Pub Date : 2023-01-01DOI: 10.33545/surgery.2023.v7.i2a.991
Dr. Ritvik Jaykar, Dr. Sachin Jadhav, Dr. Shalaka Rudrakshi, Dr. Prajakta Kamat, Dr. Nitin N Nalatwadamath
Purpose 1. To study incidence and prevalence of renal and perirenal infections. 2. To study etiological factors, clinical data for occurrence and complications of renal and perirenal infections. 3. To find out various systematic methods to decrease morbidity and mortality. Materials and Methodology: This is a prospective observational study in our tertiary care hospital .Total 60 patients were investigated for routine laboratory investigation and radiological investigations. Patient if indicated was operated with suitable open surgical or laparoscopy surgery and followed up for immediate and late post-operative complication Results Most common clinical presentation was 33.3% costovertebral tenderness. On final diagnosis, 46.7% had renal abscess, 36.7% had perirenal abscess, 6.7% had Emphysematous pyelonephritis, 6.7% had renal Tb, and 3.3% had Xanthomatous Pyelonephritis Majority of cases 26.7% were managed by percutaneous pigtail, 18.3% had Open surgical Drainage, 16.7% had DJ stenting, 15% had PCNL, 10% had Percutaneous Nephrostomy, 6.7% had Partial Nephrectomy, 5% had Cystourethroscopy and 1.7% had Cystourethroscopy with DJ stenting Conclusion: Renal and perirenal infections are very common now a days. Perirenal abscess go undiagnosed in prior stage. Later it comes with irreversible changes and complications. Most common predisposing factor found was diabetes and calculi. Most common microorganism causing the disease was E coli. Thus, this finding will help clinicians to decide the management and decrease further complications.
{"title":"Case study of clinical profiles of renal and perirenal infections","authors":"Dr. Ritvik Jaykar, Dr. Sachin Jadhav, Dr. Shalaka Rudrakshi, Dr. Prajakta Kamat, Dr. Nitin N Nalatwadamath","doi":"10.33545/surgery.2023.v7.i2a.991","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i2a.991","url":null,"abstract":"Purpose 1. To study incidence and prevalence of renal and perirenal infections. 2. To study etiological factors, clinical data for occurrence and complications of renal and perirenal infections. 3. To find out various systematic methods to decrease morbidity and mortality. Materials and Methodology: This is a prospective observational study in our tertiary care hospital .Total 60 patients were investigated for routine laboratory investigation and radiological investigations. Patient if indicated was operated with suitable open surgical or laparoscopy surgery and followed up for immediate and late post-operative complication Results Most common clinical presentation was 33.3% costovertebral tenderness. On final diagnosis, 46.7% had renal abscess, 36.7% had perirenal abscess, 6.7% had Emphysematous pyelonephritis, 6.7% had renal Tb, and 3.3% had Xanthomatous Pyelonephritis Majority of cases 26.7% were managed by percutaneous pigtail, 18.3% had Open surgical Drainage, 16.7% had DJ stenting, 15% had PCNL, 10% had Percutaneous Nephrostomy, 6.7% had Partial Nephrectomy, 5% had Cystourethroscopy and 1.7% had Cystourethroscopy with DJ stenting Conclusion: Renal and perirenal infections are very common now a days. Perirenal abscess go undiagnosed in prior stage. Later it comes with irreversible changes and complications. Most common predisposing factor found was diabetes and calculi. Most common microorganism causing the disease was E coli. Thus, this finding will help clinicians to decide the management and decrease further complications.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87021348","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i1a.960
Dr. Makwana Viral, Dr. Mansuri Mohammed Anis, D. Avadhesh
{"title":"A retrospective study of short term outcomes of ventral abdominal wall hernia patients operated by extended total extraperitoneal mesh repair at a tertiary care centre","authors":"Dr. Makwana Viral, Dr. Mansuri Mohammed Anis, D. Avadhesh","doi":"10.33545/surgery.2023.v7.i1a.960","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i1a.960","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86213586","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}
Fracture of the penis associated with urethral rupture remains one of the rare urogenital emergencies. The diagnosis is mainly clinical in typical cases, based on the data from the interview and physical examination, while imaging is reserved for atypical, doubtful and/or late-presenting cases. Early surgical management is essential, allowing for assessment and repair of the lesions (cavernoraphy, urethroplasty) in order to ensure a good functional outcome. We report the importance of preoperative clinical evaluation of the genitourinary organs in the diagnosis of bilateral fracture of the cavernous bodies associated with complete urethral rupture, which occurred after a coital misstep in a young adult male after intoxication with aphrodisiac substances.Introduction: Fracture of the penis remains one of the urogenital emergencies, whose frequency is still underestimated today (1, 2). It corresponds to the rupture of the tunica albuginea of one of the corpora cavernosa and/or the corpus spongiosum, in a state of erection. Of various etiologies, penile fracture most often occurs during a
{"title":"Fracture of the penis associated with complete rupture of the urethra: Clinical evaluation and management","authors":"Tshiband Moshabilond, Dan Baki, Amadou Mahamane Kaka, Dimitri Kanyanda Nafatalewa, Augustin Kibonge Mukakala, Josué DG Avakoudjo","doi":"10.33545/surgery.2023.v7.i4a.1028","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i4a.1028","url":null,"abstract":"Fracture of the penis associated with urethral rupture remains one of the rare urogenital emergencies. The diagnosis is mainly clinical in typical cases, based on the data from the interview and physical examination, while imaging is reserved for atypical, doubtful and/or late-presenting cases. Early surgical management is essential, allowing for assessment and repair of the lesions (cavernoraphy, urethroplasty) in order to ensure a good functional outcome. We report the importance of preoperative clinical evaluation of the genitourinary organs in the diagnosis of bilateral fracture of the cavernous bodies associated with complete urethral rupture, which occurred after a coital misstep in a young adult male after intoxication with aphrodisiac substances.Introduction: Fracture of the penis remains one of the urogenital emergencies, whose frequency is still underestimated today (1, 2). It corresponds to the rupture of the tunica albuginea of one of the corpora cavernosa and/or the corpus spongiosum, in a state of erection. Of various etiologies, penile fracture most often occurs during a","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134890383","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i3b.1015
Yeliz Kılıç, Haluk Hüseyin Gürsoy, Sema Şanal Baş, Ayten Bilir, Mehmet Sacit Güleç
Background: Emergence agitation (EA), a clinical phenomenon characterized by negative behaviors, is commonly observed in preschool-aged population. Paracetamol is a frequently preferred analgesic for postoperative pain in pediatrics due to low adverse effect profile. However, the preventive or therapeutic effectiveness of intravenous (IV) paracetamol on EA has not been fully elucidated, particularly in preschool-aged children. This study aimed to demonstrate the efficacy of IV paracetamol on EA in children who underwent strabismus surgery. Methods: Twenty seven patients were divided into two groups; preschool-aged children between 2 and 6 years old (Group 1) and children > 6 years old (Group 2). After anesthesia induction and before the surgical incision, IV paracetamol (10 mg/kg) was given to all cases. Face, Legs, Activity, Cry, and Consolability (FLACC) scale was used to assess the postoperative pain level while EA was evaluated using the Pediatric Anesthesia Emergence Delirium (PAED) scale. The two groups were then compared each other in terms of FLACC and PAED scores. Results: THere were 15 and 12 patients in Group 1 and Group 2, respectively. No significant differences in FLACC and PAED scores were found similar between the two groups (p>0.05). The number of patients with ED was similar between the groups (p>0.05). Conclusions: IV paracetamol was found effective in the management of postoperative pain and EA in preschool-aged children who underwent strabismus surgery with sevoflurane anesthesia.
{"title":"The effect of intravenous paracetamol on emergence agitation in preschool-aged children under sevoflurane anesthesia for strabismus surgery","authors":"Yeliz Kılıç, Haluk Hüseyin Gürsoy, Sema Şanal Baş, Ayten Bilir, Mehmet Sacit Güleç","doi":"10.33545/surgery.2023.v7.i3b.1015","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1015","url":null,"abstract":"Background: Emergence agitation (EA), a clinical phenomenon characterized by negative behaviors, is commonly observed in preschool-aged population. Paracetamol is a frequently preferred analgesic for postoperative pain in pediatrics due to low adverse effect profile. However, the preventive or therapeutic effectiveness of intravenous (IV) paracetamol on EA has not been fully elucidated, particularly in preschool-aged children. This study aimed to demonstrate the efficacy of IV paracetamol on EA in children who underwent strabismus surgery. Methods: Twenty seven patients were divided into two groups; preschool-aged children between 2 and 6 years old (Group 1) and children > 6 years old (Group 2). After anesthesia induction and before the surgical incision, IV paracetamol (10 mg/kg) was given to all cases. Face, Legs, Activity, Cry, and Consolability (FLACC) scale was used to assess the postoperative pain level while EA was evaluated using the Pediatric Anesthesia Emergence Delirium (PAED) scale. The two groups were then compared each other in terms of FLACC and PAED scores. Results: THere were 15 and 12 patients in Group 1 and Group 2, respectively. No significant differences in FLACC and PAED scores were found similar between the two groups (p>0.05). The number of patients with ED was similar between the groups (p>0.05). Conclusions: IV paracetamol was found effective in the management of postoperative pain and EA in preschool-aged children who underwent strabismus surgery with sevoflurane anesthesia.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550712","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i1b.975
D. Gs, Dr. Raj Gautam, Dr. Aashay Shah, Dr. Avanti Sonawane, Dr. Avanika Abrol, Dr. Anjali Bhadavankar, Dr. Hardi Solanki, Dr. Volam Siddhartha, Dr. Tushar Kinjalk
{"title":"Which is better?? e-Fast or contrast enhanced computed tomography in blunt abdominal trauma: An observational study in tertiary care center","authors":"D. Gs, Dr. Raj Gautam, Dr. Aashay Shah, Dr. Avanti Sonawane, Dr. Avanika Abrol, Dr. Anjali Bhadavankar, Dr. Hardi Solanki, Dr. Volam Siddhartha, Dr. Tushar Kinjalk","doi":"10.33545/surgery.2023.v7.i1b.975","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i1b.975","url":null,"abstract":"","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87402676","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i1a.972
Dr. Adel Ibraheem Al-Najjar, A. Shubbar, Dheyaa Ali Hussein
Introduction: Objective: To assess the effectiveness and safety of tranexamic acid in lowering postoperative haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation in percutaneous nephrolithotomy patients. Methods: A 40-patient Al-Hilla Teaching Hospital randomised controlled clinical trial ran from January 2020 through July 2022. All ultrasound-guided PCNL patients with renal stones were randomised into two groups. Group A consisted of 20 patients (13 males and 7 females) with a mean age of (45.05 ±12.23) years who received tranexamic acid (1gm slow intravenous infusion diluted in 100 cc normal saline over 10 minutes) on call to surgery and then (0.5 gm infusion every 8 hours for the first 24 hours postoperatively). Group B included 20 non-tranexamic acid-treated patients (9 males and 11 females) with a mean age of 42.15 ± 10.64 years. We are comparing haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation between two groups. Results: Group A had a much lower postoperative haemoglobin decline than group B, 12.97 ±1.21 g/dl vs 11.82 ±1.44 (p = 0.010). Group A had a much lower postoperative hematocrit decline (39.11 ±3.95%) than group B (34.86 ±3.73%) (p = 0.001). 63.25 ±10.79 minutes against 73.50 ±16.31 minutes (p = 0.024). Group A had a significantly shorter hospital stay than group B (54.00 ±10.66 hours vs. 60.60 ±11.74 hours, p = 0.021). All patients in two groups had postoperative moderate hematuria, however group B had 4 (20.0%) instances of severe hematuria, whereas group A had just one (5%) case (p = 0.047). Four (20.0%) group B patients and one (5%) group A case required blood transfusion, a statistically significant difference (p = 0.047). Conclusions: TXA reduces postoperative haemoglobin and hematocrit drops and blood transfusions in PCNL with minimal side effects and a shorter operational time and hospital stay.
{"title":"The effects of antifibrinolytic drug use in decreasing hemoglobin drop following Percutaneous Nephrolithotomy in Al-Hillah Province","authors":"Dr. Adel Ibraheem Al-Najjar, A. Shubbar, Dheyaa Ali Hussein","doi":"10.33545/surgery.2023.v7.i1a.972","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i1a.972","url":null,"abstract":"Introduction: Objective: To assess the effectiveness and safety of tranexamic acid in lowering postoperative haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation in percutaneous nephrolithotomy patients. Methods: A 40-patient Al-Hilla Teaching Hospital randomised controlled clinical trial ran from January 2020 through July 2022. All ultrasound-guided PCNL patients with renal stones were randomised into two groups. Group A consisted of 20 patients (13 males and 7 females) with a mean age of (45.05 ±12.23) years who received tranexamic acid (1gm slow intravenous infusion diluted in 100 cc normal saline over 10 minutes) on call to surgery and then (0.5 gm infusion every 8 hours for the first 24 hours postoperatively). Group B included 20 non-tranexamic acid-treated patients (9 males and 11 females) with a mean age of 42.15 ± 10.64 years. We are comparing haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation between two groups. Results: Group A had a much lower postoperative haemoglobin decline than group B, 12.97 ±1.21 g/dl vs 11.82 ±1.44 (p = 0.010). Group A had a much lower postoperative hematocrit decline (39.11 ±3.95%) than group B (34.86 ±3.73%) (p = 0.001). 63.25 ±10.79 minutes against 73.50 ±16.31 minutes (p = 0.024). Group A had a significantly shorter hospital stay than group B (54.00 ±10.66 hours vs. 60.60 ±11.74 hours, p = 0.021). All patients in two groups had postoperative moderate hematuria, however group B had 4 (20.0%) instances of severe hematuria, whereas group A had just one (5%) case (p = 0.047). Four (20.0%) group B patients and one (5%) group A case required blood transfusion, a statistically significant difference (p = 0.047). Conclusions: TXA reduces postoperative haemoglobin and hematocrit drops and blood transfusions in PCNL with minimal side effects and a shorter operational time and hospital stay.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"184 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80549471","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i3b.1017
Barry MS, Diallo FB, Kondano SY, Diallo MB, Diallo MC, Fofana N, Diallo AT, Touré A
Introduction: Despite scientific progress in the fields of anesthesia and surgery, caesarean section is still not a harmless procedure. The aim of this study was to report the post caesarean section complications received in the general surgery department of the Ignace Deen National Hospital at the University Hospital of Conakry.Materials and Methods: It this was an observational, cross-sectional and descriptive study of six (6) months (January 1, 2021 to June 30, 2021) in the general surgery department of the Ignace Deen National Hospital, CHU of Conakry. The socio-demographic and therapeutic variables were studied.Results: We collected 31 cases of postoperative complications among women in the department, of which 19 cases were post cesarean sections (61.29%). The age group from 20 to 39 years most affected (63.2%, n=12). The average age was 28.79 years. Most caesarean sections were performed in peripheral structures (private health centers, municipal centers and prefectural hospitals (73.7%, n=14) and 26.3% of cases, n=5) took place at the maternity hospital of the CHU. Operators - were residents in gynecology-obstetrics (42.1% n=8) and general practitioners acting as obstetrician-gynaecologists (36.8% n=7). Generalized acute peritonitis and surgical site infections were the most observed complications with 42.1% (n=8) and 26.3% (n=5). Iatrogenic colonic and bladder wounds were noted. The surgical procedures performed were visceral trimmings and sutures followed by peritoneal cleansing with drainage (53.8% (n=7). The outcome was 100% favorable (n=19) with an average hospital stay of 14 days.Conclusion: Post cesarean complications were frequent among the surgical complications referred to our department. Acute generalized peritonitis and surgical site infections ranked first. The care was medical surgical. The follow-up was favourable. Hope lies in prevention through appropriate pregnancy monitoring measures and planning for a safe caesarean section.
{"title":"Management of post caesarean section complications in the general surgery department of the Ignace Deen National Hospital","authors":"Barry MS, Diallo FB, Kondano SY, Diallo MB, Diallo MC, Fofana N, Diallo AT, Touré A","doi":"10.33545/surgery.2023.v7.i3b.1017","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1017","url":null,"abstract":"Introduction: Despite scientific progress in the fields of anesthesia and surgery, caesarean section is still not a harmless procedure. The aim of this study was to report the post caesarean section complications received in the general surgery department of the Ignace Deen National Hospital at the University Hospital of Conakry.Materials and Methods: It this was an observational, cross-sectional and descriptive study of six (6) months (January 1, 2021 to June 30, 2021) in the general surgery department of the Ignace Deen National Hospital, CHU of Conakry. The socio-demographic and therapeutic variables were studied.Results: We collected 31 cases of postoperative complications among women in the department, of which 19 cases were post cesarean sections (61.29%). The age group from 20 to 39 years most affected (63.2%, n=12). The average age was 28.79 years. Most caesarean sections were performed in peripheral structures (private health centers, municipal centers and prefectural hospitals (73.7%, n=14) and 26.3% of cases, n=5) took place at the maternity hospital of the CHU. Operators - were residents in gynecology-obstetrics (42.1% n=8) and general practitioners acting as obstetrician-gynaecologists (36.8% n=7). Generalized acute peritonitis and surgical site infections were the most observed complications with 42.1% (n=8) and 26.3% (n=5). Iatrogenic colonic and bladder wounds were noted. The surgical procedures performed were visceral trimmings and sutures followed by peritoneal cleansing with drainage (53.8% (n=7). The outcome was 100% favorable (n=19) with an average hospital stay of 14 days.Conclusion: Post cesarean complications were frequent among the surgical complications referred to our department. Acute generalized peritonitis and surgical site infections ranked first. The care was medical surgical. The follow-up was favourable. Hope lies in prevention through appropriate pregnancy monitoring measures and planning for a safe caesarean section.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550995","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i4a.1027
Ahmed Raafat Saad Abdeen, Samir Ahmed Abd El Majeed, Abd El Rahman M Galal
Background: An independent risk factor for atherosclerotic heart disease is hypertriglyceridemia (HTG). Acute pancreatitis is also a danger for people with serum triglyceride (TG) levels >1000 mg/dL. The most successful weight loss treatment now available has been proven to be bariatric surgery. The aim of this work was to compare between laparoscopic sleeve gastrectomy (LSG) versus laparoscopic Single anastomosis Sleeve Ileal bypass in control of HTG in obese patients.Methods: Fifty-two individuals, aged 18 to 65, of both sexes, with a BMI of 30 to 55 kg/m2, T2D, a history of prior unsuccessful weight loss attempts, and strong surgical motivation were included in this prospective study. Type 1 diabetics, those above the age of 15, people with BMIs under 30, people over 55, those who had previously undergone gastric or obesity surgery, and women who were pregnant were all excluded from the study. The included patients were split into two groups: obese patients in group I (N=26) had LSG, while obese patients in group II (N=26) got laparoscopic gastric bypass.Results: The mean cholesterol after 3 months was 156.92±14.90 and 163.08±16.31 between bypass and LSG respectively. There was no statistically significant difference between the bypass and LSG. The cholesterol level after 3 months all participants were desirable in bypass, was 96.15% desirable in LSG and 3.85% non-desirable bypass in LSG. The mean triglyceride after 3 months was 129.23±13.47 and 144.62±14.21 between bypass and LSG respectively. There was a statistically significant difference between the bypass and LSG. Triglyceride level after 3 months was desirable in 92.31% bypass and 57.69% LSG and nor desirable in 7.69% bypass and 42.31% LSG between bypass and LSG. There was a statistically significant difference between the bypass and LSG.Conclusions: Gastric bypass was associated produce more favorable outcomes compared LSG in diabetes obese patients. This is observed in more weight loss after 1-year, better lipid profile after 3 months.
{"title":"Laparoscopic sleeve gastrectomy vs laparoscopic single anastemosis sleeve ileal bypass in control of triglyceridemia in obese patients","authors":"Ahmed Raafat Saad Abdeen, Samir Ahmed Abd El Majeed, Abd El Rahman M Galal","doi":"10.33545/surgery.2023.v7.i4a.1027","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i4a.1027","url":null,"abstract":"Background: An independent risk factor for atherosclerotic heart disease is hypertriglyceridemia (HTG). Acute pancreatitis is also a danger for people with serum triglyceride (TG) levels >1000 mg/dL. The most successful weight loss treatment now available has been proven to be bariatric surgery. The aim of this work was to compare between laparoscopic sleeve gastrectomy (LSG) versus laparoscopic Single anastomosis Sleeve Ileal bypass in control of HTG in obese patients.Methods: Fifty-two individuals, aged 18 to 65, of both sexes, with a BMI of 30 to 55 kg/m2, T2D, a history of prior unsuccessful weight loss attempts, and strong surgical motivation were included in this prospective study. Type 1 diabetics, those above the age of 15, people with BMIs under 30, people over 55, those who had previously undergone gastric or obesity surgery, and women who were pregnant were all excluded from the study. The included patients were split into two groups: obese patients in group I (N=26) had LSG, while obese patients in group II (N=26) got laparoscopic gastric bypass.Results: The mean cholesterol after 3 months was 156.92±14.90 and 163.08±16.31 between bypass and LSG respectively. There was no statistically significant difference between the bypass and LSG. The cholesterol level after 3 months all participants were desirable in bypass, was 96.15% desirable in LSG and 3.85% non-desirable bypass in LSG. The mean triglyceride after 3 months was 129.23±13.47 and 144.62±14.21 between bypass and LSG respectively. There was a statistically significant difference between the bypass and LSG. Triglyceride level after 3 months was desirable in 92.31% bypass and 57.69% LSG and nor desirable in 7.69% bypass and 42.31% LSG between bypass and LSG. There was a statistically significant difference between the bypass and LSG.Conclusions: Gastric bypass was associated produce more favorable outcomes compared LSG in diabetes obese patients. This is observed in more weight loss after 1-year, better lipid profile after 3 months.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135212419","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}
This case report emphasizes the importance of early detection and intervention in mesenteric ischemia. We present a 42-year-old patient with a history of splenectomy who presented with hemodynamic instability, severe epigastric pain, vomiting, and no bowel movement or gas for three days, along with an unspecified fever. Laboratory tests showed abnormal values, and an abdominal CT scan revealed dysmorphic liver, portal cavernoma, peritoneal effusion, and superior mesenteric vein thrombosis. Surgical intervention was necessary, and the patient underwent exploratory laparotomy, which revealed necrosis of the small intestine that was resected. The patient experienced complications such as pulmonary embolism, and a second surgery was performed, but it was negative. The patient was discharged with follow-up care in the internal medicine department.This case report highlights the importance of recognizing the signs and symptoms of mesenteric ischemia and prompt intervention to improve patient outcomes.
{"title":"Mesenteric ischemia: A case report highlighting the importance of early detection and intervention","authors":"Meriem Gridda, Mohamed Benlahsen, Mohamed Annejar, Meriem Ainane, Mohamed Absi","doi":"10.33545/surgery.2023.v7.i3b.1014","DOIUrl":"https://doi.org/10.33545/surgery.2023.v7.i3b.1014","url":null,"abstract":"This case report emphasizes the importance of early detection and intervention in mesenteric ischemia. We present a 42-year-old patient with a history of splenectomy who presented with hemodynamic instability, severe epigastric pain, vomiting, and no bowel movement or gas for three days, along with an unspecified fever. Laboratory tests showed abnormal values, and an abdominal CT scan revealed dysmorphic liver, portal cavernoma, peritoneal effusion, and superior mesenteric vein thrombosis. Surgical intervention was necessary, and the patient underwent exploratory laparotomy, which revealed necrosis of the small intestine that was resected. The patient experienced complications such as pulmonary embolism, and a second surgery was performed, but it was negative. The patient was discharged with follow-up care in the internal medicine department.This case report highlights the importance of recognizing the signs and symptoms of mesenteric ischemia and prompt intervention to improve patient outcomes.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446494","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 : 2023-01-01DOI: 10.33545/surgery.2023.v7.i4a.1023
Dr. Mohammed Nadeem Nazim
Purpose: The goal was to share our experience of the proximal and distal types of arteriovenous fistula (AVF) and to ascertain advantage of one over the other and ultimately which has a superior success rate. Methods: All patients referred to the department of CVTS, for construction of AVF underwent a detailed clinically examination to assess the quality of the venous system of the upper limb of interest. All patients with poor quality veins at the wrist or patients in whom previous AVF at the wrist had failed were taken up for proximal A-V fistula at the antecubital fossa. The surgical complications were analysed in the immediate and late postoperative period. These 230 cases were performed over a span of 12 months with regular follow up and observation for the next 12 months.Results: The proximal AVFs had only a 5.21% maturation failure cases as compared to the 13.0% in distal AVFs with mean time for maturation being 1.5 months and 2-2.5 months, respectively. The overall primary patency rates at 12 months were 98% for proximal AVFs and 74% for distal AVFs.Conclusion: The Proximal A-V fistulas for MHD were found to have early maturation and high primary patency rates in comparison to the distal AVFs which inadvertently required new proximal AVF creation in the future due to the observed complications and low maturation rates with only a palpable pulse even after 8 weeks of surgery.
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