Pub Date : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1a.1042
Dr. Fothedar Pravalika, Dr. M Rajavardhan Reddy, Dr. A Bhanu Prakash
{"title":"Comparison between FNAC and TRU cut biopsy in patients with breast lump","authors":"Dr. Fothedar Pravalika, Dr. M Rajavardhan Reddy, Dr. A Bhanu Prakash","doi":"10.33545/surgery.2024.v8.i1a.1042","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1a.1042","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"359 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394395","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1054
Dr. B Sharon Shini Christina, Dr. Stalin Kamepalli, Dr. Morthala Venkata Reddy
Introduction: Necrotizing fasciitis is a rapidly progressive inflammatory infection of the fascia, with secondary necrosis of the subcutaneous tissues. Necrotizing fasciitis moves along the fascial plane. Early recognition and surgical intervention at the earliest possible time are the sole factors in preventing the morbidity and mortality in patients with necrotizing fasciitis. Aims and Objectives: To validate the modified LRINEC scoring system for the early diagnosis of necrotizing fasciitis among patients presenting with soft tissue infections for 1. Early diagnosis of necrotizing fasciitis, 2.To implement modified LRINEC scoring system in patients with all soft tissue infections, 3. Plan of treatment based on Outcome of the modified LRINEC scoring system. Materials and Methods: This was a single centre, prospective observational study conducted from July 2022 to June 2023. It was carried out on 100 patients with soft tissue infections. Results: 43% patients were involved in low risk (<6) M-LRINEC score. 21% patients were under intermediate risk group (6-8) M-LRINEC score and 35% patients were under high risk group (>8) M-LRINEC score.86 Out of 100 patients 57 patients underwent debridement in including intermediate and high risk patients of M-LRINEC score. No debridement was required for patients in low risk M-LRINEC score (<6). Among 57 patients who underwent debridement, 41 patients were confirmed with NF by histopathology which is the gold standard for diagnosing NF. On validation M-LRINEC score has sensitivity of 93.55%. Specificity of 66.67%, positive predictive value of 80.56% and negative predictive value of 89.5% with P value 0.0600. Conclusion: In patients with clinical signs suspicious of severe soft tissue infection, the M-LRINEC score is an effective early diagnostic tool in distinguishing NF from other soft tissue infection in order to secure early management and debridement. M-LRINEC scoring system can be recommended routinely for clinical suspicion and early diagnosis of necrotizing fasciitis.
{"title":"Validation of modified LRINEC scoring system in the early diagnosis of necrotizing fasciitis in patients with soft tissue infections","authors":"Dr. B Sharon Shini Christina, Dr. Stalin Kamepalli, Dr. Morthala Venkata Reddy","doi":"10.33545/surgery.2024.v8.i1b.1054","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1054","url":null,"abstract":"Introduction: Necrotizing fasciitis is a rapidly progressive inflammatory infection of the fascia, with secondary necrosis of the subcutaneous tissues. Necrotizing fasciitis moves along the fascial plane. Early recognition and surgical intervention at the earliest possible time are the sole factors in preventing the morbidity and mortality in patients with necrotizing fasciitis. Aims and Objectives: To validate the modified LRINEC scoring system for the early diagnosis of necrotizing fasciitis among patients presenting with soft tissue infections for 1. Early diagnosis of necrotizing fasciitis, 2.To implement modified LRINEC scoring system in patients with all soft tissue infections, 3. Plan of treatment based on Outcome of the modified LRINEC scoring system. Materials and Methods: This was a single centre, prospective observational study conducted from July 2022 to June 2023. It was carried out on 100 patients with soft tissue infections. Results: 43% patients were involved in low risk (<6) M-LRINEC score. 21% patients were under intermediate risk group (6-8) M-LRINEC score and 35% patients were under high risk group (>8) M-LRINEC score.86 Out of 100 patients 57 patients underwent debridement in including intermediate and high risk patients of M-LRINEC score. No debridement was required for patients in low risk M-LRINEC score (<6). Among 57 patients who underwent debridement, 41 patients were confirmed with NF by histopathology which is the gold standard for diagnosing NF. On validation M-LRINEC score has sensitivity of 93.55%. Specificity of 66.67%, positive predictive value of 80.56% and negative predictive value of 89.5% with P value 0.0600. Conclusion: In patients with clinical signs suspicious of severe soft tissue infection, the M-LRINEC score is an effective early diagnostic tool in distinguishing NF from other soft tissue infection in order to secure early management and debridement. M-LRINEC scoring system can be recommended routinely for clinical suspicion and early diagnosis of necrotizing fasciitis.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"30 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140524420","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1053
Omed Yahya Mohammed, S. Ghazala
{"title":"The outcome of hilar clamping in comparison with non-clamping in partial nephrectomy procedure","authors":"Omed Yahya Mohammed, S. Ghazala","doi":"10.33545/surgery.2024.v8.i1b.1053","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1053","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"41 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522105","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1a.1049
Ali Sahran Khorsheed, Anas Falah Hassan, Adil Hefdhi Alsoufi
{"title":"Comparative study between polydioxanone 6.0 and polyglactin 6.0 suture material in distal hypospadias repair","authors":"Ali Sahran Khorsheed, Anas Falah Hassan, Adil Hefdhi Alsoufi","doi":"10.33545/surgery.2024.v8.i1a.1049","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1a.1049","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"37 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523591","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1a.1047
Dr. Saloni Chheda, Dr. Arun Behl, Dr. Sitaram Prasad, Dr. Sunraj Bangera, Dr. Abhijeet Tehere
{"title":"Fibro sarcomatous conversion of a recurrent Dermatofibrosarcoma protuberans with sternal involvement","authors":"Dr. Saloni Chheda, Dr. Arun Behl, Dr. Sitaram Prasad, Dr. Sunraj Bangera, Dr. Abhijeet Tehere","doi":"10.33545/surgery.2024.v8.i1a.1047","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1a.1047","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518745","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1061
Akm Touhidul Islam, Mahbuba Akhter, Md Atiqur Rahman Bhuiyan, Biplob Chandra Bandha, Anup Kumar Sarkar, HM Mamun, Md. Khurshid Alam, Md. Zohurul Islam, Md. Saleh, Mohammad Abdul Mannan, Raisul Islam
{"title":"Outcome of gastrointestinal anastomosis following the use of stapling device and hand-sewn method: A comparative study","authors":"Akm Touhidul Islam, Mahbuba Akhter, Md Atiqur Rahman Bhuiyan, Biplob Chandra Bandha, Anup Kumar Sarkar, HM Mamun, Md. Khurshid Alam, Md. Zohurul Islam, Md. Saleh, Mohammad Abdul Mannan, Raisul Islam","doi":"10.33545/surgery.2024.v8.i1b.1061","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1061","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"11 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140524705","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1058
Dr. Shshank Jain, Dr. Shraddha Sharanbasappa Dama, Dr. Abhishek Mahadik, Dr. Abhijeet Budhkar, Dr. Srikanth Gundala
{"title":"A diagnostic dilemma in evaluating- acute on chronic right hypochondriac pain: Can two pathologies co-exist?","authors":"Dr. Shshank Jain, Dr. Shraddha Sharanbasappa Dama, Dr. Abhishek Mahadik, Dr. Abhijeet Budhkar, Dr. Srikanth Gundala","doi":"10.33545/surgery.2024.v8.i1b.1058","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1058","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518420","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1060
Mamdouh Osama Khalifa, Ehab Fouad Zayed, H. H. Shalaby, S. Ghoraba, Yaser Mohamed El Hawary, Mohamed Khedr
{"title":"Versatility of scapular and parascapular free flaps in limb reconstruction","authors":"Mamdouh Osama Khalifa, Ehab Fouad Zayed, H. H. Shalaby, S. Ghoraba, Yaser Mohamed El Hawary, Mohamed Khedr","doi":"10.33545/surgery.2024.v8.i1b.1060","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1060","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521871","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1b.1059
Dr. Ketan Vagholkar, Dr. P Derrick Mathew, Dr. Nidhi Shah
{"title":"Gastro-intestinal stromal tumors (GIST)","authors":"Dr. Ketan Vagholkar, Dr. P Derrick Mathew, Dr. Nidhi Shah","doi":"10.33545/surgery.2024.v8.i1b.1059","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1b.1059","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"83 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516463","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 : 2024-01-01DOI: 10.33545/surgery.2024.v8.i1a.1046
Nidhi Ranjay, Dr. Pradeep Garg, Dr. Tripti Mahatme, Dr. Arun Kumar, Dr. Madhubala Gaur
{"title":"A comparative study on primary hypospadias repair using dartos fascia flap versus tunica vaginalis flap in paediatric age group","authors":"Nidhi Ranjay, Dr. Pradeep Garg, Dr. Tripti Mahatme, Dr. Arun Kumar, Dr. Madhubala Gaur","doi":"10.33545/surgery.2024.v8.i1a.1046","DOIUrl":"https://doi.org/10.33545/surgery.2024.v8.i1a.1046","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"64 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516321","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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