Colonic foreign bodies are a selective case of gastrointestinal foreign bodies. A feature of clinical importance is the passage of large foreign bodies through the rectum to the sigmoid and descending colon. In this case, the development of intestinal obstruction, direct damage or the formation of bedsores of the intestinal wall with subsequent perforation and the development of fecal peritonitis is dangerous. In the vast majority of cases described in the clinical literature, foreign bodies were introduced voluntarily, about 10% of cases had a violent origin [1]. Often, out of shame, patients point to the “accidental entry” of an object into the rectum as the reason. Among the previously described in the literature, we find a variety of extraneous rectal objects by type and size: an apple [2], a carrot [3], a rubber ball [4,5], a glass container [6], a plastic cover for a toothbrush [7] vase [8]. Methods of removal in each case are individual: from manual to laparotomy, depending on the depth of penetration and technical capabilities. We present our own observation of a patient with a giant radish of the colon that got through the anal canal. Purpose: Indicate a rare case of a foreign body (giant radish) that entered the descending colon through the anus and was removed without laparotomy through the anal canal without the use of auxiliary instruments.
{"title":"Foreign Body (Giant Radish) in the Colon","authors":"Anna Yuriyivna Gorolyuk, Yuriyivna","doi":"10.31038/srr.2023512","DOIUrl":"https://doi.org/10.31038/srr.2023512","url":null,"abstract":"Colonic foreign bodies are a selective case of gastrointestinal foreign bodies. A feature of clinical importance is the passage of large foreign bodies through the rectum to the sigmoid and descending colon. In this case, the development of intestinal obstruction, direct damage or the formation of bedsores of the intestinal wall with subsequent perforation and the development of fecal peritonitis is dangerous. In the vast majority of cases described in the clinical literature, foreign bodies were introduced voluntarily, about 10% of cases had a violent origin [1]. Often, out of shame, patients point to the “accidental entry” of an object into the rectum as the reason. Among the previously described in the literature, we find a variety of extraneous rectal objects by type and size: an apple [2], a carrot [3], a rubber ball [4,5], a glass container [6], a plastic cover for a toothbrush [7] vase [8]. Methods of removal in each case are individual: from manual to laparotomy, depending on the depth of penetration and technical capabilities. We present our own observation of a patient with a giant radish of the colon that got through the anal canal. Purpose: Indicate a rare case of a foreign body (giant radish) that entered the descending colon through the anus and was removed without laparotomy through the anal canal without the use of auxiliary instruments.","PeriodicalId":106638,"journal":{"name":"Surgery: Research and Reports","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125040644","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: Head and neck cancers are increasingly becoming a prominent part of oncological practice in Nigeria due to increasing awareness and advances in this area of practice. Tumours of the head and neck region make up about 5-30% of all tumours in the body and often constitute a burden that impacts their sufferers physically, socially, financially and psychologically. In addition, there has been enormous challenges in the management of these conditions in a developing setting such as ours. The study aimed at assessing the pattern of presentation and management of head and neck cancers cases that presented at Federal Medical Centre, Owerri, Nigeria. Materials and methods: The study is a 5-year retrospective analysis of all head and neck cancer cases that presented to the ENT Department of Federal Medical Centre, Owerri, Nigeria between January 2015 and December 2019. Data was extracted from patients’ case files, sorted and analyzed with SPSS version 25.0. Results: A total of sixty-eight (68) head and neck cancer cases were seen over the period, however fifteen (15) cases had incomplete records therefore only fifty-three (53) cases were analyzed. A M:F ratio of 1.3:1 was recorded with the mean age of the patients being 53.5±14.0 years. The mean duration of presenting complaints was 12.2±9.2months. The commonest site of cancer among the patients was the larynx (26.3%) while the commonest histological diagnosis was Squamous cell carcinoma (54.5%). Majority of patients (94.3%) presented with advanced disease (stages III and IV). The commonest modalities of treatment were surgery alone (35.9%) and chemoradiation therapy (33.9%). Outcome of treatment at 3 months was satisfactory in 43.4%. About 15.1% of the patients did not attend follow up clinics after treatment while 3 patients (5.7%) died within 3 months of treatment. Conclusion: The pattern of presentation and principles of management of head and neck cancers in Federal Medical Centre, Owerri over recent years are similar to those of contemporary facilities around the region and country. The challenges facing the management of these cases include late presentation, financial paucity, poor social support system and poor follow up culture.
{"title":"Pattern of Head and Neck Cancer Presentation and Management in a Tertiary Hospital in Owerri, South- East Nigeria","authors":"S. Nduagu, Arinze Raphael Onyekwelu","doi":"10.31038/srr.2022511","DOIUrl":"https://doi.org/10.31038/srr.2022511","url":null,"abstract":"Background: Head and neck cancers are increasingly becoming a prominent part of oncological practice in Nigeria due to increasing awareness and advances in this area of practice. Tumours of the head and neck region make up about 5-30% of all tumours in the body and often constitute a burden that impacts their sufferers physically, socially, financially and psychologically. In addition, there has been enormous challenges in the management of these conditions in a developing setting such as ours. The study aimed at assessing the pattern of presentation and management of head and neck cancers cases that presented at Federal Medical Centre, Owerri, Nigeria. Materials and methods: The study is a 5-year retrospective analysis of all head and neck cancer cases that presented to the ENT Department of Federal Medical Centre, Owerri, Nigeria between January 2015 and December 2019. Data was extracted from patients’ case files, sorted and analyzed with SPSS version 25.0. Results: A total of sixty-eight (68) head and neck cancer cases were seen over the period, however fifteen (15) cases had incomplete records therefore only fifty-three (53) cases were analyzed. A M:F ratio of 1.3:1 was recorded with the mean age of the patients being 53.5±14.0 years. The mean duration of presenting complaints was 12.2±9.2months. The commonest site of cancer among the patients was the larynx (26.3%) while the commonest histological diagnosis was Squamous cell carcinoma (54.5%). Majority of patients (94.3%) presented with advanced disease (stages III and IV). The commonest modalities of treatment were surgery alone (35.9%) and chemoradiation therapy (33.9%). Outcome of treatment at 3 months was satisfactory in 43.4%. About 15.1% of the patients did not attend follow up clinics after treatment while 3 patients (5.7%) died within 3 months of treatment. Conclusion: The pattern of presentation and principles of management of head and neck cancers in Federal Medical Centre, Owerri over recent years are similar to those of contemporary facilities around the region and country. The challenges facing the management of these cases include late presentation, financial paucity, poor social support system and poor follow up culture.","PeriodicalId":106638,"journal":{"name":"Surgery: Research and Reports","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114880262","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}
{"title":"Characterization of Patients with Acute Appendicitis in the Elderly","authors":"P. Rodríguez","doi":"10.31038/srr.2021414","DOIUrl":"https://doi.org/10.31038/srr.2021414","url":null,"abstract":"","PeriodicalId":106638,"journal":{"name":"Surgery: Research and Reports","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117196771","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}
Older people represent a very specific and vulnerable age group whose share is progressively increasing, which significantly affects the health, social, educational and economic structure of the entire population of any country in the world. Gerontology is a scientific discipline that studies aging in the broadest sense, ie its clinical, biological, economic, social and psychological aspects. This results in a comprehensive, holistic approach to health care for the elderly, which ensures the improvement of all forms of health care for the elderly. One of the branches of medicine that considers the protection of the health of the elderly is surgery.
{"title":"Surgery and Gerontology","authors":"Siniša Franjić","doi":"10.31038/srr.2021411","DOIUrl":"https://doi.org/10.31038/srr.2021411","url":null,"abstract":"Older people represent a very specific and vulnerable age group whose share is progressively increasing, which significantly affects the health, social, educational and economic structure of the entire population of any country in the world. Gerontology is a scientific discipline that studies aging in the broadest sense, ie its clinical, biological, economic, social and psychological aspects. This results in a comprehensive, holistic approach to health care for the elderly, which ensures the improvement of all forms of health care for the elderly. One of the branches of medicine that considers the protection of the health of the elderly is surgery.","PeriodicalId":106638,"journal":{"name":"Surgery: Research and Reports","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134410417","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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