Objective: Present the frequency of atypical histological lineage paragangliomas on a third level hospital. Introduction: Paragangliomas, also known as neuroendocrine tumors, are rare and can appear in distinct places throughout the human body where chromaffin cells are present. Such examples include blood vessels and nerves. Thirty percent are in head and neck compartments; after carotid paragangliomas, the yugulotimpanic follow in frequency and then the vagal ones by 5%. Onlyone percent of paragangliomas located in the head and neck are functional compared with those located in other parts of the body that tend to be functional, most commonly causing hypertension. Methods: An ambispective, observational, descriptive review was conducted, including patients operated on by paraganglioma from 1987 to January 2023; 99.4% were initially diagnosed as carotid origin. Results: A total of 1070 patients were captured. 998 patients were female (93.2%). 1,063 of paragangliomas were carotid (99.3%), 2 were vagal (0.18%), 1 was yugulotympanic (0.09%) and 3 were in other locations (0.28%). One was reported as a Schwannoma. None of the tumors were reported as being hyperfunctional. Conclusion: The angiographic visualization of these lesions can confuse their diagnosis and cause an erroneous follow-up with a poor prognosis, since it is described that vagal paragangliomas recur in 17%.
{"title":"Paragangliomas, Etiology, Review of 1070 Series of Cases Hospital De Especialidades Centro Médico La Raza","authors":"Ficachi-Morales Cs, Bizueto-Rosas H, Rodríguez-Jiménez Oa, Castro-Luna Bd, Guzmán Ge, Díaz-Aguirre Pl, Orta-Luna Ka, Varela-Román C, Medina-Terán D, Chávez-Vázquez Ey, Herrera-Durán Aa, Valdés-Gonzalez Tt, Luna-Marmolejo Aed, Bizueto-Blancas Nn, Olivares-Luna Lm, Velasco-Vázquez A, Gómez-Calvo Cd","doi":"10.16966/2470-0991.268","DOIUrl":"https://doi.org/10.16966/2470-0991.268","url":null,"abstract":"Objective: Present the frequency of atypical histological lineage paragangliomas on a third level hospital. Introduction: Paragangliomas, also known as neuroendocrine tumors, are rare and can appear in distinct places throughout the human body where chromaffin cells are present. Such examples include blood vessels and nerves. Thirty percent are in head and neck compartments; after carotid paragangliomas, the yugulotimpanic follow in frequency and then the vagal ones by 5%. Onlyone percent of paragangliomas located in the head and neck are functional compared with those located in other parts of the body that tend to be functional, most commonly causing hypertension. Methods: An ambispective, observational, descriptive review was conducted, including patients operated on by paraganglioma from 1987 to January 2023; 99.4% were initially diagnosed as carotid origin. Results: A total of 1070 patients were captured. 998 patients were female (93.2%). 1,063 of paragangliomas were carotid (99.3%), 2 were vagal (0.18%), 1 was yugulotympanic (0.09%) and 3 were in other locations (0.28%). One was reported as a Schwannoma. None of the tumors were reported as being hyperfunctional. Conclusion: The angiographic visualization of these lesions can confuse their diagnosis and cause an erroneous follow-up with a poor prognosis, since it is described that vagal paragangliomas recur in 17%.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127341532","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}
According to a review of literatures, silicone-induced lymphadenopathy occurs in association with rupture or silicone leakage. It has been reported to cause inflammation, neuropathy or systemic disorder. It should therefore be detected both correctly and promptly. The author experienced a rare case of a 38-year-old woman presenting with axillary silicone lymphadenopathy due to rupture of a silicone gel-filled breast implant. The patient received primary augmentation mammaplasty using a breast implant at other hospital; the current case highlights the importance of an ultrasoundassisted diagnosis of silicone lymphadenopathy before reoperation in a patient with rupture.
{"title":"A Rare Case of a Woman Presenting with Axillary Silicone Lymphadenopathy Accompanied by Extracapsular Siliconoma and Thickened Capsule after an Implant-based Augmentation Mammaplasty","authors":"Kim Jh","doi":"10.16966/2470-0991.236","DOIUrl":"https://doi.org/10.16966/2470-0991.236","url":null,"abstract":"According to a review of literatures, silicone-induced lymphadenopathy occurs in association with rupture or silicone leakage. It has been reported to cause inflammation, neuropathy or systemic disorder. It should therefore be detected both correctly and promptly. The author experienced a rare case of a 38-year-old woman presenting with axillary silicone lymphadenopathy due to rupture of a silicone gel-filled breast implant. The patient received primary augmentation mammaplasty using a breast implant at other hospital; the current case highlights the importance of an ultrasoundassisted diagnosis of silicone lymphadenopathy before reoperation in a patient with rupture.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123556080","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}
Postpartum urinary retention is a common complication in obstetrics; its incidence in spontaneous labor is on average 14% [1], while the incidence in midwifery is as high as 26% to 38% [2]. If the treatment is not timely, postpartum urinary retention will affect the contraction of the uterus and aggravate postpartum hemorrhage, affect the restoration of postpartum reproductive organs, can also lead to urinary tract infection, and bring physical and mental pain to the puerperal [3].
{"title":"Clinical Study on Postpartum Urinary Retention with Compound Chinese Medicine","authors":"H. Wang, Y. Zhang","doi":"10.16966/2470-0991.175","DOIUrl":"https://doi.org/10.16966/2470-0991.175","url":null,"abstract":"Postpartum urinary retention is a common complication in obstetrics; its incidence in spontaneous labor is on average 14% [1], while the incidence in midwifery is as high as 26% to 38% [2]. If the treatment is not timely, postpartum urinary retention will affect the contraction of the uterus and aggravate postpartum hemorrhage, affect the restoration of postpartum reproductive organs, can also lead to urinary tract infection, and bring physical and mental pain to the puerperal [3].","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122048248","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}
Araujo-Lopez A, Gonzalez-Rodriguez M, Aburto-Fernandez Md, Herrera-Barron Sj, Insunza-Miranda Jg, Sierra-Brozon Ag
Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO 2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.
{"title":"Pneumoperitoneum Low Volume as Control of Post Surgical Pain","authors":"Araujo-Lopez A, Gonzalez-Rodriguez M, Aburto-Fernandez Md, Herrera-Barron Sj, Insunza-Miranda Jg, Sierra-Brozon Ag","doi":"10.16966/2470-0991.206","DOIUrl":"https://doi.org/10.16966/2470-0991.206","url":null,"abstract":"Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO 2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130518231","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}
Msuya Nd, Aloyce Jp, M. D., Chilonga K, Herman A, Chugulu S
Background: Peritonitis is one of the most common surgical emergencies all over the world and is associated with significant complications and mortality. The spectrum of aetiology of peritonitis differs between high income countries and low income countries. Majority of the patients present late with purulent peritonitis and septiceamia. Surgical treatment of peritonitis is highly demanding and very complex, however, if the outcome in these patients can be correctly predicted, then better management can be instituted in order to achieve optimal patient’s care and hence improve treatment outcome.
{"title":"Prognostic Indicators and Short Term Outcomes for Operated Patients with Peritonitis: Prospective Cohort Hospital Based Study in Northern Tanzania","authors":"Msuya Nd, Aloyce Jp, M. D., Chilonga K, Herman A, Chugulu S","doi":"10.16966/2470-0991.235","DOIUrl":"https://doi.org/10.16966/2470-0991.235","url":null,"abstract":"Background: Peritonitis is one of the most common surgical emergencies all over the world and is associated with significant complications and mortality. The spectrum of aetiology of peritonitis differs between high income countries and low income countries. Majority of the patients present late with purulent peritonitis and septiceamia. Surgical treatment of peritonitis is highly demanding and very complex, however, if the outcome in these patients can be correctly predicted, then better management can be instituted in order to achieve optimal patient’s care and hence improve treatment outcome.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130898496","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}
Rafael Cdg, Yamel Ff, Hector Br, Luis Ncj, Nicolas Hdj, Roberto Msj, Andres Efc, Teresa Vgt, Andrea Vv, Alberto Gam, Daniela Clb, Belen Rla, Oscar Qbm, Israel Pme, Manuel Asj, F. Mrm
Introduction: Abdominal Aortic Aneurysms (AAA) are becoming more frequent in our population; the surgical management of this pathology represents a highly complex surgery which must be performed in a well-equipped medical unit, with implements and suitable personnel, since morbidity and mortality depends a lot on the preoperative evaluation of these patients with high coronary risk. Peripheral locoregional anesthesia techniques occupy an important place in anesthetic treatment and postoperative resuscitation due to the frequent possibility of cardiovascular, respiratory, renal complications or mesenteric ischemia, which justifies a treatment adapted to the high surgical risk, therefore, postoperative management should generally be in an Intensive Care Unit. Objective: Present the case of a patient with Abdominal Aortic Aneurysm (AAA) with acute abdomen urgently operated in a second-level hospital using mixed anesthesia. Case: Octogenarian patient with a diagnosis of infrarenal AAA, undergoing emergency surgery for abdominal pain, which was under balanced general anesthesia plus epidural block a bifurcated Dacron synthetic graft was interposed, with postoperative management in general surgery hospitalization area because there was no availability in the Intensive Care Unit (ICU), evolving properly. Conclusion: Evolution depends a lot on the anesthetic technique, which must be directed towards a multimodal strategy, where hemodynamic stability is a priority.
{"title":"Continuous Epidural Block and Balanced General Anesthesia in Abdominal Aortic Aneurysm Surgery in a General Hospital. Case Report","authors":"Rafael Cdg, Yamel Ff, Hector Br, Luis Ncj, Nicolas Hdj, Roberto Msj, Andres Efc, Teresa Vgt, Andrea Vv, Alberto Gam, Daniela Clb, Belen Rla, Oscar Qbm, Israel Pme, Manuel Asj, F. Mrm","doi":"10.16966/2470-0991.262","DOIUrl":"https://doi.org/10.16966/2470-0991.262","url":null,"abstract":"Introduction: Abdominal Aortic Aneurysms (AAA) are becoming more frequent in our population; the surgical management of this pathology represents a highly complex surgery which must be performed in a well-equipped medical unit, with implements and suitable personnel, since morbidity and mortality depends a lot on the preoperative evaluation of these patients with high coronary risk. Peripheral locoregional anesthesia techniques occupy an important place in anesthetic treatment and postoperative resuscitation due to the frequent possibility of cardiovascular, respiratory, renal complications or mesenteric ischemia, which justifies a treatment adapted to the high surgical risk, therefore, postoperative management should generally be in an Intensive Care Unit. Objective: Present the case of a patient with Abdominal Aortic Aneurysm (AAA) with acute abdomen urgently operated in a second-level hospital using mixed anesthesia. Case: Octogenarian patient with a diagnosis of infrarenal AAA, undergoing emergency surgery for abdominal pain, which was under balanced general anesthesia plus epidural block a bifurcated Dacron synthetic graft was interposed, with postoperative management in general surgery hospitalization area because there was no availability in the Intensive Care Unit (ICU), evolving properly. Conclusion: Evolution depends a lot on the anesthetic technique, which must be directed towards a multimodal strategy, where hemodynamic stability is a priority.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"1987 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131068111","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}
Wise A, Rector J, Orr K, Singleton Dw, Ricketts Cd
Objective: The purpose of this study was to evaluate the performance of a powered surgical stapler with a new anvil and motor design intended to improve the formation and security of staple lines.
目的:本研究的目的是评估一种具有新砧和马达设计的外科吻合器的性能，旨在改善钉线的形成和安全性。
{"title":"Measuring Staple Line Security and Compression Uniformity With an Advanced Endoscopic Powered Stapler","authors":"Wise A, Rector J, Orr K, Singleton Dw, Ricketts Cd","doi":"10.16966/2470-0991.233","DOIUrl":"https://doi.org/10.16966/2470-0991.233","url":null,"abstract":"Objective: The purpose of this study was to evaluate the performance of a powered surgical stapler with a new anvil and motor design intended to improve the formation and security of staple lines.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131869180","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: To assess the prevalence of gustatory (taste) dysfunction in Long COVID-19 patients, along with the type of dysfunction and the time taken for its resolution. Methods: This is a retrospective observational study based on patients presenting to a specialist smell clinic being run as a part of long COVID clinic in an ENT department in a regional hospital in UK. Out of all these patients presenting to this clinic, the ones with taste problems with or without smell problems were included in this study and analysed from electronic patient records. Their taste dysfunction was described along with the follow up period to look at the resolution of symptoms and the time taken for the resolution. Results: 70% of the patients had hypogeusia, 22% had dysgeusia and 8% had ageusia. 52% of the patients showed partial resolution of taste dysfunction, 28 % showed complete resolution and 16% had no improvement in a follow up period of 29 months. Overall, the taste problems lasted for an average of 19.3 ± 7.51 months. Conclusions: From our study, we concluded there is a significant burden of taste dysfunction among the long COVID patients in addition to the smell dysfunction, and despite slow recovery, many of the patients are expected to recover months after the initial infection. Nevertheless, this adds to the distress of the patient as they are unable to enjoy their food during this time which can have negative effects on the quality of life of these patients.
{"title":"Taste Dysfunction in Long COVID-19 Patients: An Observational Study","authors":"Luhana M, E. C, Kumar Bn","doi":"10.16966/2470-0991.269","DOIUrl":"https://doi.org/10.16966/2470-0991.269","url":null,"abstract":"Background: To assess the prevalence of gustatory (taste) dysfunction in Long COVID-19 patients, along with the type of dysfunction and the time taken for its resolution. Methods: This is a retrospective observational study based on patients presenting to a specialist smell clinic being run as a part of long COVID clinic in an ENT department in a regional hospital in UK. Out of all these patients presenting to this clinic, the ones with taste problems with or without smell problems were included in this study and analysed from electronic patient records. Their taste dysfunction was described along with the follow up period to look at the resolution of symptoms and the time taken for the resolution. Results: 70% of the patients had hypogeusia, 22% had dysgeusia and 8% had ageusia. 52% of the patients showed partial resolution of taste dysfunction, 28 % showed complete resolution and 16% had no improvement in a follow up period of 29 months. Overall, the taste problems lasted for an average of 19.3 ± 7.51 months. Conclusions: From our study, we concluded there is a significant burden of taste dysfunction among the long COVID patients in addition to the smell dysfunction, and despite slow recovery, many of the patients are expected to recover months after the initial infection. Nevertheless, this adds to the distress of the patient as they are unable to enjoy their food during this time which can have negative effects on the quality of life of these patients.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115839894","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}
A 56-year-old Asian male with 20 years smoking history was admitted to the hospital due to a cough with sputum production. Chest Computed Tomography (CT) revealed a tumor shadow in the right middle lung, and transbronchial biopsy diagnosed Lung Squamous Cell Carcinoma (LCSS). Further molecular pathological assessment detected Epidermal Growth Factor Receptor (EGFR) sensitive mutation, while Programmed Death-Ligand 1 (PD-L1) was highly expressed with a Tumor Proportion Score (TPS) of >70%. Tumor Proportion (TP) regime was the first-line of treatment gained an obvious reduction in tumor size. Until head progression was found, the patient took Osimertinib orally and is currently stable. Given the rarity of the LCSS with EGFR mutation and high-expressed PD-L1, this case report provides a successful clinical treatment option for doctors in similar situations.
{"title":"Tumor Proportion Regime First-Line Therapy in Metastatic Squamous Cell Lung Cancer with both EGFR Sensitive Mutation and High PD-L1 Expression: A Case Report","authors":"N. X, Xie H, Z. Z, Zou J","doi":"10.16966/2470-0991.265","DOIUrl":"https://doi.org/10.16966/2470-0991.265","url":null,"abstract":"A 56-year-old Asian male with 20 years smoking history was admitted to the hospital due to a cough with sputum production. Chest Computed Tomography (CT) revealed a tumor shadow in the right middle lung, and transbronchial biopsy diagnosed Lung Squamous Cell Carcinoma (LCSS). Further molecular pathological assessment detected Epidermal Growth Factor Receptor (EGFR) sensitive mutation, while Programmed Death-Ligand 1 (PD-L1) was highly expressed with a Tumor Proportion Score (TPS) of >70%. Tumor Proportion (TP) regime was the first-line of treatment gained an obvious reduction in tumor size. Until head progression was found, the patient took Osimertinib orally and is currently stable. Given the rarity of the LCSS with EGFR mutation and high-expressed PD-L1, this case report provides a successful clinical treatment option for doctors in similar situations.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128466078","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}
This work discusses various genetic types of tissue and organ biomineralization centers. It also addresses the issue of various substances that mineralize tissues and presents the results of attempts to dissolve the already existing biomineralization. Understanding the phenomenon of tissue biomineralization will contribute to its prevention and, if it has already occurred, its elimination.
{"title":"Centers of Biomineralization","authors":"Pawlikowski M","doi":"10.16966/2470-0991.253","DOIUrl":"https://doi.org/10.16966/2470-0991.253","url":null,"abstract":"This work discusses various genetic types of tissue and organ biomineralization centers. It also addresses the issue of various substances that mineralize tissues and presents the results of attempts to dissolve the already existing biomineralization. Understanding the phenomenon of tissue biomineralization will contribute to its prevention and, if it has already occurred, its elimination.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121246379","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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