Journal of Surgical Sciences最新文献

{"title":"Surgical Outcome for Treating Penile Strangulation by Heavy Metallic Ring","authors":"P. Saha, S. Alam, A. Amin, K. Ghosh, Hafiz al-Asad","doi":"10.3329/jss.v17i2.43784","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43784","url":null,"abstract":"Penile strangulation caused by foreign bodies mostly occurs in adolescents and adult male. A man may place metal object for erotic or autoerotic purposes, for masturbation or increasing penile erection, and due to psychological disturbances which lead to penile strangulation. Penile strangulation results in reduced blood flow distal to the injury, leading to edema, ischemia, and sometimes gangrene. These injuries are divided into five grades and their treatment options are divided into four groups. Here an innovative surgical technique, which can be adopted in Grade II and Ill injury has been described. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) : 96-98","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75768405","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":"Intestinal Obstruction: An Overview of Aetiology, Evaluation and Management","authors":"A. Alam, Kazi lsrat Jahan, Mohammad Ali","doi":"10.3329/jss.v17i2.43783","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43783","url":null,"abstract":"Intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often depend on the level of obstruction. Intestinal obstruction is most commonly caused by intra-abdominal adhesions, malignancy, or intestinal herniation. The clinical presentation generally includes colicky abdominal pain, vomiting, abdominal distension and constipation. Radiologic imaging can confirm the diagnosis. Although radiography is often the initial study, non-contrast computed tomography is recommended if the index of suspicion is high or if suspicion persists despite negative radiography. Management of uncomplicated obstructions includes fluid resuscitation with correction of metabolic derangements, intestinal decompression, and bowel rest. Evidence of vascular compromise or perforation, or failure to resolve with adequate bowel decompression is an indication for surgical intervention. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2): 89-95","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79646170","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":"Estrogen and Progesterone Receptor Status in Breast Cancer-Its Relation to Age, Axillary Lymph Node Status, Tumour's Maximum Dimension and Grade of Tumour","authors":"Hasanuzzaman, Mizanur Rahman, Johirul Lslam, Ashraf Ui Haque, S. Rahman, Mohammad Muntasir Rahman","doi":"10.3329/jss.v17i2.43782","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43782","url":null,"abstract":"Background: Carcinoma of the breast is one of the most common malignancies of women in our country. The current study was conducted with the objective of assessing Oestrogen receptor (ER) and progesterone receptor (PR) status of carcinoma breast for correlation with age of the patient, tumor dimension, axillary lymph node metastasis and histologic grade. \u0000Methodology: One hundred and nineteen female breast cancer patients operated at the surgical oncology department of National Institute of Cancer Research & Hospital were selected by non-probability sampling method and operated specimens were sent for immunohistochemical study of the Oestrogen receptor and progesterone receptors. Statistical analysis was conducted using SPSS version 12 for Windows software. P-value 0.05 or less was considered as significant. \u0000Result: Mean age of the patients was 41.64 years (95 % Cl 39.8, 43.5). About 87% of the ER+ and PR+ patients had tumour dimension < 5 cm. The predominant morphology was infiltrating duct cell carcinoma. Out of 66 ER+ cases 63 were the patients of Infiltrating duct cell carcinoma and in 63 PR+ cases 60 were the patients of same histological type. The majority of the cases presented as grade II (59.1%) followed by grade Ill (33.9%). Sixty percent patients had axillary lymph node metastasis. Majority of the patients (51.3%) expressed both the receptors in their breast tissue while around 43% of the patients did not show any receptor. \u0000Conclusion: ER and PR expression in breast cancers in the current study was found to be comparable to published national and international data. Assessment of prognostic markers for the clinical management of breast cancer patients is strongly advocated to provide best therapeutic options. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) : 84-88","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73602241","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":"Complications of Total Thyroidectomy in 50 Cases in The Department of Endocrine Surgery in BSMMU","authors":"A. H. Sikder, A. Rahman, A. Khair, J. Alam, Mohammed Rafiqul Lslam","doi":"10.3329/jss.v17i1.43700","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43700","url":null,"abstract":"Objective: To determine the complications of the patients undergoing total thyroidectomy. \u0000Method: A prospective study was held at Department of Endocrine Surgery in BSMMU from January 2006 to December 2006 \u0000Method: Fifty patients with multinodular goiter and carcinoma thyroid of both sexes were selected from admitted patient of endocrine surgery department. All patients were evaluated preoperatively and total thyroidectomy was done and post operative was followed up. Out of 50 patients 35 patients were female and 15 patients male, male - female ratio 1 :2.3. 40 patients were carcinoma thyroid, 10 patients were multinodular goiter. The overall incidence of postoperative complication in this series was 4. out of 50 patients 1 patient developed haematoma. 1 patient developed wound infection and 1 patient developed transient tetany on 2nd postoperative day which was improved later on. 1 patient developed a thyroid nodule 6th month after total thyroidectomy for carcinoma thyroid. In long term from total thyroidectomy 40 patients were followed up, 10 patients did not attend an subsequent follow up. Out of 40 patients 36 patients were out of complication. \u0000Conclusion: The results are comparable with the current published data and demonstrate that total thyroidectomy can performed with minimum complication rate. \u0000Journal of Surgical Sciences (2013) Vol. 17 (1) : 25-29","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80266403","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":"Laparoscopic Versusopen Appendectomy - Which One Is Better?","authors":"A. Rahman, S. H. Sheikh, Ibrahim Siddique, S. Islam, A. Ullah, K. Morshed","doi":"10.3329/jss.v17i1.43697","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43697","url":null,"abstract":"Objective: Appendectomy, being the most common surgical procedure performed in general surgery, is still being performed by both open and laparoscopic methods due to a lack of consensus as to which is the most appropriate method. Because further trials are necessary and few such studies have been performed in developing countries, we decided to evaluate the outcomes of the 2 procedures to share our experience with others. \u0000Methods: Prospectively collected data from 618 consecutive patients with appendicitis were studied. These comprised of 340 patients who underwent conventional open appendectomy and 260 patients treated laparoscoplcally&18 were excluded because of protocol violations. The two groups were compared with respect to operative time, length of hospital stay, postoperative pain, return to normal work, complication rate and cost. \u0000Results: There were no statistical differences regarding patient characteristics between the two groups. Conversion to laparotomy was necessary in 5 patients (1.88%). Laparoscopic appendectomy was associated with a shorter hospital stay (1.5 d vs 2.5 d), lower incidence of wound infection (3.07% vs 8.29%,) &less analgesia requirement. The operative time was more (45.6 vs 24.5 min) and the cost of treatment was higher in the laparoscopic group. \u0000Conclusion: The laparoscopic technique is a safe and clinically beneficial operative procedure. It provides certain advantages over open appendectomy, ·including short hospital stay, decreased requirement .of postoperative analgesia, early food tolerance, and earlier return to normal activities, Where feasible, laparoscopy should be undertaken as the initial procedure of choice for most cases of appendicitis. \u0000Journal of Surgical Sciences (2013) Vol. 17 (1) : 7-13","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81052714","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":"Successful Return of Regular Menstrual Flow After Removal of A Huge Cervical Fibroid: A Case Report","authors":"S. Shamim, A. Rouf","doi":"10.3329/jss.v17i1.43713","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43713","url":null,"abstract":"Fibroids are the commonest benign neoplasm of the uterus and have long been implicated as a cause of complication during pregnancy and delivery. Fibroids arising from uterine cervix constitute only less than 2% of all fibroids and a very large cervical fibroid is even rarer1·2·3. This is case report of pregnancy with a huge cervical fibroid that necessitated caesarean section delivery. This unusually large fibroid (20 x 17 x 16 cm) was grown from the cervix that pushed up the uterine body upward. During initial caesarean operation the surgical team could not ascertain about the origin of the mass and closed the abdomen without remony the man. Subsequent laparotomy three months after caesarean section finally confirmed the diagnosis of the huge cervical fibroid. It was dissected out from the surrounding adhesion followed by end-to-end anastomosis of the gap between uterus and cervix. The postoperative period was uneventful with smooth recovery. The patient was followed up couple of times after discharge and reported to be well with return of her normal menstrual and reproductive function. \u0000Journal of Surgical Sciences (2013) Vol. 17 (1) : 58-61","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90754320","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":"Post Mastectomy Quality of Life in Breast Cancer Patients","authors":"Md. Mizanur Rahman","doi":"10.3329/jss.v17i1.43709","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43709","url":null,"abstract":"Background: Quality of life in patients with breast cancer is an important outcome. This paper presents an overview and outcome after surgery in breast cancer patients on the topic ranging from descriptive findings to clinical trials. \u0000Methods: This is a bibliographic review of the literature covering publications that appeared in English language in biomedical journals between 1992 and 2013. The search strategy included a combination of key words 'quality of life' and 'breast cancer', 'breast carcinoma' or post mastectomy in Titles. Of these, research articles like randomized controlled trials, reviews, abstracts, editorials, brief commentaries, letters were included. The major findings are summarized and presented under several headings: instruments used, validation studies, measurement issues, surgical treatment, quality of life as predictor of survival, psychological distress, supportive care, symptoms and sexual functioning. \u0000Results: Instruments-Several valid instruments were used to measure quality of life in breast cancer patients. The European Organization for Research and Treatment of Cancer Core Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast cancer specific complementary measure (EORTC QLQ-BR23) were listed in this study, as it is a common, highly standard and well developed instruments to measure quality of life in breast cancer patients. Different surgical procedures led to relatively similar results in terms of quality of life assessments, although mastectomy patients compared to conserving surgery patients usually reported a lower body image and sexual functioning. Systemic therapies-almost all studies indicated that breast cancer patients receiving chemotherapy might experience several side-effects and symptoms that negatively affect their quality of life. Adjuvant hormonal therapies also were found to have similar negative impact on quality of life, although in general they were associated with improved survival. Quality of life as predictor of survival-similar to known medical factors, quality of life data in metastatic breast cancer patients were found to be prognostic and predictive of survival time. Psychological distress-anxiety and depression were found to be common among breast cancer patients even years after the disease diagnosis and treatment. Psychological factors also were found to predict subsequent quality of life or even overall survival in breast cancer patients. As recommended, recognition and management of these symptoms is an important issue since such symptoms impair health-related quality of life. Sexual functioning-breast cancer patients especially younger patients suffer from poor sexual functioning that negatively affect quality of life. \u0000Conclusion: There was quite an extensive body of the literature on quality of life in breast cancer patients. These papers have made a considerable contribution to improving breast cancer care, although their exact benefit was hard to define. However,","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75271031","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":"Role of FNAC in evaluation of Parotid Gland Swelling","authors":"K. Majumder, S. S. Karim, M. Alam, R. Karmakar, Abu Taher Md Ashaduzzaman","doi":"10.3329/jss.v17i1.43701","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43701","url":null,"abstract":"Objectives: To find out the histological types of parotid neoplasm and to correlate thefindings of FNAC and final histological report in parotid gland neoplasm. \u0000Methods: A total 30 cases were studied from the inpatient departments of General Surgeryand Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka sinceJuly, 2011 to April, 2013. Fine Needle Aspiration Cytology (FNAC) was done in all cases andcompared with histopathology finding of postoperative specimen. \u0000Result: Regarding sex distribution benign neoplasm in female 13 (56.52%) and in male10(43.47%). As to the malignant parotid neoplasm in female 4(57.14%) and in male3(42.85%). All parotid neoplasm male: female ratio 1:1.3. Two cases involved in deep lobeof parotid & presented with inward and forward bulging of tonsil and pillars. Three cases ofwarthin'stumour only presented with swelling in the tail of parotid gland. In this series outof 30 cases of parotid neoplasm 23 (76.66%) cases were benign and rest 07 (23.33%)were malignant. Pleomorphic adenoma was the most common benign neoplasm 20(66.66%). Mucoepidermoid Carcinoma was most common malignancy 3 (10%) followed byadenoid cystic carcinoma 2 (6.66%). Out of 7, 3 were stage 3(42.85%) and 3 were stage4(42.85%). In histological grading 3 were low grade (42.85%) and 4 were high grade(57.14%). All the patient werepartotidectomy. Few were treated by radical parotidectomyplus radiotherapy. \u0000Conclusion: Though it is a small series to comment on the whole spectrum of the parotidgland neoplasm in Bangladesh, yet an idea about the frequency of disease can be establishedbut actual incidence in Bangladesh as a whole can not be ascertained from thisstudy. \u0000Journal of Surgical Sciences (2016) Vol. 20 (1) : 7-12","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77148597","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":"Tuberculosis of Cystic Lymph Node of Lund-A Rare Presentation","authors":"T. Paul, M. Baqui, R. Parveen","doi":"10.3329/jss.v17i1.43714","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43714","url":null,"abstract":"Tuberculosis is one of the major infectious diseases in Bangladesh. After respiratory system, lymphatic and gastrointestinal tracts are the commonest sites of development of this pathology. However, hepatobiliary tuberculosis is rare, seen in approximately 1% of all abdominal cases. Reporting of tuberculosis of the cystic duct lymph node is very uncommon. Its diagnosis is difficult because of the absence of characteristic symptoms and signs. In this case report, we present a case of tuberculosis of cystic duct lymph node. \u0000Journal of Surgical Sciences (2013) Vol. 17 (1) : 62-63","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78304678","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":"Microbiology of Incisional Surgical Site Infection","authors":"Krisna Rani Majumder, S. Mubin, Md Ibrahim Siddique, M Nur E Elahi","doi":"10.3329/jss.v17i1.43699","DOIUrl":"https://doi.org/10.3329/jss.v17i1.43699","url":null,"abstract":"Background: Bacteria responsible for causing lncisional Surgical Site Infection (ISSI) along with their resistance pattern changes over time due to various factors and are a matter of regular scrutiny. Proper understanding of this will help both surgeon and microbiologist to formulate an effective guideline to combat overall SSI. \u0000Objectives: To evaluate responsible microorganisms and their resistance pattern causing ISSI following elective gastrointestinal surgery in our perspective. Methods: Prospective data were collected on 1122 surgical patients admitted in the surgery department in BSMMU from January 201 O to June 2012 having elective gastrointestinal surgery. Patients operated were followed in the post operative period till discharge and if any ISSI noted, swab from the site of infection was sent for culture and sensitivity reporting using standard bacteriological techniques. Antibiotics were given accordingly. \u0000Results: In this series 1122 wounds were studied of which183(16.31%) cases had ISSI.Wound infection rates, according to clinical wound types were 10.45%, 14.49%, 49% for clean-contaminated,contaminated and dirty wounds respectively. The figures of ISSI according to SSI types were 76.77% for Superficial SSI and 26.23% for Deep SSI.The figures of ISSI according to SSI types were 76.77% for Superficial SSI and 26.23% for Deep SSI. Causative microorganisms were revealed in 74.87% positive cultures. 5.8% wounds had polymicrobial etiology. The common causative organisms were Escherichia coli 55.5%,Staphylococcus aureus 22.6%, Pseudomonas spp. 9.5% and Klebsiella spp. 6.6%.AII were 100% sensitive to Meropenem. Next to this Escherichia coli and Klebsiellaspp. were mostly sensitive to Ceftriaxone 62.5% and 100% respectively, Staphylococcus aureus to Doxicycline 75% and Pseudomonas spp. to Ceftazidime 93.7%. Comparison with previously done national and international studies revealed alarming increase in resistance pattern of causative bacterial isolates. \u0000Conclusion: To date no national or in house SSI prevention policy or surveillance guideline exists. Lack of our attention in this issue along with inept, irrational use of antibiotics is definitely adding causative organisms to gain increasing resistance pattern. Before surgical care centers are overwhelmed with SSls by resistant organisms caution must be taken from all level. \u0000Journal of Surgical Sciences (2013) Vol. 17 (1) : 18-24","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90966050","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}