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Sapovirus infection: an emerging problem to be concerned in post transplant cases 腺病毒感染:移植后病例关注的新问题
Q4 Medicine Pub Date : 2023-10-06 DOI: 10.1097/fs9.0000000000000087
Amnuay Kleebayoon, Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
Kleebayoon, Amnuay1; Mungmunpuntipantip, Rujittika2; Wiwanitkit, Viroj3 Author Information
Kleebayoon, Amnuay1; Mungmunpuntipantip, Rujittika2; Wiwanitkit, Viroj3 作者信息
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引用次数: 0
Wildfire problem and impact on clinical surgery 野火问题及其对临床外科的影响
Q4 Medicine Pub Date : 2023-10-06 DOI: 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.
2印度旁遮普昌迪加尔大学通讯:Rujittika Mungmunpuntipantip,泰国曼谷私人学术顾问这是一篇在知识共享署名-非商业-禁止衍生品许可4.0 (CCBY-NC-ND)条款下发布的开放获取文章,只要适当引用,就允许下载和分享作品。未经本刊许可,不得以任何方式更改或用于商业用途。
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引用次数: 0
Nylon Cable Ties Assisted Delay Primary-Closure of Fasciotomy Wound in Patients of Forearm Compartment Syndrome 尼龙扎带辅助前臂筋膜室综合征患者筋膜切开术伤口延迟一期闭合
Q4 Medicine Pub Date : 2023-10-06 DOI: 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.
摘要背景前臂筋膜室综合征是一种罕见的疾病,需要前臂筋膜切开术来释放筋膜室压力。在大多数情况下,最初几乎没有皮肤损伤,但在筋膜切开术后,皮瓣可能逐渐缩回。传统的重建筋膜切开术伤口的方法,如皮肤移植或皮瓣,通常会导致不愉快的外观,并需要供体部位。材料和方法我们提出了一种使用尼龙扎带进行前臂筋膜切开术伤口延迟一期愈合的方法。我们回顾性分析了2017年1月至2022年12月在一家医疗中心因筋膜室综合征和尼龙电缆扎带辅助闭合而接受前臂筋膜切开术的患者。结果7例患者中,4例术后医源性血管破裂导致前臂筋膜室综合征,其他原因包括开放性骨折和筋膜炎。所有患者急诊筋膜切开术后延迟一期创面缝合均采用尼龙扎带。其中6例在中位第12天(第6 - 19天)采用尼龙扎带成功闭合伤口,无需植皮或皮瓣。只有1例患者在使用尼龙扎带10天后需要植皮重建。结论尼龙扎带可根据不同的伤口处张力进行调节,价格便宜,易得。他们提供了一个简单,有效,安全的方法来关闭困难的前臂筋膜切开术伤口,这通常导致手术后皮瓣缩回。
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引用次数: 0
Optimal Surgical techniques for curative resection of the Rectal cancer 直肠癌根治性切除的最佳手术技术
Q4 Medicine Pub Date : 2023-10-06 DOI: 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.
摘要直肠癌手术的目的是通过完全切除肠系膜周围癌变的直肠,获得足够安全的切除切缘,并保留对患者生活质量至关重要的重要结构,实现根治性切除。沿着无血管胚胎融合线和深层不可见结构的最佳解剖是必不可少的。虽然与开放手术相比,微创手术方法可以更好地观察骨盆深部结构,但就肿瘤和功能结果而言,解剖顺序和骨盆筋膜及相关神经结构的解剖学知识对于安全的骨盆解剖至关重要。在这篇综述中,我们根据个人经验和以往的研究提出了实现上述目标的实用技术建议。
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引用次数: 0
Aortic Valve Myxoma presenting with sudden visual loss 主动脉瓣黏液瘤表现为突然的视力丧失
Q4 Medicine Pub Date : 2023-09-12 DOI: 10.1097/fs9.0000000000000063
Po-Yu Wu, Chon-Chao Hsieh
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引用次数: 0
Jejunojujunal intussusception as a rare complication of feeding jejunostomy 空肠肠套叠是空肠吻合术中一种罕见的并发症
Q4 Medicine Pub Date : 2023-09-12 DOI: 10.1097/fs9.0000000000000062
I-Chieh Lee, Hsiang-Lin Tsai, Ching-Wen Huang, Jaw-Yuan Wang
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引用次数: 0
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 一项涉及130例病例的回顾性研究表明,在入院72小时内进行早期减压手术对硬膜外脊脓肿患者保持了经济优势
IF 0.4 Q4 Medicine Pub Date : 2023-09-06 DOI: 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。
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引用次数: 0
Pre-fabricated Venous Flap, An Advanced Free Venous Flap for - distant Transfer --- an Experimental Rat Study 预制静脉瓣,一种先进的游离静脉瓣用于远距离移植的实验研究
IF 0.4 Q4 Medicine Pub Date : 2023-09-06 DOI: 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.
动脉化静脉皮瓣(AVF)可提高传统游离静脉皮瓣的成活率。然而,由于其营养不足,AVF仍然没有被普遍选为显微外科重建的首选。使用84只Lewis大鼠(10-12周龄,350-400克)。左半垂直胸腹皮瓣(4x14cm2)为实验模型。设计并执行了五个方案:方案I(n=18):营养领域研究;方案II(n=18):立即A-V吻合;方案III(n=12):由带蒂皮瓣转化为预制静脉皮瓣(PFVF);方案IV(n=18):PFVF由基于穿支的皮瓣转化;以及方案V(n=18)从基于毛细管的皮瓣转化的PFVF。所有转化的PFVFs都比原来的皮瓣延迟了两周。半垂直胸腹皮瓣包含三个营养血管:上腹部、下腹部和中腹部。基于穿支皮瓣的PFVF明显优于其他两种方法,动脉化后的存活率最高,其次是基于毛细血管的,然后是基于蒂的皮瓣。延迟手术和动脉化后的PFVFs已被证明比传统的自由静脉皮瓣能显著提高皮瓣的存活率。延迟手术有利于从营养皮瓣转变为PFVFs,尤其是在基于穿支的皮瓣中。这种转变是两个阶段的过程。PFVFs可能提供“最后一种情况”手术,作为在没有其他合适皮瓣的情况下重建伤口缺陷的一种选择。需要进一步调查。
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引用次数: 0
Reflections on the Association between Cholecystectomy, Cholelithiasis, and Colorectal Cancer 胆囊切除术、胆囊结石与癌症相关性的思考
IF 0.4 Q4 Medicine Pub Date : 2023-09-06 DOI: 10.1097/fs9.0000000000000081
Ming-Yu Hsieh
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引用次数: 0
Role of clinical surgery in management of adverse effect of COVID-19 vaccine 临床手术在处理COVID-19疫苗不良反应中的作用
IF 0.4 Q4 Medicine Pub Date : 2023-09-06 DOI: 10.1097/fs9.0000000000000082
R. Mungmunpuntipantip, V. Wiwanitkit
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引用次数: 0
期刊
Formosan Journal of Surgery
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