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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
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
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
Parapharyngeal Lipomas: A Literature Review and Surgical Management 咽旁脂肪瘤:文献回顾与外科治疗
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000162
Patrick J. Hesketh
Parapharyngeal space is a potential deep neck space extending between skull base and the hyoid bone. It is considered to be a rare site for neoplasms and it is even unusual to see Lipomas presenting in this space. Due to the proximity to skull base and presence of important structures in this space, surgical intervention can be complicated. An extensive literature review was carried out to comprehend the presenting features and management of this rare entity. Thirty-six reports/series were included presenting 37 patients between 15-83 years of age with a peak in 5th decade having lipoma in the parapharyngeal space/skull base region. The dimensions of these benign entities ranged between 3 cm to 16 cm. We present & discuss our experience with a large lipoma traversing parotid, submandibular and parapharyngeal spaces and its surgical management. We hope that this review and surgical principles presented will be helpful to the trainees and surgeons dealing with these entities.
咽旁间隙是一个潜在的深颈间隙,在颅底和舌骨之间延伸。它被认为是一个罕见的肿瘤部位,甚至在这个空间看到脂肪瘤是不寻常的。由于靠近颅底和在该空间存在重要结构,手术干预可能会很复杂。我们进行了广泛的文献回顾,以了解这种罕见的实体的表现特征和管理。36份报告/系列纳入了37例年龄在15-83岁之间的患者,在第5个十年中出现咽旁间隙/颅底区脂肪瘤的高峰。这些良性实体的尺寸在3cm到16cm之间。我们报告并讨论我们的经验,一个大的脂肪瘤横过腮腺,下颌骨和咽旁间隙和它的手术处理。我们希望这篇综述和所提出的手术原则将对处理这些实体的培训生和外科医生有所帮助。
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引用次数: 0
Juvenile Giant Fibroadenoma Vs. Phyllodes Tumor: Know the Difference in a 14-Years-Old Woman: Case Report 少年巨大纤维腺瘤与叶状瘤:了解14岁女性的差异:病例报告
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000174
Padron S Johnny A
Fibroadenoma is the most common benign fibroepithelial lesion of the breast in young women, accounting for around 90% of solid lesions of the gland in adolescence. However, juvenile giant fibroadenoma is a rare breast condition that occurs in women under 18 years of age. Due to the similarity of the characteristics of juvenile giant fibroadenoma and phyllodes tumor, both lesions characterized by rapid growth, it is important to establish the differential diagnosis of both pathologies when one of them is suspected, in order to guarantee the most appropriate therapeutic attitude to follow. A 14-year-old woman with no family or personal history of interest, who consulted due to a clinical picture characterized by breast asymmetry secondary to progressive growth of the left breast of 5 months of evolution. An ultrasound-guided core needle biopsy was performed that reported giant juvenile fibroadenoma. Lumpectomy was performed. Histopathological diagnosis compatible with juvenile giant fibroadenoma of the left breast. Based on our case and on the reviewed bibliography, we recommend an early differential diagnosis, as well as an accurate one, and surgical treatment of cases of juvenile giant fibroadenoma. The surgical tactics and technique depend on the age at the time of diagnosis, the clinical and imaging characteristics of the mammary gland and the tumor, as well as the wishes of the patient in question.
纤维腺瘤是年轻女性乳腺最常见的良性纤维上皮病变,约占青春期乳腺实体病变的90%。然而,青少年巨大纤维腺瘤是一种罕见的乳房疾病,发生在18岁以下的女性。由于幼年巨大纤维腺瘤和叶状瘤的特征相似,均具有快速生长的特点,因此当怀疑其中一种病变时,建立两种病理的鉴别诊断是很重要的,以保证采取最合适的治疗态度。一名14岁女性,无家族病史或个人病史,因临床表现为乳房不对称继发于5个月的左乳房进行性生长而就诊。超声引导下的芯针活检报告了巨大的幼年纤维腺瘤。行乳房肿瘤切除术。组织病理学诊断符合左乳幼年型巨大纤维腺瘤。根据我们的病例和参考文献,我们建议早期鉴别诊断,以及准确的诊断,并对青少年巨大纤维腺瘤进行手术治疗。手术策略和技术取决于诊断时的年龄,乳腺和肿瘤的临床和影像学特征,以及患者的意愿。
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引用次数: 0
Epidemiological Study of Molecular and Genetic Classification in Adult Diffuse Glioma 成人弥漫性胶质瘤分子及遗传分型的流行病学研究
Pub Date : 1900-01-01 DOI: 10.23880/ijsst-16000171
M. Faraji-Rad
Background: Mutations in isocitrate dehydrogenase 1 (IDH1) and isocitrate dehydrogenase 2 (IDH2) are frequent in lowgrade and high-grade gliomas. However, the diagnostic criteria, in particular for gliomas, are highly various. The aim of our study was to establish genetic profiles for mutation and calcification of diffuse gliomas and to evaluate their predictive factors. Methods: We estimate the different clinical and molecular characterization between IDH1, IDH2 mutant gliomas, p53, ATRX and 1p19q. In addition, whole-transcriptome sequencing and DNA extraction data were used to evaluate the distribution of genetic changes in IDH1 and IDH2 mutant gliomas in a Iranian high grade glioma. Results: Between 2016-2019, among 53 gliomas in our study, 29 cases (54.7% %) harbored an IDH1,2 mutation, 21 cases (39.6 %) harbored an p53 mutation and 19 cases (35.8 %) harbored an ATRX. In addition, 1p19q co-deletion mutation was found in 7 cases (12.2%). We found that IDH1 and IDH2 are mutually entirely in gliomas. There was no significant relation between histopathology, tumor location and clinical finding with diagnosed mutations. Conclusion: Our study discloses an associated distinction between IDH1 and IDH2 mutant gliomas nearly in half of patients, followed by p53. These mutations should be reviewed separately because their differences could have indication for the diagnosis and treatment of IDH1/2 mutant gliomas.
背景:异柠檬酸脱氢酶1 (IDH1)和异柠檬酸脱氢酶2 (IDH2)突变在低级别和高级别胶质瘤中很常见。然而,胶质瘤的诊断标准,尤其是胶质瘤的诊断标准,是高度多样化的。本研究的目的是建立弥漫性胶质瘤突变和钙化的基因图谱,并评估其预测因素。方法:我们评估IDH1、IDH2突变型胶质瘤、p53、ATRX和1p19q之间的临床和分子特征差异。此外,利用全转录组测序和DNA提取数据来评估伊朗高级别胶质瘤中IDH1和IDH2突变胶质瘤的遗传变化分布。结果:2016-2019年,在我们研究的53例胶质瘤中,29例(54.7%)携带IDH1,2突变,21例(39.6%)携带p53突变,19例(35.8%)携带ATRX突变。1p19q共缺失突变7例(12.2%)。我们发现IDH1和IDH2在胶质瘤中完全相互作用。组织病理学、肿瘤位置和临床表现与诊断的突变无显著关系。结论:我们的研究揭示了近一半的患者存在IDH1和IDH2突变胶质瘤的相关差异,其次是p53。这些突变应该单独审查,因为它们的差异可能对IDH1/2突变胶质瘤的诊断和治疗有指示。
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引用次数: 0
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International Journal of Surgery & Surgical Techniques
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