0000abdominal surgeries. 95% of intussusception in adults usually presents as obstruction,\u0000commonly due to a pathological cause for the lead point. Clinical Description: A 45-year-old young gentleman with non-radiating chronic intermittent abdominal pain for four to five years of duration without any significant weight loss. Clinical examination was non-specific with stable vitals. Management: Ultrasonography of the abdomen and pelvis was done and it was reported to have ileocecal intussusception of approximately 10 cm. Contrast-enhanced computed tomography revealed an ileal lipoma as a lead point for ileocecal intussusception. The laparoscopic reduction was attempted and was ultimately manually reduced with resection of the lipoma and the bowel as resected and anastomosed. Conclusion: Though the diagnosis of adult intussusception is challenging at times, a surgeon should anticipate the diagnosis in bizarre surgical circumstances and manage patients with rare complications swiftly and precisely to prevent permanent future disabilities.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"81 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676858","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}
Background: Gastric volvulus, a rare surgical emergency mimics common presentations like acute pancreatitis. Intestinal obstruction and hollow viscous perforation. Clinical Description: A young male without any co-morbidities presenting with acute pain in the abdomen with vomiting for 5 days with stable vitals. Management: Erect abdominal X-ray with diagnostic endoscopy was done on an emergency basis. Laparoscopic repair of the hiatal hernia with anterior gastropexy was performed immediately. Conclusion: Early diagnosis of acute abdominal pain is crucial as misdiagnosis delays proper treatment. Aspiring surgeons should acknowledge that while diagnosing rare disorders may often be challenging, there is a possibility of accuracy in specific cases.
{"title":"Gastric Volvulus with Hiatal Hernia in a Young Male: A Case Report","authors":"Vinay Hg","doi":"10.46889/jsrp.2024.5105","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5105","url":null,"abstract":"Background: Gastric volvulus, a rare surgical emergency mimics common presentations like acute pancreatitis. Intestinal obstruction and hollow viscous perforation.\u0000\u0000Clinical Description: A young male without any co-morbidities presenting with acute pain in the abdomen with vomiting for 5 days with stable vitals.\u0000\u0000Management: Erect abdominal X-ray with diagnostic endoscopy was done on an emergency basis. Laparoscopic repair of the hiatal hernia with anterior gastropexy was performed immediately.\u0000\u0000Conclusion: Early diagnosis of acute abdominal pain is crucial as misdiagnosis delays proper treatment. Aspiring surgeons should acknowledge that while diagnosing rare disorders may often be challenging, there is a possibility of accuracy in specific cases.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"24 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140226209","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}
Purpose: Stool-related late complications have a major impact on patients’ quality of life. The objective of this study was to investigate stool and bowel movements as late complications to colorectal and anal cancer treatment. Methods: We performed a prospective cohort study from a single center using patient reported outcome measurements. We included patients who had surgery for colorectal and anal cancer from October 2019 to January 2022. This was supplemented by a subgroup of patients with late complications after chemo-radiation therapy for anal cancer. The study population comprised 293 patients. The main outcome included descriptive data on stool and bowel movement related complications. We used the Low Anterior Resection Symptom score (LARS), St Mark´s incontinence score, Bristol stool form scale, Patient Assessment of Constipation Symptoms Score (PAC-SYM), colostomy impact factor and self-rated health on a visual analog scale as measurement tools. Results: The low anterior resection symptom score was median 36 (range 24-41) in patients with rectum cancer, for patients with anal cancer it was 39 (4-41), for patients with a right or left sided hemicolectomy it was 26 (4-41) and 25 (0-41), respectively. Conclusion: Patients who had surgery for rectum cancer had in 90% of the cases major Low Anterior Resection Syndrome (LARS). Patients who underwent surgery for colon cancer would in about one third of the cases experience stool or bowel movement impairments. Patients with anal cancer who had chemo-radiation therapy experienced a very high degree of stool and bowel movement impairment.
{"title":"Many Patients Will Experience Stool and Bowel Movement-Related Symptoms After Treatment for Colorectal and Anal Cancer-A Descriptive Study","authors":"B. T. Oggesen","doi":"10.46889/jsrp.2024.5104","DOIUrl":"https://doi.org/10.46889/jsrp.2024.5104","url":null,"abstract":"Purpose: Stool-related late complications have a major impact on patients’ quality of life. The objective of this study was to investigate stool and bowel movements as late complications to colorectal and anal cancer treatment.\u0000\u0000Methods: We performed a prospective cohort study from a single center using patient reported outcome measurements. We included patients who had surgery for colorectal and anal cancer from October 2019 to January 2022. This was supplemented by a subgroup of patients with late complications after chemo-radiation therapy for anal cancer. The study population comprised 293 patients. The main outcome included descriptive data on stool and bowel movement related complications. We used the Low Anterior Resection Symptom score (LARS), St Mark´s incontinence score, Bristol stool form scale, Patient Assessment of Constipation Symptoms Score (PAC-SYM), colostomy impact factor and self-rated health on a visual analog scale as measurement tools.\u0000\u0000Results: The low anterior resection symptom score was median 36 (range 24-41) in patients with rectum cancer, for patients with anal cancer it was 39 (4-41), for patients with a right or left sided hemicolectomy it was 26 (4-41) and 25 (0-41), respectively.\u0000\u0000Conclusion: Patients who had surgery for rectum cancer had in 90% of the cases major Low Anterior Resection Syndrome (LARS). Patients who underwent surgery for colon cancer would in about one third of the cases experience stool or bowel movement impairments. Patients with anal cancer who had chemo-radiation therapy experienced a very high degree of stool and bowel movement impairment.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228496","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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