Pub Date : 2024-01-11DOI: 10.1097/fs9.0000000000000117
Taira Takayuki, Seiji Morita, Sachiko Miyakawa, Y. Nakagawa, Takehiro Umemura, S. Inokuchi
Cervical injury due to blunt trauma requires emergency responses; however, few studies have investigated risk factors based on spinal cord injury without radiographic abnormality (SCIWORA). Therefore, this study determined the risk factors for cervical spinal cord injury with radiographic abnormality and SCIWORA. This study included 4,923 trauma cases transferred to a Japanese trauma center between 2007 and 2013. We analyzed risk factors for cervical spinal cord injury with radiographic abnormality, and SCIWORA using a logistic regression model. The co-efficient factors considered for this study were revised trauma score (RTS), age at arrival, cause of injury (traffic accident, ground-level fall, low- and high-level fall, or other injury). Significant independent risk factors of cervical spinal cord injury varied based on the presence or absence of radiographic abnormality. The risk factors for SCIWORA were male (odds ratio [OR]: 2.19, 95% confidence interval (CI): 1.21–3.95), age 65–79 years (OR: 1.71, CI: 1.06–2.78), RTS <7.8408 (OR: 4.98, CI: 2.42–10.26), injury severity scale (OR: 1.07, CI: 1.06–1.09), other injuries (OR: 2.64, CI: 1.11–6.30), low- and high-level fall (OR: 2.18, CI: 1.24–3.83), and ground-level fall (OR: 10.35, CI: 5.65–18.95). The risk factors for SCIWORA are male, age 65–79 years, and ground-level fall. Therefore, careful neurologic examination and MRI studies are necessary in the examination of these at-risk patients.
{"title":"Risk factors for spinal cord injury without radiographic abnormality (SCIWORA) in trauma cases at a single trauma centre","authors":"Taira Takayuki, Seiji Morita, Sachiko Miyakawa, Y. Nakagawa, Takehiro Umemura, S. Inokuchi","doi":"10.1097/fs9.0000000000000117","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000117","url":null,"abstract":"\u0000 \u0000 \u0000 Cervical injury due to blunt trauma requires emergency responses; however, few studies have investigated risk factors based on spinal cord injury without radiographic abnormality (SCIWORA). Therefore, this study determined the risk factors for cervical spinal cord injury with radiographic abnormality and SCIWORA.\u0000 \u0000 \u0000 \u0000 This study included 4,923 trauma cases transferred to a Japanese trauma center between 2007 and 2013. We analyzed risk factors for cervical spinal cord injury with radiographic abnormality, and SCIWORA using a logistic regression model. The co-efficient factors considered for this study were revised trauma score (RTS), age at arrival, cause of injury (traffic accident, ground-level fall, low- and high-level fall, or other injury).\u0000 \u0000 \u0000 \u0000 Significant independent risk factors of cervical spinal cord injury varied based on the presence or absence of radiographic abnormality. The risk factors for SCIWORA were male (odds ratio [OR]: 2.19, 95% confidence interval (CI): 1.21–3.95), age 65–79 years (OR: 1.71, CI: 1.06–2.78), RTS <7.8408 (OR: 4.98, CI: 2.42–10.26), injury severity scale (OR: 1.07, CI: 1.06–1.09), other injuries (OR: 2.64, CI: 1.11–6.30), low- and high-level fall (OR: 2.18, CI: 1.24–3.83), and ground-level fall (OR: 10.35, CI: 5.65–18.95).\u0000 \u0000 \u0000 \u0000 The risk factors for SCIWORA are male, age 65–79 years, and ground-level fall. Therefore, careful neurologic examination and MRI studies are necessary in the examination of these at-risk patients.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140510111","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 : 2024-01-11DOI: 10.1097/fs9.0000000000000116
Tzu-Yen Cheng, Kee-Thai Kiu, Min-Hsuan Yen, Ka-Wai Tam, Tung-Cheng Chang
Postoperative wound care and pain management are crucial components of the postoperative recovery process. This study aims to evaluate whether the analgesic effects of the ibuprofen soft and flexible absorbent foam dressing are superior to those of traditional gauze following colorectal surgery. Data pertaining to patients who underwent colorectal surgery between May 2021 and January 2022 were extracted from the electronic medical records database archive of a single institution. The ibuprofen soft and flexible absorbent foam dressing was applied to 62 patients for postoperative wound care, while gauze was used for 78 patients. Primary outcome measurements included the count of dressings, visual analog scale pain scores, analgesic dosage, complications, and length of hospitalization. The mean pain score on the 5th day postoperation was significantly lower for the ibuprofen group (2.03 ± 1.55) than for the control group (2.63 ± 1.72, p = 0.035). The mean dosage (mg) of parecoxib on the 3rd day postoperation was significantly lower for the ibuprofen group (2.58 ± 12.27) than for the control group (10.26 ± 21.80, p = 0.01). The cumulative number of dressing changes during the 1st week postoperation was significantly lower for the ibuprofen group (mean ± standard deviation; 3.00 ± 0.98) than for the control group (7.55 ± 2.68, p < 0.001). No significant differences were observed in the complication rate or length of hospitalization between the groups. The ibuprofen soft and flexible absorbent foam dressing can either enhance the analgesic effect during postoperative recovery or reduce the cost and dressing time associated with postoperative wound care.
{"title":"Analgesic Effects of Ibuprofen Soft and Flexible Absorbent Foam Dressing After Colorectal Surgery: A Single-Center Comparative Study","authors":"Tzu-Yen Cheng, Kee-Thai Kiu, Min-Hsuan Yen, Ka-Wai Tam, Tung-Cheng Chang","doi":"10.1097/fs9.0000000000000116","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000116","url":null,"abstract":"\u0000 \u0000 \u0000 Postoperative wound care and pain management are crucial components of the postoperative recovery process. This study aims to evaluate whether the analgesic effects of the ibuprofen soft and flexible absorbent foam dressing are superior to those of traditional gauze following colorectal surgery.\u0000 \u0000 \u0000 \u0000 Data pertaining to patients who underwent colorectal surgery between May 2021 and January 2022 were extracted from the electronic medical records database archive of a single institution. The ibuprofen soft and flexible absorbent foam dressing was applied to 62 patients for postoperative wound care, while gauze was used for 78 patients. Primary outcome measurements included the count of dressings, visual analog scale pain scores, analgesic dosage, complications, and length of hospitalization.\u0000 \u0000 \u0000 \u0000 The mean pain score on the 5th day postoperation was significantly lower for the ibuprofen group (2.03 ± 1.55) than for the control group (2.63 ± 1.72, p = 0.035). The mean dosage (mg) of parecoxib on the 3rd day postoperation was significantly lower for the ibuprofen group (2.58 ± 12.27) than for the control group (10.26 ± 21.80, p = 0.01). The cumulative number of dressing changes during the 1st week postoperation was significantly lower for the ibuprofen group (mean ± standard deviation; 3.00 ± 0.98) than for the control group (7.55 ± 2.68, p < 0.001). No significant differences were observed in the complication rate or length of hospitalization between the groups.\u0000 \u0000 \u0000 \u0000 The ibuprofen soft and flexible absorbent foam dressing can either enhance the analgesic effect during postoperative recovery or reduce the cost and dressing time associated with postoperative wound care.\u0000","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139438458","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 : 2024-01-08DOI: 10.1097/fs9.0000000000000110
H. Daungsupawong, V. Wiwanitkit
{"title":"Constructive commentary, not individual attack, a way for proper criticism in clinical surgery","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000110","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000110","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445928","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 : 2024-01-08DOI: 10.1097/fs9.0000000000000111
H. Daungsupawong, V. Wiwanitkit
{"title":"Many publications, salami publication and issues to be recognize in clinical surgery","authors":"H. Daungsupawong, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000111","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000111","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445365","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 : 2024-01-08DOI: 10.1097/fs9.0000000000000105
Lee Han-Hung, Chao-Kun Chen, Su Ying-Chieh, Wei-Ting Chang, Fong Yao
A 51-year-old woman was admitted due to 3rd degree AV block. Serial coronary angiogram revealed right coronary artery (RCA) spasm, which is refractory to drug eluting stents and NTG infusion. She underwent bilateral cardiac sympathetic denervation (BCSD) with video-assisted thoracoscopic surgery (VATS), and was discharged on day 26 asymptomatically. BCSD could be used for patients with symptomatic coronary artery spasm.
{"title":"Bilateral Thoracic Sympathectomy for Refractory Coronary Artery Spasm - A Case Report","authors":"Lee Han-Hung, Chao-Kun Chen, Su Ying-Chieh, Wei-Ting Chang, Fong Yao","doi":"10.1097/fs9.0000000000000105","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000105","url":null,"abstract":"\u0000 A 51-year-old woman was admitted due to 3rd degree AV block. Serial coronary angiogram revealed right coronary artery (RCA) spasm, which is refractory to drug eluting stents and NTG infusion. She underwent bilateral cardiac sympathetic denervation (BCSD) with video-assisted thoracoscopic surgery (VATS), and was discharged on day 26 asymptomatically. BCSD could be used for patients with symptomatic coronary artery spasm.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446537","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 : 2024-01-08DOI: 10.1097/fs9.0000000000000107
R. Mungmunpuntipantip, V. Wiwanitkit
{"title":"Unaddressed Health Risks among Foreign Volunteer Rescue Teams: Insights from the Turkish Earthquake Crisis in 2023 - A Case Study of the Indochina Team","authors":"R. Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000107","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000107","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446889","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 : 2024-01-08DOI: 10.1097/fs9.0000000000000108
Somsri Wiwanitmkit, V. Wiwanitkit
{"title":"Ukraine/Russia conflict to Israel/Palestine conflict: concern on the role of clinical surgery and practice during war state","authors":"Somsri Wiwanitmkit, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000108","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000108","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447319","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}
Giant renal tumors are very rare and they present with abdominal distension without any other symptoms. Complete resection of the tumor is the only curative treatment if metastasis is excluded. We present a case of a giant kidney tumor weighing 9.2 kg removed surgically in toto.
{"title":"Surgical management of a giant kidney tumor weighing 9.2 kg","authors":"Naveen Kumar, Vipin Chandra, Parvez Ahmad, Kashif Rizwi","doi":"10.1097/fs9.0000000000000101","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000101","url":null,"abstract":"Giant renal tumors are very rare and they present with abdominal distension without any other symptoms. Complete resection of the tumor is the only curative treatment if metastasis is excluded. We present a case of a giant kidney tumor weighing 9.2 kg removed surgically in toto.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139249770","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 : 2023-11-16DOI: 10.1097/fs9.0000000000000102
Rujittika Mungmunpuntipantip, V. Wiwanitkit
{"title":"AI uses in clinical surgery research and publication: an emerging ethical issue","authors":"Rujittika Mungmunpuntipantip, V. Wiwanitkit","doi":"10.1097/fs9.0000000000000102","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000102","url":null,"abstract":"","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269075","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 : 2023-10-30DOI: 10.1097/fs9.0000000000000100
Lung-Yun Kang, Wei-Jei Lee, Sheng-Shih Chen
ABSTRACT Background Laparoscopic sleeve gastrectomy using two-dimensional (2-D) systems has been proven to be a safe and effective treatment for obesity. Three-dimensional (3-D) systems have recently been introduced in the general field. We hypothesized that using a 3-D system offers more benefits than using 2-D laparoscopy in sleeve gastrectomy. Methods Patients who underwent laparoscopic sleeve gastrectomy (LSG) without any other surgeries between January 1st, 2017, and February 28th, 2019, were included. Characteristic factors and outcomes were reviewed and compared between the groups using the 2-D system and the 3-D system, including sex, age, length of stay (LOS), body mass index (BMI), operative time, blood loss, morbidity, total body weight loss, and excess weight loss. Results Seventy-five patients underwent LSG and were included in the study. Among them, forty-two patients used the 3-D system, while thirty-three patients used the 2-D system. There were no significant differences between the two groups in terms of basic characteristics, including age, sex, and BMI. The morbidity rate did not differ, but the 3-D group experienced less blood loss (25.12 ml vs. 47.27 ml; p = 0.001) and shorter operative times (105.93 ± 30.645 mins vs. 128.94 ± 28.566 mins; p = 0.001) compared to the 2-D group (25.12 ml vs. 47.27 ml; p = 0.001). Weight loss at 6 months was similar between the two groups. Conclusion In conclusion, 3-D LSG shows promise in reducing both blood loss and operative time. Nevertheless, further prospective trials are essential to definitively establish its efficacy.
背景使用二维(2-D)系统的腹腔镜袖胃切除术已被证明是一种安全有效的治疗肥胖的方法。三维(3-D)系统最近被引入到一般领域。我们假设使用三维系统比使用二维腹腔镜在袖式胃切除术中提供更多的好处。方法选取2017年1月1日至2019年2月28日期间行腹腔镜袖胃切除术(LSG)且未进行其他手术的患者。对使用二维系统和三维系统的两组患者的特征因素和结果进行回顾和比较，包括性别、年龄、住院时间(LOS)、体重指数(BMI)、手术时间、出血量、发病率、总体重减轻和超重减轻。结果75例患者行LSG，纳入研究。其中使用3-D系统的患者42例，使用2-D系统的患者33例。两组在基本特征(包括年龄、性别和BMI)方面没有显著差异。发病率无差异，但3d组出血量较少(25.12 ml vs 47.27 ml;P = 0.001)和较短的手术时间(105.93±30.645 min vs 128.94±28.566 min;p = 0.001)，与2d组相比(25.12 ml vs 47.27 ml;P = 0.001)。6个月后，两组的体重下降情况相似。结论三维LSG在减少出血量和缩短手术时间方面具有良好的应用前景。然而，进一步的前瞻性试验对于确定其有效性是必要的。
{"title":"Using Three-Dimensional versus Two–Dimensional Laparoscopy in Sleeve Gastrectomy: A case matched comparison","authors":"Lung-Yun Kang, Wei-Jei Lee, Sheng-Shih Chen","doi":"10.1097/fs9.0000000000000100","DOIUrl":"https://doi.org/10.1097/fs9.0000000000000100","url":null,"abstract":"ABSTRACT Background Laparoscopic sleeve gastrectomy using two-dimensional (2-D) systems has been proven to be a safe and effective treatment for obesity. Three-dimensional (3-D) systems have recently been introduced in the general field. We hypothesized that using a 3-D system offers more benefits than using 2-D laparoscopy in sleeve gastrectomy. Methods Patients who underwent laparoscopic sleeve gastrectomy (LSG) without any other surgeries between January 1st, 2017, and February 28th, 2019, were included. Characteristic factors and outcomes were reviewed and compared between the groups using the 2-D system and the 3-D system, including sex, age, length of stay (LOS), body mass index (BMI), operative time, blood loss, morbidity, total body weight loss, and excess weight loss. Results Seventy-five patients underwent LSG and were included in the study. Among them, forty-two patients used the 3-D system, while thirty-three patients used the 2-D system. There were no significant differences between the two groups in terms of basic characteristics, including age, sex, and BMI. The morbidity rate did not differ, but the 3-D group experienced less blood loss (25.12 ml vs. 47.27 ml; p = 0.001) and shorter operative times (105.93 ± 30.645 mins vs. 128.94 ± 28.566 mins; p = 0.001) compared to the 2-D group (25.12 ml vs. 47.27 ml; p = 0.001). Weight loss at 6 months was similar between the two groups. Conclusion In conclusion, 3-D LSG shows promise in reducing both blood loss and operative time. Nevertheless, further prospective trials are essential to definitively establish its efficacy.","PeriodicalId":12390,"journal":{"name":"Formosan Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103452","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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