C. Garritano, Chaves Bl, Auad Amt, de Carvalho Pfl, T deSousaGonçalves, Rodrigues Hmb
{"title":"Cholecystoduodenal Fistula and Gallstone Ileus: A Case Report","authors":"C. Garritano, Chaves Bl, Auad Amt, de Carvalho Pfl, T deSousaGonçalves, Rodrigues Hmb","doi":"10.16966/2470-0991.190","DOIUrl":"https://doi.org/10.16966/2470-0991.190","url":null,"abstract":"","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"56 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":"116097411","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}
In the preoperative consultation of the plastic surgeon, there are often no accessible or cost-effective tools for conducting nasal functional studies. Objective: To propose a preoperative evaluation system as a diagnostic tool for nasal functionalism in patients undergoing aesthetic rhinoplasty who attended the Dr. Miguel Perez Carreno Hospital in Caracas, in the period February - October 2018. Methods: Experimental, prospective, longitudinal, observational, descriptive, whose sample was represented by all patients with aesthetic rhinoplasty desires who attended the plastic surgery clinic of the Dr. Miguel Perez Carreno Hospital - Caracas, in the period from January 2018 to October 2018. Results: the results obtained from the NOSE survey were correlated with each of the items evaluated during the physical examination, demonstrating the validity of the NOSE survey and preoperative physical evaluation in the diagnosis of nasal functionalism. Conclusion: The integral evaluation of preoperative nasal functionalism directly influences the outcome and postoperative evolution of the patient.
{"title":"Accessible Diagnostic Tools in Nasal Functionalism for Plastic Surgeons","authors":"Milano Ejb, Trejo Pgm","doi":"10.16966/2470-0991.191","DOIUrl":"https://doi.org/10.16966/2470-0991.191","url":null,"abstract":"In the preoperative consultation of the plastic surgeon, there are often no accessible or cost-effective tools for conducting nasal functional studies. Objective: To propose a preoperative evaluation system as a diagnostic tool for nasal functionalism in patients undergoing aesthetic rhinoplasty who attended the Dr. Miguel Perez Carreno Hospital in Caracas, in the period February - October 2018. Methods: Experimental, prospective, longitudinal, observational, descriptive, whose sample was represented by all patients with aesthetic rhinoplasty desires who attended the plastic surgery clinic of the Dr. Miguel Perez Carreno Hospital - Caracas, in the period from January 2018 to October 2018. Results: the results obtained from the NOSE survey were correlated with each of the items evaluated during the physical examination, demonstrating the validity of the NOSE survey and preoperative physical evaluation in the diagnosis of nasal functionalism. Conclusion: The integral evaluation of preoperative nasal functionalism directly influences the outcome and postoperative evolution of the patient.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"6 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":"131839063","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}
Liu P, Yan Ln, Song Hx, Wang Zb, Zhang M, Niu X, He X, W. Z.
Objective: The aim of this study was to analyze the middle-term results of endovascular treatment for Trans-Atlantic Inter-Society (TASC) II D femoropopliteal arterial disease in elderly patients with ulcer and gangrene.
目的:本研究的目的是分析跨大西洋跨社会(TASC) II D股腘动脉疾病合并溃疡和坏疽的老年患者血管内治疗的中期结果。
{"title":"Endovascular Treatment for Trans-Atlantic Inter-Society Consensus II D Femoropopliteal Arterial Disease in Elderly Patients with Ulcer and Gangrene: A Retrospective Analysis","authors":"Liu P, Yan Ln, Song Hx, Wang Zb, Zhang M, Niu X, He X, W. Z.","doi":"10.16966/2470-0991.240","DOIUrl":"https://doi.org/10.16966/2470-0991.240","url":null,"abstract":"Objective: The aim of this study was to analyze the middle-term results of endovascular treatment for Trans-Atlantic Inter-Society (TASC) II D femoropopliteal arterial disease in elderly patients with ulcer and gangrene.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"10 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":"131499547","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}
Nicolas Hdj, Hector Br, Luis Zrj, Antonio Rql, Fernando Gcc, Roberto Msj, Andres Efc, Teresa Vgt, Brenda Dc, I. Vsa, Emmanuel Mpj, Yamil Tog, Noemi Bbn, Mario Gs, Cayetano Pdlr, Adrian Thc
Objective: Presentation of an acute appendicitis and non-Hodgkin lymphoma of lymphoid tissue associated with extranodal mucosa from the cecum clinical case. Introduction: The cecal appendix can be affected by Non-Hodgkin Lymphomas (NHL) by extension of the neoplasm; however primary appendicular lymphoproliferative processes are uncommon. The NHL of Mucosal-Associated Lymphoid Tissue (MALT) is exceptional. To establish the diagnosis of MALT, a morphological, molecular and immunohistochemical diagnosis is required, including molecular techniques that reflect B cell clones, PCR analysis or the identification of chromosomal abnormalities. Methods: 40 year old male, with 15 days of evolution of abdominal pain located in Right Lower Quadrant (RLQ) and associated symptoms like decreased appetite, nausea, and adynamia, who was firstly diagnosticated as an urinary tract infection treated as outpatient; upon his readmission, he was performed CT scan evidencing mesenteric panniculitis and thickening of the appendicular wall; he was surgically intervened finding edematous and congestive vermiform appendix with lower third perforation, and indurated cecum with 2 cm perforation from the appendicular base, performing right hemicolectomy with ileo-transverse mechanical anastomosis; he was discharged home 7 days after the postoperative period; the histopathological study and immunohistochemistry panel was compatible with MALT-type lymphoma, with lesion-free edges. Extension CT scans with no evidence of distant disease. He was sent to oncology for follow-up. Conclusion: It is important to get an established diagnosis in this rare pathology with molecular techniques and not only with histopathological cuts, since 30% of patients relapse.
{"title":"Non-hodgkin Lymphoma of Lymphoid Tissue Associated with Extranodal Mucosa of the Cecum and Acute Appendicitis. Report of a Case","authors":"Nicolas Hdj, Hector Br, Luis Zrj, Antonio Rql, Fernando Gcc, Roberto Msj, Andres Efc, Teresa Vgt, Brenda Dc, I. Vsa, Emmanuel Mpj, Yamil Tog, Noemi Bbn, Mario Gs, Cayetano Pdlr, Adrian Thc","doi":"10.16966/2470-0991.259","DOIUrl":"https://doi.org/10.16966/2470-0991.259","url":null,"abstract":"Objective: Presentation of an acute appendicitis and non-Hodgkin lymphoma of lymphoid tissue associated with extranodal mucosa from the cecum clinical case. Introduction: The cecal appendix can be affected by Non-Hodgkin Lymphomas (NHL) by extension of the neoplasm; however primary appendicular lymphoproliferative processes are uncommon. The NHL of Mucosal-Associated Lymphoid Tissue (MALT) is exceptional. To establish the diagnosis of MALT, a morphological, molecular and immunohistochemical diagnosis is required, including molecular techniques that reflect B cell clones, PCR analysis or the identification of chromosomal abnormalities. Methods: 40 year old male, with 15 days of evolution of abdominal pain located in Right Lower Quadrant (RLQ) and associated symptoms like decreased appetite, nausea, and adynamia, who was firstly diagnosticated as an urinary tract infection treated as outpatient; upon his readmission, he was performed CT scan evidencing mesenteric panniculitis and thickening of the appendicular wall; he was surgically intervened finding edematous and congestive vermiform appendix with lower third perforation, and indurated cecum with 2 cm perforation from the appendicular base, performing right hemicolectomy with ileo-transverse mechanical anastomosis; he was discharged home 7 days after the postoperative period; the histopathological study and immunohistochemistry panel was compatible with MALT-type lymphoma, with lesion-free edges. Extension CT scans with no evidence of distant disease. He was sent to oncology for follow-up. Conclusion: It is important to get an established diagnosis in this rare pathology with molecular techniques and not only with histopathological cuts, since 30% of patients relapse.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"17 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":"125364237","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. Araujo-López, Barragán-Chavez Jc, M. Gonzalez-Rodriguez, R Pierdant-Lozano, Azcarate-Varela Ja, Caracheo-Rodriguez Rc
Introduction: Velopharyngeal Dysfunction (VPD) refers to any situation in which an individual is unable to completely close the nasal airway during speech. Case report: Male of 16 years, lip and cleft palate post operated, with a velopharyngeal dysfunction and a fistula. We covered by an incision closing the middle line, with a satisfactory evolution. Discussion: The goal of surgical intervention is to produce or restore velopharyngeal competence while avoiding the complications of upper airway obstruction. Conclusion: Dysfunction velopharyngeal is the most frequent cause of hyper nasal speech, and most of them have anterior palate fistula, the posterior retropharyngeal flap is one of the one of the best post-surgical evolution.
{"title":"Modification in the Retropharyngeal Flap for Velopharyngeal Insufficiency with a Refractory Palate Fistula: Case Report","authors":"A. Araujo-López, Barragán-Chavez Jc, M. Gonzalez-Rodriguez, R Pierdant-Lozano, Azcarate-Varela Ja, Caracheo-Rodriguez Rc","doi":"10.16966/2470-0991.198","DOIUrl":"https://doi.org/10.16966/2470-0991.198","url":null,"abstract":"Introduction: Velopharyngeal Dysfunction (VPD) refers to any situation in which an individual is unable to completely close the nasal airway during speech. Case report: Male of 16 years, lip and cleft palate post operated, with a velopharyngeal dysfunction and a fistula. We covered by an incision closing the middle line, with a satisfactory evolution. Discussion: The goal of surgical intervention is to produce or restore velopharyngeal competence while avoiding the complications of upper airway obstruction. Conclusion: Dysfunction velopharyngeal is the most frequent cause of hyper nasal speech, and most of them have anterior palate fistula, the posterior retropharyngeal flap is one of the one of the best post-surgical evolution.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"43 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":"126907025","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}
We performed VV ECMO for a 68-year-old man who had ARDS caused by Streptococcus pyogenes. After 2 days of treatment he had acute cardiogenic shock with refractory VT. Echocardiography showed EF 30%. We planned transition from VV ECMO to VAV ECMO to support cardiopulmonary function. An additional return cannula (15 Fr) was inserted from the left femoral Artery, which was connected to the circuit branch from the original returning cannula. Then we titrated the arterial and venous inflow by applying an adjustable clamp on the venous inflow limb to keep the optimal femoral artery flow, he was successfully switched from VV to VAV ECMO showed on ABG and hemodynamic stable. After 10 days of V-A-V treatment, he was recovered, stopped ECMO supporting and discharged hospital after 47 days.
{"title":"A Patient with ARDS and Cardiogenic Shock Caused by Streptococcus Pyogenes Successfully Treated by V-A-V ECMO","authors":"Quang Tn, Dang Tn, V. Bl, Ngoc Qn, Thai Bl, Tran Gt","doi":"10.16966/2470-0991.184","DOIUrl":"https://doi.org/10.16966/2470-0991.184","url":null,"abstract":"We performed VV ECMO for a 68-year-old man who had ARDS caused by Streptococcus pyogenes. After 2 days of treatment he had acute cardiogenic shock with refractory VT. Echocardiography showed EF 30%. We planned transition from VV ECMO to VAV ECMO to support cardiopulmonary function. An additional return cannula (15 Fr) was inserted from the left femoral Artery, which was connected to the circuit branch from the original returning cannula. Then we titrated the arterial and venous inflow by applying an adjustable clamp on the venous inflow limb to keep the optimal femoral artery flow, he was successfully switched from VV to VAV ECMO showed on ABG and hemodynamic stable. After 10 days of V-A-V treatment, he was recovered, stopped ECMO supporting and discharged hospital after 47 days.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"72 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":"126331140","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}
Tania T Muñoz-Hernández, Elizabeth Hirschhaut-Schor, Simon F Tovar-Blanco, Guillermo J Lara-Boada
Introduction and objectives: Right Heart Catheterization (RHC) is a gold method to perform the Pulmonary Vascular Reactivity Test (PVRT), however echocardiography has proven effective in estimating different hemodynamic variables. This study to demonstrate that with the Doppler echocardiographic index: Tricuspid Regurgitation Maximum Velocity (TRV)/Time-Velocity Integral of the Right Ventricle Outflow Tract (TVIrvot) we will obtain a Pulmonary Vascular Resistance Value (PVR) comparable to the invasive method. We evaluate its applicability in the PVRT. Methods: Prospective, double-blind, observational study in 30 patients, performed in 2 stages: A) We obtained simultaneous measurements of PVR by invasive method and echocardiography. TRV/TVIrovt index measurements were correlated with invasive PVR using the analysis of linear regression. An equation was modeled to calculate PVR in Wood Units (WU) by echocardiography; the results were compared with invasive RVP measurements using the Bland-Altman analysis. B) TRVP was performed by simultaneous measurement of PVR and Pulmonary Arterial Mean Pressure (MPAP) with the echocardiographic and invasive method. We use the equation formulated by Abbas (RVPa) and another modified one proposed in this study (RVPt). Results: In the first stage, the TRV/TVIrotv ratio correlated well with invasive PVR measurements (R 2=0.92). The Bland Altman analysis using RVP=10 × VRT/TVIrvot+0.36 showed satisfactory agreement limits (mean ± 0.36, L: 0.12-0.61). In the TRVP there was a high correlation of PVR between the two methods using the two equations. We also found high correlation with MPAP. Conclusions: The Doppler echocardiogram offers a reliable and non-invasive method to measure the PVR and MPAP in the PVRT.
简介和目的:右心导管(RHC)是进行肺血管反应性试验(PVRT)的黄金方法，然而超声心动图已被证明在估计不同的血流动力学变量方面是有效的。本研究表明，通过多普勒超声心动图指标:三尖瓣反流最大速度(TRV)/右心室流出道时间-速度积分(TVIrvot)，我们将获得与有创方法相当的肺血管阻值(PVR)。我们评估了它在PVRT中的适用性。方法:对30例患者进行前瞻性、双盲、观察性研究，分为2个阶段:A)我们通过有创法和超声心动图同时测量PVR。线性回归分析TRV/TVIrovt指数测量值与有创PVR相关。建立了超声心动图计算Wood Units (WU) PVR的方程;使用Bland-Altman分析将结果与有创RVP测量结果进行比较。B) TRVP采用超声心动图和有创法同时测量PVR和肺动脉平均压(MPAP)。我们使用Abbas公式(RVPa)和本研究提出的另一个修正方程(RVPt)。结果:在第一阶段，TRV/TVIrotv比值与有创PVR测量具有良好的相关性(r2 =0.92)。使用RVP=10 × VRT/TVIrvot+0.36的Bland Altman分析显示满意的一致性界限(平均值±0.36,L: 0.12-0.61)。在TRVP中，使用两个方程的两种方法之间的PVR具有高度相关性。我们还发现与MPAP高度相关。结论:多普勒超声心动图是一种可靠、无创的测量PVR和PVRT内MPAP的方法。
{"title":"The Age of Non-Invasive Measurements: Echocardiographic Equations Methods to Determine Variables in the Pulmonary Vascular Reactivity Test","authors":"Tania T Muñoz-Hernández, Elizabeth Hirschhaut-Schor, Simon F Tovar-Blanco, Guillermo J Lara-Boada","doi":"10.16966/2470-0991.200","DOIUrl":"https://doi.org/10.16966/2470-0991.200","url":null,"abstract":"Introduction and objectives: Right Heart Catheterization (RHC) is a gold method to perform the Pulmonary Vascular Reactivity Test (PVRT), however echocardiography has proven effective in estimating different hemodynamic variables. This study to demonstrate that with the Doppler echocardiographic index: Tricuspid Regurgitation Maximum Velocity (TRV)/Time-Velocity Integral of the Right Ventricle Outflow Tract (TVIrvot) we will obtain a Pulmonary Vascular Resistance Value (PVR) comparable to the invasive method. We evaluate its applicability in the PVRT. Methods: Prospective, double-blind, observational study in 30 patients, performed in 2 stages: A) We obtained simultaneous measurements of PVR by invasive method and echocardiography. TRV/TVIrovt index measurements were correlated with invasive PVR using the analysis of linear regression. An equation was modeled to calculate PVR in Wood Units (WU) by echocardiography; the results were compared with invasive RVP measurements using the Bland-Altman analysis. B) TRVP was performed by simultaneous measurement of PVR and Pulmonary Arterial Mean Pressure (MPAP) with the echocardiographic and invasive method. We use the equation formulated by Abbas (RVPa) and another modified one proposed in this study (RVPt). Results: In the first stage, the TRV/TVIrotv ratio correlated well with invasive PVR measurements (R 2=0.92). The Bland Altman analysis using RVP=10 × VRT/TVIrvot+0.36 showed satisfactory agreement limits (mean ± 0.36, L: 0.12-0.61). In the TRVP there was a high correlation of PVR between the two methods using the two equations. We also found high correlation with MPAP. Conclusions: The Doppler echocardiogram offers a reliable and non-invasive method to measure the PVR and MPAP in the PVRT.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"90 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":"122450101","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: To determine the position, degree of development and level of difficulty for impacted third molar surgery in patients aged 12 to 17 years treated at the National Institute of Children’s Health.
{"title":"Determination of the Position, Development and Level of Difficulty for Third Molar Surgery in Patients Aged 12 to 17 Years Attended in the Buccomaxillofacial Surgery Service of the National Institute of Child Health, Lima-Peru","authors":"Arenas Cc, Oliver Sc, Huapaya Do","doi":"10.16966/2470-0991.257","DOIUrl":"https://doi.org/10.16966/2470-0991.257","url":null,"abstract":"Objective: To determine the position, degree of development and level of difficulty for impacted third molar surgery in patients aged 12 to 17 years treated at the National Institute of Children’s Health.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"25 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":"130130983","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}
Blanco Oe, Marroquín Esr, Calderon-Colmenero Je, Vazquez Mdpo, Salazar Jlc
Objective: To describe the operative morbidity and mortality of surgical retraining of the left ventricle in patients with transposition of the great arteries and loss of ventricular mass.
目的:探讨大动脉转位合并心室体积缩小患者行左心室再训练的手术发病率和死亡率。
{"title":"Operative Morbidity and Mortality of Left Ventricular Surgical Retraining in Patients with Transposition of the Great Arteries and Loss of Ventricular Mass","authors":"Blanco Oe, Marroquín Esr, Calderon-Colmenero Je, Vazquez Mdpo, Salazar Jlc","doi":"10.16966/2470-0991.244","DOIUrl":"https://doi.org/10.16966/2470-0991.244","url":null,"abstract":"Objective: To describe the operative morbidity and mortality of surgical retraining of the left ventricle in patients with transposition of the great arteries and loss of ventricular mass.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"44 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":"131915568","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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