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Gastric Tumor Perforation Repair with Falciform Ligament 镰状韧带修复胃肿瘤穿孔
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000164
T. Aktokmakyan
The rate of perforation in gastric tumors has been reported to be between 0.5 and 3.9%. Because the tumor is not diagnosed at the moment, or the tumor's stage is unknown, repairing the perforation site is recommended rather than resection. The first thing that comes to mind as a repair method is omentoplasty, but other alternatives can be applied in cases where this is not possible. In our case report, we aimed to present gastric tumor perforation repair with a falciform ligament in a case of linitis plastica under chemotherapy accompanied by peritoneal carcinomatosis.
据报道,胃肿瘤的穿孔率在0.5%至3.9%之间。由于目前尚未诊断出肿瘤,或者肿瘤的分期未知,建议修复穿孔部位而不是切除。作为一种修复方法,首先想到的是网膜成形术,但在不可能的情况下,可以采用其他替代方法。在我们的病例报告中,我们的目的是在一个化疗伴腹膜癌的可塑性局限性炎的病例中,用镰状韧带修复胃肿瘤穿孔。
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引用次数: 0
Mesenteric Cystic Lymphangioma Induced Recurrent Abdominal Pain And Signs of Intestinal Obstruction: A Case Report 肠系膜囊性淋巴管瘤引起的复发性腹痛和肠梗阻1例报告
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000169
Ebrahim Aldouseri
Mesenteric cystic lymphangioma is an uncommon benign abdominal mass. This is a case of a 40-year-old female who presented to the hospital with recurrent abdominal pain and distention. Computed Tomography and magnetic resonance imaging tests suggested a mesenteric cyst. The patient underwent laparotomy which confirmed the presence of a mesenteric cyst along with small bowel narrowing at the site of the cyst caused by multiple adhesive bands released during the procedure. The cyst was found and excised approximately 200 cm away from the ileocecal junction, and was pathologically confirmed to be a mesenteric cystic lymphangioma. These findings support that mesenteric cystic lymphangioma could cause chronic abdominal pain and intestinal obstruction.
肠系膜囊性淋巴管瘤是一种少见的腹部良性肿块。这是一个40岁的女性,她以反复腹痛和腹胀来医院就诊。计算机断层扫描和磁共振成像显示为肠系膜囊肿。患者接受剖腹手术,证实存在肠系膜囊肿,并在囊肿部位出现小肠狭窄,这是由于手术过程中释放的多个粘连带造成的。囊肿在距回盲交界处约200厘米处被发现并切除,病理证实为肠系膜囊性淋巴管瘤。这些发现支持肠系膜囊性淋巴管瘤可引起慢性腹痛和肠梗阻。
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引用次数: 0
Past, Present and Future of THA and Hip Surgery: An Expert Opinion 髋关节置换术和髋关节手术的过去、现在和未来:专家意见
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000175
S. Bernardino
Innovation in Orthopaedic Surgery is motivated by the desire to improve implant longevity, maximise patient function and reduce postoperative complications. In recent years, other goals of innovation include reduced Health Care costs and improved efficiency of Health Care delivery. In Orthopaedic Surgery, the outcome of an innovation may not become apparent until a considerable period of time has passed after the introduction of the new technology.
骨科手术的创新是由提高植入物寿命、最大化患者功能和减少术后并发症的愿望所驱动的。近年来,创新的其他目标包括降低医疗保健成本和提高医疗保健服务的效率。在骨科手术中,一项创新的结果可能要在引进新技术后相当长的一段时间才会显现出来。
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引用次数: 0
Testis Sparing Surgery in Double Testicular Tumor in a Child: Report of a Case 保留睾丸手术治疗儿童双睾丸肿瘤1例报告
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000172
Bernardo Nunez
Mature teratomas are the most common benign testicular tumour during childhood. Epidermoid cyst are rare benign tumours, being more frequent before adolescence. We report so far the only case of ipsilateral and synchronous mature teratoma and epidermoid cyst in paediatric age.
成熟畸胎瘤是儿童时期最常见的良性睾丸肿瘤。表皮样囊肿是一种少见的良性肿瘤,多见于青春期前。我们报告到目前为止唯一的病例同侧和同步成熟畸胎瘤和表皮样囊肿在儿科年龄。
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引用次数: 0
Closure of Abdominal Incisions Following Laparotomy for Peritonitis in Children: Primary Closure or Delayed Primary Closure? 儿童腹膜炎剖腹手术后腹部切口的闭合:初级闭合还是延迟初级闭合?
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000173
C. Emeka
Background: There is need to determine the optimal management strategy for dirty abdominal surgical wounds. The aim of this study was to evaluate the post-operative wound complications in children whose dirty surgical wounds were closed primarily, in relation to those closed by delayed primary closure. Materials and Methods: This was a prospective evaluation of children, aged 15 years and younger, who had laparotomy for peritonitis in a teaching hospital in Enugu, Nigeria. This study covered a 5-year period. The following data were evaluated: patients’ age, gender, presenting symptoms, laboratory results at presentation, duration of symptoms before presentation, time interval between presentation and intervention, intra-operative finding, definitive operative procedure performed, complications of treatment, and outcome of treatment of the 2 groups of patients. Results: A total of 204 cases of peritonitis in children were operated upon during the study period. The incisions were closed by primary closure (Group A) in 104 (51%) while 100 (49%) surgical wounds were closed by delayed primary closure (Group B). More males were involved. All the patients had abdominal pain and about half the patients were anemic and had electrolyte imbalance at presentation. Typhoid intestinal perforation was the most common cause of peritonitis and closure of ileal perforation was the most frequent performed surgical procedure. Comparing the 2 groups of patients, surgical site infection and stitch related were less common in group B patients whose surgical incisions were closed by delayed primary closure. Conclusion: Delayed primary closure of dirty laparotomy incisions has less complication in terms of surgical site infection and stitch related complications. Therefore, delayed primary closure of dirty laparotomy wounds is advocated in pediatric population.
背景:需要确定腹部手术脏污伤口的最佳处理策略。本研究的目的是评估脏手术伤口首先闭合的儿童术后伤口并发症,与延迟初级闭合的儿童相比。材料和方法:这是一项前瞻性评估,年龄在15岁及以下的儿童,在尼日利亚埃努古的一家教学医院因腹膜炎进行剖腹手术。这项研究历时5年。评估以下资料:两组患者的年龄、性别、出现症状、出现时的实验室结果、出现症状前的持续时间、出现和干预的时间间隔、术中发现、确定的手术方式、治疗并发症和治疗结果。结果:本研究共对204例小儿腹膜炎进行手术治疗。A组有104例(51%)手术切口采用一期缝合,B组有100例(49%)手术切口采用延期一期缝合。所有的患者都有腹痛,大约一半的患者在就诊时贫血和电解质失衡。伤寒肠穿孔是腹膜炎最常见的原因,关闭回肠穿孔是最常见的外科手术。比较两组患者,B组延迟一期缝合手术切口患者手术部位感染及缝线相关发生率较低。结论:延迟一期缝合脏腹切口在手术部位感染和缝线相关并发症方面并发症较少。因此,在儿科人群中提倡延迟一期缝合肮脏的剖腹手术伤口。
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引用次数: 0
Surgical Management of Sudden Intrathoracic Hemorrhage in Two Patients with Occult Diaphragmatic Injury and Rib Fracture 隐性膈肌损伤合并肋骨骨折2例突发性胸内出血的外科治疗
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000180
Shouqiang Yu
Background: A sudden massive hemothorax as the initial manifestation of delayed diagnosis of blunt occult diaphragmatic injuries is extremely rare. We report our experience with two cases of sudden massive thoracic hemorrhage treated surgically for occult blunt diaphragm injury. In the present study, we aimed to present the successful rescue of two cases of sudden massive thoracic hemorrhage due to occult blunt diaphragmatic injury during hospitalization by surgical treatment. Sudden massive hemothorax a few days after hospitalization as an initial manifestation of blunt mysterious diaphragm injury is extremely rare.
背景:以突发性大量血胸作为钝性隐匿性膈损伤延迟诊断的初始表现是极为罕见的。我们报告两例突发性胸椎大出血手术治疗隐匿性钝性膈损伤的经验。在本研究中,我们的目的是通过手术治疗成功抢救两例隐性钝性膈损伤在住院期间引起的突发性胸椎大出血。住院几天后突然大量血胸作为钝性神秘横膈膜损伤的首发表现是极为罕见的。
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引用次数: 0
Foley's Catheter Balloon Avulsion of Posterior Urethral Valve in Children: How Effective? Foley's导管球囊撕脱儿童后尿道瓣膜:效果如何?
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000178
C. Emeka
Background: Endoscopic ablation under direct vision is the gold standard for treatment of posterior urethral valve. However, when the facilities are not available, Foley’s catheter balloon avulsion of the valve suffices. The aim of this study was to evaluate the initial outcome of management of children with posterior urethral valve treated by Foley’s catheter balloon avulsion. Materials and Methods: This was a retrospective study of children, aged 15 years and younger, who were treated for posterior urethral valves at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The parameters evaluated included the age of the patient at presentation, duration of symptoms before presentation, time interval between presentation and intervention, presenting symptoms, procedure performed, post-intervention complications, duration of hospital stay and outcome of treatment. Results: A total of 24 children underwent catheter balloon avulsion during the study period. The mean age of the patients at presentation was 18 months and the mean duration of hospital stay was 18 days. Poor urinary stream and overflow incontinence were the most common presentations of the patients. Twenty-three out of 24 (96%) patients achieved full recovery with marked improvements in urinary stream and resolution of urinary symptoms. Patients who had hydronephrosis and vesicoureteric reflux before treatment, had resolutions of their pathologies during the period of follow up. However, one tenth of the patients each, experienced urethral injury and temporary urinary incontinence. Conclusion: In resource poor settings where the necessary facilities are not available, Foley catheter balloon avulsion of posterior urethral valve is a simple and effective modality of treatment.
背景:直视下的内镜消融是治疗后尿道瓣膜的金标准。然而,当设备不具备时,Foley的导管球囊撕脱瓣膜就足够了。本研究的目的是评估Foley导管球囊撕脱术治疗儿童后尿道瓣膜的初步结果。材料和方法:这是一项回顾性研究,年龄在15岁及以下的儿童,他们在尼日利亚埃努古的一家教学医院的儿科外科治疗后尿道瓣膜。评估的参数包括患者就诊时的年龄、就诊前症状的持续时间、就诊与干预之间的时间间隔、就诊症状、手术过程、干预后并发症、住院时间和治疗结果。结果:研究期间共有24例患儿行导管球囊撕脱术。患者就诊时的平均年龄为18个月,平均住院时间为18天。尿流不畅和溢尿失禁是患者最常见的表现。24例患者中有23例(96%)完全康复,尿流明显改善,泌尿系统症状得到缓解。治疗前有肾积水和膀胱输尿管反流的患者,在随访期间病理均得到解决。然而,各有十分之一的患者出现了尿道损伤和暂时性尿失禁。结论:在资源贫乏、设施不完善的情况下,Foley导尿管球囊撕脱后尿道瓣膜是一种简单有效的治疗方法。
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引用次数: 0
Ergonomics for the Surgeon 外科医生的人体工程学
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000168
F. Karimian
As a surgeon, few of us know much about ergonomics. However, all of us use ergonomics by instinct. How is that then? When we try to put everything at the “right” place in a surgical field, position the patient in a way that makes working easier for us, and perform fine maneuvers with our instruments in deep cavities with limited space we are using ergonomics; or trying to be ergonomic. Ergonomics is a rapidly growing science and is an essential part in every industrial product; be it the handle of a laparoscopic tool or a sophisticated surgical robot. We should feedback the Industry about what is more ergonomic for us, or what we “expect” from a product. If such a mutual communication develops, then we will be more satisfied by technical innovations in instruments. Ergonomics also applies to technical capabilities of humans; what makes some one better than others at handwork. Generally, this is the matter of inherent talent, which is diverse. However, all of surgeons need to be best at handwork during surgery. This is why we should learn more about ergonomics.
作为外科医生,很少有人了解人体工程学。然而,我们所有人都本能地使用人体工程学。那是怎么回事?当我们试图把所有东西都放在手术领域的“正确”位置时,让病人的位置更容易让我们工作,并在有限的空间内用我们的仪器在深腔中进行精细的操作,我们使用的是人体工程学;或者尝试符合人体工程学。人体工程学是一门迅速发展的科学,是每一个工业产品的重要组成部分;无论是腹腔镜工具的手柄还是复杂的手术机器人。我们应该向业界反馈什么对我们来说更符合人体工程学,或者我们对产品的“期望”是什么。如果这种相互沟通发展起来,那么我们将对仪器的技术创新更满意。人体工程学也适用于人类的技术能力;是什么让一个人在手工方面比别人做得好。一般来说,这是先天天赋的问题,这是多种多样的。然而,所有的外科医生都需要在手术中最擅长手工。这就是为什么我们应该更多地了解人体工程学。
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引用次数: 0
Gut Instinct: How the Microbiome Affects Traumatic Brain Injury, A Narrative Review 肠道本能:微生物群如何影响创伤性脑损伤,叙述性评论
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000182
M. Faraji-Rad
Objectives: Emerging evidence suggests that the gut microbiome may play a role in the pathophysiology of traumatic brain injury (TBI). The objective of this systematic review is to identify and evaluate studies that investigate the relationship between TBI and gut microbiota alterations. Methods: Using the PRISMA 2020 Checklist, we searched five databases to identify relevant studies. Two independent researchers screened titles and abstracts and identified eligible studies according to the following PICO: studies that investigated the relationship between TBI and gut microbiota AND reported outcomes related to gut microbiome alterations. We assessed the risk of bias for included studies, extracted methodological data and related results of the articles, and used them for qualitative analysis. Results: We screened the titles and abstracts of 23 identified records and assessed the full text of 10 studies. In total, 5 studies met eligibility criteria and were entered into the qualitative analysis. These studies investigated the effects of TBI on gut microbiota in animal models and human patients. Although, we planned to systematic review, lack of adequate quantitively and qualitative data compelled us to write a narrative survey. The majority of studies reported significant alterations in gut microbiota composition and function following TBI, with potential implications for immune function, inflammation, and neurological recovery. Conclusion: This systematic review provides evidence supporting a relationship between TBI and alterations in gut microbiota. While the exact mechanisms underlying this relationship remain unclear, these findings suggest that targeting the gut microbiome may represent a novel therapeutic approach for TBI. Further studies are needed to elucidate the mechanisms involved and to evaluate the potential benefits of gut microbiota-targeted interventions in TBI.
目的:新的证据表明,肠道微生物群可能在创伤性脑损伤(TBI)的病理生理中发挥作用。本系统综述的目的是识别和评估研究创伤性脑损伤与肠道微生物群改变之间关系的研究。方法:使用PRISMA 2020检查表,检索5个数据库,筛选相关研究。两名独立研究人员筛选了标题和摘要,并根据以下PICO确定了符合条件的研究:调查TBI与肠道微生物群之间关系的研究,以及报告与肠道微生物群改变相关的结果。我们评估了纳入研究的偏倚风险,提取了文献的方法学数据和相关结果,并将其用于定性分析。结果:我们筛选了23篇文献的标题和摘要,评估了10篇文献的全文。总共有5项研究符合资格标准并进入定性分析。这些研究调查了创伤性脑损伤对动物模型和人类患者肠道微生物群的影响。虽然我们计划进行系统的综述,但由于缺乏足够的定量和定性数据,我们不得不写一份叙述性的调查报告。大多数研究报告了创伤性脑损伤后肠道微生物群组成和功能的显著改变,对免疫功能、炎症和神经恢复有潜在的影响。结论:本系统综述提供了支持创伤性脑损伤与肠道菌群改变之间关系的证据。虽然这种关系的确切机制尚不清楚,但这些发现表明,针对肠道微生物群可能代表了一种治疗TBI的新方法。需要进一步的研究来阐明所涉及的机制,并评估针对肠道微生物群的干预在TBI中的潜在益处。
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引用次数: 0
Piezosurgery - Safe and Reliable Method for Direct Sinus Lift 压电手术-安全可靠的鼻窦直接提升方法
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000165
Dr. Shalender Sharma
Piezosurgery is an alternative technique over conventional oral surgical procedure which is gained popularity in the field of dentistry. It offers a minimally invasive technique that reduces the risk of damage to soft tissues and important structures such as nerves, blood vessels, and the mucosa. This device is being used in osteotomies, periodontology and implantology, oral surgical procedures and in sinus augmentation procedures. The most important features of Piezosurgery include the selective cutting of bone depending on bone mineralization, without damaging the adjacent soft tissue (e.g. vessels, nerves or mucosa), providing a clear visibility in the operating field, and cutting with sensitivity without the generation of heat. This case report illustrates its use in the direct sinus lift procedure.
压电外科是一种替代传统口腔外科手术的技术,在牙科领域得到了广泛的应用。它提供了一种微创技术,降低了软组织和重要结构(如神经、血管和粘膜)损伤的风险。该设备被用于截骨术、牙周病和种植、口腔外科手术和鼻窦增强手术。压电外科手术最重要的特点包括根据骨矿化选择性切割骨骼,不损伤邻近的软组织(如血管、神经或粘膜),在手术区域内提供清晰的可视性,以及在不产生热量的情况下进行敏感切割。本病例报告说明了其在直接窦提升术中的应用。
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引用次数: 0
期刊
International Journal of Surgery & Surgical Techniques
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