Pub Date : 2023-01-27DOI: 10.1097/fs9.0000000000000025
A. Kleebayoon, V. Wiwanitkit
{"title":"Post - operative malaria and dengue: an issue for surgical infection control","authors":"A. Kleebayoon, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000025","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000025","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46757354","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}
Pub Date : 2023-01-27DOI: 10.1097/fs9.0000000000000024
R. Mungmunpuntipantip, V. Wiwanitkit
{"title":"COVID-19 vaccination, acute appendicitis, interrelationship and jointed probability: a concern","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000024","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000024","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46372978","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}
Pub Date : 2023-01-27DOI: 10.1097/fs9.0000000000000012
P. Sookaromdee, V. Wiwanitkit
{"title":"Death due to rabies after animal bite injury: incidence pre- and post- COVID-19","authors":"P. Sookaromdee, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000012","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000012","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41744091","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}
Pub Date : 2023-01-27DOI: 10.1097/fs9.0000000000000013
R. Mungmunpuntipantip, V. Wiwanitkit
{"title":"Molluscum contagiosum, false positive and incidence: concern in surgery","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000013","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000013","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43336345","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}
Pub Date : 2023-01-27DOI: 10.1097/FS9.0000000000000026
T. Hsu, Chiung-Hsi Wang, Pi-chen Huang, Chia-Der Chao, Chun-Wei Chen, Tsang-En Wang, Yu-Ru Yang
Abstract Background Zinc deficiency is associated with poor wound healing, skin lesions, alopecia, etc. It is common in malnourished patients. Although parenteral nutrition (PN) has anabolic effect; however, lack of zinc supplement for a long period might result in zinc deficiency. The aim of the study is to calculate the incidence of zinc deficiency and the correlation to multiple nutritional parameters. Methods This is a retrospective analysis of patients who received PN and were under care of nutrition support service of Mackay Memorial Hospital from 1995 to 2020. Zinc serum level less than 800 μg/L were considered zinc deficiency. All patients had evaluation of nutrition status by assessing of albumin, total lymphocyte count (TLC), and midarm circumference (MAC). Results Data were analyzed by analysis of variance. A P value less than 0.05 was considered significant. A total of 3854 patients received PN during this period, 18 of them had zinc level less than 800 μg/L. In those 18 patients, 12 of them had clinical symptoms and signs of zinc deficiency. The average day of receiving PN for patients was 74.4 ± 62.5 (14–204) days. The average day of appearance of symptoms was 11 ± 12.3 (1–43) days. Eleven patients received blood or plasma transfusion during this period. It was found that serum zinc level did not correlate with serum albumin, TLC, and MAC. Conclusions Zinc deficiency could occur in patients with PN and adequate supply of calorie. It also occurs in patients with extra loss such as discharges from enterocutaneous fistula even in patients with supply of daily requirement of zinc. Zinc deficiency does not correlate with serum albumin, TLC, MAC, or age.
{"title":"Routine addition of zinc to the parenteral fluid formula is not able to prevent zinc deficiency in all patients receiving parenteral nutrition","authors":"T. Hsu, Chiung-Hsi Wang, Pi-chen Huang, Chia-Der Chao, Chun-Wei Chen, Tsang-En Wang, Yu-Ru Yang","doi":"10.1097/FS9.0000000000000026","DOIUrl":"https://doi.org/10.1097/FS9.0000000000000026","url":null,"abstract":"Abstract Background Zinc deficiency is associated with poor wound healing, skin lesions, alopecia, etc. It is common in malnourished patients. Although parenteral nutrition (PN) has anabolic effect; however, lack of zinc supplement for a long period might result in zinc deficiency. The aim of the study is to calculate the incidence of zinc deficiency and the correlation to multiple nutritional parameters. Methods This is a retrospective analysis of patients who received PN and were under care of nutrition support service of Mackay Memorial Hospital from 1995 to 2020. Zinc serum level less than 800 μg/L were considered zinc deficiency. All patients had evaluation of nutrition status by assessing of albumin, total lymphocyte count (TLC), and midarm circumference (MAC). Results Data were analyzed by analysis of variance. A P value less than 0.05 was considered significant. A total of 3854 patients received PN during this period, 18 of them had zinc level less than 800 μg/L. In those 18 patients, 12 of them had clinical symptoms and signs of zinc deficiency. The average day of receiving PN for patients was 74.4 ± 62.5 (14–204) days. The average day of appearance of symptoms was 11 ± 12.3 (1–43) days. Eleven patients received blood or plasma transfusion during this period. It was found that serum zinc level did not correlate with serum albumin, TLC, and MAC. Conclusions Zinc deficiency could occur in patients with PN and adequate supply of calorie. It also occurs in patients with extra loss such as discharges from enterocutaneous fistula even in patients with supply of daily requirement of zinc. Zinc deficiency does not correlate with serum albumin, TLC, MAC, or age.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"56 1","pages":"54 - 58"},"PeriodicalIF":0.4,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46861916","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}
Pub Date : 2023-01-13DOI: 10.1097/fs9.0000000000000014
Ting-Wei Chang, F. Tsai
{"title":"Pneumoperitoneum caused by pneumatosis cystoides coli: Open or not open","authors":"Ting-Wei Chang, F. Tsai","doi":"10.1097/fs9.0000000000000014","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000014","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45687369","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}
Pub Date : 2023-01-13DOI: 10.1097/FS9.0000000000000016
Yi-Chia Wang, Yih-Sharng Chen, P. Lin, Chi-Hsiang Huang
Abstract Background Pulmonary hypertension (PH) is classified by hemodynamic presentation into precapillary, isolated postcapillary, and combined postcapillary and precapillary PH. Whether PH type influences risk stratification in cardiac surgery remains undetermined. We aimed to evaluate the incidence of perioperative (≤30 days) morbidity and mortality in different PH population. Methods This was a retrospective observational study. All patients who underwent right heart catheterization between August 2015 and July 2020 were divided into the noncapillary, precapillary, isolated postcapillary, and combined postcapillary and pre capillary PH groups based on their mean pulmonary arterial pressure, pulmonary artery wedge pressure, and diastolic pressure difference preoperatively. Results Of the 500 patients who underwent elective cardiac surgeries, 487 were analyzed. Overall, 236 patients (48.7%) had PH, and isolated postcapillary PH was the most common presentation. Mild PH proportion was highest in the precapillary PH type (70.8%), followed by isolated postcapillary PH (46.2%), and finally combined postcapillary and precapillary PH (10.7%). Patients with PH had a greater frequency of renal insufficiency and wound infection within 30 days postoperatively. Mean pulmonary arterial pressure >25 mm Hg after cardiopulmonary bypass (CPB) was a risk factor for short-term complications. New York Heart Association Functional Class ≥II, long CPB duration, and isolated postcapillary PH or combined postcapillary and precapillary PH type are independent risk factors for short-term morbidity and mortality after elective cardiac surgery. Conclusions Isolated postcapillary PH and combined postcapillary and precapillary PH patients had a higher complication rate 30 days postoperatively among elective cardiac surgery patients. After CPB, mean pulmonary arterial pressure >25 mm Hg was associated with greater complication frequency.
摘要背景肺动脉高压（PH）根据血液动力学表现分为毛细血管前型、孤立性毛细血管后型和毛细血管后和毛细血管前型合并型。PH类型是否影响心脏手术中的风险分层尚不确定。我们旨在评估不同PH人群围手术期（≤30天）发病率和死亡率。方法回顾性观察研究。2015年8月至2020年7月期间接受右心导管插入术的所有患者，根据术前平均肺动脉压、肺动脉楔压和舒张压差，分为非毛细血管、毛细血管前、孤立毛细血管后以及毛细血管后和毛细血管前PH联合组。结果对500例择期心脏手术患者中487例进行了分析。总的来说，236名患者（48.7%）患有PH，孤立的毛细血管后PH是最常见的表现。轻度PH以毛细血管前型最高（70.8%），其次为孤立性毛细血管后型（46.2%），最后为毛细血管后型和毛细血管前型合并型（10.7%）。体外循环（CPB）后平均肺动脉压>25 mm Hg是短期并发症的危险因素。纽约心脏协会功能分级≥II、CPB持续时间长、孤立的毛细血管后PH或毛细血管后和毛细血管前PH联合型是择期心脏手术后短期发病率和死亡率的独立风险因素。结论在择期心脏手术患者中，单独的毛细血管后PH患者和合并的毛细血管后和毛细血管前PH患者术后30天的并发症发生率较高。CPB后，平均肺动脉压>25 mm Hg与更高的并发症发生率相关。
{"title":"Impact of pulmonary hypertension hemodynamic presentation on perioperative outcomes in patients undergoing elective cardiac surgery: An observational study","authors":"Yi-Chia Wang, Yih-Sharng Chen, P. Lin, Chi-Hsiang Huang","doi":"10.1097/FS9.0000000000000016","DOIUrl":"https://doi.org/10.1097/FS9.0000000000000016","url":null,"abstract":"Abstract Background Pulmonary hypertension (PH) is classified by hemodynamic presentation into precapillary, isolated postcapillary, and combined postcapillary and precapillary PH. Whether PH type influences risk stratification in cardiac surgery remains undetermined. We aimed to evaluate the incidence of perioperative (≤30 days) morbidity and mortality in different PH population. Methods This was a retrospective observational study. All patients who underwent right heart catheterization between August 2015 and July 2020 were divided into the noncapillary, precapillary, isolated postcapillary, and combined postcapillary and pre capillary PH groups based on their mean pulmonary arterial pressure, pulmonary artery wedge pressure, and diastolic pressure difference preoperatively. Results Of the 500 patients who underwent elective cardiac surgeries, 487 were analyzed. Overall, 236 patients (48.7%) had PH, and isolated postcapillary PH was the most common presentation. Mild PH proportion was highest in the precapillary PH type (70.8%), followed by isolated postcapillary PH (46.2%), and finally combined postcapillary and precapillary PH (10.7%). Patients with PH had a greater frequency of renal insufficiency and wound infection within 30 days postoperatively. Mean pulmonary arterial pressure >25 mm Hg after cardiopulmonary bypass (CPB) was a risk factor for short-term complications. New York Heart Association Functional Class ≥II, long CPB duration, and isolated postcapillary PH or combined postcapillary and precapillary PH type are independent risk factors for short-term morbidity and mortality after elective cardiac surgery. Conclusions Isolated postcapillary PH and combined postcapillary and precapillary PH patients had a higher complication rate 30 days postoperatively among elective cardiac surgery patients. After CPB, mean pulmonary arterial pressure >25 mm Hg was associated with greater complication frequency.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"56 1","pages":"47 - 53"},"PeriodicalIF":0.4,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41676179","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}
Pub Date : 2023-01-13DOI: 10.1097/fs9.0000000000000015
Che-Yu Chuang, P. Chang, Ting-Wei Chang
{"title":"Spontaneous pneumomediastinum as a rare complication of new psychoactive substance","authors":"Che-Yu Chuang, P. Chang, Ting-Wei Chang","doi":"10.1097/fs9.0000000000000015","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000015","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42743054","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}
Pub Date : 2022-12-16DOI: 10.1097/FS9.0000000000000003
Yu-Han Chen, Hao-Wei Chung, H. Chen, Yu-Tang Chang
Abstract Background The aim of this study was to evaluate the clinical significance of the newborn with black-bluish discoloration of the abdominal wall (blue abdomen). Methods Between December 2007 and November 2016, neonates with blue abdomen referred for the suspicion of spontaneous intestinal perforation (SIP) were retrospectively reviewed. Clinical features and their prognosis were analyzed. Results During the study period, there were 10 neonates with blue abdomen. Of them, five neonates were proven as having SIP and the others were free of perforation. Enteral feeding was significantly associated with SIP (P = 0.038); however, gestational age, birth weight, gender, the timing of presentation, white blood cell count, platelets count, and the use of indomethacin as well as surfactant therapy were not significantly different between the two groups (P = 0.338, 0.610, 0.490, 0.326, 0.084, 0.741, 0.292, and 0.197, respectively). There was no statistically significant difference in survival between the two groups (P = 0.490). Conclusions Black-bluish discoloration of the abdominal wall may be a classical physical finding of SIP, but not be specific to SIP. The factor of enteral feeding might help to establish an appropriate diagnosis before invasive procedures. Because of high mortality, exploratory laparotomy should be avoided if there is no pneumoperitoneum.
{"title":"Clinical significance of black-bluish discoloration of the abdominal wall in the newborn","authors":"Yu-Han Chen, Hao-Wei Chung, H. Chen, Yu-Tang Chang","doi":"10.1097/FS9.0000000000000003","DOIUrl":"https://doi.org/10.1097/FS9.0000000000000003","url":null,"abstract":"Abstract Background The aim of this study was to evaluate the clinical significance of the newborn with black-bluish discoloration of the abdominal wall (blue abdomen). Methods Between December 2007 and November 2016, neonates with blue abdomen referred for the suspicion of spontaneous intestinal perforation (SIP) were retrospectively reviewed. Clinical features and their prognosis were analyzed. Results During the study period, there were 10 neonates with blue abdomen. Of them, five neonates were proven as having SIP and the others were free of perforation. Enteral feeding was significantly associated with SIP (P = 0.038); however, gestational age, birth weight, gender, the timing of presentation, white blood cell count, platelets count, and the use of indomethacin as well as surfactant therapy were not significantly different between the two groups (P = 0.338, 0.610, 0.490, 0.326, 0.084, 0.741, 0.292, and 0.197, respectively). There was no statistically significant difference in survival between the two groups (P = 0.490). Conclusions Black-bluish discoloration of the abdominal wall may be a classical physical finding of SIP, but not be specific to SIP. The factor of enteral feeding might help to establish an appropriate diagnosis before invasive procedures. Because of high mortality, exploratory laparotomy should be avoided if there is no pneumoperitoneum.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"56 1","pages":"12 - 15"},"PeriodicalIF":0.4,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43654757","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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