Pub Date : 2017-01-01DOI: 10.5455/aces.20170104051917
S. A. O. Júnior, R. Silva, Jéssica Siebra Macário de Brito, T. E. V. Lemos, Bárbara Monitchelly Fernandes Chaves, Amália Cinthia Menezes Rêgo, I. Araújo-Filho
Background: Schwannoma is a benign neoplasm derived from Schwann cells. It is usually located in the intracranial nerves, however intrathoracic presentation is possible, leading to compression of adjacent structures and symptoms. The absence of results from physical examination and the presence of mild symptoms (or absence) common to other diseases makes the diagnosis challenging, usually accomplished through imaging. Treatment consists of surgical resection by thoracotomy or thoracoscopy. This study aimed to review this subject with an emphasis on the diagnostic and therapeutic approaches currently available. Method: Articles were selected by searching the Scopus, Scielo, PubMed and Web of Science databases using the keywords: schwannoma, neurinoma, neurilemmoma, nerve tissue neoplasm, thoracotomy, thoracoscopy and mediastinal neoplasms. Results: Intrathoracic schwannoma often presents as asymptomatic and is identified during routine imaging tests. The recommended treatment is surgical resection by thoracoscopy or thoracotomy.
背景:神经鞘瘤是源于雪旺细胞的良性肿瘤。它通常位于颅内神经，但也可能出现在胸内，导致邻近结构受压和症状。体格检查无结果和其他疾病常见的轻微症状的存在(或缺失)使诊断具有挑战性，通常通过影像学完成。治疗方法包括开胸或胸腔镜手术切除。本研究旨在回顾这一主题，重点是目前可用的诊断和治疗方法。方法:检索Scopus、Scielo、PubMed、Web of Science数据库，检索关键词:神经鞘瘤、神经鞘瘤、神经鞘瘤、神经组织肿瘤、开胸手术、胸腔镜、纵隔肿瘤。结果:胸内神经鞘瘤通常表现为无症状，可在常规影像学检查中发现。推荐的治疗方法是胸腔镜或开胸手术切除。
{"title":"Diagnosis and therapeutic management updated on intrathoracic schwannoma","authors":"S. A. O. Júnior, R. Silva, Jéssica Siebra Macário de Brito, T. E. V. Lemos, Bárbara Monitchelly Fernandes Chaves, Amália Cinthia Menezes Rêgo, I. Araújo-Filho","doi":"10.5455/aces.20170104051917","DOIUrl":"https://doi.org/10.5455/aces.20170104051917","url":null,"abstract":"Background: Schwannoma is a benign neoplasm derived from Schwann cells. It is usually located in the intracranial nerves, however intrathoracic presentation is possible, leading to compression of adjacent structures and symptoms. The absence of results from physical examination and the presence of mild symptoms (or absence) common to other diseases makes the diagnosis challenging, usually accomplished through imaging. Treatment consists of surgical resection by thoracotomy or thoracoscopy. This study aimed to review this subject with an emphasis on the diagnostic and therapeutic approaches currently available. Method: Articles were selected by searching the Scopus, Scielo, PubMed and Web of Science databases using the keywords: schwannoma, neurinoma, neurilemmoma, nerve tissue neoplasm, thoracotomy, thoracoscopy and mediastinal neoplasms. Results: Intrathoracic schwannoma often presents as asymptomatic and is identified during routine imaging tests. The recommended treatment is surgical resection by thoracoscopy or thoracotomy.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"206-213"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766282","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.20150510040939
M. Bozkurt, E. Güvercin, H. Şi̇ri̇noğlu, G. Filinte, G. Temiz
The utilization of stem cell therapies is a trending topic in plastic surgery and fat tissue is the most commonly used stem cell source. Stem cell injection has become popular in the treatment of burn wound, especially in the late term scar modulation. However, insufficient amounts of fat tissue in the pediatric age group is a major limitation. The present study reports the utilization of tibial bone marrow aspiration as a source of mesenchymal stem cells in the pediatric age group with the simultaneous usage of x-ray examination to avoid epiphyseal damage.
{"title":"A new method for obtaining mesenchymal stem cells in children with burn injury: Tibial bone marrow aspiration by using the C-arm guidance scopy -","authors":"M. Bozkurt, E. Güvercin, H. Şi̇ri̇noğlu, G. Filinte, G. Temiz","doi":"10.5455/aces.20150510040939","DOIUrl":"https://doi.org/10.5455/aces.20150510040939","url":null,"abstract":"The utilization of stem cell therapies is a trending topic in plastic surgery and fat tissue is the most commonly used stem cell source. Stem cell injection has become popular in the treatment of burn wound, especially in the late term scar modulation. However, insufficient amounts of fat tissue in the pediatric age group is a major limitation. The present study reports the utilization of tibial bone marrow aspiration as a source of mesenchymal stem cells in the pediatric age group with the simultaneous usage of x-ray examination to avoid epiphyseal damage.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"56-57"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70764571","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.20150519122314
E. Carbó, B. Sobrón, J. A. Calvo, J. Vaquero
{"title":"Pseudoaneurysm of the superior lateral geniculate artery after an arthroscopic procedure in a 14-year-old patient","authors":"E. Carbó, B. Sobrón, J. A. Calvo, J. Vaquero","doi":"10.5455/ACES.20150519122314","DOIUrl":"https://doi.org/10.5455/ACES.20150519122314","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":"70764590","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.20160515015524
M. Wani, S. Mir, Saleem Javaid, Yawar Watali
{"title":"Open hemorrhoidectomy versus stapler hemorrhoidopexy: A prospective study","authors":"M. Wani, S. Mir, Saleem Javaid, Yawar Watali","doi":"10.5455/aces.20160515015524","DOIUrl":"https://doi.org/10.5455/aces.20160515015524","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":"70765516","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.20160725022731
S. Altınel, I. Erden, B. Ayhan, S. Akıncı, F. Sarıcaoğlu, Ü. Aypar
Background and Aim: Severe pain and comfortlessness may be seen in patients after arthroscopic knee surgery despite various commonly administered analgesic methods, particularly based on local anesthetics. The aim of this study was to determine the effect of intraarticular levobupivacaine injected preoperatively on pain relief and time to first analgesic request during the postoperative period. Material and Methods: 40 adult-patients, ASA I and II, undergoing elective arthroscopic surgery were included in the study. Patients in the levobupivacaine group received intra-articular levobupivacaine at 5mg/ml dosages and 20 ml total volume 30 min before the procedure. Patients in the control group received 20 ml of normal saline. Visual analogue scale (VAS) scores were assessed at the 1st, 2nd, 4th, 8th, 12th and 24th hour postoperatively. Time to first analgesic request and total analgesics used over the course of 24 hours after the surgery were recorded. All patients received continuous morphine infusion via patient controlled analgesia (PCA) devices postoperatively. Additionally, patients’ pain satisfaction scores were recorded. Results: Lower VAS scores at the 1st, 2nd, 4th and 8th hours postoperatively - both at rest and during motion - were found in the levobupivacaine group compared to the normal saline group (p
{"title":"Effectiveness of preemptive intra-articular levobupivacaine on pain relief after arthroscopic knee surgery -","authors":"S. Altınel, I. Erden, B. Ayhan, S. Akıncı, F. Sarıcaoğlu, Ü. Aypar","doi":"10.5455/aces.20160725022731","DOIUrl":"https://doi.org/10.5455/aces.20160725022731","url":null,"abstract":"Background and Aim: Severe pain and comfortlessness may be seen in patients after arthroscopic knee surgery despite various commonly administered analgesic methods, particularly based on local anesthetics. The aim of this study was to determine the effect of intraarticular levobupivacaine injected preoperatively on pain relief and time to first analgesic request during the postoperative period. Material and Methods: 40 adult-patients, ASA I and II, undergoing elective arthroscopic surgery were included in the study. Patients in the levobupivacaine group received intra-articular levobupivacaine at 5mg/ml dosages and 20 ml total volume 30 min before the procedure. Patients in the control group received 20 ml of normal saline. Visual analogue scale (VAS) scores were assessed at the 1st, 2nd, 4th, 8th, 12th and 24th hour postoperatively. Time to first analgesic request and total analgesics used over the course of 24 hours after the surgery were recorded. All patients received continuous morphine infusion via patient controlled analgesia (PCA) devices postoperatively. Additionally, patients’ pain satisfaction scores were recorded. Results: Lower VAS scores at the 1st, 2nd, 4th and 8th hours postoperatively - both at rest and during motion - were found in the levobupivacaine group compared to the normal saline group (p","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"17 1","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765584","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.20160402122947
A. Akhtar, M. Raza
{"title":"Giant calculus in ileal neo-ureter constructed for iatrogenic complete ureteric avulsion: A case report and review of literature","authors":"A. Akhtar, M. Raza","doi":"10.5455/ACES.20160402122947","DOIUrl":"https://doi.org/10.5455/ACES.20160402122947","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"56 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":"70765800","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.20160402122723
J. Neil, Jose Binu
Background: Preventing the recurrence of episodes of stone formation is the focus of interest for patients. This retrospective study aimed to determine the prevalence of metabolic abnormalities and anatomical alterations of the genitourinary tract in patients with recurrent urolithiasis. Methods: Patients who had recurrent renal calculi were included. Laboratory assessment was performed on two 24-hour samples of urine. The first 24-hour urine was a random specimen and the second was obtained after the patient had been on a sodium-, oxalate- and calcium-restricted diet for at least one week. The patients with hypercalciuria further underwent fasting and calcium load testing and were assessed in terms of parathyroid hormone levels. Urine culturing was conducted to rule out urinary tract infection. All patients were evaluated with ultrasound and intravenous pyelography for any anatomical abnormalities. Results: A total of 30 patients (20 male and 10 females) were included in the study. The most frequently found metabolic alterations were hypercalciuria, low urinary volume, urinary tract infection and hyperoxaluria. Anatomic alterations were found in 26.5% of patients, mainly in the form of renal cysts, pelvi-ureteric junction obstructions, horse shoe kidneys and atrophic kidney. Conclusions: 80% of patients with recurrent stone disease had some measure of metabolic abnormality to account for the disease. The use of two 24-hour urine samples significantly improved the detection rate of metabolic abnormalities compared to a single sample. The major limitation of this study was the small number of patients as well as the short study duration.
{"title":"Metabolic abnormalities and genitourinary tract anatomical alternations in patients with recurrent urolithiasis","authors":"J. Neil, Jose Binu","doi":"10.5455/aces.20160402122723","DOIUrl":"https://doi.org/10.5455/aces.20160402122723","url":null,"abstract":"Background: Preventing the recurrence of episodes of stone formation is the focus of interest for patients. This retrospective study aimed to determine the prevalence of metabolic abnormalities and anatomical alterations of the genitourinary tract in patients with recurrent urolithiasis. Methods: Patients who had recurrent renal calculi were included. Laboratory assessment was performed on two 24-hour samples of urine. The first 24-hour urine was a random specimen and the second was obtained after the patient had been on a sodium-, oxalate- and calcium-restricted diet for at least one week. The patients with hypercalciuria further underwent fasting and calcium load testing and were assessed in terms of parathyroid hormone levels. Urine culturing was conducted to rule out urinary tract infection. All patients were evaluated with ultrasound and intravenous pyelography for any anatomical abnormalities. Results: A total of 30 patients (20 male and 10 females) were included in the study. The most frequently found metabolic alterations were hypercalciuria, low urinary volume, urinary tract infection and hyperoxaluria. Anatomic alterations were found in 26.5% of patients, mainly in the form of renal cysts, pelvi-ureteric junction obstructions, horse shoe kidneys and atrophic kidney. Conclusions: 80% of patients with recurrent stone disease had some measure of metabolic abnormality to account for the disease. The use of two 24-hour urine samples significantly improved the detection rate of metabolic abnormalities compared to a single sample. The major limitation of this study was the small number of patients as well as the short study duration.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"81-85"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765920","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.20170503080840
Felipe Augusto Ribeiro Batista, Alexandre Campacci, Luis Marco, P. Traete, P. R. Corsi
Aims: In the current investigation, we studied the effects of a fiber-rich diet on experimental intestinal adhesion formation. Methods: A total of 40 Wistar rats (males), weighing between 350g and 400g, were divided into two groups. Group 7% (control) received a diet consisting of 7% fiber and the other group received a diet of 17% fiber (fiber-rich). The animals underwent laparotomies to induce adhesions on the 7th day of receiving their respective diets. Seven days after laparotomy the animals were sacrificed and adhesions were evaluated quantitatively and qualitatively (Swolin). Results: Quantitative analysis revealed that in the 7% group, 9 animals had 3 adhesions, 5 animals had 4 adhesions, 4 animals had 5 adhesions, and 1 animal died during induction. In the 17% group, 4 animals presented 2 adhesions, 6 animals had 3 adhesions, 6 animals had 4 adhesions, 2 animals showed 5 adhesions, and 1 animal died during induction. The Swolin score revealed that the 7% group had 2 animals with a score of 3, 10 animals with a score of 4, and 7 animals with a score of 5. In the 17% group, 4 animals had a score of 3, 7 animals had a score of 4, and 9 animals had a score of 5 (p = 0.319). Conclusion: Our data showed that the high-fiber diet was not effective to avoid the formation of adhesions.
{"title":"Impact of a fiber-rich diet on abdominal adhesion formation: An experimental study","authors":"Felipe Augusto Ribeiro Batista, Alexandre Campacci, Luis Marco, P. Traete, P. R. Corsi","doi":"10.5455/ACES.20170503080840","DOIUrl":"https://doi.org/10.5455/ACES.20170503080840","url":null,"abstract":"Aims: In the current investigation, we studied the effects of a fiber-rich diet on experimental intestinal adhesion formation. Methods: A total of 40 Wistar rats (males), weighing between 350g and 400g, were divided into two groups. Group 7% (control) received a diet consisting of 7% fiber and the other group received a diet of 17% fiber (fiber-rich). The animals underwent laparotomies to induce adhesions on the 7th day of receiving their respective diets. Seven days after laparotomy the animals were sacrificed and adhesions were evaluated quantitatively and qualitatively (Swolin). Results: Quantitative analysis revealed that in the 7% group, 9 animals had 3 adhesions, 5 animals had 4 adhesions, 4 animals had 5 adhesions, and 1 animal died during induction. In the 17% group, 4 animals presented 2 adhesions, 6 animals had 3 adhesions, 6 animals had 4 adhesions, 2 animals showed 5 adhesions, and 1 animal died during induction. The Swolin score revealed that the 7% group had 2 animals with a score of 3, 10 animals with a score of 4, and 7 animals with a score of 5. In the 17% group, 4 animals had a score of 3, 7 animals had a score of 4, and 9 animals had a score of 5 (p = 0.319). Conclusion: Our data showed that the high-fiber diet was not effective to avoid the formation of adhesions.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"7 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766055","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.20170604120630
M. Lopez, Arjel Ramirez, S. Maglangit, Hermogenes
{"title":"A case of a colo-ovarian cyst fistula as a complication of endometriosis","authors":"M. Lopez, Arjel Ramirez, S. Maglangit, Hermogenes","doi":"10.5455/aces.20170604120630","DOIUrl":"https://doi.org/10.5455/aces.20170604120630","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 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":"70766215","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.20161017105643
S. Belur, Hemalata Mahantappa
{"title":"Primary adenosquamous carcinoma of the stomach","authors":"S. Belur, Hemalata Mahantappa","doi":"10.5455/ACES.20161017105643","DOIUrl":"https://doi.org/10.5455/ACES.20161017105643","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 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":"70766265","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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