Iriarte F, Alberti Jf, Croceri Re, Medina P, Pirchi De
Background: Laparoscopic inguinal hernia repair is an accepted technique for the treatment of primary inguinal hernias. There are several ways of mesh fixation including absorbable, non-absorbable staplers and even human fibrin glue. Little evidence is found when looking for a difference in recurrence rates between the first two.
{"title":"Mesh Fixation in Laparoscopic Inguinal Hernia Repair: Absorbable vs. Non-Absorbable Tacks","authors":"Iriarte F, Alberti Jf, Croceri Re, Medina P, Pirchi De","doi":"10.16966/2470-0991.225","DOIUrl":"https://doi.org/10.16966/2470-0991.225","url":null,"abstract":"Background: Laparoscopic inguinal hernia repair is an accepted technique for the treatment of primary inguinal hernias. There are several ways of mesh fixation including absorbable, non-absorbable staplers and even human fibrin glue. Little evidence is found when looking for a difference in recurrence rates between the first two.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"31 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":"132635987","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}
Afuwape Oo, Ulasi Ib, Ajagbe Oa, Soneye Oy, Ekhaiyeme Pa, Julius Ea, Irabor Do
Background: Adhesive Bowel Obstruction (ABO) is a major cause of intestinal obstruction globally and in the developing world. Although guidelines for its management lean towards initial non-operative management, it is important to identify factors that may predict the need for an operative intervention in the early phase of presentation.
{"title":"Predictive Factors for Surgical Intervention in Adhesive Bowel Obstruction: A 5-Year Retrospective Study","authors":"Afuwape Oo, Ulasi Ib, Ajagbe Oa, Soneye Oy, Ekhaiyeme Pa, Julius Ea, Irabor Do","doi":"10.16966/2470-0991.252","DOIUrl":"https://doi.org/10.16966/2470-0991.252","url":null,"abstract":"Background: Adhesive Bowel Obstruction (ABO) is a major cause of intestinal obstruction globally and in the developing world. Although guidelines for its management lean towards initial non-operative management, it is important to identify factors that may predict the need for an operative intervention in the early phase of presentation.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"93 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":"133809047","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}
Objectives: The aim of this study is to evaluate the safety of selective shunting in patients with a recent stroke (<8 weeks since incident) undergoing Carotid Endarterectomy (CEA).
{"title":"Strategy of Selective Shunting for Carotid Endarterectomy in Patients with Recent Stroke","authors":"S. V, Diaz T, V. S, H. S","doi":"10.16966/2470-0991.256","DOIUrl":"https://doi.org/10.16966/2470-0991.256","url":null,"abstract":"Objectives: The aim of this study is to evaluate the safety of selective shunting in patients with a recent stroke (<8 weeks since incident) undergoing Carotid Endarterectomy (CEA).","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"17 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113991946","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 Jimenez-Canet, Pompa-de Lrc, H Bizueto-Rosas, Perez-Gonzalez Ha, Magana-Salcedo, Echeverry-Fernandez Ca, Gutierrez-Olivares Om, Buendia-Garcia Al, A Mijangos-Montano, Gonzalez-Lopez Ai, Caltenco-Solís Rb, M Radilla-Flores, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J Ramírez-Landeros, F Gamboa-Ramirez
Endometriosis is defined as the presence of functional endometrial tissue, glands and stroma outside the uterine cavity, mainly at ovaries and at pelvic peritoneum, causing a chronic inflammatory reaction. The abdominal wall endometrioma is an infrequent pathology; occurs after abdominal surgery, by minimal invasion, open surgery or gin-obs surgery. It happens in about 0.03 to 1.5% women after having a cesarean section, presenting transvaginal bleeding, endometrial ultrasound with 9 mm thickness and uterine myomatosis, having a painful node at the infra-umbilical abdominal scar, with skin colour change and due to increasing pain is diagnosed with an incarcerated hernia. Urgent surgery was performed, finding a 6 × 6 × 4 cm vesicle, with brownish secretion, attached to the muscular aponeurosis. Conclusion: Not every node or bulge within the abdominal wall should be considered hernia. in the scenario of a painful node and skin colour change at a surgical scar, with a medical history of cesarean section, hysterectomy and laparoscopic procedures, diagnosis of endometriosis should be considered and therefore always perform histopathological exams.
{"title":"Abdominal Wall Endometrioma in Previous Cesarean Section Scar: Case Report","authors":"A Jimenez-Canet, Pompa-de Lrc, H Bizueto-Rosas, Perez-Gonzalez Ha, Magana-Salcedo, Echeverry-Fernandez Ca, Gutierrez-Olivares Om, Buendia-Garcia Al, A Mijangos-Montano, Gonzalez-Lopez Ai, Caltenco-Solís Rb, M Radilla-Flores, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J Ramírez-Landeros, F Gamboa-Ramirez","doi":"10.16966/2470-0991.180","DOIUrl":"https://doi.org/10.16966/2470-0991.180","url":null,"abstract":"Endometriosis is defined as the presence of functional endometrial tissue, glands and stroma outside the uterine cavity, mainly at ovaries and at pelvic peritoneum, causing a chronic inflammatory reaction. The abdominal wall endometrioma is an infrequent pathology; occurs after abdominal surgery, by minimal invasion, open surgery or gin-obs surgery. It happens in about 0.03 to 1.5% women after having a cesarean section, presenting transvaginal bleeding, endometrial ultrasound with 9 mm thickness and uterine myomatosis, having a painful node at the infra-umbilical abdominal scar, with skin colour change and due to increasing pain is diagnosed with an incarcerated hernia. Urgent surgery was performed, finding a 6 × 6 × 4 cm vesicle, with brownish secretion, attached to the muscular aponeurosis. Conclusion: Not every node or bulge within the abdominal wall should be considered hernia. in the scenario of a painful node and skin colour change at a surgical scar, with a medical history of cesarean section, hysterectomy and laparoscopic procedures, diagnosis of endometriosis should be considered and therefore always perform histopathological exams.","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":"115267643","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}
Saghir N, Stallard J, S. R., P. A, Anwa U, Muthayya P
Introduction: Scald injuries are the most common type of thermal injury in the paediatric population [1]. Despite domestic accidental scalds being so common, there is limited awareness of the frequency and severity of these injuries. Awareness of trends in paediatric scalds including age, mechanism of injury and first aid would help guide future allocations of funding for burns prevention and first aid treatment in the paediatric cohort.
{"title":"Preventing Paediatric Scalds: A 5 Year Descriptive Analysis, Do We Need to Change Our Approach?","authors":"Saghir N, Stallard J, S. R., P. A, Anwa U, Muthayya P","doi":"10.16966/2470-0991.249","DOIUrl":"https://doi.org/10.16966/2470-0991.249","url":null,"abstract":"Introduction: Scald injuries are the most common type of thermal injury in the paediatric population [1]. Despite domestic accidental scalds being so common, there is limited awareness of the frequency and severity of these injuries. Awareness of trends in paediatric scalds including age, mechanism of injury and first aid would help guide future allocations of funding for burns prevention and first aid treatment in the paediatric cohort.","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":"130065259","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}
Nasal reconstruction is a broad and diverse topic that encompasses multiple scenarios as well as various repair techniques. The ala nasi is considered a cosmetic unit that represents a challenge for the surgeon, both in its functional and aesthetic reconstruction.
{"title":"Reconstruction of Nasal Subunits using a Nasolabial Flap: Case Report","authors":"Montufar C, Ugalde Va, Kushida Cb","doi":"10.16966/2470-0991.229","DOIUrl":"https://doi.org/10.16966/2470-0991.229","url":null,"abstract":"Nasal reconstruction is a broad and diverse topic that encompasses multiple scenarios as well as various repair techniques. The ala nasi is considered a cosmetic unit that represents a challenge for the surgeon, both in its functional and aesthetic reconstruction.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"30 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":"127204661","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}
Alan Ncj, Adan Al, Monica Gr, Hector Om, Rogelio Dr, Brenda Vm, Mauricio Dc, Gerardo Mhs, Augusto Ttc, Luciano Rlr, Raymundo Tp, Antonio Uvj
Introduction: Bichectomy is the name given to the surgical procedure that has the objective of removes the adipose body fat of the cheek, eliminating the portion corresponding to the “Bichat” fat pad, which includes around 30 to 40% of this structure. This procedure delivers as a result the reduction of the volume in the middle third of the face. And we use this technique as a good option to analyze and compare. Objectives: To analyze and compare which is the best and easiest approach for buccal fat removal between Buccal and Vestibular. Material and methods: A prospective study was carried out in the Service of Plastic Surgery of the General Hospital of Mexico, during a period of 1 year of evaluation. In an universe of 57 patients, comparing the easiest surgical approach during the plastic surgery formation, all the surgeons where residents between second to fourth year, the evaluation time, oedema, bleeding, post-surgical pain, and the comparison among buccal an vestibular approach. Results: 57 patients were analyzed, independent variables where buccal and vestibular approaches. The most common complication was oedema in 56%, bleeding in 3.5%, with Vestibular approach in 64.9%, and buccal 35.98%, the minor time were 10 minutes, and the mayor time were 35 minutes, so the best approach was vestibular by less soreness, pain, and bleeding, during the plastic surgery residency. Discussion: The bichectomy has an important historical antecedent since in the beginning it was a surgery even without importance in the medical field. The removal of Bichat fat currently has more aesthetic than reconstructive purposes. Conclusions: The best approach to have less complications during the plastic surgery formation is the vestibular, even it was a second or a fourth year plastic surgery resident, and one of the concepts if when you use the same approach your skill fullness improve.
{"title":"Comparative between Buccal and Vestibular Approaches for Bichectomies","authors":"Alan Ncj, Adan Al, Monica Gr, Hector Om, Rogelio Dr, Brenda Vm, Mauricio Dc, Gerardo Mhs, Augusto Ttc, Luciano Rlr, Raymundo Tp, Antonio Uvj","doi":"10.16966/2470-0991.266","DOIUrl":"https://doi.org/10.16966/2470-0991.266","url":null,"abstract":"Introduction: Bichectomy is the name given to the surgical procedure that has the objective of removes the adipose body fat of the cheek, eliminating the portion corresponding to the “Bichat” fat pad, which includes around 30 to 40% of this structure. This procedure delivers as a result the reduction of the volume in the middle third of the face. And we use this technique as a good option to analyze and compare. Objectives: To analyze and compare which is the best and easiest approach for buccal fat removal between Buccal and Vestibular. Material and methods: A prospective study was carried out in the Service of Plastic Surgery of the General Hospital of Mexico, during a period of 1 year of evaluation. In an universe of 57 patients, comparing the easiest surgical approach during the plastic surgery formation, all the surgeons where residents between second to fourth year, the evaluation time, oedema, bleeding, post-surgical pain, and the comparison among buccal an vestibular approach. Results: 57 patients were analyzed, independent variables where buccal and vestibular approaches. The most common complication was oedema in 56%, bleeding in 3.5%, with Vestibular approach in 64.9%, and buccal 35.98%, the minor time were 10 minutes, and the mayor time were 35 minutes, so the best approach was vestibular by less soreness, pain, and bleeding, during the plastic surgery residency. Discussion: The bichectomy has an important historical antecedent since in the beginning it was a surgery even without importance in the medical field. The removal of Bichat fat currently has more aesthetic than reconstructive purposes. Conclusions: The best approach to have less complications during the plastic surgery formation is the vestibular, even it was a second or a fourth year plastic surgery resident, and one of the concepts if when you use the same approach your skill fullness improve.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"21 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":"125687114","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}
Adan Al, Arturo Me, Monica Gr, Alan Ncj, Hector Om, Alfonso Rgv, Carolina Mmg, Miguel Hca, Luisa Sna, Estephanya Mrs, Javier T, Juan N, Antonio Uvj
Introduction: Partial-thickness grafts tend to have an integration after 5 days according to their healing, in various studies, different ways of promoting 100% integration have been shown, with different ways of achieving it, in terms of surgical technique, dressings, negative pressure therapies, and adjunctive topical medications.
{"title":"Efficacy in Integration of Partial Thickness Grafts between Adjuvants and Free Evolution","authors":"Adan Al, Arturo Me, Monica Gr, Alan Ncj, Hector Om, Alfonso Rgv, Carolina Mmg, Miguel Hca, Luisa Sna, Estephanya Mrs, Javier T, Juan N, Antonio Uvj","doi":"10.16966/2470-0991.255","DOIUrl":"https://doi.org/10.16966/2470-0991.255","url":null,"abstract":"Introduction: Partial-thickness grafts tend to have an integration after 5 days according to their healing, in various studies, different ways of promoting 100% integration have been shown, with different ways of achieving it, in terms of surgical technique, dressings, negative pressure therapies, and adjunctive topical medications.","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":"116940482","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}
Martínez Ma, R. Torres-Peña, J. Barreras-Gonzalez, Manrique-Gonzalez Ea, Pereira Fraga Jg, R. Roque-Gonzalez, R. Jimenez-Ramos, M. Morera-Pérez
Introduction: Colonic laparoscopic surgery has been performed since the early nineties of the past century. Despite its advantages: less postoperative pain, faster intestinal and respiratory functions recovery among others, its acceptance has not been the same as with other laparoscopic procedures. In oncologic surgery particularly, the main cause of non-acceptance has been the fear of not respecting oncologic criteria and reports on port-site metastases in the abdominal wall. Objective: To determine patient survival after laparoscopic colorectal resections. Material and Method: A descriptive, retrospective and longitudinal study was carried out at the National Center for Minimally Invasive Surgery from January 2005 to December 2015. The studied variables were age, gender, the reason for surgery, surgical technique, mortality, overall survival. Results: When comparing survival curves according to tumor location, it was found that those patients with rectal tumors who underwent surgery had a significantly lower survival during complete follow-up than patients with tumors in the rest of the colon (p=0.032). Significant differences were also found in survival curves regarding the stage disease; stage IV patients showed the worst survival during the follow-up of this series. Conclusions: Survival in our study, with the limitations given by retrospective analysis, in patients who had surgery for colorectal cancer with minimally invasive techniques at five and ten years was 70.9% and 66.8% respectively, an appropriate rate and similar to that described in the scientific medical literature.
{"title":"Survival in Laparoscopic Surgery for Colon and Rectal Cancer","authors":"Martínez Ma, R. Torres-Peña, J. Barreras-Gonzalez, Manrique-Gonzalez Ea, Pereira Fraga Jg, R. Roque-Gonzalez, R. Jimenez-Ramos, M. Morera-Pérez","doi":"10.16966/2470-0991.205","DOIUrl":"https://doi.org/10.16966/2470-0991.205","url":null,"abstract":"Introduction: Colonic laparoscopic surgery has been performed since the early nineties of the past century. Despite its advantages: less postoperative pain, faster intestinal and respiratory functions recovery among others, its acceptance has not been the same as with other laparoscopic procedures. In oncologic surgery particularly, the main cause of non-acceptance has been the fear of not respecting oncologic criteria and reports on port-site metastases in the abdominal wall. Objective: To determine patient survival after laparoscopic colorectal resections. Material and Method: A descriptive, retrospective and longitudinal study was carried out at the National Center for Minimally Invasive Surgery from January 2005 to December 2015. The studied variables were age, gender, the reason for surgery, surgical technique, mortality, overall survival. Results: When comparing survival curves according to tumor location, it was found that those patients with rectal tumors who underwent surgery had a significantly lower survival during complete follow-up than patients with tumors in the rest of the colon (p=0.032). Significant differences were also found in survival curves regarding the stage disease; stage IV patients showed the worst survival during the follow-up of this series. Conclusions: Survival in our study, with the limitations given by retrospective analysis, in patients who had surgery for colorectal cancer with minimally invasive techniques at five and ten years was 70.9% and 66.8% respectively, an appropriate rate and similar to that described in the scientific medical literature.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"40 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":"125903002","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}
Object: To investigate the clinical efficacy of simultaneous ipsilateral Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA) in the treatment of advanced hemophilic arthritis. Method: The clinical data of 8 patients with advanced hemophilic arthritis who underwent ipsilateral THA and TKA in the Second Affiliated Hospital of Chongqing Medical University from January 2018 to may 2021 were retrospectively analyzed, ages are (31.6 ± 6.2) years old (25-38 year). There were 6 cases of hemophilia A and 2 cases of hemophilia B. The preoperative level of coagulation factor VIII was 1.8% ± 1.3%, Partial Prothrombin Time (APTT) was (131.2 ± 35.3). Coagulation factor VIII arthroplasty therapy was used for type a hemophilia during perioperative period, and coagulation factor X arthroplasty therapy was used for type B hemophilia during perioperative period. All patients had informed consent to the treatment plan and were approved by the hospital ethics committee. Harris score before and 0.3-1 year after operation was compared to evaluate hip function, HSS knee score and KSS score. Result: During the follow-up of (1.4 ± 1.1) years, no intra-articular bleeding and skin dehiscence were found in the early postoperative period, and no joint infection, bleeding, prosthesis loosening and sinking were found in the last follow-up. Harris score increased from (16.8 ± 4.4) preoperatively to (77.6 ± 7.1) postoperatively, HSS knee score increased from (41.8 ± 4.2) preoperatively to (76.0 ± 5.8) postoperatively, KSS clinical score increased from (35.6 ± 10.8) preoperatively to (79.2 ± 6.9) postoperatively, The KSS score increased from (22.8 ± 8.4) preoperatively to (72.0 ± 5.9) postoperatively at the last follow-up. The differences were statistically significant (P<0.05). Conclusion: The same side THA and TKA in the treatment of advanced hemophilic arthritis can effectively relieve pain, improve hip and knee joint function, and improve the quality of life, which is a safe and effective measure for the treatment of advanced hemophilic arthritis.
{"title":"Analysis of the Early Clinical Effect of Simultaneous Ipsilateral Total Hip and Knee Arthroplasty in the Treatment of End-Stage Hemophilic Arthritis","authors":"Peng X, C. S, Cheng X, Xie X, N. M.","doi":"10.16966/2470-0991.260","DOIUrl":"https://doi.org/10.16966/2470-0991.260","url":null,"abstract":"Object: To investigate the clinical efficacy of simultaneous ipsilateral Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA) in the treatment of advanced hemophilic arthritis. Method: The clinical data of 8 patients with advanced hemophilic arthritis who underwent ipsilateral THA and TKA in the Second Affiliated Hospital of Chongqing Medical University from January 2018 to may 2021 were retrospectively analyzed, ages are (31.6 ± 6.2) years old (25-38 year). There were 6 cases of hemophilia A and 2 cases of hemophilia B. The preoperative level of coagulation factor VIII was 1.8% ± 1.3%, Partial Prothrombin Time (APTT) was (131.2 ± 35.3). Coagulation factor VIII arthroplasty therapy was used for type a hemophilia during perioperative period, and coagulation factor X arthroplasty therapy was used for type B hemophilia during perioperative period. All patients had informed consent to the treatment plan and were approved by the hospital ethics committee. Harris score before and 0.3-1 year after operation was compared to evaluate hip function, HSS knee score and KSS score. Result: During the follow-up of (1.4 ± 1.1) years, no intra-articular bleeding and skin dehiscence were found in the early postoperative period, and no joint infection, bleeding, prosthesis loosening and sinking were found in the last follow-up. Harris score increased from (16.8 ± 4.4) preoperatively to (77.6 ± 7.1) postoperatively, HSS knee score increased from (41.8 ± 4.2) preoperatively to (76.0 ± 5.8) postoperatively, KSS clinical score increased from (35.6 ± 10.8) preoperatively to (79.2 ± 6.9) postoperatively, The KSS score increased from (22.8 ± 8.4) preoperatively to (72.0 ± 5.9) postoperatively at the last follow-up. The differences were statistically significant (P<0.05). Conclusion: The same side THA and TKA in the treatment of advanced hemophilic arthritis can effectively relieve pain, improve hip and knee joint function, and improve the quality of life, which is a safe and effective measure for the treatment of advanced hemophilic arthritis.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"51 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":"126974245","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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