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Quality of life in transgender women opting for gender affirmation surgery vs trans feminine individuals: Single institutional study in Tamilnadu 选择性别确认手术的跨性别女性与跨性别女性个体的生活质量:泰米尔纳德邦的单一机构研究
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i3a.1004
Dr. Saroja Megha A, Dr. Sathiyapriya M, Dr. M. Ramula
Background: Gender dysphoria is defined as a condition where there is a noted discrepancy between a person's gender identity and the person's sex that was assigned at birth. Gender-affirmative surgery (GAS) plays a crucial role in addressing the mental agony triggered by gender identification crisis as well as medically it is necessary for the social and sexual well-being of the individual. Many previous research articles have documented that gender affirmation surgery not only facilitates a reduction in the level of suffering in trans genders but improves their psychological well-being . In India compared to Indonesia another Asian country limited research studies have been undertaken for the long-term quality of life (QOL) of trans genders who prefer to undergo GAS and their post-surgery implications. Aim: To assess the QoL of transgender women undergoing gender affirmation surgery (GAS) and reasons for undergoing GAS. Methods: Our study is a cross-sectional, questionnaire-based study on transgender females who have undergone surgery from any centres, as well as waiting to undergo male-to-female GAS for a period of six months from January 2023 to June 2023. WHOQOL-BREF -Tamil was used to assess the Quality of life. The data were compiled based on a confidential interview and analysed. Results: A total of 60 transgender women were included in our study based on our inclusion criteria. 42 trans genders in our research study are graduates with any degree (69.31%), and one-third % of the study population 33% are employed in a respectable community and able to integrate with society on their terms. Conclusions: Our study reaffirms marked improvement in their physical, psychological, and social health domains after the GAS Surgery irrespective of their socioeconomic background.
背景:性别焦虑症被定义为一个人的性别认同和出生时的性别之间存在明显差异的一种情况。性别平权手术(GAS)在解决性别认同危机引发的精神痛苦方面发挥着至关重要的作用,在医学上也是个人社会和性福祉所必需的。许多先前的研究文章已经证明,性别确认手术不仅有助于减少跨性别者的痛苦程度,还能改善他们的心理健康。在印度,与印度尼西亚相比,另一个亚洲国家对倾向于接受GAS的变性人的长期生活质量(QOL)及其术后影响进行了有限的研究。目的:探讨变性女性行性别肯定手术(GAS)的生活质量及其原因。方法:我们的研究是一项横断面、基于问卷的研究,研究对象是在2023年1月至2023年6月期间在任何中心接受过手术的变性女性,以及等待进行男变女GAS的女性。采用WHOQOL-BREF -Tamil评价生活质量。这些数据是在一次秘密采访的基础上编制和分析的。结果:根据我们的纳入标准,共有60名变性女性被纳入我们的研究。在我们的研究中,有42名跨性别者是拥有任何学位的毕业生(69.31%),三分之一(33%)的研究人口在一个受人尊敬的社区就业,能够以自己的方式融入社会。结论:我们的研究再次证实,无论他们的社会经济背景如何,手术后他们的身体、心理和社会健康领域都有显著改善。
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引用次数: 0
Breastfeeding and infant acute otitis media: A comprehensive analytical study 母乳喂养与婴儿急性中耳炎:一项综合分析研究
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i1a.961
Dr. Nishant Gour, Dr. Pratibha Vyas, Dr. Nikhil Soni
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引用次数: 0
Tension band wiring versus cannulated screws in fixation of medial malleolus in ankle fracture: Comparative Study 张力带钢丝与空心螺钉内固定踝关节骨折内踝:比较研究
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i3b.1010
Ammar Satte Mizhir, Dr. Sherwan A Hamawandi
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引用次数: 0
Harmonic scalpel versus monopolar electrocauterization in laparoscopic cholecystectomy 谐波刀与单极电灼在腹腔镜胆囊切除术中的比较
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i3a.1000
Monier T Ahmed Al-Taei, O. Atta
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引用次数: 0
Predictors of restenosis after popliteal angioplasty in patients with chronic limb threatening ischemia 慢性肢体缺血患者腘血管成形术后再狭窄的预测因素
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i1a.969
A. M. El-Mahallawy, Ahmed Mohammed Ismail Tawfik, Mohamed Morsy Alwageh, A. Kamhawy
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引用次数: 0
Carbuncle: A challenging infective lesion 痈:一种具有挑战性的感染性病变
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i1a.973
Dr. Ketan Vagholkar, Dr. Isha Bhatnagar, Dr. Aamina Hamdule, Dr. Sourabh Prajapat, Dr. Narender Narang
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引用次数: 0
A review of the trend in the management of anorectal malformation in a major pediatric surgical center in India 回顾在肛肠畸形的管理趋势在一个主要的儿科外科中心在印度
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i4b.1030
Dr. Ajay Jhalani, Dr. Girish Saini, Dr. Vinita Chaturvedi
Background: Anorectal malformation is a common cause of intestinal obstruction in children. Anorectal malformation is a common congenital defect and its management has evolved over the years. Most of the patients presented as newborns to the emergency department. This is because anorectal malformation commonly presents with intestinal obstruction which is an emergency, patients frequently presented late with marked abdominal distension.Aims and Objectives: This is a retrospective and prospective review of medical records, operation registers and operation notes of patients managed for anorectal malformation at SMS Medical college and hospital in department of pediatrics surgery from June 2021 to June 2023. The main aim of this study is ‘’a review of the trend in the management of anorectal malformation in a major pediatric surgical center in India’’. Materials and Methods: A retrospective and prospective analysis of 590 patients with anorectal malformations managed from June 2021 to June 2023 was carried out. Demographic data, type of anomaly, mode of presentation, evaluation, treatment and outcome of treatment were obtained. Total 590 patients data recorded. Data obtained were analysed using SPSS version 11.0. The 𝛘2 test was used to test for level of statistical significance. Level of statistical significance was set at 0.05.Results: From this study we found that- There were a total 590 patients (376 boys and 214 girls). The median age at first surgery was 8 days (range 1 day–9 years). There were 358 emergency operations in and 232 elective operations were done. The main investigations for evaluation were a lateral cross table X-ray, abdominal ultrasonography, sacral X-ray, echocardiography and a distal cologram. Total 330 patients requiring colostomy had a transverse loop colostomy. 14 patients with recto-vestibular fistula were given a colostomy before the definitive surgery, while 28 patients with recto-vestibular fistula were managed without a colostomy. The definitive surgery done in 70 [30.14%] were cutback anoplasty, sacro-abdomino-perineal pull through 12 [5.17%], posterior sagittal ano-rectoplasty [PSARP] 104 [44.8%], anal dilatation 34 (14.6%), cruciate incision 8 (3.4%) and posterior sagittal ano-recto-vagino-urethroplasty (PSARVUP) 4 (1.72%) were done. Early complications were colostomy related. The early complication rate was 14% (46 of 330). Most common complications are bowel evisceration 30.4%, surgical site infection 26%, stoma necrosis 13%, stoma stenosis 13%and stoma retraction 8.69% were found. Late complications following definitive treatment were: faecal incontinence 5 (4.3%), anal stenosis 70 (60.34%), rectal retraction 18 (15.5%), mucosal prolapse 20 (17.24%) and faecal soilage 3 (2.58%). Cause of death were 18 [3%] in which main causes are- anaesthetic deaths 2 (11.1%), overwhelming sepsis 4 (22.2%), dys-electrolytaemia 4 (22.2%) and nonspecific 8 (44.4%).Conclusion: There have been significant changes in the managemen
背景:肛肠畸形是儿童肠梗阻的常见原因。肛肠畸形是一种常见的先天性缺陷,其治疗方法多年来一直在发展。大多数病人作为新生儿被送到急诊科。这是因为肛肠畸形通常表现为肠梗阻,这是一种紧急情况,患者经常出现明显的腹胀。目的和目的:回顾性和前瞻性分析西施医学院附属医院儿科外科2021年6月至2023年6月收治肛肠畸形患者的病历、手术记录和手术笔记。本研究的主要目的是“回顾印度一家大型儿科外科中心肛肠畸形治疗的趋势”。材料与方法:对2021年6月至2023年6月590例肛肠畸形患者进行回顾性和前瞻性分析。获得人口统计学资料、异常类型、表现方式、评估、治疗和治疗结果。共记录590例患者资料。所得数据采用SPSS 11.0进行分析。采用𝛘2检验检验统计学显著性水平。差异有统计学意义的水平为0.05。结果:共590例患者(男376例,女214例)。首次手术的中位年龄为8天(范围1 - 9岁)。年进行了358次紧急手术和232次选择性手术。评估的主要调查是横向横台x线,腹部超声,骶骨x线,超声心动图和远端彩色图。总共330例需要结肠造口的患者行了横环结肠造口术。14例直肠前庭瘘患者在最终手术前行结肠造口术,28例直肠前庭瘘患者未行结肠造口术。最终手术70例(30.14%)为切开肛管成形术,骶腹会阴牵引术12例(5.17%),后矢状直肠肛管成形术104例(44.8%),肛管扩张术34例(14.6%),十字切口8例(3.4%),后矢状直肠肛管尿道成形术4例(1.72%)。早期并发症与结肠造口术有关。早期并发症发生率为14%(330例中46例)。最常见的并发症是肠拔出30.4%,手术部位感染26%,造口坏死13%,造口狭窄13%,造口后缩8.69%。最终治疗后的晚期并发症为:大便失禁5例(4.3%),肛门狭窄70例(60.34%),直肠回缩18例(15.5%),粘膜脱垂20例(17.24%),粪便淤积3例(2.58%)。死亡原因18例(3%),其中麻醉死亡2例(11.1%)、压倒性败血症死亡4例(22.2%)、电解质异常死亡4例(22.2%)和非特异性死亡8例(44.4%)。结论:该中心肛肠畸形的治疗有了明显的变化,改善了预后。这是由于对病理状况的更好理解和手术治疗的改进。
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引用次数: 0
Ectopic adrenal oncocytoma simulating a segment I tumor: A case report 异位肾上腺嗜瘤细胞瘤模拟I节段肿瘤1例
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i1b.980
I. Ka, Diallo Msm, D. A, N. M, Diallo Mchs, Diop Ps
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引用次数: 0
Management of sigmoid colon volvulus: A Senegalese experience based on 73 cases 乙状结肠扭转的治疗:塞内加尔73例的经验
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i3a.1007
I. Ka, A. Faye, A. Diop, P. S. Diop
Volvulus of the sigmoid colon is rare in the West, but is the main cause of colonic obstruction in developing countries. Diagnosis is based on clinical findings supplemented by standard unprepared abdominal X-rays (UPX). The aim of our study is to share our experience in the management of sigmoid colon volvulus in order to compare our results with those in the literature. We conducted a retrospective and descriptive study between 01 January 2008 and 31 December 2021. Our study included 73 patients admitted for sigmoid colon volvulus. The mean age of our patients was 48.8 years with extremes of 17 and 86 years. There were 62 men and 11 women, giving a sex ratio of 5.63. Chronic constipation was found in 63.01% (N=46), and occlusive syndrome concerned 100% of patients. An unprepared abdominal X-ray (UXR) was performed in 93.15% (N=68) of patients and showed a typical inverted U image in 100% of cases. Sigmoidectomy followed by restoration of digestive continuity was performed in 84.93% of cases. The average time taken to close the stoma was 21.8 days, with extremes of 15 and 49 days. Post-operative management was straightforward in 63 patients (86.30%). Morbidity in our series was 9.58%, i.e. 7 patients, and mortality was 3 patients, i.e. 4.10%.
乙状结肠扭转在西方是罕见的,但在发展中国家是结肠梗阻的主要原因。诊断是基于临床表现,辅以标准的未准备腹部x光片(UPX)。我们的研究目的是分享我们治疗乙状结肠扭转的经验,以便与文献中的结果进行比较。我们在2008年1月1日至2021年12月31日期间进行了回顾性和描述性研究。本研究纳入73例乙状结肠扭转住院患者。患者平均年龄为48.8岁,极值为17岁和86岁。男性62人,女性11人,性别比为5.63。慢性便秘发生率为63.01% (N=46),闭塞综合征发生率为100%。93.15% (N=68)的患者未做腹部x线检查(UXR), 100%的患者显示典型的倒U型图像。84.93%的病例行乙状结肠切除术后恢复消化道连续性。关闭造口的平均时间为21.8天,极端时间为15天和49天。63例(86.30%)患者术后处理简单。本研究的发病率为9.58%,即7例,死亡率为3例,即4.10%。
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引用次数: 0
Chronic pain abdomen in children: A prospective clinical study 儿童慢性腹痛:一项前瞻性临床研究
Pub Date : 2023-01-01 DOI: 10.33545/surgery.2023.v7.i4a.1020
DR. Suroju Manvitha, DR. Laxmikanth Gurram, DR. H Suresh Clement
Introduction: Chronic pain abdomen in children is a common problem. Most of them believe chronic pain abdomen in functional and they could not find any metabolic, anatomic, infectious, inflammatory, or neo-plastic disorders in huge majority of children. Chronic constipation is the cause of pain abdomen proposed by few. Aims and Objectives: The present study is about chronic constipation is the most cause of chronic pain abdomen and is confirmed by the relief of chronic constipation and chronic pain abdomen in children after left lateral internal anal sphincterotomy. Material and Methods: The present study was a prospective study of the patients who underwent left lateral internal anal sphincterotomy during 2 years study period. Patients who met the inclusion criteria are included in the study.Results: In study of 23 children with CAP 56.5% are males and the remaining 43.5% are females. CAP Is less than 1 year in 47.8% of these children and 87% children have CAP since 5 years. In our study of 23 children with CAP 18 children had fissure in ano, among them 44.44% are males and 55.55% are females. In our study of 23 children 12 children having abdominal tenderness among them 58.33% are males and 41.66% are females. Conclusion: The study concludes that the most common cause of chronic pain abdomen in children is constipation secondary to painful anal problems and left lateral anal sphincterotomy is an effective procedure in relieving chronic pain abdomen in children by relieving constipation with low recurrence rates of pain abdomen.
儿童慢性腹痛是一种常见的问题。他们大多认为慢性腹痛是功能性的,在绝大多数儿童中没有发现任何代谢、解剖、感染、炎症或新塑形障碍。慢性便秘是引起腹痛的原因,很少有人提出。目的:慢性便秘是引起慢性腹痛的最主要原因,并通过左侧内肛门括约肌切开术后儿童慢性便秘和慢性腹痛的缓解得到证实。材料与方法:本研究是一项为期2年的前瞻性研究,研究对象为行左侧内肛门括约肌切开术的患者。符合纳入标准的患者被纳入研究。结果:23例CAP患儿中男性占56.5%,女性占43.5%。其中47.8%的儿童CAP少于1年,87%的儿童从5年开始CAP。在我们的研究中,23例CAP - 18患儿出现骨裂,其中男性占44.44%,女性占55.55%。本组共23例患儿,12例有腹部压痛,其中男58.33%,女41.66%。结论:儿童慢性腹痛最常见的原因是便秘继发于疼痛性肛门问题,左侧肛外括约肌切开术是缓解儿童慢性腹痛的有效方法,可缓解便秘,且腹痛复发率低。
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引用次数: 0
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International Journal of Surgery Science
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