Pub Date : 2023-10-06DOI: 10.1097/fs9.0000000000000088
Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
1Private Academic Consultant, Bangkok Thailand 2Chandigarh University, Punjab, India Correspondence: Rujittika Mungmunpuntipantip, Private Academic Consultant, Bangkok Thailand. Email: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
{"title":"Wildfire problem and impact on clinical surgery","authors":"Rujittika Mungmunpuntipantip, Viroj Wiwanitkit","doi":"10.1097/fs9.0000000000000088","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000088","url":null,"abstract":"1Private Academic Consultant, Bangkok Thailand 2Chandigarh University, Punjab, India Correspondence: Rujittika Mungmunpuntipantip, Private Academic Consultant, Bangkok Thailand. Email: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134944435","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 : 2023-10-06DOI: 10.1097/fs9.0000000000000086
Chiung Hui Hsieh, Chun Yee Ho, Tyng Luen Roan, Che Wei Chang
Abstract Background Forearm compartment syndrome is a rare condition that requires forearm fasciotomy to release compartment pressure. In most cases, there is little to no skin damage initially, but after the fasciotomy, the skin flap may gradually retract. Traditional methods for reconstructing fasciotomy wounds, such as skin grafts or flaps, often result in an unpleasant appearance and require donor sites. Material and Methods We present a method utilizing nylon cable ties for delayed primary closure of forearm fasciotomy wounds. We retrospectively reviewed patients who underwent fasciotomy of forearms for compartment syndrome and nylon cable ties-assisted closure in a medical center from January 2017 to December 2022. Results Out of the seven eligible patients, four suffered from compartment syndrome of the forearm due to iatrogenic vascular rupture after procedures, while the other reasons included open-type fracture and fasciitis. For all the patients, nylon cable ties were applied for delayed primary wound closure after emergent fasciotomy. Six of them achieved successful wound closure by nylon cable ties without skin grafts or flaps on median day 12 (day 6 – 19). Only one patient required skin graft reconstruction after the application of nylon cable ties for 10 days. Conclusions Nylon cable ties, which are inexpensive and readily available, can be adjusted according to the different tension along the wound edges. They provide a simple, effective, and safe way to close difficult forearm fasciotomy wounds, which often result in a retracting skin flap after the procedure.
{"title":"Nylon Cable Ties Assisted Delay Primary-Closure of Fasciotomy Wound in Patients of Forearm Compartment Syndrome","authors":"Chiung Hui Hsieh, Chun Yee Ho, Tyng Luen Roan, Che Wei Chang","doi":"10.1097/fs9.0000000000000086","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000086","url":null,"abstract":"Abstract Background Forearm compartment syndrome is a rare condition that requires forearm fasciotomy to release compartment pressure. In most cases, there is little to no skin damage initially, but after the fasciotomy, the skin flap may gradually retract. Traditional methods for reconstructing fasciotomy wounds, such as skin grafts or flaps, often result in an unpleasant appearance and require donor sites. Material and Methods We present a method utilizing nylon cable ties for delayed primary closure of forearm fasciotomy wounds. We retrospectively reviewed patients who underwent fasciotomy of forearms for compartment syndrome and nylon cable ties-assisted closure in a medical center from January 2017 to December 2022. Results Out of the seven eligible patients, four suffered from compartment syndrome of the forearm due to iatrogenic vascular rupture after procedures, while the other reasons included open-type fracture and fasciitis. For all the patients, nylon cable ties were applied for delayed primary wound closure after emergent fasciotomy. Six of them achieved successful wound closure by nylon cable ties without skin grafts or flaps on median day 12 (day 6 – 19). Only one patient required skin graft reconstruction after the application of nylon cable ties for 10 days. Conclusions Nylon cable ties, which are inexpensive and readily available, can be adjusted according to the different tension along the wound edges. They provide a simple, effective, and safe way to close difficult forearm fasciotomy wounds, which often result in a retracting skin flap after the procedure.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346558","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 : 2023-10-06DOI: 10.1097/fs9.0000000000000090
Hyeon Woo Bae, Nam Kyu Kim
Abstract The aim of rectal cancer surgery is to achieve a curative resection by completely removing the rectum involved with cancer surrounding the mesorectum, obtaining a safe adequate resection margin, and preserving important structures crucial for the patient's quality of life. Optimal dissection along the avascular embryological fusion line and among deep invisible structures is essential. While a minimally invasive surgical approach allows for better visibility of deep pelvic structures compared to the open surgery period, the sequence of dissection and anatomical knowledge about pelvic fascia and relevant nerve structures are crucial for safe pelvic dissection in terms of oncologic and functional outcomes. In this review, we represent practical technical tips based on personal experience and previous studies to achieve the mentioned goals.
{"title":"Optimal Surgical techniques for curative resection of the Rectal cancer","authors":"Hyeon Woo Bae, Nam Kyu Kim","doi":"10.1097/fs9.0000000000000090","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000090","url":null,"abstract":"Abstract The aim of rectal cancer surgery is to achieve a curative resection by completely removing the rectum involved with cancer surrounding the mesorectum, obtaining a safe adequate resection margin, and preserving important structures crucial for the patient's quality of life. Optimal dissection along the avascular embryological fusion line and among deep invisible structures is essential. While a minimally invasive surgical approach allows for better visibility of deep pelvic structures compared to the open surgery period, the sequence of dissection and anatomical knowledge about pelvic fascia and relevant nerve structures are crucial for safe pelvic dissection in terms of oncologic and functional outcomes. In this review, we represent practical technical tips based on personal experience and previous studies to achieve the mentioned goals.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135352175","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 : 2023-09-06DOI: 10.1097/fs9.0000000000000084
Min-Jie Yang, Hao-Kuang Wang
Several recent studies have highlighted the advantages of early decompressive surgery for patients with spinal epidural abscesses, specifically in terms of neurological function and overall quality of life. However, these studies predominantly advocate for surgery within 24 hours of admission, a timeframe that may prove challenging for many hospitals due to limited operating room availability and bed occupancy. Consequently, it is pertinent to investigate whether a more flexible definition of "early surgery" yields observable benefits for patients to address these practical constraints. In this 10-year retrospective study, we analyzed the electronic medical records of 130 patients who underwent decompressive surgery for epidural abscess. Patients were categorized into three groups based on the time intervals between admission and surgery: ≤ 24 hours (n = 24), 24 to 72 hours (n = 26), and > 72 hours (n = 80). Comparative assessments of demographic data, clinical presentations, and preoperative imaging characteristics revealed no statistically significant differences. We conducted separate analyses at 24 hours (n = 24 vs n = 106) and 72 hours (n = 50 vs n = 80) to explore the effects of different cutoff times. Neurological improvement (AIS grade), daily living function (modified Prolo scale) changes 6 months post-discharge, and financial burden (hospitalization and postoperative stay duration, total expenditure) were evaluated as outcome measures. Additionally, we compared the outcomes of patients within the 24 to 72-hour time range with those in the ≤24 hours and > 72-hours group to determine any differences among the three groups. Significant changes in AIS grade (1.17 vs 0.66, p = 0.019) and modified Prolo scale (4.21 vs. 2.90, p = 0.011) were observed in the 24-hour group, while no such changes were seen in the 72-hour group. However, both groups showed reductions in financial burden, including hospitalization duration (24-hour group: 27.8 vs 46.8 days, p < 0.001; 72-hour group: 31.3 vs 50.7 days, p < 0.001) and total cost (24-hour group: $6551 vs $11024, p = < 0.001; 72-hour group: $6709 vs $12406, p < 0.001). When analyzing the subgroup of patients with a time interval between 24 and 72 hours, we observed a loss of beneficial effects on AIS grade changes (1.2 vs 0.6, p = 0.045) and modified Prolo scale improvement (4.2 vs 3.1, p = 0.044) compared to the ≤24-hours group. However, this subgroup still exhibited positive effects in terms of reduced financial burden, including hospitalization duration (34.6 vs 50.7 days, p = 0.002) and total cost ($6851 vs $12406, p < 0.001), when compared to the >72-hours group. Our findings indicate that delaying decompressive surgery up to 72 hours after admission negates its benefits in enhancing neurological recovery and restoring daily life capacity. Nonetheless, this surgical approach continues to provide financial advantages by alleviating the financial burden on patients and th
最近的几项研究强调了脊髓硬膜外脓肿患者早期减压手术的优势，特别是在神经功能和整体生活质量方面。然而，这些研究主要主张在入院24小时内进行手术，由于手术室可用性和床位占用有限，这一时间框架可能对许多医院具有挑战性。因此，研究更灵活的“早期手术”定义是否能为患者带来可观察到的好处，以解决这些实际限制是相关的。在这项为期10年的回顾性研究中，我们分析了130例硬膜外脓肿减压手术患者的电子病历。根据入院至手术的时间间隔将患者分为≤24小时(n = 24)、24 ~ 72小时(n = 26)和bb0 72小时(n = 80)三组。人口统计资料、临床表现和术前影像学特征的比较评估显示没有统计学上的显著差异。我们分别在24小时(n = 24 vs n = 106)和72小时(n = 50 vs n = 80)进行了分析，以探讨不同切断时间的影响。将神经系统改善(AIS分级)、出院后6个月的日常生活功能(改良Prolo量表)变化、经济负担(住院和术后住院时间、总支出)作为评价指标。此外，我们比较了24 - 72小时内患者与≤24小时组和> 72小时组患者的结局，以确定三组之间的差异。24小时组AIS评分(1.17 vs 0.66, p = 0.019)和改良Prolo评分(4.21 vs 2.90, p = 0.011)有显著变化，72小时组无显著变化。然而，两组患者的经济负担均有所减轻，包括住院时间(24小时组:27.8天vs 46.8天，p < 0.001;72小时组:31.3天vs 50.7天，p < 0.001)和总成本(24小时组:6551美元vs 11024美元，p = < 0.001;72小时组:6709美元vs 12406美元，p < 0.001)。在分析时间间隔为24- 72小时的患者亚组时，我们观察到与≤24小时组相比，AIS分级变化(1.2 vs 0.6, p = 0.045)和改良Prolo量表改善(4.2 vs 3.1, p = 0.044)的有益效果丧失。然而，与>72小时组相比，该亚组在减轻经济负担方面仍表现出积极作用，包括住院时间(34.6天对50.7天，p = 0.002)和总费用(6851美元对12406美元，p < 0.001)。我们的研究结果表明，延迟减压手术至入院后72小时否定了其在增强神经恢复和恢复日常生活能力方面的好处。尽管如此，这种手术方式通过减轻患者和医疗保健系统的经济负担继续提供经济优势。建议进行更大样本量的进一步研究，以加深我们对这些优势的理解。
{"title":"Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases","authors":"Min-Jie Yang, Hao-Kuang Wang","doi":"10.1097/fs9.0000000000000084","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000084","url":null,"abstract":"\u0000 \u0000 \u0000 Several recent studies have highlighted the advantages of early decompressive surgery for patients with spinal epidural abscesses, specifically in terms of neurological function and overall quality of life. However, these studies predominantly advocate for surgery within 24 hours of admission, a timeframe that may prove challenging for many hospitals due to limited operating room availability and bed occupancy. Consequently, it is pertinent to investigate whether a more flexible definition of \"early surgery\" yields observable benefits for patients to address these practical constraints.\u0000 \u0000 \u0000 \u0000 In this 10-year retrospective study, we analyzed the electronic medical records of 130 patients who underwent decompressive surgery for epidural abscess. Patients were categorized into three groups based on the time intervals between admission and surgery: ≤ 24 hours (n = 24), 24 to 72 hours (n = 26), and > 72 hours (n = 80). Comparative assessments of demographic data, clinical presentations, and preoperative imaging characteristics revealed no statistically significant differences. We conducted separate analyses at 24 hours (n = 24 vs n = 106) and 72 hours (n = 50 vs n = 80) to explore the effects of different cutoff times. Neurological improvement (AIS grade), daily living function (modified Prolo scale) changes 6 months post-discharge, and financial burden (hospitalization and postoperative stay duration, total expenditure) were evaluated as outcome measures. Additionally, we compared the outcomes of patients within the 24 to 72-hour time range with those in the ≤24 hours and > 72-hours group to determine any differences among the three groups.\u0000 \u0000 \u0000 \u0000 Significant changes in AIS grade (1.17 vs 0.66, p = 0.019) and modified Prolo scale (4.21 vs. 2.90, p = 0.011) were observed in the 24-hour group, while no such changes were seen in the 72-hour group. However, both groups showed reductions in financial burden, including hospitalization duration (24-hour group: 27.8 vs 46.8 days, p < 0.001; 72-hour group: 31.3 vs 50.7 days, p < 0.001) and total cost (24-hour group: $6551 vs $11024, p = < 0.001; 72-hour group: $6709 vs $12406, p < 0.001).\u0000 When analyzing the subgroup of patients with a time interval between 24 and 72 hours, we observed a loss of beneficial effects on AIS grade changes (1.2 vs 0.6, p = 0.045) and modified Prolo scale improvement (4.2 vs 3.1, p = 0.044) compared to the ≤24-hours group. However, this subgroup still exhibited positive effects in terms of reduced financial burden, including hospitalization duration (34.6 vs 50.7 days, p = 0.002) and total cost ($6851 vs $12406, p < 0.001), when compared to the >72-hours group.\u0000 \u0000 \u0000 \u0000 Our findings indicate that delaying decompressive surgery up to 72 hours after admission negates its benefits in enhancing neurological recovery and restoring daily life capacity. Nonetheless, this surgical approach continues to provide financial advantages by alleviating the financial burden on patients and th","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48923853","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 : 2023-09-06DOI: 10.1097/fs9.0000000000000085
David Chwei-Chin Chuang, Frank Fang, J. Lu, Yen-Lin Huang, T. Chang
Arterialized venous flap (AVF) can improve the survival of traditional free venous flap. AVFs are, however, still not popularly selected as the first choice for microsurgical reconstruction due to its nutrient insufficiency. Eighty-four Lewis rats (10-12 weeks old, 350-400 grams) were used. Left hemi-vertical chest-and- abdominal skin flap (4x14 cm2) was the experimental model. Five protocols were designed and performed: Protocol I (n = 18): nutrition territory study; Protocol II (n = 18): immediate A-V anastomosis; Protocol III (n = 12): pre-fabricated venous flap (PFVF) transformed from pedicle-based skin flap; Protocol IV (n = 18): PFVF transformed from perforator-based skin flap; and Protocol V (n = 18) PFVF transformed from capillary-based skin flap. The all transformed PFVFs had a two week delay procedure from the original skin flaps. The hemi-vertical chest-abdomen skin flap contains three nutrient vessels: superior, inferior and mid-abdominal. The PFVF coming from the perforator-based skin flap showed significantly superior than other two methods with the best survival rates after arterialization, then capillary-based, and then pedicle-based skin flap. The PFVFs after delay procedure and arterialization have been proved to much increase the flap survival than traditional free venous flap. Delay procedure has benefits for the transformation from the nutritional skin flaps into PFVFs, which is especially true in perforator-based skin flaps. Such transformation is a two stage procedure. PFVFs might offer a “last case scenario” surgery as an option to reconstruct wound defects where no other suitable skin flaps are available. Further investigation is warranted.
{"title":"Pre-fabricated Venous Flap, An Advanced Free Venous Flap for - distant Transfer --- an Experimental Rat Study","authors":"David Chwei-Chin Chuang, Frank Fang, J. Lu, Yen-Lin Huang, T. Chang","doi":"10.1097/fs9.0000000000000085","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000085","url":null,"abstract":"\u0000 \u0000 \u0000 Arterialized venous flap (AVF) can improve the survival of traditional free venous flap. AVFs are, however, still not popularly selected as the first choice for microsurgical reconstruction due to its nutrient insufficiency.\u0000 \u0000 \u0000 \u0000 Eighty-four Lewis rats (10-12 weeks old, 350-400 grams) were used. Left hemi-vertical chest-and- abdominal skin flap (4x14 cm2) was the experimental model. Five protocols were designed and performed: Protocol I (n = 18): nutrition territory study; Protocol II (n = 18): immediate A-V anastomosis; Protocol III (n = 12): pre-fabricated venous flap (PFVF) transformed from pedicle-based skin flap; Protocol IV (n = 18): PFVF transformed from perforator-based skin flap; and Protocol V (n = 18) PFVF transformed from capillary-based skin flap. The all transformed PFVFs had a two week delay procedure from the original skin flaps.\u0000 \u0000 \u0000 \u0000 The hemi-vertical chest-abdomen skin flap contains three nutrient vessels: superior, inferior and mid-abdominal. The PFVF coming from the perforator-based skin flap showed significantly superior than other two methods with the best survival rates after arterialization, then capillary-based, and then pedicle-based skin flap.\u0000 \u0000 \u0000 \u0000 The PFVFs after delay procedure and arterialization have been proved to much increase the flap survival than traditional free venous flap. Delay procedure has benefits for the transformation from the nutritional skin flaps into PFVFs, which is especially true in perforator-based skin flaps. Such transformation is a two stage procedure. PFVFs might offer a “last case scenario” surgery as an option to reconstruct wound defects where no other suitable skin flaps are available. Further investigation is warranted.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46596116","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 : 2023-09-06DOI: 10.1097/fs9.0000000000000081
Ming-Yu Hsieh
{"title":"Reflections on the Association between Cholecystectomy, Cholelithiasis, and Colorectal Cancer","authors":"Ming-Yu Hsieh","doi":"10.1097/fs9.0000000000000081","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000081","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49305359","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 : 2023-09-06DOI: 10.1097/fs9.0000000000000082
R. Mungmunpuntipantip, V. Wiwanitkit
{"title":"Role of clinical surgery in management of adverse effect of COVID-19 vaccine","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000082","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000082","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61688254","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 : 2023-09-06DOI: 10.1097/fs9.0000000000000080
M. L. Lohiya, Parikshit Singh Chandawat, Jay Prakash Rangi, Mohan Lal, Apeksha Kulhari
Trichobezoars are gastrointestinal concretions of ingested hair. These are uncommon conditions that arise in emotionally disturbed or mentally impaired young females during childhood and adolescence. Rapunzel syndrome is rare gastric trichobezoar that extends beyond the pylorus, leading to an intestinal obstruction. Gastric trichobezoars do not manifest symptoms until they are very large. Here, we report a 16-year-old girl, with 5 years history of trichophagia and trichotillomania, who suffered a huge (30 cm × 7.5 cm × 6 cm) gastric trichobezoar extending into duodenum (Rapunzel syndrome) that was successfully addressed by laparotomy, psychiatric treatment and follow-up
毛虫是摄入的头发在胃肠道形成的结块。这些不常见的情况出现在情绪紊乱或精神受损的年轻女性在童年和青春期。莴苣综合征是一种罕见的胃毛状息肉，它延伸到幽门之外，导致肠梗阻。胃毛虫直到很大时才表现出症状。在此，我们报告一名16岁的女孩，有5年的食毛癖和拔毛癖病史，她患有巨大(30 cm × 7.5 cm × 6 cm)的胃拔毛，并延伸到十二指肠(Rapunzel综合征)，经剖腹手术、精神治疗和随访成功解决
{"title":"A Huge Gastric Trichobezoar presenting with Rapunzel Syndrome: A Case Report","authors":"M. L. Lohiya, Parikshit Singh Chandawat, Jay Prakash Rangi, Mohan Lal, Apeksha Kulhari","doi":"10.1097/fs9.0000000000000080","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000080","url":null,"abstract":"\u0000 \u0000 Trichobezoars are gastrointestinal concretions of ingested hair. These are uncommon conditions that arise in emotionally disturbed or mentally impaired young females during childhood and adolescence. Rapunzel syndrome is rare gastric trichobezoar that extends beyond the pylorus, leading to an intestinal obstruction. Gastric trichobezoars do not manifest symptoms until they are very large. Here, we report a 16-year-old girl, with 5 years history of trichophagia and trichotillomania, who suffered a huge (30 cm × 7.5 cm × 6 cm) gastric trichobezoar extending into duodenum (Rapunzel syndrome) that was successfully addressed by laparotomy, psychiatric treatment and follow-up","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41362240","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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