Pub Date : 2021-08-06DOI: 10.31491/csrc.2021.09.077
Yuzhuo Li, Qiqi He, Wang Fei, T. Ma, J. Bao, Li Yang, Wang Zhiping, G. Sanjay
Background: To determine whether the Hounsfield Unit (HU) value of no-contrast computer computed tomography (NCCT) might offer better guidance in the selection of RIRS or PCNL in renal stones of 2-3 cm. Methods: A total of 158 patients with kidney stones (2-3 cm) who underwent PCNL/RIRS from March 2016 to January 2019 were enrolled in this study. Age, gender, stone sizes, locations, average HU value of stones, surgery time, hospital stay time, stone-free rate, and complications at the time of hospitalization and 3-month follow-up were measured to identify the surgery efficiency. Results: Upon consideration of the HU value, the mean surgery time was significantly decreased in RIRS comparing to the control RIRS (cRIRS) group (47.73 ± 15.52 vs. 72.41 ± 27.71 min, P < 0.05). Statistically, the surgery time was strongly influenced by the HU values both in RIRS (OR 93.8, P < 0.01) and PCNL (OR 8.21, P < 0.05). HU values proved to have a strong positive relation with surgery time in RIRS while a low positive relation in PCNL (P < 0.05). Conclusion: Overall, for renal stones of 2-3 cm, RIRS might be a safe and efficacious treatment option if the HU value and other parameters could be comprehensively accounted for. Individual precision surgery might provide ideal treatment and prognosis for patients requiring long-term continuous clinical procedures.
背景:探讨无对比计算机断层扫描(NCCT)的Hounsfield Unit (HU)值是否能更好地指导2 ~ 3cm肾结石患者选择RIRS或PCNL。方法:2016年3月至2019年1月，158例接受PCNL/RIRS治疗的肾结石(2-3 cm)患者纳入本研究。观察年龄、性别、结石大小、部位、结石平均HU值、手术时间、住院时间、结石无结石率、住院时并发症及随访3个月，以确定手术疗效。结果:考虑HU值后，RIRS组平均手术时间较对照组(cRIRS)明显缩短(47.73±15.52 min vs. 72.41±27.71 min, P < 0.05)。在RIRS (OR 93.8, P < 0.01)和PCNL (OR 8.21, P < 0.05)中，HU值对手术时间有显著影响。在RIRS中，HU值与手术时间呈强正相关，而在PCNL中，HU值与手术时间呈低正相关(P < 0.05)。结论:总的来说，在综合考虑HU值等参数的情况下，对于2-3 cm的肾结石，RIRS可能是一种安全有效的治疗方案。个体化精准手术可能为需要长期连续临床治疗的患者提供理想的治疗和预后。
{"title":"The Value of Hounsfield Unit in Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy for the Treatment of Renal Stone of 2-3 cm: A Single-center Prospective Pilot Study","authors":"Yuzhuo Li, Qiqi He, Wang Fei, T. Ma, J. Bao, Li Yang, Wang Zhiping, G. Sanjay","doi":"10.31491/csrc.2021.09.077","DOIUrl":"https://doi.org/10.31491/csrc.2021.09.077","url":null,"abstract":"Background: To determine whether the Hounsfield Unit (HU) value of no-contrast computer computed tomography (NCCT) might offer better guidance in the selection of RIRS or PCNL in renal stones of 2-3 cm. Methods: A total of 158 patients with kidney stones (2-3 cm) who underwent PCNL/RIRS from March 2016 to January 2019 were enrolled in this study. Age, gender, stone sizes, locations, average HU value of stones, surgery time, hospital stay time, stone-free rate, and complications at the time of hospitalization and 3-month follow-up were measured to identify the surgery efficiency. Results: Upon consideration of the HU value, the mean surgery time was significantly decreased in RIRS comparing to the control RIRS (cRIRS) group (47.73 ± 15.52 vs. 72.41 ± 27.71 min, P < 0.05). Statistically, the surgery time was strongly influenced by the HU values both in RIRS (OR 93.8, P < 0.01) and PCNL (OR 8.21, P < 0.05). HU values proved to have a strong positive relation with surgery time in RIRS while a low positive relation in PCNL (P < 0.05). Conclusion: Overall, for renal stones of 2-3 cm, RIRS might be a safe and efficacious treatment option if the HU value and other parameters could be comprehensively accounted for. Individual precision surgery might provide ideal treatment and prognosis for patients requiring long-term continuous clinical procedures.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128082468","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 : 2021-06-25DOI: 10.31491/csrc.2021.06.073
Sandip K. Rahul, Digamber Chaubey, Rupesh Keshri, Pallavi Suman
Although ganglion cysts are commonly encountered in surgical practice, recurrences have been reported with almost all modalities used in its management [1]. We report an unusual complication following intra-lesional steroid injection. Consent was taken from the father of the patient before presenting this case; permission was also taken from the Institutional Ethics Committee
{"title":"Hypopigmentation with muscular and subcutaneous atrophy as a complication of Intralesional Steroid injection in Ganglion","authors":"Sandip K. Rahul, Digamber Chaubey, Rupesh Keshri, Pallavi Suman","doi":"10.31491/csrc.2021.06.073","DOIUrl":"https://doi.org/10.31491/csrc.2021.06.073","url":null,"abstract":"Although ganglion cysts are commonly encountered in surgical practice, recurrences have been reported with almost all modalities used in its management [1]. We report an unusual complication following intra-lesional steroid injection. Consent was taken from the father of the patient before presenting this case; permission was also taken from the Institutional Ethics Committee","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122563620","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 : 2021-06-25DOI: 10.31491/csrc.2021.06.075
Selim Durmaz, Ömer Faruk Rahman
Background: Mortality in acute Type A aortic dissection is still high and unpredictable. We aimed to investigate the validity of preoperative hematological markers and possible risk factors in predicting in-hospital mortality in patients operated with deep hypothermic circulatory arrest method. Methods: 78 consecutive patients who were admitted to the emergency service and operated on were retrospectively analyzed. Risk factors for in-hospital death were investigated to develop a predictive model. Results: There was no difference between patients in terms of the were demographic data of the patients. In the mortality group, only preoperative creatinine levels were found to be higher (p < 0.05). Factors affecting mortality were found as total circulatory arrest (TCA) and cross-clamp (X-clamp) times when intraoperative data were examined (p < 0.05). ROC analysis was performed to determine the power to predict mortality and to determine the cut-off point. In ROC analysis to predict mortality, X-Clamp time > 71 minutes, 68.2% sensitivity and 66.1% specificity, TCA > 44.5 minutes, 72.7% sensitivity and 73.2% specificity were found. In the mortality group, these values were found to be significantly higher than those who were discharged. Conclusion: In the surgical treatment of Type A aortic dissection under deep hypothermia, hematologic biomarkers may be insufficient in estimating the risk for mortality. Keywords: Acute; aortic dissection; biomarker; mortality
{"title":"Preoperative hematological parameters are inadequate for predicting mortality in Stanford Type A aortic dissection repair","authors":"Selim Durmaz, Ömer Faruk Rahman","doi":"10.31491/csrc.2021.06.075","DOIUrl":"https://doi.org/10.31491/csrc.2021.06.075","url":null,"abstract":"Background: Mortality in acute Type A aortic dissection is still high and unpredictable. We aimed to investigate the validity of preoperative hematological markers and possible risk factors in predicting in-hospital mortality in patients operated with deep hypothermic circulatory arrest method. Methods: 78 consecutive patients who were admitted to the emergency service and operated on were retrospectively analyzed. Risk factors for in-hospital death were investigated to develop a predictive model. Results: There was no difference between patients in terms of the were demographic data of the patients. In the mortality group, only preoperative creatinine levels were found to be higher (p < 0.05). Factors affecting mortality were found as total circulatory arrest (TCA) and cross-clamp (X-clamp) times when intraoperative data were examined (p < 0.05). ROC analysis was performed to determine the power to predict mortality and to determine the cut-off point. In ROC analysis to predict mortality, X-Clamp time > 71 minutes, 68.2% sensitivity and 66.1% specificity, TCA > 44.5 minutes, 72.7% sensitivity and 73.2% specificity were found. In the mortality group, these values were found to be significantly higher than those who were discharged. Conclusion: In the surgical treatment of Type A aortic dissection under deep hypothermia, hematologic biomarkers may be insufficient in estimating the risk for mortality. Keywords: Acute; aortic dissection; biomarker; mortality","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116029938","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 : 2021-06-25DOI: 10.31491/csrc.2021.06.076
M. Modeste, N. Saleh, Gallouo Messian, Hagguir Hissein, Abdi El Mostapha, Moataz Amine, Dakir Mohamed, Debbagh Adil, A. Rachid
Department of Urology, Ibn Rochd University Hospital and Faculty of Medicine and Pharmacy, Casablanca, Morocco.
摩洛哥卡萨布兰卡伊本罗得德大学医院和医学院泌尿科。
{"title":"Spontaneous fragmentation of a double J ureteral stent in a patient with a single anatomical kidney","authors":"M. Modeste, N. Saleh, Gallouo Messian, Hagguir Hissein, Abdi El Mostapha, Moataz Amine, Dakir Mohamed, Debbagh Adil, A. Rachid","doi":"10.31491/csrc.2021.06.076","DOIUrl":"https://doi.org/10.31491/csrc.2021.06.076","url":null,"abstract":"Department of Urology, Ibn Rochd University Hospital and Faculty of Medicine and Pharmacy, Casablanca, Morocco.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123441731","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 : 2021-06-25DOI: 10.31491/csrc.2021.06.074
J. Vale, S. Diniz, F. Rodrigues, A. Ribau, A. Coelho, Vânia Oliveira, P. Cardoso
Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus
{"title":"Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report","authors":"J. Vale, S. Diniz, F. Rodrigues, A. Ribau, A. Coelho, Vânia Oliveira, P. Cardoso","doi":"10.31491/csrc.2021.06.074","DOIUrl":"https://doi.org/10.31491/csrc.2021.06.074","url":null,"abstract":"Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115072208","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 : 2021-03-29DOI: 10.31491/CSRC.2021.03.068
M. Elabdi, H. Zejjari, Abederrahmane Elwali, R. Roukhsi, J. Louaste, L. Amhajji
Hydatidosis is an endemic parasitic disease affecting in most cases the parenchymal organs. The involvement of the soft tissue is a rare pathology that, left untreated, can lead to rupture and potentially catastrophic anaphylaxis. In this article, we describe the case of a 42-year-old male who developed a subcutaneous hydatid cyst in the buttock as a solitary primary localization. Consequently, the patient underwent a successful surgical excision with uneventful post-operative recovery.
{"title":"Solitary primary subcutaneous hydatid cyst of the buttock – Case report and literature review","authors":"M. Elabdi, H. Zejjari, Abederrahmane Elwali, R. Roukhsi, J. Louaste, L. Amhajji","doi":"10.31491/CSRC.2021.03.068","DOIUrl":"https://doi.org/10.31491/CSRC.2021.03.068","url":null,"abstract":"Hydatidosis is an endemic parasitic disease affecting in most cases the parenchymal organs. The involvement of the soft tissue is a rare pathology that, left untreated, can lead to rupture and potentially catastrophic anaphylaxis. In this article, we describe the case of a 42-year-old male who developed a subcutaneous hydatid cyst in the buttock as a solitary primary localization. Consequently, the patient underwent a successful surgical excision with uneventful post-operative recovery.","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115364797","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 : 2021-03-29DOI: 10.31491/CSRC.2021.03.070
Y. Kamal
Solitary fibrous tumor (SFT) is a relatively rare primary tumor of the pleura, originating from the mesenchymal cells. The tumor has a non-specific clinical, laboratory, and radiological features. Patients may be asymptomatic or have non-specific clinical features including chest pain, dyspnea, cough, and paraneoplastic symptoms. Complete surgical resection is indicated in all cases to avoid recurrence of the tumor. We described a 49-yearold woman who presented with unexplained right chest pain and repeated attacks of hypoglycemia, associated with pleural SFT. Keywords: Pleura; thoracic oncology; solitary fibrous tumor; paraneoplastic hypoglycemia; Doege-Potter syndrome
{"title":"Solitary fibrous tumor of the pleura: A rare mesenchymal tumor presented with hypoglycemia","authors":"Y. Kamal","doi":"10.31491/CSRC.2021.03.070","DOIUrl":"https://doi.org/10.31491/CSRC.2021.03.070","url":null,"abstract":"Solitary fibrous tumor (SFT) is a relatively rare primary tumor of the pleura, originating from the mesenchymal cells. The tumor has a non-specific clinical, laboratory, and radiological features. Patients may be asymptomatic or have non-specific clinical features including chest pain, dyspnea, cough, and paraneoplastic symptoms. Complete surgical resection is indicated in all cases to avoid recurrence of the tumor. We described a 49-yearold woman who presented with unexplained right chest pain and repeated attacks of hypoglycemia, associated with pleural SFT. Keywords: Pleura; thoracic oncology; solitary fibrous tumor; paraneoplastic hypoglycemia; Doege-Potter syndrome","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124049468","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 : 2021-03-06DOI: 10.31491/CSRC.2021.03.069
V. Pathirana
This case report describes a young girl who presented with chronic epigastric pain and abdominal mass without noticeable psychiatric illness or trichotillomania and subsequently trichobezoar was found to be the reason for her symptoms. She underwent laparotomy to retrieve the bezoar. During laparotomy extensive pneumatosis of the small bowel was noted where this association was not previously reported in the literature. Since pneumatosis was not symptomatic no bowel resection was carried out. She made an uneventful recovery. This illustrates that trichobezoar is an important cause to consider in young females with chronic abdominal pain even in the absence of clear evidence for trichotillomania. Rarely, this can be associated with intestinal pneumatosis. Intestinal pneumatosis does not warrant treatment unless it causes symptoms. Keywords: Trichobezoar; epigastric pain; pneumatosis intestinalis; trichotillomania; pneumoperitoneum
{"title":"Pneumatosis intestinalis in a patient with trichobezoar – Rare association","authors":"V. Pathirana","doi":"10.31491/CSRC.2021.03.069","DOIUrl":"https://doi.org/10.31491/CSRC.2021.03.069","url":null,"abstract":"This case report describes a young girl who presented with chronic epigastric pain and abdominal mass without noticeable psychiatric illness or trichotillomania and subsequently trichobezoar was found to be the reason for her symptoms. She underwent laparotomy to retrieve the bezoar. During laparotomy extensive pneumatosis of the small bowel was noted where this association was not previously reported in the literature. Since pneumatosis was not symptomatic no bowel resection was carried out. She made an uneventful recovery. This illustrates that trichobezoar is an important cause to consider in young females with chronic abdominal pain even in the absence of clear evidence for trichotillomania. Rarely, this can be associated with intestinal pneumatosis. Intestinal pneumatosis does not warrant treatment unless it causes symptoms. Keywords: Trichobezoar; epigastric pain; pneumatosis intestinalis; trichotillomania; pneumoperitoneum","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114723973","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 : 2020-12-30DOI: 10.31491/csrc.2020.12.066
N. Saleh, El Idrissi Alami Oussama, G. Youssef, A. Moustapha, Dakir Mohamed, Debbagh Adil, A. Rachid
Testicular tuberculosis is rare and represents only 3% of genitourinary tuberculosis cases. We are reporting a case of tuberculous orchi-epididymitis which was manifesting as a painful hydrocoele knowing that the condition has become favourable with a good evolution after conservative surgical intervention and anti-bacillary treatment. Keywords: Hydrocoele; orchiepididymitis; surgery; tuberculosis
{"title":"Isolated tubercular orchi-epididymitis with painful hydrocoele: Case report","authors":"N. Saleh, El Idrissi Alami Oussama, G. Youssef, A. Moustapha, Dakir Mohamed, Debbagh Adil, A. Rachid","doi":"10.31491/csrc.2020.12.066","DOIUrl":"https://doi.org/10.31491/csrc.2020.12.066","url":null,"abstract":"Testicular tuberculosis is rare and represents only 3% of genitourinary tuberculosis cases. We are reporting a case of tuberculous orchi-epididymitis which was manifesting as a painful hydrocoele knowing that the condition has become favourable with a good evolution after conservative surgical intervention and anti-bacillary treatment. Keywords: Hydrocoele; orchiepididymitis; surgery; tuberculosis","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116231017","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 : 2020-12-30DOI: 10.31491/csrc.2020.12.062
Lalit Kishore, Sumit Naraniya, D. Verma, P. Yadav, Ambrav Vedprakash, Ratan Raj
Background: Abdominal wall hernias are among the most commonly encountered surgical problem. Irreducibility, obstruction, and strangulation are its commonest complications which usually presents as acute emergencies. Emergency repair of complicated hernias is associated with poor prognosis and a high rate of postoperative complications even with better care, improved anesthetic management and advanced surgicaltechniques. Methods: The aim of the study was to evaluate incidence, morbidity, and mortality in complicated hernia and to compare with it non-complicated hernia. This study was conducted in the Department of General Surgery, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, from July 2018 to December 2019 on twenty-eight patients of complicated hernia and compared with similar no of uncomplicated hernia patients. Results: The mean age of the patients was 52 years with male to female ratio of 11:3 in the complicated external hernia group. The majority of the patient (60.7%) underwent herniorrhaphy, followed by hernioplasty (14.3%). Most of the patients (89.2%) survived without any post-operative morbidity, 7.1% of them developing wound sepsis while 3.5% of patients died after surgery due to septic shock. Conclusion: Complicated external hernias occur in all age groups but are more common in older age and show preponderance in males. All patients present with irreducible swelling with no cough impulse. The indirect inguinal hernia is the most common type and herniorrhaphy is the most preferred operative procedure in the complicated hernia. Wound sepsis was the most common complication. Morbidity and mortality may be attenuated with proper surgical and post-operative management. Keywords: Abdominal wall hernia; complicated hernia; herniorrhaphy; hernia
{"title":"A clinico-epidemiological study of complicated external hernia","authors":"Lalit Kishore, Sumit Naraniya, D. Verma, P. Yadav, Ambrav Vedprakash, Ratan Raj","doi":"10.31491/csrc.2020.12.062","DOIUrl":"https://doi.org/10.31491/csrc.2020.12.062","url":null,"abstract":"Background: Abdominal wall hernias are among the most commonly encountered surgical problem. Irreducibility, obstruction, and strangulation are its commonest complications which usually presents as acute emergencies. Emergency repair of complicated hernias is associated with poor prognosis and a high rate of postoperative complications even with better care, improved anesthetic management and advanced surgicaltechniques. Methods: The aim of the study was to evaluate incidence, morbidity, and mortality in complicated hernia and to compare with it non-complicated hernia. This study was conducted in the Department of General Surgery, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, from July 2018 to December 2019 on twenty-eight patients of complicated hernia and compared with similar no of uncomplicated hernia patients. Results: The mean age of the patients was 52 years with male to female ratio of 11:3 in the complicated external hernia group. The majority of the patient (60.7%) underwent herniorrhaphy, followed by hernioplasty (14.3%). Most of the patients (89.2%) survived without any post-operative morbidity, 7.1% of them developing wound sepsis while 3.5% of patients died after surgery due to septic shock. Conclusion: Complicated external hernias occur in all age groups but are more common in older age and show preponderance in males. All patients present with irreducible swelling with no cough impulse. The indirect inguinal hernia is the most common type and herniorrhaphy is the most preferred operative procedure in the complicated hernia. Wound sepsis was the most common complication. Morbidity and mortality may be attenuated with proper surgical and post-operative management. Keywords: Abdominal wall hernia; complicated hernia; herniorrhaphy; hernia","PeriodicalId":158678,"journal":{"name":"Clinical Surgery Research Communications","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130182995","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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