L. Iliescu, Mihaela Grumeza, Adriana Mercan Stanciu, L. Toma, A. Zgura, Popescu Gabriel Cristian, C. Ionescu, X. Bacinschi
{"title":"Spontaneous Intramural Duodenal Hematoma - A Rare Entity","authors":"L. Iliescu, Mihaela Grumeza, Adriana Mercan Stanciu, L. Toma, A. Zgura, Popescu Gabriel Cristian, C. Ionescu, X. Bacinschi","doi":"10.21614/sgo-479","DOIUrl":"https://doi.org/10.21614/sgo-479","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76747076","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}
T. Jagrič, Nenad Čubrić, T. Magdalenić, R. Kolaric
{"title":"The Impact of the ERAS Protocol on Laparoscopic Gastric Cancer Surgery in the West. A Retrospective Study","authors":"T. Jagrič, Nenad Čubrić, T. Magdalenić, R. Kolaric","doi":"10.21614/sgo-411","DOIUrl":"https://doi.org/10.21614/sgo-411","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75460439","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}
L. Iliescu, L. Toma, A. Mercan-Stanciu, M. Grasu, A. Tonea, V. Herlea, Toma Radu Valeriu, A. Zgura, X. Bacinschi
{"title":"Management of Intestinal Angiodysplasia and Cataclysmic Hemorrhage","authors":"L. Iliescu, L. Toma, A. Mercan-Stanciu, M. Grasu, A. Tonea, V. Herlea, Toma Radu Valeriu, A. Zgura, X. Bacinschi","doi":"10.21614/sgo-449","DOIUrl":"https://doi.org/10.21614/sgo-449","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76047702","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}
A. R. Abdalwahab, A. Hafez, Mai Gad, M. Elmahdy, A. Farahat
{"title":"Recurrence and Oncologic Outcome After Nipple Sparing Mastectomy","authors":"A. R. Abdalwahab, A. Hafez, Mai Gad, M. Elmahdy, A. Farahat","doi":"10.21614/sgo-495","DOIUrl":"https://doi.org/10.21614/sgo-495","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79522632","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}
Ehab Mohammed Ali Fadl, Ahmed F. Amer, Hossam S Abdelrahim
{"title":"Is Abdominal Drain Necessary after Laparoscopic Appendectomy for Complicated Appendicitis?","authors":"Ehab Mohammed Ali Fadl, Ahmed F. Amer, Hossam S Abdelrahim","doi":"10.21614/sgo-427","DOIUrl":"https://doi.org/10.21614/sgo-427","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78302787","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}
M. Mihăilă, G. Smira, D. Hrehoreţ, I. Barbu, L. Stoica, G. Vatachki, Alexandru Ristea, Razvan Lazea, Radu Lucian Dumitru, Ana Maria Moldovianu, Oana Diana Preda, D. Coriu, E. Scărlătescu, Esenia Calancea, A. Marcu, D. Tomescu, I. Popescu, V. Brașoveanu
{"title":"Living Donor Liver Transplantation with Left Lobe for Budd-Chiari Syndrome - A Challenging Procedure","authors":"M. Mihăilă, G. Smira, D. Hrehoreţ, I. Barbu, L. Stoica, G. Vatachki, Alexandru Ristea, Razvan Lazea, Radu Lucian Dumitru, Ana Maria Moldovianu, Oana Diana Preda, D. Coriu, E. Scărlătescu, Esenia Calancea, A. Marcu, D. Tomescu, I. Popescu, V. Brașoveanu","doi":"10.21614/sgo-535","DOIUrl":"https://doi.org/10.21614/sgo-535","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81186026","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}
Shady Elzeftawy, Magdy Basheer, H. Elghadban, M. Shetiwy, Abdelazeem Elganash, Abdelrahman Albahy
Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%. Mesh-reinforced stoma reversal might be a simple and applicable approach to decrease the frequency of incisional hernia. There is a current debate about efficacy of this technique in preventing incisional hernias following stoma closure. Methods: In this prospective clinical study, all patients with temporary stoma who admitted to Mansoura University Hospital at the period from February 2019 to April 2021 and fulfill the eligibility criteria were distributed into 2 groups. In group I conventional sutured fascial closure was done while in group-II mesh reinforced fascial closure was done during stoma reversal. Results: Time to stoma closure had mean values of 26.76 and 24 weeks in Groups 1 and 2 respectively (p = 0.430). Surgical site infections (SSI) were encountered in 20% and 19% of patients in the two groups (p = 0.868). The occurrence of stoma site incisional hernia (SSIH) showed a significant increase in Group 1 (20% vs 2% in the other group – p = 0.009). Conclusion: prophylactic mesh reinforcement throughout stoma closure significantly reduces the incidence of stoma site incisional hernia with no significant increase in the incidence of the stoma site wound infection.
背景:切口疝是一种被低估的造口术后并发症，发生率约为40%。网状补口术可能是一种简单可行的降低切口疝发生率的方法。目前关于该技术在预防切口疝闭合后的有效性存在争议。方法:本前瞻性临床研究将2019年2月至2021年4月在曼苏拉大学医院住院的符合条件的临时造口患者分为两组。ⅰ组采用常规缝合筋膜闭合，ⅱ组采用补片强化筋膜闭合。结果:1组和2组的平均造口时间分别为26.76周和24周(p = 0.430)。两组患者手术部位感染(SSI)发生率分别为20%和19% (p = 0.868)。造口切口疝(SSIH)发生率1组显著增高(20% vs 2%， p = 0.009)。结论:在整个造口过程中预防性补片加固可显著降低造口切口疝的发生率，但未显著增加造口切口感染的发生率。
{"title":"Evaluation of Mesh Reinforcement during Intestinal Stoma Closure in Prevention of Stomal Site Incisional Hernia: Randomized Controlled Trial","authors":"Shady Elzeftawy, Magdy Basheer, H. Elghadban, M. Shetiwy, Abdelazeem Elganash, Abdelrahman Albahy","doi":"10.21614/sgo-438","DOIUrl":"https://doi.org/10.21614/sgo-438","url":null,"abstract":"Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%. Mesh-reinforced stoma reversal might be a simple and applicable approach to decrease the frequency of incisional hernia. There is a current debate about efficacy of this technique in preventing incisional hernias following stoma closure. Methods: In this prospective clinical study, all patients with temporary stoma who admitted to Mansoura University Hospital at the period from February 2019 to April 2021 and fulfill the eligibility criteria were distributed into 2 groups. In group I conventional sutured fascial closure was done while in group-II mesh reinforced fascial closure was done during stoma reversal. Results: Time to stoma closure had mean values of 26.76 and 24 weeks in Groups 1 and 2 respectively (p = 0.430). Surgical site infections (SSI) were encountered in 20% and 19% of patients in the two groups (p = 0.868). The occurrence of stoma site incisional hernia (SSIH) showed a significant increase in Group 1 (20% vs 2% in the other group – p = 0.009). Conclusion: prophylactic mesh reinforcement throughout stoma closure significantly reduces the incidence of stoma site incisional hernia with no significant increase in the incidence of the stoma site wound infection.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78004132","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}
{"title":"Posterior Perforation by Peptic Ulcer. Our 12-Year Experience of 6 Cases","authors":"Ovidiu-Angel Matei, L. Matei, W. Lamadé","doi":"10.21614/sgo-402","DOIUrl":"https://doi.org/10.21614/sgo-402","url":null,"abstract":"","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88693302","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}
Alexandru Bârcu, Bogdan Braşoveanu, I. Luca, I. Popescu, F. Botea
Associating liver partition and portal vein ligation (ALPPS) is nowadays an established surgical strategy for patients with liver tumors who are not amenable for upfront hepatectomy because of a too small future liver remnant
{"title":"Parenchyma Sparing ALPPS - A New Technical Variant. Case Presentation (with video)","authors":"Alexandru Bârcu, Bogdan Braşoveanu, I. Luca, I. Popescu, F. Botea","doi":"10.21614/sgo-492","DOIUrl":"https://doi.org/10.21614/sgo-492","url":null,"abstract":"Associating liver partition and portal vein ligation (ALPPS) is nowadays an established surgical strategy for patients with liver tumors who are not amenable for upfront hepatectomy because of a too small future liver remnant","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82004080","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}
G. Inan, Ipek Pinar Aral, Binnur Tuncer, Tarık Kargıoğlu, Feyza YAŞAR DAŞGIN, S. AYTAÇ ARSLAN, Y. Tezcan
Aim: This study aimed to examine whether there is a relationship between spleen radiation doses and hematological parameters in gastric cancer patients. Materials and Methods: The patients who received chemoradiotherapy for nonmetastatic locally advanced gastric cancer were analyzed retrospectively. The dose parameters evaluated were spleen V5, V10, V15, V20, V25, V30 and mean spleen dose (MSD). Blood tests were evaluated at the beginning of the treatment (basal), in the 12-14 fractions of the treatment (mid-treatment), in the first week after the end of the treatment (at the end of treatment) and 3th month control after radiotherapy. The CTCAE (Common Toxicity Criteria for Adverse Events) ver 5.0 was used. The SPSS 26 (IBM Corp, Armonk, NY) was used for statistical analysis. Results: The data of 28 patients with gastric adenocarcinoma who received curative-adjuvant radiotherapy (RT) were evaluated retrospectively. The median age of the patients was 63 years (range 33-81). The median total dose was 45 (range 41.40-55) Gy.There were not statically significant relationships between any platelet or absolute lymphocyte count (mid treatment, end of the treatment and 3. months control) and splenic does.The statically significant relationships were found between mid-treatment absolute neutrophil count and mean splenic dose (p=0.044); spleen V10 doses (p=0.030); spleen V15 doses (p=0.031); spleenV20 doses (p=0.044).There were statically significant difference between at the third months control after treatment absolute neutrophil count and mean splenic dose (p=0.037), spleen V30 (p=0.039). Conclusion: A significant relationship was found between mid treatment, at the third month control neutropenia and spleen mean splenic dose, spleen V10 doses, spleen V15 doses, spleen V20 doses in gastric cancers.
{"title":"The Effect of Spleen Doses on the Hematological Parameters in Adjuvant Gastric Cancer Radiotherapy","authors":"G. Inan, Ipek Pinar Aral, Binnur Tuncer, Tarık Kargıoğlu, Feyza YAŞAR DAŞGIN, S. AYTAÇ ARSLAN, Y. Tezcan","doi":"10.21614/sgo-493","DOIUrl":"https://doi.org/10.21614/sgo-493","url":null,"abstract":"Aim: This study aimed to examine whether there is a relationship between spleen radiation doses and hematological parameters in gastric cancer patients. Materials and Methods: The patients who received chemoradiotherapy for nonmetastatic locally advanced gastric cancer were analyzed retrospectively. The dose parameters evaluated were spleen V5, V10, V15, V20, V25, V30 and mean spleen dose (MSD). Blood tests were evaluated at the beginning of the treatment (basal), in the 12-14 fractions of the treatment (mid-treatment), in the first week after the end of the treatment (at the end of treatment) and 3th month control after radiotherapy. The CTCAE (Common Toxicity Criteria for Adverse Events) ver 5.0 was used. The SPSS 26 (IBM Corp, Armonk, NY) was used for statistical analysis. Results: The data of 28 patients with gastric adenocarcinoma who received curative-adjuvant radiotherapy (RT) were evaluated retrospectively. The median age of the patients was 63 years (range 33-81). The median total dose was 45 (range 41.40-55) Gy.There were not statically significant relationships between any platelet or absolute lymphocyte count (mid treatment, end of the treatment and 3. months control) and splenic does.The statically significant relationships were found between mid-treatment absolute neutrophil count and mean splenic dose (p=0.044); spleen V10 doses (p=0.030); spleen V15 doses (p=0.031); spleenV20 doses (p=0.044).There were statically significant difference between at the third months control after treatment absolute neutrophil count and mean splenic dose (p=0.037), spleen V30 (p=0.039). Conclusion: A significant relationship was found between mid treatment, at the third month control neutropenia and spleen mean splenic dose, spleen V10 doses, spleen V15 doses, spleen V20 doses in gastric cancers.","PeriodicalId":22101,"journal":{"name":"Surgery, Gastroenterology and Oncology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76858641","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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