Pub Date : 2024-02-29DOI: 10.18203/2349-2902.isj20240590
Devisha R. Gandhi, Naveenraj R.
Ancient Schwannoma is a rare variant of Schwannomas, a type of benign nerve sheath tumor arising from Schwann cells, hence giving it its name Schwannoma. The term ancient represents the tumor undergoing degenerative changes such as calcification, hyalinization, hemorrhage, cystic degeneration and necrosis and characteristically the loss of Antoni type A tissue. This case report describes a patient having an ancient schwannoma and the management done. Detailed management and findings starting from history and extending to USG, FNAC, CT scan, MRI and excisional biopsy have been described with positive findings supporting the diagnosis like presence of degenerative material in FNAC, peripheral enhancement on CT with the classical Target sign also visible on MRI. The following case reports helps to show how to connect the dots of different findings that may start from the patient’s basic history to eventual confirmation by biopsy.
{"title":"Ancient schwannoma in posterior triangle of neck: a rare tumor case report and literature review","authors":"Devisha R. Gandhi, Naveenraj R.","doi":"10.18203/2349-2902.isj20240590","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240590","url":null,"abstract":"Ancient Schwannoma is a rare variant of Schwannomas, a type of benign nerve sheath tumor arising from Schwann cells, hence giving it its name Schwannoma. The term ancient represents the tumor undergoing degenerative changes such as calcification, hyalinization, hemorrhage, cystic degeneration and necrosis and characteristically the loss of Antoni type A tissue. This case report describes a patient having an ancient schwannoma and the management done. Detailed management and findings starting from history and extending to USG, FNAC, CT scan, MRI and excisional biopsy have been described with positive findings supporting the diagnosis like presence of degenerative material in FNAC, peripheral enhancement on CT with the classical Target sign also visible on MRI. The following case reports helps to show how to connect the dots of different findings that may start from the patient’s basic history to eventual confirmation by biopsy.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"94 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408514","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240564
Matthew L. Basa, Liam Convie
Background: A computerized tomography scan is frequently performed to confirm or exclude appendicitis. The interpretation of such CT scans is crucial in determining which patients should be offered surgery. In a subset of patients with undifferentiated abdominal pain, the radiological diagnosis of “early” or “mild appendicitis” is encountered. It is unclear, based on the current literature, how to manage this entity and hence it may be exposing patients to unnecessary surgery. This raises the question if “early” or “mild appendicitis” on CT imaging correlates with an increased rate of negative appendicectomies. Methods: All laparoscopic appendicectomies from 2018 to 2023 at a single Australian tertiary hospital were reviewed retrospectively for pre-surgical imaging, appendix histopathology, age, gender, and white cell count. The CT early/mild appendicitis group was compared with the CT uncomplicated appendicitis group. Results: Of 599 patients who had uncomplicated appendicitis on CT imaging, 63 of these patients received a diagnosis of early or mild appendicitis. Twenty-two in this group had a normal appendix on histological assessment. The “early” or “mild” appendicitis group had a significantly increased likelihood (OR>10, p<0.001) of having a normal appendix on histology, compared to the CT uncomplicated appendicitis group. Women and lower WCC were associated with early appendicitis (p<0.05). Conclusions: Results of this study suggest that the diagnosis of “early” or “mild appendicitis” on CT imaging results in a greater number of negative laparoscopic appendicectomies.
{"title":"Early or mild appendicitis on CT imaging and its correlation with a negative appendicectomy: an observational retrospective study","authors":"Matthew L. Basa, Liam Convie","doi":"10.18203/2349-2902.isj20240564","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240564","url":null,"abstract":"Background: A computerized tomography scan is frequently performed to confirm or exclude appendicitis. The interpretation of such CT scans is crucial in determining which patients should be offered surgery. In a subset of patients with undifferentiated abdominal pain, the radiological diagnosis of “early” or “mild appendicitis” is encountered. It is unclear, based on the current literature, how to manage this entity and hence it may be exposing patients to unnecessary surgery. This raises the question if “early” or “mild appendicitis” on CT imaging correlates with an increased rate of negative appendicectomies.\u0000Methods: All laparoscopic appendicectomies from 2018 to 2023 at a single Australian tertiary hospital were reviewed retrospectively for pre-surgical imaging, appendix histopathology, age, gender, and white cell count. The CT early/mild appendicitis group was compared with the CT uncomplicated appendicitis group.\u0000Results: Of 599 patients who had uncomplicated appendicitis on CT imaging, 63 of these patients received a diagnosis of early or mild appendicitis. Twenty-two in this group had a normal appendix on histological assessment. The “early” or “mild” appendicitis group had a significantly increased likelihood (OR>10, p<0.001) of having a normal appendix on histology, compared to the CT uncomplicated appendicitis group. Women and lower WCC were associated with early appendicitis (p<0.05).\u0000Conclusions: Results of this study suggest that the diagnosis of “early” or “mild appendicitis” on CT imaging results in a greater number of negative laparoscopic appendicectomies.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"16 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409639","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240583
M. M. Hossain
Though not uncommon, to retain a foreign body in the abdomen is a preventable error that makes the life of a patient miserable. One of the commonest retained foreign bodies is surgical mop or sponge. Retained mop may cause either an early septic reaction or a late fibrotic reaction. They often cause sinus or fistula and even can transmigrate in to the lumen of viscera. In case of upper abdominal retained mops, they usually erode the thin duodenal wall and rarely stomach. In this case, a mop was retained in the deep subhepatic space 2.5 months ago following open cholecystectomy. It caused an aseptic fibrotic reaction resulting in encapsulation of the mop. It then eroded the antral part of stomach through the lesser curvature and caused luminal obstruction. The patient presented with vomiting after each meal. Upper gastrointestinal tract (GIT) endoscopy revealed a woven fabric object that was impacted and occluded the lumen. The retained mop was removed after laparotomy and the antral wall was repaired well. This case is noteworthy due to its less symptom and penetration into the stomach.
{"title":"A case of retained surgical mop in abdomen with partial intragastric migration: a case report","authors":"M. M. Hossain","doi":"10.18203/2349-2902.isj20240583","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240583","url":null,"abstract":"Though not uncommon, to retain a foreign body in the abdomen is a preventable error that makes the life of a patient miserable. One of the commonest retained foreign bodies is surgical mop or sponge. Retained mop may cause either an early septic reaction or a late fibrotic reaction. They often cause sinus or fistula and even can transmigrate in to the lumen of viscera. In case of upper abdominal retained mops, they usually erode the thin duodenal wall and rarely stomach. In this case, a mop was retained in the deep subhepatic space 2.5 months ago following open cholecystectomy. It caused an aseptic fibrotic reaction resulting in encapsulation of the mop. It then eroded the antral part of stomach through the lesser curvature and caused luminal obstruction. The patient presented with vomiting after each meal. Upper gastrointestinal tract (GIT) endoscopy revealed a woven fabric object that was impacted and occluded the lumen. The retained mop was removed after laparotomy and the antral wall was repaired well. This case is noteworthy due to its less symptom and penetration into the stomach.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415174","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240576
Tushar L. Agrawal, Richard Maguire, Sooraj Pillai, Arun D. Naik
Endometriosis is the implantation and proliferation of endometrial tissue outside the uterus, and while involvement of the small bowel is rare, it is particularly unusual for it to present with terminal ileum stricture mimicking Crohn’s ileitis. We present the case of a 38-year-old female with recurrent mechanical small bowel obstruction with transition point in the terminal ileum. She was struggling with infertility issues and was not previously known to have endometriosis. The presumptive diagnosis was Crohn’s disease due history of previous anal fissure, high faecal calprotectin level, and imaging findings of terminal ileitis with stricture, despite lacking tissue confirmation from colonoscopy. She underwent laparoscopic ileocolic resection with histology showing endometrial stricture and secondary mucosal inflammation, without any established features of Crohn’s disease. This case demonstrates the potential diversity in presentation of endometriosis, including small bowel manifestations that can mimic Crohn’s ileitis. If endometrioma can be confidently diagnosed based on characteristic imaging features or tissue sample, unnecessary treatment may be avoided, whilst appropriate specialist management improves endometriosis symptoms and fertility outcomes.
{"title":"Endo the line: stricturing terminal ileum endometriosis","authors":"Tushar L. Agrawal, Richard Maguire, Sooraj Pillai, Arun D. Naik","doi":"10.18203/2349-2902.isj20240576","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240576","url":null,"abstract":"Endometriosis is the implantation and proliferation of endometrial tissue outside the uterus, and while involvement of the small bowel is rare, it is particularly unusual for it to present with terminal ileum stricture mimicking Crohn’s ileitis. We present the case of a 38-year-old female with recurrent mechanical small bowel obstruction with transition point in the terminal ileum. She was struggling with infertility issues and was not previously known to have endometriosis. The presumptive diagnosis was Crohn’s disease due history of previous anal fissure, high faecal calprotectin level, and imaging findings of terminal ileitis with stricture, despite lacking tissue confirmation from colonoscopy. She underwent laparoscopic ileocolic resection with histology showing endometrial stricture and secondary mucosal inflammation, without any established features of Crohn’s disease. This case demonstrates the potential diversity in presentation of endometriosis, including small bowel manifestations that can mimic Crohn’s ileitis. If endometrioma can be confidently diagnosed based on characteristic imaging features or tissue sample, unnecessary treatment may be avoided, whilst appropriate specialist management improves endometriosis symptoms and fertility outcomes.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140415353","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240575
Riyad Abbas
Tuberculosis in all its forms remains a public health problem in Morocco, despite the efforts of the state in terms of prevention and treatment. Recently, there has been an increase in the number of extra-pulmonary forms of TB. Isolated appendicular localization is very rare, especially since intestinal localization is only ranked 6th among extra-pulmonary localizations. We report the case of a 39 year old female patient admitted for right iliac fossa (RIF) pain evolving for two months, the clinical examination on admission objective a digestive fluid outlet through a fistulous orifice at the level of the RIF; the abdominal CT scan found a plastron with the presence of a fistulous path between a digestive segment and the wall, the surgical exploration found a fistula between the body of the appendix and the wall, an appendectomy was done and the anatomopathological examination confirmed the tuberculosis origin. Our work sheds light on an often-misunderstood form of a well-known pathology.
{"title":"Isolated and fistulized primary appendicular tuberculosis: when a great pretender disguises herself","authors":"Riyad Abbas","doi":"10.18203/2349-2902.isj20240575","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240575","url":null,"abstract":"Tuberculosis in all its forms remains a public health problem in Morocco, despite the efforts of the state in terms of prevention and treatment. Recently, there has been an increase in the number of extra-pulmonary forms of TB. Isolated appendicular localization is very rare, especially since intestinal localization is only ranked 6th among extra-pulmonary localizations. We report the case of a 39 year old female patient admitted for right iliac fossa (RIF) pain evolving for two months, the clinical examination on admission objective a digestive fluid outlet through a fistulous orifice at the level of the RIF; the abdominal CT scan found a plastron with the presence of a fistulous path between a digestive segment and the wall, the surgical exploration found a fistula between the body of the appendix and the wall, an appendectomy was done and the anatomopathological examination confirmed the tuberculosis origin. Our work sheds light on an often-misunderstood form of a well-known pathology.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413647","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240593
Pushkar L. Davhale, Prachi P. Salunke, Kiran M. Patil, Ananta A. Kulkarni
Chondromas are benign neoplasms arising from hyaline cartilage cells or mesenchymal cells often solitary, slow-growing masses. They may grow to a size that causes clinical problems, depending on the location. These are not locally invasive. Some chondromas may undergo malignant transformation; however, most chondrosarcomas are thought to arise de novo. We present a case of a 33 years old male patient who presented with chronic swelling on the dorsal aspect of the DAP joint of right great toe. The patient underwent surgical excision of the painless lesion. Post operative period was uneventful and the swelling resolved immediately. After a follow up of 1 year the patient has no complaints of pain or swelling.
{"title":"Chondroma of right great toe","authors":"Pushkar L. Davhale, Prachi P. Salunke, Kiran M. Patil, Ananta A. Kulkarni","doi":"10.18203/2349-2902.isj20240593","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240593","url":null,"abstract":"Chondromas are benign neoplasms arising from hyaline cartilage cells or mesenchymal cells often solitary, slow-growing masses. They may grow to a size that causes clinical problems, depending on the location. These are not locally invasive. Some chondromas may undergo malignant transformation; however, most chondrosarcomas are thought to arise de novo. We present a case of a 33 years old male patient who presented with chronic swelling on the dorsal aspect of the DAP joint of right great toe. The patient underwent surgical excision of the painless lesion. Post operative period was uneventful and the swelling resolved immediately. After a follow up of 1 year the patient has no complaints of pain or swelling.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414682","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240579
Maria Gualter, Inês Gonçalves, Leandro Lajut, Margarida Rouxinol, Margarida Dupont, João A. Pinto-de-Sousa
Bufallo chest refers to an anatomical variation characterized by an ongoing connection between the two pleural spaces, a unique feature found in these animals, since they possess a single pleural space due to an incomplete mediastinum. When this condition is found in humans, a unilateral chest trauma can cause bilateral pneumothorax. We reported a case of a 91 year old male who, after a fall resulting in right ribs fractures, presented at the emergency department with an extensive bilateral pneumothorax. We described clinical and imagiological features and our approach. This case demonstrates an unusual presentation of a rare anatomical anomaly.
{"title":"Buffalo chest in a not so high fall: a case report","authors":"Maria Gualter, Inês Gonçalves, Leandro Lajut, Margarida Rouxinol, Margarida Dupont, João A. Pinto-de-Sousa","doi":"10.18203/2349-2902.isj20240579","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240579","url":null,"abstract":"Bufallo chest refers to an anatomical variation characterized by an ongoing connection between the two pleural spaces, a unique feature found in these animals, since they possess a single pleural space due to an incomplete mediastinum. When this condition is found in humans, a unilateral chest trauma can cause bilateral pneumothorax. We reported a case of a 91 year old male who, after a fall resulting in right ribs fractures, presented at the emergency department with an extensive bilateral pneumothorax. We described clinical and imagiological features and our approach. This case demonstrates an unusual presentation of a rare anatomical anomaly.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"64 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411306","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240573
Sumanth Subhramaniyam, Bharghav J. Kalariya, Guruprasath S., Arul Jothi R. D. R.
Background: The best technique for pancreatic anastomosis is still a debate and unanswered by multiple RCTs and meta-analyses, done over past two decades. This study intends to compare the outcomes of pancreatico-jejunostomy (PJ) using Heidelberg technique vs classical duct to mucosa technique Methods: All patients who underwent pancreaticoduodenectomy meeting criteria were included in study. Outcome of PJ done by Heidelberg technique evaluated by occurrence of POPF, as defined by ISGPF and results were compared to historical cohort of patients who had underwent PJ by classical duct to mucosa technique in our institution, Results: PJ reconstruction was done with Heidelberg and classical duct to mucosa technique in 20 patients each. POPF rates in Heidelberg and duct to mucosa techniques when calculated using ISGPS-2005 definition (30% vs. 40%, p=0.677 and 10% vs. 10%, p=0.514 respectively) and ISGPS-2016 definitions (10% vs. 10%, p=0.514). There is no statistical difference between the two techniques in terms of DGE, infection, and days of hospital stay or duration of drain requirement. But Heidelberg technique is superior to DM technique with respect to shorter operating time (p=0.0001) and lower Clavien-Dindo morbidity grades (p=0.0004). Though a statistical significance could not be reached, there is an increased tendency of higher grade POPF with respect to increased age (>57 years), softer texture and smaller duct size (<3 mm). Conclusions: There is no significant difference of CR-POPF rates between Heidelberg and classical duct to mucosa techniques of PJ. However, Heidelberg technique is better in terms of simplicity, reduced operating time and lower post-operative morbidity when compared to duct to mucosa technique.
{"title":"Post operative pancreatic fistula rate following pancreaticojejunostomy with Heidelberg technique versus classical duct to mucosa technique: a comparative study","authors":"Sumanth Subhramaniyam, Bharghav J. Kalariya, Guruprasath S., Arul Jothi R. D. R.","doi":"10.18203/2349-2902.isj20240573","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240573","url":null,"abstract":"Background: The best technique for pancreatic anastomosis is still a debate and unanswered by multiple RCTs and meta-analyses, done over past two decades. This study intends to compare the outcomes of pancreatico-jejunostomy (PJ) using Heidelberg technique vs classical duct to mucosa technique\u0000Methods: All patients who underwent pancreaticoduodenectomy meeting criteria were included in study. Outcome of PJ done by Heidelberg technique evaluated by occurrence of POPF, as defined by ISGPF and results were compared to historical cohort of patients who had underwent PJ by classical duct to mucosa technique in our institution,\u0000Results: PJ reconstruction was done with Heidelberg and classical duct to mucosa technique in 20 patients each. POPF rates in Heidelberg and duct to mucosa techniques when calculated using ISGPS-2005 definition (30% vs. 40%, p=0.677 and 10% vs. 10%, p=0.514 respectively) and ISGPS-2016 definitions (10% vs. 10%, p=0.514). There is no statistical difference between the two techniques in terms of DGE, infection, and days of hospital stay or duration of drain requirement. But Heidelberg technique is superior to DM technique with respect to shorter operating time (p=0.0001) and lower Clavien-Dindo morbidity grades (p=0.0004). Though a statistical significance could not be reached, there is an increased tendency of higher grade POPF with respect to increased age (>57 years), softer texture and smaller duct size (<3 mm).\u0000Conclusions: There is no significant difference of CR-POPF rates between Heidelberg and classical duct to mucosa techniques of PJ. However, Heidelberg technique is better in terms of simplicity, reduced operating time and lower post-operative morbidity when compared to duct to mucosa technique.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"18 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414237","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240565
M. S. Rahman, M. A. Sayem, Mohammad Khayrul Bashar Khan, M. R. Alam, M. A. K. Azad
Background: Varicose veins are tortuous, widened veins in the subcutaneous tissues of the legs and are often easily visible. In our country, we do have not sufficient vascular surgery centers or vascular surgeons. So general surgeons have training in vascular surgery and performing operations of varicose veins. This study aimed to show the operative procedure, results of treatment in terms of symptom improvement, and complications of varicose vein surgery done by general surgeons in a rural medical college hospital in Bangladesh. Methods: This retrospective study was conducted at the Department of General Surgery in Sheikh Hasina Medical College, Jamalpur, Bangladesh from January 2017 to December 2022. A total of 20 patients were selected as study subjects by simple random sampling. Operative procedure depended upon pre-operative duplex imaging findings, and patients were kept under 6 months follow-up. The outcome was based on the cure and recurrence rate of varicose veins. Collected data were analyzed using descriptive statistics. Analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. After analysis, the data were presented in tables and charts. Results: It was observed that 3 (15.0%) patients experienced ulceration after surgical procedure, followed by 2 (10.0%) developed DVT, 1 (5.0%) patient had wound hematoma, and 1 (5.0%) patient showed recurrence. Concerning the outcome of varicose veins after surgical procedures, the majority (18,20.0%) of the patients showed complete cure, 1 (5.0%) patient presented with recurrence, and 1 (5.0%) patient developed complication. Conclusions: Despite the relatively low occurrence of complications and recurrence following surgery for varicose veins, the substantial 90% cure rate it offers is noteworthy. This study underscores the feasibility of conducting varicose vein surgery by general surgeons equipped with training in vascular surgery, ensuring safety and minimizing complications.
{"title":"Outcome of varicose vein surgery in a general surgical unit","authors":"M. S. Rahman, M. A. Sayem, Mohammad Khayrul Bashar Khan, M. R. Alam, M. A. K. Azad","doi":"10.18203/2349-2902.isj20240565","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240565","url":null,"abstract":"Background: Varicose veins are tortuous, widened veins in the subcutaneous tissues of the legs and are often easily visible. In our country, we do have not sufficient vascular surgery centers or vascular surgeons. So general surgeons have training in vascular surgery and performing operations of varicose veins. This study aimed to show the operative procedure, results of treatment in terms of symptom improvement, and complications of varicose vein surgery done by general surgeons in a rural medical college hospital in Bangladesh.\u0000Methods: This retrospective study was conducted at the Department of General Surgery in Sheikh Hasina Medical College, Jamalpur, Bangladesh from January 2017 to December 2022. A total of 20 patients were selected as study subjects by simple random sampling. Operative procedure depended upon pre-operative duplex imaging findings, and patients were kept under 6 months follow-up. The outcome was based on the cure and recurrence rate of varicose veins. Collected data were analyzed using descriptive statistics. Analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. After analysis, the data were presented in tables and charts.\u0000Results: It was observed that 3 (15.0%) patients experienced ulceration after surgical procedure, followed by 2 (10.0%) developed DVT, 1 (5.0%) patient had wound hematoma, and 1 (5.0%) patient showed recurrence. Concerning the outcome of varicose veins after surgical procedures, the majority (18,20.0%) of the patients showed complete cure, 1 (5.0%) patient presented with recurrence, and 1 (5.0%) patient developed complication.\u0000Conclusions: Despite the relatively low occurrence of complications and recurrence following surgery for varicose veins, the substantial 90% cure rate it offers is noteworthy. This study underscores the feasibility of conducting varicose vein surgery by general surgeons equipped with training in vascular surgery, ensuring safety and minimizing complications.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414404","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 : 2024-02-29DOI: 10.18203/2349-2902.isj20240597
Yash Jain, Abdul Haque M. Quraishi, Pankaj Tongse
Penetrating abdominal trauma is a major killer worldwide. Biliary duct injuries resulting from penetrating stab wounds are rare but potentially life-threatening occurrences. This case report outlines a rare case, diagnosis, surgical management, and postoperative outcomes of a patient who sustained a cystic duct injury due to a penetrating stab wound. There is paucity of such cases in the literature. A 55-year-old man sustained a penetrating wound and was found to have cystic duct injury intra-operatively along with other multi-visceral injury. The patient underwent a cholecystectomy with the management of associated injuries. The report aims to highlight the rarity yet the possibility of such injuries and emphasize the importance of a high index of suspicion.
{"title":"Complex stab related injuries involving the diaphragm, bowel and cystic duct: a case report","authors":"Yash Jain, Abdul Haque M. Quraishi, Pankaj Tongse","doi":"10.18203/2349-2902.isj20240597","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240597","url":null,"abstract":"Penetrating abdominal trauma is a major killer worldwide. Biliary duct injuries resulting from penetrating stab wounds are rare but potentially life-threatening occurrences. This case report outlines a rare case, diagnosis, surgical management, and postoperative outcomes of a patient who sustained a cystic duct injury due to a penetrating stab wound. There is paucity of such cases in the literature. A 55-year-old man sustained a penetrating wound and was found to have cystic duct injury intra-operatively along with other multi-visceral injury. The patient underwent a cholecystectomy with the management of associated injuries. The report aims to highlight the rarity yet the possibility of such injuries and emphasize the importance of a high index of suspicion.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412074","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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