{"title":"Clinical Expressions of Herniosis: Report of a Case","authors":"Montero-Puga Jesús Andrés, Padrón-Arredondo Guillermo, Cruz-Méndez Adriana Tereza","doi":"10.23937/2378-3397/1410157","DOIUrl":"https://doi.org/10.23937/2378-3397/1410157","url":null,"abstract":"","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.23937/2378-3397/1410150
Gonçalves Giuliana Fulco, Miranda Italo Barros, do Rêgo Amália Cinthia Meneses, Araújo-Filho* Irami
Postoperative tetanus is a rare, often forgotten, but potentially fatal complication of abdominal surgery. The purpose of this paper is to review the available literature on postoperative tetanus following abdominal surgery, including its incidence, risk factors, clinical features, management, and outcomes. A comprehensive search of the PubMed, Embase, Scopus, Lilacs, and Google Scholar databases was conducted using relevant keywords (“Tetanus,” “abdominal surgery,” “Postoperative”), and a total of 1.182 articles were identified for review, with 11 being selected. The incidence of postoperative tetanus following abdominal surgery is very low, with only a few case reports published in the literature. Most cases occurred in patients with risk factors such as chronic alcoholism, diabetes, and malnutrition. The clinical presentation of postoperative tetanus can be variable, ranging from mild symptoms such as muscle stiffness and spasm to severe features such as respiratory failure and cardiac arrest. The diagnosis of postoperative tetanus is primarily clinical and is based on characteristic symptoms and signs. Treatment involves prompt administration of tetanus immunoglobulin, wound debridement, and supportive care. In conclusion, postoperative tetanus following abdominal surgery is a rare but severe complication that requires immediate recognition and management. Clinicians should be aware of the risk factors for tetanus and take appropriate preventive measures, such as preoperative vaccination, in high-risk patients.
{"title":"Postoperative Tetanus in Abdominal Surgery: Scope Review","authors":"Gonçalves Giuliana Fulco, Miranda Italo Barros, do Rêgo Amália Cinthia Meneses, Araújo-Filho* Irami","doi":"10.23937/2378-3397/1410150","DOIUrl":"https://doi.org/10.23937/2378-3397/1410150","url":null,"abstract":"Postoperative tetanus is a rare, often forgotten, but potentially fatal complication of abdominal surgery. The purpose of this paper is to review the available literature on postoperative tetanus following abdominal surgery, including its incidence, risk factors, clinical features, management, and outcomes. A comprehensive search of the PubMed, Embase, Scopus, Lilacs, and Google Scholar databases was conducted using relevant keywords (“Tetanus,” “abdominal surgery,” “Postoperative”), and a total of 1.182 articles were identified for review, with 11 being selected. The incidence of postoperative tetanus following abdominal surgery is very low, with only a few case reports published in the literature. Most cases occurred in patients with risk factors such as chronic alcoholism, diabetes, and malnutrition. The clinical presentation of postoperative tetanus can be variable, ranging from mild symptoms such as muscle stiffness and spasm to severe features such as respiratory failure and cardiac arrest. The diagnosis of postoperative tetanus is primarily clinical and is based on characteristic symptoms and signs. Treatment involves prompt administration of tetanus immunoglobulin, wound debridement, and supportive care. In conclusion, postoperative tetanus following abdominal surgery is a rare but severe complication that requires immediate recognition and management. Clinicians should be aware of the risk factors for tetanus and take appropriate preventive measures, such as preoperative vaccination, in high-risk patients.","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133289191","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":"Giant Hydronephrosis Presented as a Huge Abdominal Mass in a 22-Year-Old Male: A Case Report","authors":"Itzayana López Alvarado Mariela, Ismael Martínez Villalpando Ricardo, Oscar Carmona Flores","doi":"10.23937/2378-3397/1410152","DOIUrl":"https://doi.org/10.23937/2378-3397/1410152","url":null,"abstract":"","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116155040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.23937/2378-3397/1410151
Al-Darwish Abdullah S, Alsaif Abdullah Z, AlHawassi Sami, AlKhalidi Hisham, A. Youssuf, AlSelaim Nahar A, Alatram Abdulrahman
Introduction: Appendiceal Mucocele is a rare medical condition, sometimes it is discovered incidentally but occasionally it could mimic acute appendicitis. Laparoscopic resection of appendiceal mucocele recently has been reported, but the safety and efficacy are still controversial. Presentation of cases: We will present four cases of laparoscopic resection of appediceal mucocele. The First, second, and fourth cases were treated by laparoscopic appendectomy only; While the third case was treated by laparoscopic right hemicolectomy. Discussion: We elected to do our cases using a Laparoscopic approach. Laparoscopic resection is achievable with expert surgeons, despite the risk of malignancy, but necessary precautions should be taken. The four cases’ final histopathology reports showed the same result: Low-Grade Appendiceal Mucinous Neoplasm (LAMN). Conclusion: A Laparoscopic resection of appendiceal mucocele can be done by expert surgeons if the necessary precautions were taken to prevent spillage.
{"title":"Minimally Invasive Surgery for Resection of Appendiceal Mucocele: A Single-Center Experience Case Series","authors":"Al-Darwish Abdullah S, Alsaif Abdullah Z, AlHawassi Sami, AlKhalidi Hisham, A. Youssuf, AlSelaim Nahar A, Alatram Abdulrahman","doi":"10.23937/2378-3397/1410151","DOIUrl":"https://doi.org/10.23937/2378-3397/1410151","url":null,"abstract":"Introduction: Appendiceal Mucocele is a rare medical condition, sometimes it is discovered incidentally but occasionally it could mimic acute appendicitis. Laparoscopic resection of appendiceal mucocele recently has been reported, but the safety and efficacy are still controversial. Presentation of cases: We will present four cases of laparoscopic resection of appediceal mucocele. The First, second, and fourth cases were treated by laparoscopic appendectomy only; While the third case was treated by laparoscopic right hemicolectomy. Discussion: We elected to do our cases using a Laparoscopic approach. Laparoscopic resection is achievable with expert surgeons, despite the risk of malignancy, but necessary precautions should be taken. The four cases’ final histopathology reports showed the same result: Low-Grade Appendiceal Mucinous Neoplasm (LAMN). Conclusion: A Laparoscopic resection of appendiceal mucocele can be done by expert surgeons if the necessary precautions were taken to prevent spillage.","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123954661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-31DOI: 10.23937/2378-3397/1410149
Mora Hugo E Beyuma, Aguirre Alejandro S Iturbide, Graciano Dulce C López, Díaz Uriel H Quiroz
Gallstone ileus is an uncommon complication of calculous cholecystitis, which can lead to a gastro-intestinal obstruction. A non-specific clinical presentation is frequent. Imaging studies can present characteristic radiological signs. We present a 56-year-old female patient with constipation for the past 72 hours, colicky intermittent abdominal pain and vomiting. Plain CT-scan showed Rigler’s triad. Gallstone ileus was diagnosed and laparotomy was performed with stone extraction by enterolitotomy. Significant morbimortality is associated to a delayed diagnosis more often in the context of elderly patients. Complementary imaging studies are needed for conclusive diagnosis, Rigler’s triad, Petren and Forchet sign are pathognomonic for gallstone ileus. Surgical approach is essential in the resolution of this entity.
{"title":"Rigler Triad in Gallstone Ileus: Case Report and Literature Review","authors":"Mora Hugo E Beyuma, Aguirre Alejandro S Iturbide, Graciano Dulce C López, Díaz Uriel H Quiroz","doi":"10.23937/2378-3397/1410149","DOIUrl":"https://doi.org/10.23937/2378-3397/1410149","url":null,"abstract":"Gallstone ileus is an uncommon complication of calculous cholecystitis, which can lead to a gastro-intestinal obstruction. A non-specific clinical presentation is frequent. Imaging studies can present characteristic radiological signs. We present a 56-year-old female patient with constipation for the past 72 hours, colicky intermittent abdominal pain and vomiting. Plain CT-scan showed Rigler’s triad. Gallstone ileus was diagnosed and laparotomy was performed with stone extraction by enterolitotomy. Significant morbimortality is associated to a delayed diagnosis more often in the context of elderly patients. Complementary imaging studies are needed for conclusive diagnosis, Rigler’s triad, Petren and Forchet sign are pathognomonic for gallstone ileus. Surgical approach is essential in the resolution of this entity.","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126280614","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":"A General Surgeon's Guide to Post COVID-19 Multi-System Inflammatory Syndrome (MIS)","authors":"Baker Ali, Tang Howard, Krawitz Russel, Molton James, Tramontana Adrian, Yeung Justin","doi":"10.23937/2378-3397/1410148","DOIUrl":"https://doi.org/10.23937/2378-3397/1410148","url":null,"abstract":"","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116610168","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 : 2022-12-31DOI: 10.23937/2378-3397/1410147
Ruggeri Carlos Santiago, Pita Elián García, Gonzalez Gabriel Rondón, Ragoni Ana Clara, Fagalde Inés
{"title":"Nasal and Cheek Reconstruction with Flaps","authors":"Ruggeri Carlos Santiago, Pita Elián García, Gonzalez Gabriel Rondón, Ragoni Ana Clara, Fagalde Inés","doi":"10.23937/2378-3397/1410147","DOIUrl":"https://doi.org/10.23937/2378-3397/1410147","url":null,"abstract":"","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122716687","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 : 2022-09-30DOI: 10.23937/2378-3397/1410146
Fares Auda, Taib Adnan, T. Resul
Background: Acute Cholecystitis occurs throughout the year, but some months are associated with higher incidences. The aim of this study is to review prior research, summarise the current knowledge and controversies related to seasonal variability of acute cholecystitis and to examine whether acute cholecystitis has a seasonal pattern. Material and methods: Studies analysing the seasonal variation of acute cholecystitis were identified from PubMed, Cochrane library and Google Scholar from 1990 to July 2021 with key words. The search was restricted to articles published in English. The references of the identified papers for further relevant publications were also reviewed. Result: Twelve studies were conducted between the period from 1990 to 2021 from 9 countries around the world (Saudi Arabia, England, Pakistan, Iran, USA, Taiwan and Germany) were reviewed. Acute cholecystitis predominantly peaks during summer season in the revised literature from the studied countries apart from Germany. Cholecystitis occurred more frequently in females in England, Saudi Arabia, Pakistan, Iran and Taiwan. Few studies analysed the association of acute cholecystitis and age; in England and Taiwan it was more common among older patients. Conclusion: Acute cholecystitis is more common in the summer months. Resource allocation towards the summer months to target seasonal peaks in acute cholecystitis should be considered.
{"title":"Seasonality of Acute Cholecystitis: A Review of Global Patterns","authors":"Fares Auda, Taib Adnan, T. Resul","doi":"10.23937/2378-3397/1410146","DOIUrl":"https://doi.org/10.23937/2378-3397/1410146","url":null,"abstract":"Background: Acute Cholecystitis occurs throughout the year, but some months are associated with higher incidences. The aim of this study is to review prior research, summarise the current knowledge and controversies related to seasonal variability of acute cholecystitis and to examine whether acute cholecystitis has a seasonal pattern. Material and methods: Studies analysing the seasonal variation of acute cholecystitis were identified from PubMed, Cochrane library and Google Scholar from 1990 to July 2021 with key words. The search was restricted to articles published in English. The references of the identified papers for further relevant publications were also reviewed. Result: Twelve studies were conducted between the period from 1990 to 2021 from 9 countries around the world (Saudi Arabia, England, Pakistan, Iran, USA, Taiwan and Germany) were reviewed. Acute cholecystitis predominantly peaks during summer season in the revised literature from the studied countries apart from Germany. Cholecystitis occurred more frequently in females in England, Saudi Arabia, Pakistan, Iran and Taiwan. Few studies analysed the association of acute cholecystitis and age; in England and Taiwan it was more common among older patients. Conclusion: Acute cholecystitis is more common in the summer months. Resource allocation towards the summer months to target seasonal peaks in acute cholecystitis should be considered.","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132903181","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 : 2022-09-30DOI: 10.23937/2378-3397/1410144
Garrett Morgan, Rucker Brayden, Bouvette Max, Vassar Matt
{"title":"Analyzing Letters to the Editor Guidelines of Major Surgery Journals: A Brief Report","authors":"Garrett Morgan, Rucker Brayden, Bouvette Max, Vassar Matt","doi":"10.23937/2378-3397/1410144","DOIUrl":"https://doi.org/10.23937/2378-3397/1410144","url":null,"abstract":"","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121730766","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 : 2022-09-30DOI: 10.23937/2378-3397/1410145
G. Ahmed, I. Nyamekye
Objectives: Venous thromboembolism (VTE) is a rare but potentially life-threatening complication of superficial endovenous treatment. Use of VTE risk assessment to guide pharmacological prophylaxis could mitigate this danger. However, currently there is no accepted management of VTE risk in these, usually fit, ambulatory patients. Methods: We retrospectively reviewed our use of Worcester score (VTE risk assessment tool) in all patients who underwent endovenous thermal ablation using the bipolar radiofrequency device (radiofrequency induced thermal therapy, RFITT) from January 2013 to December 2018. All cases were performed by a single Vascular consultant at a single NHS trust. Patient demographics, treatment parameters and VTE prophylaxis method were retrospectively analysed from a prospectively collected database. Results: 481 patients who underwent RF ablation between 2013 and 2018 were assessed. There were no clinical or duplex detected DVTs. 436 patients (90.6%) had a Worcester score of ‘0’ and were not given any additional pharmaco-prophylaxis. 42 patients (8.8%) had positive scores and were treated with extended anticoagulation. Of the 42 patients, 18 (40%) scored 1 and were given 7 days of additional prophylaxis and 24 (60%) scored 2 or more and were treated for two or more weeks. Conclusions: VTE is a life-threatening complication of ambulatory endovenous treatment. The current state of pharmacological thromboprophylaxis practice is highly variable and subjective. A selective VTE prevention strategy which involves risk-assessing all patients for VTE and managing those at increased risk with additional anticoagulant prophylaxis extended into the post-procedure period is a safe and effective strategy based on our experience.
{"title":"Anti-DVT Prophylaxis in Patients Undergoing Thermal Endovenous Treatment: Use of a Simple Scoring System","authors":"G. Ahmed, I. Nyamekye","doi":"10.23937/2378-3397/1410145","DOIUrl":"https://doi.org/10.23937/2378-3397/1410145","url":null,"abstract":"Objectives: Venous thromboembolism (VTE) is a rare but potentially life-threatening complication of superficial endovenous treatment. Use of VTE risk assessment to guide pharmacological prophylaxis could mitigate this danger. However, currently there is no accepted management of VTE risk in these, usually fit, ambulatory patients. Methods: We retrospectively reviewed our use of Worcester score (VTE risk assessment tool) in all patients who underwent endovenous thermal ablation using the bipolar radiofrequency device (radiofrequency induced thermal therapy, RFITT) from January 2013 to December 2018. All cases were performed by a single Vascular consultant at a single NHS trust. Patient demographics, treatment parameters and VTE prophylaxis method were retrospectively analysed from a prospectively collected database. Results: 481 patients who underwent RF ablation between 2013 and 2018 were assessed. There were no clinical or duplex detected DVTs. 436 patients (90.6%) had a Worcester score of ‘0’ and were not given any additional pharmaco-prophylaxis. 42 patients (8.8%) had positive scores and were treated with extended anticoagulation. Of the 42 patients, 18 (40%) scored 1 and were given 7 days of additional prophylaxis and 24 (60%) scored 2 or more and were treated for two or more weeks. Conclusions: VTE is a life-threatening complication of ambulatory endovenous treatment. The current state of pharmacological thromboprophylaxis practice is highly variable and subjective. A selective VTE prevention strategy which involves risk-assessing all patients for VTE and managing those at increased risk with additional anticoagulant prophylaxis extended into the post-procedure period is a safe and effective strategy based on our experience.","PeriodicalId":326011,"journal":{"name":"International Journal of Surgery Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124436678","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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