Pub Date : 2017-09-01DOI: 10.5455/ACES.20161017105054
M. Kassem, H. El-Haddad
Objective: The purpose of this work was to compare primary resection and immediate reconstruction after either manual decompression only or on-table lavage in the management of acutely obstructed left colonic lesions. Methods: This prospective study was conducted on 281 adult patients presenting to the Emergency Surgical Department of the Main Alexandria University Hospital, Faculty of Medicine, Alexandria University, Egypt, during the period from February 2011 to March 2016. Patients were randomly divided pre-operatively into two groups: group A, in which on-table colonic lavage was performed prior to anastomosis and group B, where immediate anastomosis was carried out after manual decompression. Results: Both groups were similar with regards to demographic data and etiology of obstruction. Group B had shorter operation times, less respiratory complications, reduced need for intensive care admission, decreased wound infection and shorter hospital stays. No statistically significant difference was found between benign and malignant causes. The rate of anastomotic leak did not vary between either group. Conclusions: In favorable situations, omission of on-table lavage may be preferred for immediate anastomosis in obstructed left colonic emergencies. The technique is reliable and well-tolerated with no additional morbidity or mortality.
{"title":"Colectomy and immediate anastomosis versus on-table colonic lavage for the management of acutely obstructed left colon -","authors":"M. Kassem, H. El-Haddad","doi":"10.5455/ACES.20161017105054","DOIUrl":"https://doi.org/10.5455/ACES.20161017105054","url":null,"abstract":"Objective: The purpose of this work was to compare primary resection and immediate reconstruction after either manual decompression only or on-table lavage in the management of acutely obstructed left colonic lesions. \u0000Methods: This prospective study was conducted on 281 adult patients presenting to the Emergency Surgical Department of the Main Alexandria University Hospital, Faculty of Medicine, Alexandria University, Egypt, during the period from February 2011 to March 2016. Patients were randomly divided pre-operatively into two groups: group A, in which on-table colonic lavage was performed prior to anastomosis and group B, where immediate anastomosis was carried out after manual decompression. \u0000Results: Both groups were similar with regards to demographic data and etiology of obstruction. Group B had shorter operation times, less respiratory complications, reduced need for intensive care admission, decreased wound infection and shorter hospital stays. No statistically significant difference was found between benign and malignant causes. The rate of anastomotic leak did not vary between either group. \u0000Conclusions: In favorable situations, omission of on-table lavage may be preferred for immediate anastomosis in obstructed left colonic emergencies. The technique is reliable and well-tolerated with no additional morbidity or mortality.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"138-148"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47852507","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 : 2017-09-01DOI: 10.5455/ACES.20160813055129
M. Kırnap, M. Yağmurdur, N. Bayraktar, Cem Comuoglu, G. Moray
{"title":"Use of soluble complement receptor type 1 to prevent local and distant organ injury in a rat intestinal ischemia reperfusion model","authors":"M. Kırnap, M. Yağmurdur, N. Bayraktar, Cem Comuoglu, G. Moray","doi":"10.5455/ACES.20160813055129","DOIUrl":"https://doi.org/10.5455/ACES.20160813055129","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"126-131"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45931413","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 : 2017-06-01DOI: 10.5455/ACES.20150818125051
Ismail Kucuker, M. Keleş, I. Aksakal
Giant benign breast masses have been reported in the literature. Most of these reports are lipomas and fibroadenomas. Fibrocystic breast disease is also very common but has not been described as a giant mass in the breast as of yet. It can also be seen with fibroadenosis combined with micro- and macro-cyst formations. In this study, the aim was to present two-stage reconstructive management to restore a severe breast asymmetry caused by a rare benign lesion. A 39-year-old woman with unilateral asymmetry in her breast was admitted to the clinic. Preoperative USG revealed fibroglandular tissue in her right breast but did not show a well-circumscribed mass. It also showed micro- and macro-cysts. It was concluded that in case of severe breast asymmetry, a combination of different techniques is required.
{"title":"Breast reconstruction using dermoglandular flaps and fat grafting following the resection of unilateral giant fibrocystic changes","authors":"Ismail Kucuker, M. Keleş, I. Aksakal","doi":"10.5455/ACES.20150818125051","DOIUrl":"https://doi.org/10.5455/ACES.20150818125051","url":null,"abstract":"Giant benign breast masses have been reported in the literature. Most of these reports are lipomas and fibroadenomas. Fibrocystic breast disease is also very common but has not been described as a giant mass in the breast as of yet. It can also be seen with fibroadenosis combined with micro- and macro-cyst formations. In this study, the aim was to present two-stage reconstructive management to restore a severe breast asymmetry caused by a rare benign lesion. A 39-year-old woman with unilateral asymmetry in her breast was admitted to the clinic. Preoperative USG revealed fibroglandular tissue in her right breast but did not show a well-circumscribed mass. It also showed micro- and macro-cysts. It was concluded that in case of severe breast asymmetry, a combination of different techniques is required.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"100-103"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43689381","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 : 2017-03-01DOI: 10.5455/aces.20160114010107
M. Girgin, K. Duman, S. Kavak, E. Kavak
Introduction: Systematic screening for breast cancer is performed to reduce the current mortality rate and incidence by diagnosing the patients during the early stage and asymptomatic phase of the disease. A high quality screening program may produce a long-lasting decrease in mortality only if the treatment is of an equal standard. Patients and Method: 350 patients’ medical records, including breast physical examinations, age, gender, mammography findings, number of gravidity, parity and abortion, curettage, whether or not there is systemic and endocrinological disease present and pelvic masses were analyzed retrospectively. Result: Most of the patients (91.1%) had no breast pathological findings. 2.6% of patients had fibroadenoma and 4.6% had fibrocystic breast changes exhibited through mammography. One patient was found to have a breast mass. In that patient, tru-cut biopsy revealed infiltrating ducal carcinoma. Conclusion: A multidisciplinary cancer screening program should be maintained. With such a process, the aim is to reduce the morbidity and mortality of the disease without adversely affecting the health conditions of asymptomatic individuals based on the screening. Success is brought about by the combination of individual features.
{"title":"Breast cancer screening: An outpatient clinic study","authors":"M. Girgin, K. Duman, S. Kavak, E. Kavak","doi":"10.5455/aces.20160114010107","DOIUrl":"https://doi.org/10.5455/aces.20160114010107","url":null,"abstract":"Introduction: Systematic screening for breast cancer is performed to reduce the current mortality rate and incidence by diagnosing the patients during the early stage and asymptomatic phase of the disease. A high quality screening program may produce a long-lasting decrease in mortality only if the treatment is of an equal standard. \u0000Patients and Method: 350 patients’ medical records, including breast physical examinations, age, gender, mammography findings, number of gravidity, parity and abortion, curettage, whether or not there is systemic and endocrinological disease present and pelvic masses were analyzed retrospectively. \u0000Result: Most of the patients (91.1%) had no breast pathological findings. 2.6% of patients had fibroadenoma and 4.6% had fibrocystic breast changes exhibited through mammography. One patient was found to have a breast mass. In that patient, tru-cut biopsy revealed infiltrating ducal carcinoma. \u0000Conclusion: A multidisciplinary cancer screening program should be maintained. With such a process, the aim is to reduce the morbidity and mortality of the disease without adversely affecting the health conditions of asymptomatic individuals based on the screening. Success is brought about by the combination of individual features.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44920484","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 : 2017-03-01DOI: 10.5455/ACES.20160324071223
Y. Uzuntarla
Introduction: Kidney transplantation is the most effective treatment of end-stage renal failure. Although many patients continue to wait for a kidney transplant, there are constraints in organ supply. This situation needs to be analyzed and to be managed effectively. Objective: The objective of this study was to determine the status of information regarding kidney transplants provided to patients treated with hemodialysis, the patients’ thoughts regarding kidney transplants and the national organ transplant system as well as assessing their registration status at transplant centers. Methods: 273 patients receiving hemodialysis treatment at 4 private dialysis centers in Ankara/Turkey were evaluated within the scope of this descriptive study. The data were collected through a survey method. The survey consisted of 18 questions in total which had been developed by the authors. Results: It was determined that the hemodialysis patients responding to the survey were in the 20-95 age group with an average age of 58,64±15,64 years. 87,9% of the patients reported that they had been briefed about kidney transplants, 32,2% of those had been briefed said that the information had been delivered by the dialysis physician, 77,7% stated that they wanted a kidney transplant from a cadaver, 49,5% did not want a kidney transplant from a live donor and 35,5% indicated that the national organ transplant system operated adequately. Furthermore, it was noted that 50,9% of the responders were registered on the waiting lists of kidney transplant centers. Conclusions: It was concluded that it is necessary to provide sufficient information to hemodialysis patients about kidney transplants and the national organ transplant system to steer them to transplant centers. It is anticipated that the results of this study will assist officers of the Ministry of Health, politicians involved in health issues, decision makers and health professionals.
{"title":"Analysis of hemodialysis patients thoughts about kidney transplantation and the national organ transplant system in terms of organ transplantation services management","authors":"Y. Uzuntarla","doi":"10.5455/ACES.20160324071223","DOIUrl":"https://doi.org/10.5455/ACES.20160324071223","url":null,"abstract":"Introduction: Kidney transplantation is the most effective treatment of end-stage renal failure. Although many patients continue to wait for a kidney transplant, there are constraints in organ supply. This situation needs to be analyzed and to be managed effectively. \u0000Objective: The objective of this study was to determine the status of information regarding kidney transplants provided to patients treated with hemodialysis, the patients’ thoughts regarding kidney transplants and the national organ transplant system as well as assessing their registration status at transplant centers. \u0000Methods: 273 patients receiving hemodialysis treatment at 4 private dialysis centers in Ankara/Turkey were evaluated within the scope of this descriptive study. The data were collected through a survey method. The survey consisted of 18 questions in total which had been developed by the authors. \u0000Results: It was determined that the hemodialysis patients responding to the survey were in the 20-95 age group with an average age of 58,64±15,64 years. 87,9% of the patients reported that they had been briefed about kidney transplants, 32,2% of those had been briefed said that the information had been delivered by the dialysis physician, 77,7% stated that they wanted a kidney transplant from a cadaver, 49,5% did not want a kidney transplant from a live donor and 35,5% indicated that the national organ transplant system operated adequately. Furthermore, it was noted that 50,9% of the responders were registered on the waiting lists of kidney transplant centers. Conclusions: It was concluded that it is necessary to provide sufficient information to hemodialysis patients about kidney transplants and the national organ transplant system to steer them to transplant centers. It is anticipated that the results of this study will assist officers of the Ministry of Health, politicians involved in health issues, decision makers and health professionals.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45879277","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 : 2017-01-01DOI: 10.5455/ACES.20150504094058
I. Mir, H. Dar, Aijaz Ahmad Malyar, Alfar Nafae Nafae, F. A. Dar, S. B. Bhat
{"title":"Laparoscopic management of a giant trichobezoar causing Rapunzel syndrome: A case report","authors":"I. Mir, H. Dar, Aijaz Ahmad Malyar, Alfar Nafae Nafae, F. A. Dar, S. B. Bhat","doi":"10.5455/ACES.20150504094058","DOIUrl":"https://doi.org/10.5455/ACES.20150504094058","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70764457","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 : 2017-01-01DOI: 10.5455/ACES.20150809085449
M. Lopez, J. P. Gonzalez, M. Roxas
A case is discussed involving a 25-year-old female with attenuated familial adenomatous polyposis that presented as an abdominal wall mass. The patient eventually underwent a restorative proctocolectomy with ileal pouch anal anastomosis.
{"title":"Attenuated familial adenomatous polyposis presenting as an abdominal wall mass","authors":"M. Lopez, J. P. Gonzalez, M. Roxas","doi":"10.5455/ACES.20150809085449","DOIUrl":"https://doi.org/10.5455/ACES.20150809085449","url":null,"abstract":"A case is discussed involving a 25-year-old female with attenuated familial adenomatous polyposis that presented as an abdominal wall mass. The patient eventually underwent a restorative proctocolectomy with ileal pouch anal anastomosis.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"53-55"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70764688","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 : 2017-01-01DOI: 10.5455/ACES.20160520030050
G. Argun, S. Altınel
Iliohypogastric nerve blockage is rarely used for surgical operations in inguinal regions for the purpose of anesthesia without general or spinal anesthesia. A 33-year-old man with severe congenital chest and back deformities as well as cardiac and respiratory system problems had a testicular mass. General or spinal anesthesia may cause severe complications because of existing anatomical conditions and co-morbidities. Therefore, Iliohypogastric nerve blockage was performed with the aim of achieving anesthetic activity without general and spinal anesthesia. There were no side effects related to iliohypogastric nerve blockage during the postoperative period, including nausea, vomiting, hypotension, urinary retention, femoral nerve palsy, and local hematoma. Both the surgeon and the patient’s satisfaction were evaluated. Using iliohypogastric nerve blockage should be keep in mind for patients with anatomic or heart and pulmonary function problems with the goal of achieving anesthetic activity without general and spinal anesthesia.
{"title":"Radical orchiectomy with iliohypogastric nerve blockage: A case report -","authors":"G. Argun, S. Altınel","doi":"10.5455/ACES.20160520030050","DOIUrl":"https://doi.org/10.5455/ACES.20160520030050","url":null,"abstract":"Iliohypogastric nerve blockage is rarely used for surgical operations in inguinal regions for the purpose of anesthesia without general or spinal anesthesia. A 33-year-old man with severe congenital chest and back deformities as well as cardiac and respiratory system problems had a testicular mass. General or spinal anesthesia may cause severe complications because of existing anatomical conditions and co-morbidities. Therefore, Iliohypogastric nerve blockage was performed with the aim of achieving anesthetic activity without general and spinal anesthesia. There were no side effects related to iliohypogastric nerve blockage during the postoperative period, including nausea, vomiting, hypotension, urinary retention, femoral nerve palsy, and local hematoma. Both the surgeon and the patient’s satisfaction were evaluated. Using iliohypogastric nerve blockage should be keep in mind for patients with anatomic or heart and pulmonary function problems with the goal of achieving anesthetic activity without general and spinal anesthesia.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"214-216"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765529","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 : 2017-01-01DOI: 10.5455/ACES.20161017105309
Arjun Menon, M. Kaushik, Varghese Nevil, A. R. Vinayakumar
Purpose: Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvements, the basic optical principles and their limitations have remained the same over the past three decades. This study was aimed at visualizing and evaluating the middle ear structures with the aid of an otomicroscope and 0, 30 and 70 degree-angled endoscopes in cases of chronic suppurative otitis media. Methods: In this prospective study, 100 patients (63 males and 37 females) above the age of 10 years with CSOM were subjected to both otomicroscopy and otoendoscopy. The visualizations of middle ear structures were compared and statistically analyzed. Results: Middle ear structures were better evaluated with 30 and 70 degree endoscopes (p 0.05) advantage of endoscopes over microscopes was detected in examining middle ear mucosa. However, the microscope was better than a 70 degree endoscope in visualization of the mouth of the retraction pocket. Conclusion: Endoscopy provided a significantly better visualization for all the parameters studied versus a microscope. It is desirable to study the role of the endoscope in more cases of unsafe CSOM and also intraoperatively.
{"title":"A comparative study of middle ear evaluation by otomicroscopy and otoendoscopy in cases of chronic suppurative otitis media","authors":"Arjun Menon, M. Kaushik, Varghese Nevil, A. R. Vinayakumar","doi":"10.5455/ACES.20161017105309","DOIUrl":"https://doi.org/10.5455/ACES.20161017105309","url":null,"abstract":"Purpose: Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvements, the basic optical principles and their limitations have remained the same over the past three decades. This study was aimed at visualizing and evaluating the middle ear structures with the aid of an otomicroscope and 0, 30 and 70 degree-angled endoscopes in cases of chronic suppurative otitis media. Methods: In this prospective study, 100 patients (63 males and 37 females) above the age of 10 years with CSOM were subjected to both otomicroscopy and otoendoscopy. The visualizations of middle ear structures were compared and statistically analyzed. Results: Middle ear structures were better evaluated with 30 and 70 degree endoscopes (p 0.05) advantage of endoscopes over microscopes was detected in examining middle ear mucosa. However, the microscope was better than a 70 degree endoscope in visualization of the mouth of the retraction pocket. Conclusion: Endoscopy provided a significantly better visualization for all the parameters studied versus a microscope. It is desirable to study the role of the endoscope in more cases of unsafe CSOM and also intraoperatively.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"274 1","pages":"149-155"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765639","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 : 2017-01-01DOI: 10.5455/ACES.20160324070644
Ankit Shukla, Ramesh Bharti, Amar Verma, R. Chaudhary
{"title":"Differentiating Chilaiditi signs from Chilaiditi syndrome","authors":"Ankit Shukla, Ramesh Bharti, Amar Verma, R. Chaudhary","doi":"10.5455/ACES.20160324070644","DOIUrl":"https://doi.org/10.5455/ACES.20160324070644","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765660","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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