S. Molina-Giraldo, A Coral-Rosero, Edgar Acuña-Osorio, José Luis rojas-Arias, M Pinto-Quinonez, Diana Alejandra Alfonso-Ayala, N Santana-Corredor, M Arreaza-Graterol, D Cera-Cabarcas, J MariaSolano, D Romero-Galvis, B Marin-Montoya, D Arias-Fernandez, Castro Ca, Solano-Montero Af, Perez-Olivo Jl
Objective: To determine clinical characteristics in newborns with pulmonary or extra-pulmonary disease who undergo successful EXIT procedures at the Fetal Therapy Units of two reference centers in Bogota, Colombia. Methodology: Descriptive case series study. Cases were defined as singleton pregnancies, with pulmonary or extra-pulmonary pathologies which caused obstruction in the fetal airway. Results: Between 2006 and 2016, 54 patients underwent EXIT procedures. Results from prenatal diagnostic testing revealed the following: 27 patients (50%) were diagnosed with diaphragmatic hernias, 15 patients (28%) with cystic adenomatous malformation, four patients (7.4%) with hydrothorax, three patients (5.5%) with bronchopulmonary sequestrations, three patients (5.5%) with cervical masses, one patient (1.8%) with micrognathia, and one patient (1.8%) with a Bronchogenic Cyst (QB). The average gestational age during the EXIT procedures was 37.2 ± 2.54 weeks (range 27-40 weeks). During ultrasound monitoring, 39 (61.1%) cases of fetal complications were reported, eight (14.8%) maternal complications during pregnancy, and seven (13%) maternal surgical complications during the EXIT procedure. Average time of EXIT procedures was 10.8 ± 5.29 minutes (range 5-40 minutes) with an average hospital stay of 9.1 ± 8.5 days (range 1-39 days). The neonatal mortality rate was 60.3% (32/53 patients). Conclusion: The EXIT procedure guarantees an effective transition into the postnatal environment, considerably increasing the chances of survival for the fetus by re-treating a potential emergency into a controlled state.
{"title":"Perinatal Outcome of Patients Undergoing Ex-Utero Intrapartum Therapy at the Fetal Therapy Units of Two Reference Centers in Bogota, Colombia","authors":"S. Molina-Giraldo, A Coral-Rosero, Edgar Acuña-Osorio, José Luis rojas-Arias, M Pinto-Quinonez, Diana Alejandra Alfonso-Ayala, N Santana-Corredor, M Arreaza-Graterol, D Cera-Cabarcas, J MariaSolano, D Romero-Galvis, B Marin-Montoya, D Arias-Fernandez, Castro Ca, Solano-Montero Af, Perez-Olivo Jl","doi":"10.16966/2470-0991.193","DOIUrl":"https://doi.org/10.16966/2470-0991.193","url":null,"abstract":"Objective: To determine clinical characteristics in newborns with pulmonary or extra-pulmonary disease who undergo successful EXIT procedures at the Fetal Therapy Units of two reference centers in Bogota, Colombia. Methodology: Descriptive case series study. Cases were defined as singleton pregnancies, with pulmonary or extra-pulmonary pathologies which caused obstruction in the fetal airway. Results: Between 2006 and 2016, 54 patients underwent EXIT procedures. Results from prenatal diagnostic testing revealed the following: 27 patients (50%) were diagnosed with diaphragmatic hernias, 15 patients (28%) with cystic adenomatous malformation, four patients (7.4%) with hydrothorax, three patients (5.5%) with bronchopulmonary sequestrations, three patients (5.5%) with cervical masses, one patient (1.8%) with micrognathia, and one patient (1.8%) with a Bronchogenic Cyst (QB). The average gestational age during the EXIT procedures was 37.2 ± 2.54 weeks (range 27-40 weeks). During ultrasound monitoring, 39 (61.1%) cases of fetal complications were reported, eight (14.8%) maternal complications during pregnancy, and seven (13%) maternal surgical complications during the EXIT procedure. Average time of EXIT procedures was 10.8 ± 5.29 minutes (range 5-40 minutes) with an average hospital stay of 9.1 ± 8.5 days (range 1-39 days). The neonatal mortality rate was 60.3% (32/53 patients). Conclusion: The EXIT procedure guarantees an effective transition into the postnatal environment, considerably increasing the chances of survival for the fetus by re-treating a potential emergency into a controlled state.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"84 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":"116191226","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, J. García-Chavez, H Bizueto-Rosas, Perez-Gonzalez Ha, Echeverry-Fernandez Ca, Gutierrez-Olivares Om, Buendia-Garcia Al, A Mijangos-Montano, Gonzalez-Lopez Al, Caltenco-Solís Rb, M Radilla-Flores, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J Ramírez-Landeros, F Gamboa-Ramirez
Intestinal angiodysplasia is one of the main etiologies of bleeding within elderly patients. This entity can present in any portion of the intestinal tract, however, when it affects the small intestine it appears as obscure gastrointestinal bleeding up to 30 to 40% of the cases and it represents a diagnosis and management challenge. Early diagnosis is important to establish the most adequate treatment. We present the case of a 69 years old male patient with obscure gastrointestinal bleeding due to a jejunal angiodysplasia, requiring endoscopic location of varicose vessels and dye instillation followed by surgical management with a video-assisted intestinal resection. Conclusions: Intestinal angiodysplasia is an important etiology of bleeding and should be considered when treating an obscure gastrointestinal bleeding case. The combination of endoscopic procedures to precise diagnosis and surgical management is possible and has low rates of complications, morbidity or mortality.
{"title":"Treatment of Jejunal Angiodysplasia by Video-Assisted Intestinal Resection, a Case Report and Literature Review","authors":"A Jimenez-Canet, J. García-Chavez, H Bizueto-Rosas, Perez-Gonzalez Ha, Echeverry-Fernandez Ca, Gutierrez-Olivares Om, Buendia-Garcia Al, A Mijangos-Montano, Gonzalez-Lopez Al, Caltenco-Solís Rb, M Radilla-Flores, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J Ramírez-Landeros, F Gamboa-Ramirez","doi":"10.16966/2470-0991.179","DOIUrl":"https://doi.org/10.16966/2470-0991.179","url":null,"abstract":"Intestinal angiodysplasia is one of the main etiologies of bleeding within elderly patients. This entity can present in any portion of the intestinal tract, however, when it affects the small intestine it appears as obscure gastrointestinal bleeding up to 30 to 40% of the cases and it represents a diagnosis and management challenge. Early diagnosis is important to establish the most adequate treatment. We present the case of a 69 years old male patient with obscure gastrointestinal bleeding due to a jejunal angiodysplasia, requiring endoscopic location of varicose vessels and dye instillation followed by surgical management with a video-assisted intestinal resection. Conclusions: Intestinal angiodysplasia is an important etiology of bleeding and should be considered when treating an obscure gastrointestinal bleeding case. The combination of endoscopic procedures to precise diagnosis and surgical management is possible and has low rates of complications, morbidity or mortality.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"9 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":"129066733","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. Herman, R. Anmolsingh, A Alappatt, Pothula Vb, Kumar Bn
Objectives: Causes of cervical and facial surgical emphysema with pneumomediastinum are uncommon but can be life threatening and need urgent management in a high dependency setting. We present a case secondary to cocaine induced hypopharyngeal perforation which was not easy to diagnose as the patient was not forthcoming with his history of cocaine use. Clinicians should maintain a high index of suspicion when patients present with spreading cervical emphysema and also suggest an algorithm for management of non-iatrogenic subcutaneous emphysema and odynophagia. Case summary: We presented a case report of a 39 year old man presented with three days history of sudden severe odynophagia and coughing frothy blood stained sputum. Initial chest and neck soft tissue radiograph revealed cervical surgical emphysema. After further questioning, he admitted to recent regular cocaine nasal inhalation. Subsequent CT neck and thorax showed extensive subcutaneous emphysema likely due to an esophageal perforation. This was confirmed by gastrografin swallow test, which demonstrated a posterior hypopharyngeal perforation. The patient was managed conservatively in a HDU by keeping him nil by mouth and treatment with IV Piperacillin/Tazobactam and Clindamycin. He initially received total parenteral nutrition but subsequently refused further intravenous nutrition. He was discharged with nasogastric feeding in the community. Follow-up swallow test two weeks following discharge showed resolution of the perforation. Subsequent to this, we developed an algorithm with an emphasis on early stabilisation and thorough assessment prior to definitive investigation to improve management. Conclusion: Cocaine induced pharyngeal perforation is a rare but potentially life-threatening condition if left undiagnosed and without prompt and aggressive conservative treatment. Thorough history taking is vital with maintenance of high level of suspicion as the likely pathologies can be life threatening. Early involvement of multidisciplinary team advice is also critical.
{"title":"Cocaine Induced Pharyngeal Perforation-an Unusual Case Presentation of Facial and Cervical Emphysema with Pneumomediastinum","authors":"A. Herman, R. Anmolsingh, A Alappatt, Pothula Vb, Kumar Bn","doi":"10.16966/2470-0991.177","DOIUrl":"https://doi.org/10.16966/2470-0991.177","url":null,"abstract":"Objectives: Causes of cervical and facial surgical emphysema with pneumomediastinum are uncommon but can be life threatening and need urgent management in a high dependency setting. We present a case secondary to cocaine induced hypopharyngeal perforation which was not easy to diagnose as the patient was not forthcoming with his history of cocaine use. Clinicians should maintain a high index of suspicion when patients present with spreading cervical emphysema and also suggest an algorithm for management of non-iatrogenic subcutaneous emphysema and odynophagia. Case summary: We presented a case report of a 39 year old man presented with three days history of sudden severe odynophagia and coughing frothy blood stained sputum. Initial chest and neck soft tissue radiograph revealed cervical surgical emphysema. After further questioning, he admitted to recent regular cocaine nasal inhalation. Subsequent CT neck and thorax showed extensive subcutaneous emphysema likely due to an esophageal perforation. This was confirmed by gastrografin swallow test, which demonstrated a posterior hypopharyngeal perforation. The patient was managed conservatively in a HDU by keeping him nil by mouth and treatment with IV Piperacillin/Tazobactam and Clindamycin. He initially received total parenteral nutrition but subsequently refused further intravenous nutrition. He was discharged with nasogastric feeding in the community. Follow-up swallow test two weeks following discharge showed resolution of the perforation. Subsequent to this, we developed an algorithm with an emphasis on early stabilisation and thorough assessment prior to definitive investigation to improve management. Conclusion: Cocaine induced pharyngeal perforation is a rare but potentially life-threatening condition if left undiagnosed and without prompt and aggressive conservative treatment. Thorough history taking is vital with maintenance of high level of suspicion as the likely pathologies can be life threatening. Early involvement of multidisciplinary team advice is also critical.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"11 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":"133325403","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}
Alexiou Vg, Chatzis D, Moulakakis Kg, Gkounta S, Mitsis M, Koutsias S
Background: We report a case of a patient with complete aortic endograft occlusion and no morphological characteristic that could explain this event, other than the hypercoagulant status associated with psoriasis. The patient had severe intertriginous psoriasis complicated with cellulitis and sepsis and was treated with endograft excision and replacement with an aortic tube graft.
{"title":"Complete Aortic Endograft Occlusion in a Patient with Psoriasis: A Case Report and Systematic Review of the Literature Seeking for a Potential Causal Association","authors":"Alexiou Vg, Chatzis D, Moulakakis Kg, Gkounta S, Mitsis M, Koutsias S","doi":"10.16966/2470-0991.242","DOIUrl":"https://doi.org/10.16966/2470-0991.242","url":null,"abstract":"Background: We report a case of a patient with complete aortic endograft occlusion and no morphological characteristic that could explain this event, other than the hypercoagulant status associated with psoriasis. The patient had severe intertriginous psoriasis complicated with cellulitis and sepsis and was treated with endograft excision and replacement with an aortic tube graft.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"486 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":"133501111","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}
Jimenez Hc, E. Romero, L. Polania, Reyes Df, Mora-Tiscareño Ma
Chylous ascites is a low-frequency post-operative complication, mainly associated with oncological procedures and radical lymphadenectomies. The management of chylous ascites requires knowledge of the anatomy and physiology of the cisterna chyli. A multidisciplinary approach is required to optimize outcomes. We present a 59-year-old male where chylous ascites following open abdominal aortic aneurysm repair was successfully treated.
{"title":"Chylous Ascites after Abdominal Aortic Surgery, Clinical Case Presentation, and Literature Review","authors":"Jimenez Hc, E. Romero, L. Polania, Reyes Df, Mora-Tiscareño Ma","doi":"10.16966/2470-0991.185","DOIUrl":"https://doi.org/10.16966/2470-0991.185","url":null,"abstract":"Chylous ascites is a low-frequency post-operative complication, mainly associated with oncological procedures and radical lymphadenectomies. The management of chylous ascites requires knowledge of the anatomy and physiology of the cisterna chyli. A multidisciplinary approach is required to optimize outcomes. We present a 59-year-old male where chylous ascites following open abdominal aortic aneurysm repair was successfully treated.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"112 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":"133534800","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}
Buendia-Garcia Al, H Bizueto-Rosas, N. A. Hernández-Pérez, Bizueto-Blancas Nn, Perez-Gonzalez Ha, Gómez-Calvo Cd, A Jimenez-Canet-Atilano, Caltenco-Solís Rb, A Mijangos-Montano, M Radilla-Flores
We present the case of an adult woman with a medical history of repetitive episodes of intestinal subocclusion and occlusion that remitted with medical treatment. During hospital admission due to acute abdominal pain and secondary to CT scan results, an urgent surgical approach was decided with findings of a malrotation anomaly consisting in a short, dilated and volvulus cecum behind hepatoduodenal ligament and a collapsed transversal colon, requiring intestinal resection and ileocolic primary intestinal anastomosis. Conclusion: Repetitive intestinal occlusion and subocclusion symptoms also in an adult patient with history of repetitive episodes that were always treated conservatively should be considered as a possible malrotation anomaly. Cecal volvulus is a very rare clinical entity, difficult to early diagnose and can be associated to a malrotation anomaly. Early surgery in this types of patients, that are used to conservative treatment, require a high index of diagnostic suspicion but can be associated with lower mortality and morbidity.
{"title":"Volvulus of the Cecum Due to Intestinal Malrotation in an Adult Woman, a Case Report","authors":"Buendia-Garcia Al, H Bizueto-Rosas, N. A. Hernández-Pérez, Bizueto-Blancas Nn, Perez-Gonzalez Ha, Gómez-Calvo Cd, A Jimenez-Canet-Atilano, Caltenco-Solís Rb, A Mijangos-Montano, M Radilla-Flores","doi":"10.16966/2470-0991.181","DOIUrl":"https://doi.org/10.16966/2470-0991.181","url":null,"abstract":"We present the case of an adult woman with a medical history of repetitive episodes of intestinal subocclusion and occlusion that remitted with medical treatment. During hospital admission due to acute abdominal pain and secondary to CT scan results, an urgent surgical approach was decided with findings of a malrotation anomaly consisting in a short, dilated and volvulus cecum behind hepatoduodenal ligament and a collapsed transversal colon, requiring intestinal resection and ileocolic primary intestinal anastomosis. Conclusion: Repetitive intestinal occlusion and subocclusion symptoms also in an adult patient with history of repetitive episodes that were always treated conservatively should be considered as a possible malrotation anomaly. Cecal volvulus is a very rare clinical entity, difficult to early diagnose and can be associated to a malrotation anomaly. Early surgery in this types of patients, that are used to conservative treatment, require a high index of diagnostic suspicion but can be associated with lower mortality and morbidity.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"80 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":"131533557","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}
Body image disorders can have crippling effects on the physical and mental health of a person and their support networks. These disorders are common in younger generations and can lead to serious impact on their daily life. As global communities come together with the internet and social media, we are seeing their impacts on perceptions of appearance and body image. Younger generations are susceptible to these influences from social media, with mental health issues arising from appearance and body dissatisfaction. The Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) assists clinicians with understanding and defining many mental health disorders, however we believe that the influence of social media on body image disorders warrants its own diagnosis. We propose a new disorder termed Social Media Body Image Disorder (SMBID). Awareness of this disorder may help clinicians identify patients that have unrealistic expectations from cosmetic procedures.
{"title":"Social Media Body Image Disorder-A New Diagnosis Facing Surgeons","authors":"Barnouti L, Stanley Ea, Azzawi S","doi":"10.16966/2470-0991.258","DOIUrl":"https://doi.org/10.16966/2470-0991.258","url":null,"abstract":"Body image disorders can have crippling effects on the physical and mental health of a person and their support networks. These disorders are common in younger generations and can lead to serious impact on their daily life. As global communities come together with the internet and social media, we are seeing their impacts on perceptions of appearance and body image. Younger generations are susceptible to these influences from social media, with mental health issues arising from appearance and body dissatisfaction. The Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) assists clinicians with understanding and defining many mental health disorders, however we believe that the influence of social media on body image disorders warrants its own diagnosis. We propose a new disorder termed Social Media Body Image Disorder (SMBID). Awareness of this disorder may help clinicians identify patients that have unrealistic expectations from cosmetic procedures.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"179 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":"127866641","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: In this study, we present our experiences and results of the first Fontan surgeries we performed in our center in accordance with the surgical criteria we believe in. Materials and methods: This is an observational study involving 19 patients. We investigated the data and survival rate of 19 patients who underwent Fontan surgery one by one. We wanted to know how the surgical method we used and the age factor affected our results. Our main hypothesis was to keep the cardiopulmonary bypass time very short and not to prefer the total circulatory arrest method. Results: Patients were not homogeneous in terms of demographic characteristics. Patients differed in terms of pre- and postoperative cardiac diagnosis and complications. We lost 2 of 19 patients and the overall mortality rate was 10.5%. We used Extracardiac Membrane Oxygenation (ECMO) support in 3 patients. We applied Implantable Cardioverter Defibrillator (ICD) implantation to the patient. The discharge due to effusion due to chylothorax was prolonged in 4 patients. The postoperative NHYA capacity of the patients was evaluated as 1 or 2. Discussion: We recommend that this operation should not be performed at a very young age, if the oxygen saturation value of heart patients who are candidates for Fontan is not very critical, if the ventricular ejection fraction capacity is not low, if the physical exertion capacity and examination findings are within normal limits. Conclusion: The Fontan procedure is still the best long-term palliative operation for all single ventricle cases. We believe that it would be beneficial to postpone this surgery to the advanced age group as much as possible in order not to increase the mortality rate.
{"title":"Fontan Operation Experience and Results of our Cardiovascular Surgery Center","authors":"Gojayev F, Cholak R, Tireli E","doi":"10.16966/2470-0991.267","DOIUrl":"https://doi.org/10.16966/2470-0991.267","url":null,"abstract":"Introduction: In this study, we present our experiences and results of the first Fontan surgeries we performed in our center in accordance with the surgical criteria we believe in. Materials and methods: This is an observational study involving 19 patients. We investigated the data and survival rate of 19 patients who underwent Fontan surgery one by one. We wanted to know how the surgical method we used and the age factor affected our results. Our main hypothesis was to keep the cardiopulmonary bypass time very short and not to prefer the total circulatory arrest method. Results: Patients were not homogeneous in terms of demographic characteristics. Patients differed in terms of pre- and postoperative cardiac diagnosis and complications. We lost 2 of 19 patients and the overall mortality rate was 10.5%. We used Extracardiac Membrane Oxygenation (ECMO) support in 3 patients. We applied Implantable Cardioverter Defibrillator (ICD) implantation to the patient. The discharge due to effusion due to chylothorax was prolonged in 4 patients. The postoperative NHYA capacity of the patients was evaluated as 1 or 2. Discussion: We recommend that this operation should not be performed at a very young age, if the oxygen saturation value of heart patients who are candidates for Fontan is not very critical, if the ventricular ejection fraction capacity is not low, if the physical exertion capacity and examination findings are within normal limits. Conclusion: The Fontan procedure is still the best long-term palliative operation for all single ventricle cases. We believe that it would be beneficial to postpone this surgery to the advanced age group as much as possible in order not to increase the mortality rate.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"67 5 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":"116269035","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}
Objective: The objective of this study is to illustrate several different cases of immediate implants in sockets of previous periapical pathologies that exhibited positive outcomes.
目的:本研究的目的是说明几个不同的病例直接种植在以前的根尖周围病变的窝显示积极的结果。
{"title":"Case Studies on Immediate Implants in Extraction Sockets with Previous Periapical Pathologies","authors":"Alabdullah Ad","doi":"10.16966/2470-0991.247","DOIUrl":"https://doi.org/10.16966/2470-0991.247","url":null,"abstract":"Objective: The objective of this study is to illustrate several different cases of immediate implants in sockets of previous periapical pathologies that exhibited positive outcomes.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"16 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":"130694582","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 R, Kum F, Saghir N, Bosco C, Van Hemelrijck M, Dasgupta P, Cathcart P, Brown C, Popert R, Wong K, Marconi L, Challacombe B
Introduction: To evaluate peri-operative variables in men undergoing Robotic-Assisted Radical Prostatectomy (RARP) and their relationship with short-term outcomes at a tertiary referral centre. These variables can inform surgical planning and intra-operative management to improve patient outcomes.
{"title":"Which Factors Affect Short-Term Urinary Continence and Erectile Function Recovery Following Robotic-Assisted Radical Prostatectomies (RARP)?-A Retrospective Cohort Study","authors":"Saghir R, Kum F, Saghir N, Bosco C, Van Hemelrijck M, Dasgupta P, Cathcart P, Brown C, Popert R, Wong K, Marconi L, Challacombe B","doi":"10.16966/2470-0991.238","DOIUrl":"https://doi.org/10.16966/2470-0991.238","url":null,"abstract":"Introduction: To evaluate peri-operative variables in men undergoing Robotic-Assisted Radical Prostatectomy (RARP) and their relationship with short-term outcomes at a tertiary referral centre. These variables can inform surgical planning and intra-operative management to improve patient outcomes.","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":"125582958","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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