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Open Access Journal of Surgery最新文献

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Effects of Manual Lymphatic Drainage Combined with Press-Release Method Orthopedic Manual Lymphatic Physiotherapy on Upper Extremity Edema and Shoulder Joint Range of Motion and Pain in Patients with Breast Cancer 手法淋巴引流结合按压松解法矫形手法淋巴理疗对乳腺癌患者上肢水肿和肩关节活动范围及疼痛的影响
Pub Date : 2024-06-03 DOI: 10.19080/oajs.2024.15.555916
Seong Hyeok Song, Ju Sang Kim, Sung-il Park, Sang-Min Park
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引用次数: 0
Beneath the Surface: A Case of Intussusception due to a Submucosal Lipoma in an Adult Patient 表面之下一例因粘膜下脂肪瘤导致的成人肠套叠病例
Pub Date : 2024-05-08 DOI: 10.19080/oajs.2024.15.555914
Faris Alsobyani, Amar Akbar, Abdulaziz Jastaniah, Suleiman Jastaniah, Rabah Khatir
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引用次数: 0
Long Term Paired Outcomes of Index and Redo Per Oral Endoscopic Myotomy 指数型和重做型口腔内窥镜肌切开术的长期配对结果
Pub Date : 2024-05-01 DOI: 10.19080/oajs.2024.15.555912
Lucie F Calderon
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引用次数: 0
Complications In Gallbladder Surgery: Laparotomy Vs. Laparoscopy, A Comparative Review 胆囊手术并发症:剖腹手术与腹腔镜手术的比较回顾
Pub Date : 2023-11-02 DOI: 10.19080/oajs.2023.15.555904
Maria Isabel Gomez-Coral
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引用次数: 0
Early Recognition and Effective Intervention in Peripheral Vascular Trauma 外周血管损伤的早期识别与有效干预
Pub Date : 2023-09-25 DOI: 10.19080/oajs.2023.14.555898
Maria Isabel Gomez-Coral
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引用次数: 0
Late Complications of Acute Pancreatitis: A Surgical Approach 急性胰腺炎的晚期并发症:一种外科方法
Pub Date : 2023-05-30 DOI: 10.19080/oajs.2023.14.555887
Maria Isabel Gomez Coral
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引用次数: 0
Surgical Site Infection in Abdominal Procedures: An Update on Prevention and Clinical Approach 腹部手术部位感染:预防和临床方法的最新进展
Pub Date : 2023-05-01 DOI: 10.19080/oajs.2023.14.555885
Maria Isabel Gomez Coral
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引用次数: 0
Hepatic Abscess in Adults: Integrated Approach and Surgical Considerations 成人肝脓肿:综合方法和手术考虑
Pub Date : 2023-04-12 DOI: 10.19080/oajs.2023.14.555883
Maria Isabel Gomez Coral
Hepatic abscesses are suppurated cavities caused by the invasion and multiplication of microorganisms within the liver parenchyma. This condition is relatively uncommon, with an estimated incidence of 2.3 to 3.6 cases per 100,000 people yearly. However, the incidence is higher in specific populations, such as patients with underlying liver disease, diabetes, or other immune-compromising conditions. The most common cause of liver abscesses is the spread of infection from other parts of the body, such as the biliary tract or gastrointestinal tract. Other causes include trauma to the liver, such as from a penetrating injury or surgery or the presence of a foreign body in the liver. Liver abscesses are broadly divided into two types: amoebic and pyogenic. The clinical presentation might vary, including fever, abdominal pain, nausea and vomiting, jaundice, and weight loss. In some cases, there may be no symptoms. Diagnosis typically involves an ultrasound or CT scan, which can show the presence of a fluid-filled mass in the liver. CT is the standard modality for diagnosis. Blood tests may also evaluate liver function and identify any underlying infections. Treatment typically involves a combination of antibiotics to target the underlying infection and drainage of the abscess. Supportive measures like hydration and pain management may also be necessary. In addition, close monitoring and follow-up are essential to ensure that the abscess has resolved and there are no complications. In some cases, surgical intervention may be necessary to remove the abscess or repair any damage to the liver. Liver abscess drainage is typically indicated in patients with significant, symptomatic abscesses or those who do not respond to medical treatment with antibiotics. In addition, abscesses at risk of rupturing or located close to vital structures, such as major blood vessels, may require drainage to prevent serious complications. Two drainage methods are presently available: non-surgical options, such as percutaneous needle aspiration or percutaneous catheter drainage, and surgical options, such as open drainage or laparoscopic drainage. This review identifies when these alternatives should be used, taking adverse effects, symptoms, and comorbidities into account.
肝脓肿是由肝实质内微生物的侵袭和增殖引起的化脓腔。这种情况相对不常见,估计每年每10万人中有2.3至3.6例。然而,在特定人群中发病率较高,如患有潜在肝病、糖尿病或其他免疫损害疾病的患者。肝脓肿最常见的原因是身体其他部位的感染扩散,如胆道或胃肠道。其他原因包括肝脏的创伤,如穿透性损伤或手术或肝脏中异物的存在。肝脓肿大致分为两种:阿米巴脓肿和化脓性脓肿。临床表现可能各不相同,包括发热、腹痛、恶心呕吐、黄疸和体重减轻。在某些情况下,可能没有任何症状。诊断通常包括超声或CT扫描,这可以显示肝脏中充满液体的肿块的存在。CT是诊断的标准方式。血液检查也可以评估肝功能和确定任何潜在的感染。治疗通常包括针对潜在感染和脓肿引流的抗生素组合。补水和疼痛管理等支持性措施也是必要的。此外,密切监测和随访是必要的,以确保脓肿已经解决,没有并发症。在某些情况下,手术干预可能是必要的,以消除脓肿或修复任何肝脏损伤。肝脓肿引流通常适用于有明显症状的脓肿患者或对抗生素治疗无效的患者。此外,有破裂危险或靠近重要结构(如大血管)的脓肿可能需要引流,以防止严重并发症。目前有两种引流方法:非手术选择,如经皮穿刺或经皮导管引流;手术选择,如开放引流或腹腔镜引流。本综述确定了在考虑不良反应、症状和合并症的情况下,何时应该使用这些替代方案。
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引用次数: 0
Hemorrhoidal Disease: How to Proceed After Unsuccessful Medical Treatment? 痔疮病:医疗失败后如何处理?
Pub Date : 2023-03-14 DOI: 10.19080/oajs.2023.14.555880
Maria Isabel Gomez Coral
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引用次数: 0
Esophageal Achalasia: An Overview of Current Therapies 食管贲门失弛缓症:当前治疗综述
Pub Date : 2023-02-20 DOI: 10.19080/oajs.2023.14.555879
Maria Isabel Gomez Coral
{"title":"Esophageal Achalasia: An Overview of Current Therapies","authors":"Maria Isabel Gomez Coral","doi":"10.19080/oajs.2023.14.555879","DOIUrl":"https://doi.org/10.19080/oajs.2023.14.555879","url":null,"abstract":"","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124195068","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}
引用次数: 0
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Open Access Journal of Surgery
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