Pub Date : 2023-03-31DOI: 10.17479/jacs.2023.13.1.1
Ngwa Ebogo Tagang Titus, Ntih Mariette Liekeh, Ngock Farra Fola George, Sama Akayun, Sena Guylaine Rosine, Nzinga Joy Richie, Nchufor Roland Ndouh, Pisoh Tangnyin Christopher
Purpose: Abdominal surgical emergencies are a major health burden in low- and middle-income countries where management is often very challenging, and associated with high morbidity and mortality. The spectrum, management, and outcomes of abdominal surgical emergencies needs to be updated.Methods: This was a hospital-based retrospective cross-sectional study carried out in Bamenda, Cameroon over a 2-year period. Records of patients who met the inclusion criteria were reviewed, with pre-, intra- and postoperative data collected and analyzed.Results: There were 207 patients included in this retrospective review (male to female ratio of 1.4:1. The mean age was 47.4 (± 19.4) years. Intestinal obstruction (34.8%) and perforated peptic ulcers (15.5%) were the most common abdominal surgical emergencies. The median delay and interquartile range to presentation and in-hospital delay were 6 (4) days and 8 (12) hours, respectively. The mean length of hospital stay post-surgery was 11days. There were 48.3% of patients who developed a complication; 34.78% were major, 17.9% had an unplanned reoperation, and 15 (7.2%) were readmitted after discharge. The 30-day in hospital mortality was 19.8%. Mortality was independently associated with a high American Society of Anesthesiologists (ASA) score; ASA score > 3, age > 60 years, and referral from other health facilities.Conclusion: Intestinal obstructions from intraperitoneal neoplasm is the most common cause of abdominal surgical emergency in North West Cameroon. Abdominal emergencies here are associated with a very high morbidity and mortality in males > 60 years with an ASA score > 3 and with more than one comorbidity.
{"title":"Spectrum, Management, and Outcomes of Abdominal Surgical Emergencies at a Referral Hospital in North West Cameroon","authors":"Ngwa Ebogo Tagang Titus, Ntih Mariette Liekeh, Ngock Farra Fola George, Sama Akayun, Sena Guylaine Rosine, Nzinga Joy Richie, Nchufor Roland Ndouh, Pisoh Tangnyin Christopher","doi":"10.17479/jacs.2023.13.1.1","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.1","url":null,"abstract":"Purpose: Abdominal surgical emergencies are a major health burden in low- and middle-income countries where management is often very challenging, and associated with high morbidity and mortality. The spectrum, management, and outcomes of abdominal surgical emergencies needs to be updated.Methods: This was a hospital-based retrospective cross-sectional study carried out in Bamenda, Cameroon over a 2-year period. Records of patients who met the inclusion criteria were reviewed, with pre-, intra- and postoperative data collected and analyzed.Results: There were 207 patients included in this retrospective review (male to female ratio of 1.4:1. The mean age was 47.4 (± 19.4) years. Intestinal obstruction (34.8%) and perforated peptic ulcers (15.5%) were the most common abdominal surgical emergencies. The median delay and interquartile range to presentation and in-hospital delay were 6 (4) days and 8 (12) hours, respectively. The mean length of hospital stay post-surgery was 11days. There were 48.3% of patients who developed a complication; 34.78% were major, 17.9% had an unplanned reoperation, and 15 (7.2%) were readmitted after discharge. The 30-day in hospital mortality was 19.8%. Mortality was independently associated with a high American Society of Anesthesiologists (ASA) score; ASA score > 3, age > 60 years, and referral from other health facilities.Conclusion: Intestinal obstructions from intraperitoneal neoplasm is the most common cause of abdominal surgical emergency in North West Cameroon. Abdominal emergencies here are associated with a very high morbidity and mortality in males > 60 years with an ASA score > 3 and with more than one comorbidity.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42435958","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: 10.17479/jacs.2023.13.1.39
Gayoung Kim, Dongsub Noh, Bong Man Kim, Yoonjung Heo
Chylothorax is mostly iatrogenic, with blunt chest trauma being a rare cause. Treatment depends on the volume of drainage. Specifically, conservative treatment, such as total parenteral nutrition and pleural drainage, is performed in cases of low daily output (< 500 mL/day). Patients with persistent chylothorax despite medical treatment or with high daily output (> 1-1.5 L/day) are candidates for surgical or radiological intervention. We present a case of delayed-onset chylothorax after blunt trauma caused by thoracic spine fractures, in which persistent chylothorax was successfully managed with repeated lymphangiography with lipiodol when other treatment modalities failed. The case is peculiar in that the chylothorax occurred 40 days after the initial traumatic event and was treated with lipiodol injection, despite maintaining moderate to high daily output.
{"title":"Delayed Chylothorax Following Blunt Chest Trauma Treated with Repeated Lymphangiography: A Case Presentation","authors":"Gayoung Kim, Dongsub Noh, Bong Man Kim, Yoonjung Heo","doi":"10.17479/jacs.2023.13.1.39","DOIUrl":"https://doi.org/10.17479/jacs.2023.13.1.39","url":null,"abstract":"Chylothorax is mostly iatrogenic, with blunt chest trauma being a rare cause. Treatment depends on the volume of drainage. Specifically, conservative treatment, such as total parenteral nutrition and pleural drainage, is performed in cases of low daily output (< 500 mL/day). Patients with persistent chylothorax despite medical treatment or with high daily output (> 1-1.5 L/day) are candidates for surgical or radiological intervention. We present a case of delayed-onset chylothorax after blunt trauma caused by thoracic spine fractures, in which persistent chylothorax was successfully managed with repeated lymphangiography with lipiodol when other treatment modalities failed. The case is peculiar in that the chylothorax occurred 40 days after the initial traumatic event and was treated with lipiodol injection, despite maintaining moderate to high daily output.","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46648394","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: 10.5005/jp-journals-10089-0024
Shiv Kumar, Sarath Kumar, Darshan U Siddappa
{"title":"Acute Viral Encephalitis in Adults","authors":"Shiv Kumar, Sarath Kumar, Darshan U Siddappa","doi":"10.5005/jp-journals-10089-0024","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0024","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83582709","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: 10.5005/jp-journals-10089-0033
P. Rangappa, R. Shetty, A. Alva, M. Kanchi, A. Ajith Kumar
{"title":"Echocardiography in Intensive Care Unit: Do We Need a Certification Program?","authors":"P. Rangappa, R. Shetty, A. Alva, M. Kanchi, A. Ajith Kumar","doi":"10.5005/jp-journals-10089-0033","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0033","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75347243","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: 10.5005/jp-journals-10089-0023
Mahesha Padyana, A. Ajith Kumar, Sarath Kumar
{"title":"Boerhaave's Syndrome: A Case of Delayed Presentation with Fatal Outcome","authors":"Mahesha Padyana, A. Ajith Kumar, Sarath Kumar","doi":"10.5005/jp-journals-10089-0023","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0023","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90776169","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: 10.5005/jp-journals-10089-0034
V. Bhardwaj
{"title":"Femoral Venous Doppler: A Marker of Venous Congestion","authors":"V. Bhardwaj","doi":"10.5005/jp-journals-10089-0034","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0034","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90881677","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: 10.5005/jp-journals-10089-0031
P. Rangappa, Karthik Rao, I. Jacob, Marutheesh Mallappa, S. S. Reddy, Sarika Kunwar
{"title":"Outcome of Septic Shock Patients treated with Vitamin C and Thiamine: A Prospective Cohort Study","authors":"P. Rangappa, Karthik Rao, I. Jacob, Marutheesh Mallappa, S. S. Reddy, Sarika Kunwar","doi":"10.5005/jp-journals-10089-0031","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0031","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80452972","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: 10.5005/jp-journals-10089-0020
Kedar Bangal, Sriram Korukonda, C. R. Sampath K, Raghu Bheemiah
{"title":"Balanced Salt Solution in Type-2 Diabetes Mellitus undergoing Off-pump Coronary Artery Bypass Grafting: Ringer Lactate vs Plasmalyte®","authors":"Kedar Bangal, Sriram Korukonda, C. R. Sampath K, Raghu Bheemiah","doi":"10.5005/jp-journals-10089-0020","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0020","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90318964","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: 10.5005/jp-journals-10089-0026
N. Prabu
{"title":"Oxygen Targets in Critically Ill Patients: Let's be Cautiously Liberal","authors":"N. Prabu","doi":"10.5005/jp-journals-10089-0026","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0026","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"205 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77044554","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: 10.5005/jp-journals-10089-0032
P. Rangappa
{"title":"Pioneers of Organ and Tissue Transplantation","authors":"P. Rangappa","doi":"10.5005/jp-journals-10089-0032","DOIUrl":"https://doi.org/10.5005/jp-journals-10089-0032","url":null,"abstract":"","PeriodicalId":34662,"journal":{"name":"Journal of Acute Care Surgery","volume":"70 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90022237","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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