Pub Date : 2024-07-16DOI: 10.1097/fs9.0000000000000149
Devendu Rajesh, A. V. Pillai, Riju Ramachandran Menon, Uday kumar Rangaswamy
{"title":"Tongue peeling as an adverse reaction with use of micronised purified flavonoid: a case report","authors":"Devendu Rajesh, A. V. Pillai, Riju Ramachandran Menon, Uday kumar Rangaswamy","doi":"10.1097/fs9.0000000000000149","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000149","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832278","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}
Stress-induced hyperglycemia (SIH) is commonly observed in patients with trauma and is associated with increased morbidity and mortality. The segmented neutrophil-to-monocyte ratio (SeMo) serves as a biomarker of inflammation and potentially reflects the severity of the stress response to trauma. This study investigated the relationships between SIH, dynamic changes in SeMo, and patient outcomes in a trauma intensive care unit (ICU). A retrospective analysis was conducted using data from adult patients with trauma admitted to a Level I trauma center in Southern Taiwan over 13 years. Patients were divided into two groups based on the presence of SIH or non-diabetic normoglycemia (NDN). The dynamic SeMo was calculated as the difference in the SeMo from admission to 48-72 hours after admission. Outcomes were compared using descriptive statistics, chi-square tests, and Student's t-tests. Of the 1,030 included patients, those with SIH had a significantly higher SeMo (20.3 vs. 15.2, P = 0.001) and a greater change in dynamic SeMo (1.2 vs. -4.0, P = 0.017) than those with NDN. Among patients with SIH, the deceased group had a higher SeMo (26.4 vs. 18.4, P = 0.022), but there was no difference in dynamic SeMo among the survivors. In the overall cohort and the NDN subgroups, dynamic SeMo was not associated with mortality. However, factors such as older age, lower Glasgow Coma Scale score, higher Injury Severity Score, and presence of end-stage renal disease were more strongly associated with increased mortality. In patients with trauma in ICU, SIH was linked to an increased SeMo and greater changes in dynamic SeMo; however, these changes did not directly predict mortality. It is important to note that an elevated SeMo may be observed in patients with SIH, but not in patients with NDN. This finding should be considered to avoid unnecessary therapies.
{"title":"Dynamic Changes in Segmented Neutrophil-to-Monocyte Ratio in Trauma Patients with Stress-Induced Hyperglycemia: A Retrospective Study","authors":"Ching-Ya Huang, Shiun-Yuan Hsu, Ching-Hua Tsai, Wei-Ti Su, Ko-Chien Lin, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000139","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000139","url":null,"abstract":"\u0000 \u0000 \u0000 Stress-induced hyperglycemia (SIH) is commonly observed in patients with trauma and is associated with increased morbidity and mortality. The segmented neutrophil-to-monocyte ratio (SeMo) serves as a biomarker of inflammation and potentially reflects the severity of the stress response to trauma. This study investigated the relationships between SIH, dynamic changes in SeMo, and patient outcomes in a trauma intensive care unit (ICU).\u0000 \u0000 \u0000 \u0000 A retrospective analysis was conducted using data from adult patients with trauma admitted to a Level I trauma center in Southern Taiwan over 13 years. Patients were divided into two groups based on the presence of SIH or non-diabetic normoglycemia (NDN). The dynamic SeMo was calculated as the difference in the SeMo from admission to 48-72 hours after admission. Outcomes were compared using descriptive statistics, chi-square tests, and Student's t-tests.\u0000 \u0000 \u0000 \u0000 Of the 1,030 included patients, those with SIH had a significantly higher SeMo (20.3 vs. 15.2, P = 0.001) and a greater change in dynamic SeMo (1.2 vs. -4.0, P = 0.017) than those with NDN. Among patients with SIH, the deceased group had a higher SeMo (26.4 vs. 18.4, P = 0.022), but there was no difference in dynamic SeMo among the survivors. In the overall cohort and the NDN subgroups, dynamic SeMo was not associated with mortality. However, factors such as older age, lower Glasgow Coma Scale score, higher Injury Severity Score, and presence of end-stage renal disease were more strongly associated with increased mortality.\u0000 \u0000 \u0000 \u0000 In patients with trauma in ICU, SIH was linked to an increased SeMo and greater changes in dynamic SeMo; however, these changes did not directly predict mortality. It is important to note that an elevated SeMo may be observed in patients with SIH, but not in patients with NDN. This finding should be considered to avoid unnecessary therapies.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141832294","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 : 2024-07-16DOI: 10.1097/fs9.0000000000000137
Rajarshi Mitra
This systematic review aimed to evaluate the incidence of adhesion-related readmissions and surgery for adhesive bowel obstruction (BO) in patients who underwent laparoscopic or open surgery for rectal cancer. Laparoscopic surgery is generally believed to be associated with a lower rate of postoperative adhesion formation compared to open surgery. A thorough and systematic search was conducted across multiple comprehensive databases to identify relevant studies for inclusion in this systematic review. The purpose of this search was to ensure a comprehensive and unbiased selection of studies to provide a robust foundation for the subsequent analysis. In this review, a total of 10 studies were involved on bowel obstruction risk in laparoscopic and open surgery for rectal cancer. This study consistently showed that laparoscopic surgery carried a lower risk of postoperative bowel obstruction compared to open surgery. Six studies in the review supported this finding. Laparoscopic surgery shows a significant reduction in adhesive bowel obstruction compared to open surgery, as indicated by this systematic review. However, more well-designed randomized trials involving diverse patients are needed to confirm these benefits. Further research is necessary to gain a clearer understanding of the advantages of laparoscopic surgery in reducing the risk of bowel obstruction.
{"title":"Assessment of the risk of bowel obstruction after laparoscopic vs. open surgery for rectal cancer: A systematic review","authors":"Rajarshi Mitra","doi":"10.1097/fs9.0000000000000137","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000137","url":null,"abstract":"\u0000 \u0000 \u0000 This systematic review aimed to evaluate the incidence of adhesion-related readmissions and surgery for adhesive bowel obstruction (BO) in patients who underwent laparoscopic or open surgery for rectal cancer. Laparoscopic surgery is generally believed to be associated with a lower rate of postoperative adhesion formation compared to open surgery.\u0000 \u0000 \u0000 \u0000 A thorough and systematic search was conducted across multiple comprehensive databases to identify relevant studies for inclusion in this systematic review. The purpose of this search was to ensure a comprehensive and unbiased selection of studies to provide a robust foundation for the subsequent analysis.\u0000 \u0000 \u0000 \u0000 In this review, a total of 10 studies were involved on bowel obstruction risk in laparoscopic and open surgery for rectal cancer. This study consistently showed that laparoscopic surgery carried a lower risk of postoperative bowel obstruction compared to open surgery. Six studies in the review supported this finding.\u0000 \u0000 \u0000 \u0000 Laparoscopic surgery shows a significant reduction in adhesive bowel obstruction compared to open surgery, as indicated by this systematic review. However, more well-designed randomized trials involving diverse patients are needed to confirm these benefits. Further research is necessary to gain a clearer understanding of the advantages of laparoscopic surgery in reducing the risk of bowel obstruction.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831377","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}
Motorcycle traffic accidents rate remained high in Taiwan letting post-trauma care an imperative issue. This study investigates the spiritual, psychological, and physical impacts of motorcycle traffic accidents in Taiwan, focusing on the role of the Injury Severity Score (ISS) in influencing quality of life (QOL) and spiritual well-being outcomes, aiming to enhance holistic recovery strategies for trauma survivors. A prospective study was conducted from April 2022 to March 2024 in a level I trauma center. Patients aged 20 and above with trauma from motorcycle accidents were enrolled and divided into major (ISS ≥ 16) and non-major (ISS < 16) trauma groups. QOL and spiritual health were assessed using 36-item short-form general health survey measures (SF-36) and spiritual scale before discharge and six months later. Of 98 patients, we observed significant post-discharge declines in both physical and mental QOL scores, regardless of ISS. However, spiritual scores improved significantly after discharge, with notable enhancements in interpersonal relationships and adversity transcendence observed in patients with ISS < 16, but not in those with ISS ≥ 16. SF-36 analysis revealed that non-religious groups experienced significant declines in mental health scores post-discharge, unlike religious groups, which remained stable. Additionally, religious individuals showed significant post-discharge improvements in interpersonal relationships and adversity transcendence, while non-religious showed no improvement. This suggests a beneficial link between religious adherence and enhanced spiritual well-being. Motorcycle accidents reduce QOL and heighten spiritual needs for survivors, regardless of accident severity categorized by ISS score. Integrating spirituality into rehabilitation processes can positively impact overall well-being. Holistic care, addressing physical, psychological, social, and spiritual needs, is vital for optimizing long-term recovery and improving prognosis in trauma survivors, especially in regions with high rates of traffic accidents like Taiwan.
台湾的摩托车交通事故率居高不下，因此创伤后护理成为当务之急。本研究调查了台湾摩托车交通事故对精神、心理和身体的影响，重点研究了受伤严重程度评分（ISS）对生活质量（QOL）和精神健康结果的影响，旨在加强创伤幸存者的整体康复策略。 这项前瞻性研究于 2022 年 4 月至 2024 年 3 月在一家一级创伤中心进行。研究对象为年龄在20岁及以上的摩托车事故创伤患者，分为重大创伤组（ISS≥16）和非重大创伤组（ISS<16）。在出院前和出院六个月后，使用 36 项短式一般健康调查量表（SF-36）和精神量表对患者的 QOL 和精神健康状况进行评估。 在 98 名患者中，我们观察到出院后身体和精神的 QOL 分数都有明显下降，与 ISS 无关。然而，精神评分在出院后有明显改善，ISS<16的患者在人际关系和逆境超越方面有明显改善，而ISS≥16的患者则没有。SF-36 分析显示，非宗教群体出院后的心理健康得分明显下降，而宗教群体则不同，他们的心理健康得分保持稳定。此外，有宗教信仰的人出院后在人际关系和逆境超越方面有明显改善，而无宗教信仰的人则没有改善。这表明信奉宗教与提高精神幸福感之间存在有益的联系。 摩托车事故降低了幸存者的生活质量，提高了他们的精神需求，无论事故的严重程度以 ISS 分数分类。将灵性融入康复过程可对整体福祉产生积极影响。针对身体、心理、社会和精神需求的整体护理对于优化创伤幸存者的长期康复和改善预后至关重要，尤其是在台湾这样交通事故高发的地区。
{"title":"Quality of Life and Spiritual Health in Motorcycle Accident Survivors: An Analysis Using the SF-36 Questionnaire and Spiritual Scale","authors":"Ching-Ya Huang, Shu-Hui Peng, Hui-Ping Lin, Shiun-Yuan Hsu, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000138","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000138","url":null,"abstract":"\u0000 \u0000 \u0000 Motorcycle traffic accidents rate remained high in Taiwan letting post-trauma care an imperative issue. This study investigates the spiritual, psychological, and physical impacts of motorcycle traffic accidents in Taiwan, focusing on the role of the Injury Severity Score (ISS) in influencing quality of life (QOL) and spiritual well-being outcomes, aiming to enhance holistic recovery strategies for trauma survivors.\u0000 \u0000 \u0000 \u0000 A prospective study was conducted from April 2022 to March 2024 in a level I trauma center. Patients aged 20 and above with trauma from motorcycle accidents were enrolled and divided into major (ISS ≥ 16) and non-major (ISS < 16) trauma groups. QOL and spiritual health were assessed using 36-item short-form general health survey measures (SF-36) and spiritual scale before discharge and six months later.\u0000 \u0000 \u0000 \u0000 Of 98 patients, we observed significant post-discharge declines in both physical and mental QOL scores, regardless of ISS. However, spiritual scores improved significantly after discharge, with notable enhancements in interpersonal relationships and adversity transcendence observed in patients with ISS < 16, but not in those with ISS ≥ 16. SF-36 analysis revealed that non-religious groups experienced significant declines in mental health scores post-discharge, unlike religious groups, which remained stable. Additionally, religious individuals showed significant post-discharge improvements in interpersonal relationships and adversity transcendence, while non-religious showed no improvement. This suggests a beneficial link between religious adherence and enhanced spiritual well-being.\u0000 \u0000 \u0000 \u0000 Motorcycle accidents reduce QOL and heighten spiritual needs for survivors, regardless of accident severity categorized by ISS score. Integrating spirituality into rehabilitation processes can positively impact overall well-being. Holistic care, addressing physical, psychological, social, and spiritual needs, is vital for optimizing long-term recovery and improving prognosis in trauma survivors, especially in regions with high rates of traffic accidents like Taiwan.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669879","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 : 2024-07-08DOI: 10.1097/fs9.0000000000000140
Ching-Ya Huang, Pao‐Jen Kuo, J. Yang, Wei-Ti Su, Ching-Hua Hsieh
The Mortality Probability Model II (MPM II) is a well-recognized predictive tool in the intensive care unit (ICU) scoring system. The presence of a lethal triad, including hypothermia, acidosis, and coagulopathy, is associated with a worse outcome for trauma patients. This study aimed to assess whether integrating the lethal triad could enhance the MPM II predictive accuracy for trauma patients in the ICU. The study conducted a retrospective analysis of adult trauma patients admitted to an ICU from January 1, 2016, to December 31, 2022, in a Level I trauma center in southern Taiwan. It assessed the impact of the lethal triad variables incorporated into MPM II scores using the area under the receiver operating characteristic curve (AUC of ROC). Of the 3,410 patients included, 257 had the lethal triad and 3,153 do not. The mortality rate was significantly higher in patients presenting the lethal triad than those without (46.7% vs. 8%, p < 0.001). However, there was no significant improvement in predictive accuracy with both the MPM II with or without incorporating the variable of lethal triad having an area under the Receiver Operating Characteristic curve of 0.893. While the lethal triad is important for understanding trauma-induced physiological changes, straight inclusion into MPM II has no substantial prognostic value. These findings indicate that the existing variables in the MPM II may already be indirectly capturing the impacts of the lethal triad, emphasizing the intricate interplay of physiological components in trauma patients. This underscores the importance of continued study in improving the prognostic modeling to ultimately predicting outcomes for trauma patients.
死亡率概率模型 II（MPM II）是重症监护室（ICU）评分系统中公认的预测工具。致命三联症（包括低体温、酸中毒和凝血病）的存在与创伤患者的不良预后有关。本研究旨在评估整合致死三联症是否能提高 MPM II 对重症监护室创伤患者的预测准确性。 研究对台湾南部一家一级创伤中心从2016年1月1日至2022年12月31日入住重症监护室的成人创伤患者进行了回顾性分析。研究使用接收器操作特征曲线下面积（AUC of ROC）评估了纳入MPM II评分的致命三联变量的影响。 在纳入的 3,410 名患者中，257 人有致命三联征，3,153 人没有。出现致命三联征的患者死亡率明显高于未出现致命三联征的患者（46.7% 对 8%，P < 0.001）。然而，MPM II 的预测准确性并没有明显提高，无论是否纳入致死性三联征变量，其接收者操作特征曲线下面积均为 0.893。 虽然致死三联征对了解创伤引起的生理变化很重要，但直接将其纳入 MPM II 并没有实质性的预后价值。这些发现表明，MPM II 中的现有变量可能已经间接捕捉到了致命三联征的影响，强调了创伤患者生理成分之间错综复杂的相互作用。这强调了继续研究改进预后建模以最终预测创伤患者预后的重要性。
{"title":"Enhancing Mortality Probability Model II (MPM II) Predictive Accuracy with the Lethal Triad in ICU Trauma Patients","authors":"Ching-Ya Huang, Pao‐Jen Kuo, J. Yang, Wei-Ti Su, Ching-Hua Hsieh","doi":"10.1097/fs9.0000000000000140","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000140","url":null,"abstract":"\u0000 \u0000 \u0000 The Mortality Probability Model II (MPM II) is a well-recognized predictive tool in the intensive care unit (ICU) scoring system. The presence of a lethal triad, including hypothermia, acidosis, and coagulopathy, is associated with a worse outcome for trauma patients. This study aimed to assess whether integrating the lethal triad could enhance the MPM II predictive accuracy for trauma patients in the ICU.\u0000 \u0000 \u0000 \u0000 The study conducted a retrospective analysis of adult trauma patients admitted to an ICU from January 1, 2016, to December 31, 2022, in a Level I trauma center in southern Taiwan. It assessed the impact of the lethal triad variables incorporated into MPM II scores using the area under the receiver operating characteristic curve (AUC of ROC).\u0000 \u0000 \u0000 \u0000 Of the 3,410 patients included, 257 had the lethal triad and 3,153 do not. The mortality rate was significantly higher in patients presenting the lethal triad than those without (46.7% vs. 8%, p < 0.001). However, there was no significant improvement in predictive accuracy with both the MPM II with or without incorporating the variable of lethal triad having an area under the Receiver Operating Characteristic curve of 0.893.\u0000 \u0000 \u0000 \u0000 While the lethal triad is important for understanding trauma-induced physiological changes, straight inclusion into MPM II has no substantial prognostic value. These findings indicate that the existing variables in the MPM II may already be indirectly capturing the impacts of the lethal triad, emphasizing the intricate interplay of physiological components in trauma patients. This underscores the importance of continued study in improving the prognostic modeling to ultimately predicting outcomes for trauma patients.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668507","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 : 2024-07-02DOI: 10.1097/fs9.0000000000000145
Fang-Sheng Cheng, Chuang Shih-Chang, Wang Shen-Nien, Yao-Li Chen, Liang Hsin-Rou
{"title":"Management of subcapsular hematoma after living doner liver transplant","authors":"Fang-Sheng Cheng, Chuang Shih-Chang, Wang Shen-Nien, Yao-Li Chen, Liang Hsin-Rou","doi":"10.1097/fs9.0000000000000145","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000145","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688122","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 : 2024-07-01DOI: 10.1097/fs9.0000000000000148
He Liu, Ya Shen
{"title":"Emerging robot-guided techniques in endodontic microsurgery","authors":"He Liu, Ya Shen","doi":"10.1097/fs9.0000000000000148","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000148","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711342","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 : 2024-06-10DOI: 10.1097/fs9.0000000000000109
Yun-Cong Zheng, Yung-Hsin Hsu, Yen-Min Huang, Pin-Yuan Chen, Chih-Lung Lin
{"title":"A Randomized Controlled Trial of Propofol and Midazolam in Patients with Moderate/ Severe Traumatic Brain Injury after Neurosurgery","authors":"Yun-Cong Zheng, Yung-Hsin Hsu, Yen-Min Huang, Pin-Yuan Chen, Chih-Lung Lin","doi":"10.1097/fs9.0000000000000109","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000109","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365347","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 : 2024-06-10DOI: 10.1097/fs9.0000000000000118
Pavel Shklyaev, Olga Neganova, Ilnur Yagudin, Timur Pastushkov, Viloriy Ivanov, Aliya Gabdrakhimova
{"title":"Syndactyly in a 2-year-old child on all limbs","authors":"Pavel Shklyaev, Olga Neganova, Ilnur Yagudin, Timur Pastushkov, Viloriy Ivanov, Aliya Gabdrakhimova","doi":"10.1097/fs9.0000000000000118","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000118","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365451","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 : 2024-06-10DOI: 10.1097/fs9.0000000000000112
Naveen Kumar, Keshaw Kumar, Kashif Rizwi
The most common cause of spontaneous non traumatic pelvicalyceal system rupture is distal obstruction by a ureteric calculus and should be included in the differential diagnosis of patients with acute flank pain and perinephric fluid on ultrasound and Contrast enhanced CT scan with delayed images should be done to confirm the diagnosis. We present a case of spontaneous non traumatic pelvicalyceal system rupture due to a tiny ureteric calculus managed with primary ureteroscopic lithotripsy.
{"title":"Pelvicalyceal system rupture due to obstruction by lower ureteric calculus","authors":"Naveen Kumar, Keshaw Kumar, Kashif Rizwi","doi":"10.1097/fs9.0000000000000112","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000112","url":null,"abstract":"\u0000 The most common cause of spontaneous non traumatic pelvicalyceal system rupture is distal obstruction by a ureteric calculus and should be included in the differential diagnosis of patients with acute flank pain and perinephric fluid on ultrasound and Contrast enhanced CT scan with delayed images should be done to confirm the diagnosis. We present a case of spontaneous non traumatic pelvicalyceal system rupture due to a tiny ureteric calculus managed with primary ureteroscopic lithotripsy.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141364809","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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