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Giant Adrenal Myelolipoma as a Cause of Chronic Abdominal Pain: Abdominal Pain due to Giant Myelolipoma 巨大肾上腺骨髓瘤引起慢性腹痛:巨大骨髓瘤引起的腹痛
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2303
García-Merchán Víctor Hugo, Lopez Yerena Ivan, Solar Aguirre Carlos, M. IbarraOcampoCarlos, G. CastilloMonteroAlan
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引用次数: 0
Research as Part of Daily Clinical Life: Challenging But Possible 研究作为日常临床生活的一部分:挑战但可能
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2203
A. El‐Hussuna, G. Gallo
The surgeon-scientists or academic Surgeon-Scientists (SS) are practising clinicians who are engaged in scientific research. SS are uniquely positioned to facilitate exchange between research and practice, and as such they are play instrumental role in developing medical practice [1]. The involvement of Surgeon-Scientists (SS) will lead to increasing clinical relevance of research questions, gaining access to clinical settings for research, bringing clinical expertise and insider perspectives to the research, having researchers who are trusted by participants, which may encourage their participation, and having researchers who are motivated to disseminate applicable findings and continue their commitment to the researched. This combination can result in good patient compliance and strengthen patient–clinician interactions [1-3].
外科医生或学术外科医生(SS)是从事科学研究的执业临床医生。SS在促进研究与实践之间的交流方面具有独特的地位,因此它们在发展医疗实践中发挥着重要作用[1]。外科医生-科学家(SS)的参与将增加研究问题的临床相关性,获得研究的临床环境,为研究带来临床专业知识和内部观点,拥有被参与者信任的研究人员,这可能会鼓励他们的参与,并且拥有被激励的研究人员传播适用的发现并继续他们对研究的承诺。这种结合可以产生良好的患者依从性,并加强患者与临床医生的互动[1-3]。
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引用次数: 0
egative Pressure Wound Therapy: The Experience of Our Surgery Department 负压伤口治疗:我外科的经验
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2205
Fatma Ben Saida, C. Jaber, N. Azabou, Khadija Soumer
Introduction: The negative pressure wound therapy NPWT is a simple technique using negative pressure which aims to heal different types of wounds in different kinds of surgeries.The purpose of our study is to evaluate the results of this therapy on patients who have had delayed wound healing in cardiac, vascular or thoracic surgery. Methods: It is a retrospective review, from 2009 to 2021, including 31 patients , hospitalized in the thoracic and cardiovascular surgery department of Abderrahman Mami hospital of Ariana Tunisia. Data were collected on patient cardiovascular risk factors, primary diagnosis, intervention, site of the wound, duration of the therapy, number of NPWT dressing implemented, the inflammatory assessment, the microorganism found and the evolution after the NPWT. Results: The mean age was 61 years with a maximum of 78-year-old-patient and minimum of 24 (Range 24 Year Old-78 Year Old) There were 23 male and 8 female patients with the following risk factors and comorbidities: Diabetes (70,59%), Smoking (47,06%), Hypertension (41,17%), Dyslipidemia (29,41%). Five patients presented with mediastinitis after coronary by-pass and five others had an infected scarpa but the bypass was preserved. Ten (10) cases presented with critical limb ischemia and
负压创伤治疗是一种简单的负压治疗技术,目的是在不同类型的手术中治疗不同类型的伤口。我们研究的目的是评估这种疗法对心脏、血管或胸外科手术中伤口愈合延迟的患者的效果。方法:回顾性分析2009 - 2021年在突尼斯Ariana Abderrahman Mami医院胸外科和心血管外科住院的31例患者。收集患者心血管危险因素、初步诊断、干预措施、伤口部位、治疗时间、NPWT敷料次数、炎症评估、发现的微生物以及NPWT后的演变等数据。结果:平均年龄61岁,年龄最大78岁,最小24岁(24岁~ 78岁),男性23例,女性8例,伴有糖尿病(70.59%)、吸烟(47.06%)、高血压(41.17%)、血脂异常(29.41%)等危险因素及合并症。5例患者在冠状动脉旁路手术后出现纵隔炎,另外5例患者有感染的斯卡帕,但保留了旁路。10例出现严重肢体缺血
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引用次数: 0
Public Health Concerns Due to Reversal of Roe V. Wade 罗伊诉韦德案逆转引发公众健康担忧
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2023.4202
J. Radhakrishnan
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引用次数: 0
SARS-CoV-2 in Peritoneal Fluids. Our Point of View after a Short Review of Literature 腹膜液中的SARS-CoV-2简要回顾文献后我们的观点
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2302
S. Greco, N. Fabbri
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引用次数: 0
Sigmoid Colon Cancer in an Irreducible Scrotal Hernia Case: A Combined Surgical Laparoscopic and Inguinal Approach and Review of the Literature 乙状结肠直肠癌合并不可治愈的阴囊疝:腹腔镜与腹股沟联合手术入路及文献回顾
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2022.3103
L. Onofrio, D. Cafaro, L. Asciore, Maria Diana Fidanza, Francesco Iarrobino, G. Iarrobino
Inguinal hernia and colorectal cancer, considered individually, are very common pathologies; their simultaneous manifestation in the same patient, on the other hand, is a rare condition and even more the presentation in the form of a complication (bleeding, intestinal obstruction, etc.). We report an 86-year-old man case of incarcerated sigmoid colon carcinoma diagnosed in the emergency department preoperatively and treated with elective laparoscopic surgery, combined with an inguinal approach. Literature review (last 30 years) was applied to analyzed variability and open questions in the management of this particular pathologic combination.
腹股沟疝和结直肠癌,单独考虑,是非常常见的病理;另一方面,它们在同一患者中同时出现是一种罕见的情况,甚至以并发症(出血、肠梗阻等)的形式出现。我们报告一例86岁男性嵌顿乙状结肠直肠癌,在急诊科进行术前诊断,并采用择期腹腔镜手术联合腹股沟入路治疗。文献回顾(过去30年)用于分析这种特殊病理组合的变异性和开放性问题。
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引用次数: 0
Diffuse Sclerotic Metastatic in Carcinoma Prostrate 前列腺癌的弥漫性硬化转移
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2304
Manjeet Kumar, K. Rana, S. Chauhan
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引用次数: 0
Palliative Bilio-Digestive Anastomosis for the Treatment of Bile Duct Obstruction Due to Pancreatic Head Tumors: Techniques and Therapeutic Results 姑息性胆管-消化吻合术治疗胰头肿瘤胆管梗阻:技术及治疗效果
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2021.2305
Diakité Sy, Camara Fl, Camara Sn, B. H, Barry H, Barry Am, D. B, Sow Z, Baldé Ak, Camara Ak, Diallo Ad, T. A., Dia At, D. B
Introduction: Biliary-digestive anastomosis are a fistulization between the bile ducts and the digestive tract that aims at permanent drainage of bile to the digestive tract in case of obstruction at the lower bile duct. The objective of our study was to describe the main techniques and postoperative results of biliary-digestive anastomoses in the treatment of pancreatic head tumors in the visceral surgery department of the Donka national hospital. Material and Methods: This is a descriptive cross-sectional study for 5 years duration from January 01, 2014 to December 31, 2019 which focused on the records of patients who underwent bilio-digestive anastomosis for pancreatic head tumors. Results: The frequency of biliary-digestive anastomosis was 0.38% (N=24). The mean age was 43.75 years with a male predominance of 54.17% (n=13): sex ratio 1.18. The clinical picture was dominated by jaundice, dark urine and stool discoloration in all cases. Abdominal Computed Tomographic (CT) scan and Ultrasound (US) were the reference examinations. The indications were tumors of the head of the pancreas 100% (n=24). The approach was median supra-umbilical in all cases. The types of anastomosis were dominated by choledochodenal anastomosis 54.16% (n=13) followed by cholecysto-jejunal 20.83% (n=5) and choledoco-
导语:胆管-消化吻合术是在胆管与消化道之间进行的一种吻合术,目的是在胆管梗阻时将胆汁永久引流至消化道。我们的研究目的是描述胆消化吻合术在东卡国立医院内脏外科治疗胰头肿瘤中的主要技术和术后效果。材料和方法:这是一项描述性横断面研究,为期5年,从2014年1月1日至2019年12月31日,重点研究了胰头肿瘤行胆道-消化吻合术的患者的记录。结果:胆消化吻合率为0.38% (N=24)。平均年龄43.75岁,男性占比54.17% (n=13),性别比1.18。临床表现以黄疸、尿色深、大便变色为主。腹部计算机断层扫描(CT)和超声(US)是参考检查。适应症为胰头肿瘤100% (n=24)。所有病例入路均为正中脐上入路。吻合类型以胆胆吻合为主,占54.16% (n=13),其次为胆囊-空肠吻合,占20.83% (n=5)
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引用次数: 0
Laminin 511-E8 Fragment Improves Second-Degree Burn Wound Healing in a Rat Model 层粘连蛋白511-E8片段促进大鼠二度烧伤创面愈合
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2022.3101
Jiraroch Meevassana, Manita Attasuriyanan, Apasee Sooksamran, J. Wititsuwannakul, Papatson Boonsongserm, Supitcha Kamolratanakul, Nichakarn Ekprachayakoon, Kevin J. Hamill, A. Mutirangura, A. Angspatt
Background: The rate of re-epithelialization is the primary determinant of the morbidity and mortality in patients with severe burn injuries. Laminin ⍺5β1γ1 (LM511) is an extracellular structural protein that can support epithelial cell adhesion and migration. LM511-E8 is a functionally minimal form of LM511 with an efficacy similar to that of the full-length protein. To investigate whether treatment of burn wounds with the LM511-E8 fragment improves wound closure in a rat second-degree burn wound model. Methods: Second-degree burn wounds were produced in vivo on the backs of rats. The rats were separated into saline-treated control and LM511-E8-treated groups (n=9 per group),
背景:再上皮化率是严重烧伤患者发病率和死亡率的主要决定因素。层粘连蛋白(Laminin, LM511)是一种支持上皮细胞粘附和迁移的胞外结构蛋白。LM511- e8是LM511的功能最小形式,其功效与全长蛋白相似。探讨LM511-E8碎片治疗烧伤创面是否能改善大鼠二度烧伤创面模型的创面闭合。方法:采用活体大鼠背部二度烧伤创面。将大鼠分为盐水处理组和lm511 - e8处理组,每组9只。
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引用次数: 0
Subacute Management of Ruptured Lung Hydatid Cysts in Pediatrics 儿科肺包虫病破裂的亚急性处理
Pub Date : 1900-01-01 DOI: 10.46889/jsrp.2022.3102
Salma Abed Samamqa, Ali K Salah, Shaimaa Awawdeh, Amer Y. AbuRumaila, M. Mohtasib, Y. A. Asbeh
Background: The aim of this observational, retrospective study was to review and describe clinical presentations and subacute management of patients with complicated Pulmonary Hydatid Cysts (PHC) and its outcome. Cases Preview: Six patients, suffering from 10 lung hydatid cysts, with a mean age of 10 years (3-15) year old, of these six patients, there were three males and three females, the most common presentation was ruptured hydatid cyst in four of the cases, all of them were associated with liver hydatid cysts, there were no other organ involvement, the cysts size was ranging from 2.5-10 cm, with mean size of 5 cm. The presenting symptoms were fever, dry cough, shortness of breath, chest pain on the affected side, hemoptysis, recurrent chest infection, hematemesis and vomiting, we didn’t witness any anaphylactic episodes in our study.
背景:本观察性回顾性研究的目的是回顾和描述合并肺包虫病(PHC)患者的临床表现和亚急性处理及其结果。病例简介:6例患者,共10例肺包虫病,平均年龄10岁(3-15岁),男3例,女3例,最常见的表现为4例包虫病破裂,均合并肝包虫病,未累及其他脏器,包虫病大小2.5-10 cm,平均5 cm。临床表现为发热、干咳、气短、患侧胸痛、咯血、反复胸腔感染、呕血、呕吐,本研究未见过敏发作。
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Journal of Surgery Research and Practice
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