Pub Date : 1900-01-01DOI: 10.5455/ACES.20180818073057
Ahmed Elrouby, Saber M. Waheeb, A. Khairi, Omar Fawzi
Background: Male anorectal malformations have many varieties, from simple types that can be easily repaired in one stage to more complex cases that need more sophisticated repairs in a staged approach. The staged approach has higher morbidity than the one-stage approach and includes colostomy complications, risk of repeated anesthesia and surgery, high costs and psychological and psychological burden on parents. Based on these disadvantages of the staged posterior sagittal anorectoplasty (PSARP) for high anorectal malformations, one-stage neonatal PSARP has been developed. The aim of our work is to evaluate the functional and clinical outcome of the one-stage approach in the treatment of selected cases of male neonates with high anorectal malformations Material and methods: This is a retrospective study which included male patients who had neonatal one-stage PSARP for their high anorectal anomalies between 2006 and 2013. Inclusion criteria included patients with flat or mildly distended abdomen; those in whom the cross-table film of the abdomen showed the rectal pouch reaching down to the fifth sacral segment and patients passing meconium from the urethra. However, cases with complete sacral agenesis, major cord anomalies, and a markedly distended abdomenpossibly due to a megarectumwere excluded from the selection. Patients were evaluated for their functional and clinical outcome at the time of the follow-up in January 2018. Patients with poor outcomes were further evaluated by MRI and examination under anesthesia. Results: Our retrospective study included 24 patients with an age range between 5 and 11 years at the time of follow up in January 2018. 16 patients had a recto-bulbar fistula, six patients had a recto-prostatic fistula, and only two patients had recto-bladder neck fistula. According to the continence outcome, 15 patients had a good outcome, all of which had a recto-bulbar fistula. Six patients had a fair outcome; 5 of them had a recto-prostatic fistula, and only one patient had a rectobulbar fistula. The remaining three patients who had poor outcome included all patients with recto-bladder neck fistula (2 patients) and one patient with recto-prostatic fistula; this was statistically significant (P
{"title":"Evaluation of the functional outcome of the neonatal one stage posterior sagittal anorectoplasty (PSARP) as a procedure to treat cases of high anorectal malformation in male neonates","authors":"Ahmed Elrouby, Saber M. Waheeb, A. Khairi, Omar Fawzi","doi":"10.5455/ACES.20180818073057","DOIUrl":"https://doi.org/10.5455/ACES.20180818073057","url":null,"abstract":"Background: Male anorectal malformations have many varieties, from simple types that can be easily repaired in one stage to more complex cases that need more sophisticated repairs in a staged approach. The staged approach has higher morbidity than the one-stage approach and includes colostomy complications, risk of repeated anesthesia and surgery, high costs and psychological and psychological burden on parents. Based on these disadvantages of the staged posterior sagittal anorectoplasty (PSARP) for high anorectal malformations, one-stage neonatal PSARP has been developed. The aim of our work is to evaluate the functional and clinical outcome of the one-stage approach in the treatment of selected cases of male neonates with high anorectal malformations \u0000Material and methods: This is a retrospective study which included male patients who had neonatal one-stage PSARP for their high anorectal anomalies between 2006 and 2013. Inclusion criteria included patients with flat or mildly distended abdomen; those in whom the cross-table film of the abdomen showed the rectal pouch reaching down to the fifth sacral segment and patients passing meconium from the urethra. However, cases with complete sacral agenesis, major cord anomalies, and a markedly distended abdomenpossibly due to a megarectumwere excluded from the selection. Patients were evaluated for their functional and clinical outcome at the time of the follow-up in January 2018. Patients with poor outcomes were further evaluated by MRI and examination under anesthesia. \u0000Results: Our retrospective study included 24 patients with an age range between 5 and 11 years at the time of follow up in January 2018. 16 patients had a recto-bulbar fistula, six patients had a recto-prostatic fistula, and only two patients had recto-bladder neck fistula. According to the continence outcome, 15 patients had a good outcome, all of which had a recto-bulbar fistula. Six patients had a fair outcome; 5 of them had a recto-prostatic fistula, and only one patient had a rectobulbar fistula. The remaining three patients who had poor outcome included all patients with recto-bladder neck fistula (2 patients) and one patient with recto-prostatic fistula; this was statistically significant (P","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132012923","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 : 1900-01-01DOI: 10.5455/ACES.20180925045322
M. Sakr, M. Habib, Hossam M. Hamed, H. Kholosy
Objective: To assess the outcome of Prolene mesh-abdominoplasty, as compared to abdominoplasty alone, in multiparous women with severe musculo-aponeurotic laxity. Subjects and Methods: The present retrospective study included 135 multiparous (4 or more children) women who presented with an abdomen that resembled a full-term pregnancy in the erect posture. Their ages ranged between 27 and 59 years with a mean of 41.26±13.15 years. Forty-three (31.9%) patients suffered from low back pain, 52 patients (38.52%) had an associated ventral hernia, and 88 (65.19%) had previous abdominal surgery. Eighty-four patients (62.2%) underwent mesh-abdominoplasty (Group 1) while the remaining 51 (37.8%), who refused mesh application, underwent standard abdominoplasty (Group 2). The follow-up period ranged from18 months to 11 years with an average of 61 months. Results: Both groups were comparable regarding their demographic and clinical parameters. All repaired hernias did not recur, and abdominal pain was relieved in all patients of both groups. With mesh-abdominoplasty, low-back pain was completely relieved in 71.4% (20/28) of patients as compared to 80% (12/15) with abdominoplasty. No mortality or major complications were encountered. Wound complications occurred in 22 patients (26.19%) in Group 1 versus 7 (13.73%) in Group 2 (X2=2.923, p=0.087). With mesh-abdominoplasty (Group 1), ten patients (11.90%) required a second operation for refashioning of lower abdominal skin laxity, dog-ears or umbilical scar as compared to 16 patients (31.37%) in patients with abdominoplasty only (Group 2) (X2=7.734, p=0.005). Recurrence was significantly higher among patients who underwent abdominoplasty alone (X2=22.768, p
目的:评价Prolene网腹成形术与单独腹部成形术相比，对严重肌腱膜松弛的多产妇女的治疗效果。对象和方法:本回顾性研究包括135名多胎(4个或更多孩子)妇女，她们的腹部呈直立姿势，与足月妊娠相似。年龄27 ~ 59岁，平均41.26±13.15岁。43例(31.9%)患者患有腰痛，52例(38.52%)患者伴有腹疝，88例(65.19%)患者既往有腹部手术史。第1组84例(62.2%)行补片腹成形术，第2组51例(37.8%)拒绝补片腹成形术。随访时间18个月~ 11年，平均61个月。结果:两组在人口学和临床参数方面具有可比性。两组修复后的疝均无复发，腹痛均得到缓解。与80%(12/15)的腹部成形术相比，71.4%(20/28)的腹部网状成形术患者的腰痛完全缓解。无死亡或重大并发症。创面并发症发生率1组22例(26.19%)，2组7例(13.73%)(X2=2.923, p=0.087)。采用网状腹部成形术(组1)，10例(11.90%)患者需要进行第二次手术以重塑下腹部皮肤松弛，狗耳或脐瘢痕，而仅腹部成形术(组2)患者为16例(31.37%)(X2=7.734, p=0.005)。单独行腹部成形术的患者复发率明显高于对照组(X2=22.768, p
{"title":"The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity","authors":"M. Sakr, M. Habib, Hossam M. Hamed, H. Kholosy","doi":"10.5455/ACES.20180925045322","DOIUrl":"https://doi.org/10.5455/ACES.20180925045322","url":null,"abstract":"Objective: To assess the outcome of Prolene mesh-abdominoplasty, as compared to abdominoplasty alone, in multiparous women with severe musculo-aponeurotic laxity. \u0000Subjects and Methods: The present retrospective study included 135 multiparous (4 or more children) women who presented with an abdomen that resembled a full-term pregnancy in the erect posture. Their ages ranged between 27 and 59 years with a mean of 41.26±13.15 years. Forty-three (31.9%) patients suffered from low back pain, 52 patients (38.52%) had an associated ventral hernia, and 88 (65.19%) had previous abdominal surgery. Eighty-four patients (62.2%) underwent mesh-abdominoplasty (Group 1) while the remaining 51 (37.8%), who refused mesh application, underwent standard abdominoplasty (Group 2). The follow-up period ranged from18 months to 11 years with an average of 61 months. \u0000Results: Both groups were comparable regarding their demographic and clinical parameters. All repaired hernias did not recur, and abdominal pain was relieved in all patients of both groups. With mesh-abdominoplasty, low-back pain was completely relieved in 71.4% (20/28) of patients as compared to 80% (12/15) with abdominoplasty. No mortality or major complications were encountered. Wound complications occurred in 22 patients (26.19%) in Group 1 versus 7 (13.73%) in Group 2 (X2=2.923, p=0.087). With mesh-abdominoplasty (Group 1), ten patients (11.90%) required a second operation for refashioning of lower abdominal skin laxity, dog-ears or umbilical scar as compared to 16 patients (31.37%) in patients with abdominoplasty only (Group 2) (X2=7.734, p=0.005). Recurrence was significantly higher among patients who underwent abdominoplasty alone (X2=22.768, p","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132087602","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 : 1900-01-01DOI: 10.5455/aces.20180720071622
G. Özdemir, Ebru Fındıklı
Background/Aim: In this study, we aimed to show the effect of melatonin, a pineal hormone, on intraocular pressure in patients with depression and normal ocular tension. Methods: Twenty depressive patients for whose agomelatine, a melatonin drug, was deemed necessary for treatment of the primary disease were enrolled in the study. Ocular pressures at baseline, second and fourth-week visits were recorded using a Tono-Pen and a Goldmann applanation tonometer. Results: Our study revealed that oral agomelatine therapy reduced intraocular pressure in the normotensive patients. The baseline intraocular pressure was 12.6±2.8 mm Hg with the Tono-Pen and 14.8 mm Hg with applanation tonometry. At the fourth week visit, the pressure measured with Tono-Pen was 11.5±2.9 mm-Hg and the pressure measured with applanation tonometer was 13.5±2.8 mm-Hg (p
背景/目的:本研究旨在研究松果体激素褪黑素对正常眼压下抑郁症患者眼压的影响。方法:20名抑郁症患者的阿戈美拉汀(一种褪黑激素药物)被认为是治疗原发性疾病所必需的。使用Tono-Pen和Goldmann眼压计记录基线、第二周和第四周的眼压。结果:我们的研究表明，口服阿戈美拉汀治疗可降低正常血压患者的眼压。Tono-Pen的基线眼压为12.6±2.8 mm Hg，压平眼压计为14.8 mm Hg。第4周访视时，Tono-Pen测血压为11.5±2.9 mm-Hg，压扁眼压计测血压为13.5±2.8 mm-Hg (p
{"title":"Melatonin decreases eye pressure in depressive patients with normal intraocular pressure","authors":"G. Özdemir, Ebru Fındıklı","doi":"10.5455/aces.20180720071622","DOIUrl":"https://doi.org/10.5455/aces.20180720071622","url":null,"abstract":"Background/Aim: In this study, we aimed to show the effect of melatonin, a pineal hormone, on intraocular pressure in patients with depression and normal ocular tension. \u0000Methods: Twenty depressive patients for whose agomelatine, a melatonin drug, was deemed necessary for treatment of the primary disease were enrolled in the study. Ocular pressures at baseline, second and fourth-week visits were recorded using a Tono-Pen and a Goldmann applanation tonometer. \u0000Results: Our study revealed that oral agomelatine therapy reduced intraocular pressure in the normotensive patients. The baseline intraocular pressure was 12.6±2.8 mm Hg with the Tono-Pen and 14.8 mm Hg with applanation tonometry. At the fourth week visit, the pressure measured with Tono-Pen was 11.5±2.9 mm-Hg and the pressure measured with applanation tonometer was 13.5±2.8 mm-Hg (p","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124713495","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 : 1900-01-01DOI: 10.5455/ACES.20180417061736
Serhan Çimen
Introduction: Urological emergencies constitute a significant proportion of patients presenting to emergency services. In this study demographic data, clinical diagnosis and treatment options of urological emergency cases referred to Malatya Training and Research Hospital Emergency Service were evaluated retrospectively. Materials and Methods: 18658, which were evaluated as urological emergency from 717624 patients who applied for Malatya Training and Research Hospital Emergency Service between March 2017 and March 2018 for any reason, were evaluated retrospectively. Demographic characteristics, such as age and gender of the patients, and medical treatments applied o clinics were evaluated. Findings: 47.2% of the patients were male (mean age: 43.7), 52.8% were female (mean age: 39.9), 6.7% were children, 11.3% were 70 years or above. The number of patients who were diagnosed with genitourinary system infection was 8549. There were 4536 patients with acute renal colic, 67 patients with massive macroscopic hematuria. When 74 cases with genitourinary system trauma were evaluated, minor and major renal injuries were seen most frequently. 73 of the patients were surgically operated. A total of 5 (0.02%) patients with two major renal traumas, 2 Fournier gangrene and 1 gunshot injury to the scrotum region were referred to the secondary center after the first visit to the emergency center. Conclusion: Urological emergencies that are frequently encountered in the emergency department should be evaluated quickly by the emergency physician and should be referred to a urology specialist. Having a detailed knowledge of the urological experience of the urologist and assessing the patient quickly and making the necessary intervention in the shortest time can be lifesaving.
{"title":"Evaluation of urologic emergency cases applying to emergency service","authors":"Serhan Çimen","doi":"10.5455/ACES.20180417061736","DOIUrl":"https://doi.org/10.5455/ACES.20180417061736","url":null,"abstract":"Introduction: Urological emergencies constitute a significant proportion of patients presenting to emergency services. In this study demographic data, clinical diagnosis and treatment options of urological emergency cases referred to Malatya Training and Research Hospital Emergency Service were evaluated retrospectively. \u0000Materials and Methods: 18658, which were evaluated as urological emergency from 717624 patients who applied for Malatya Training and Research Hospital Emergency Service between March 2017 and March 2018 for any reason, were evaluated retrospectively. Demographic characteristics, such as age and gender of the patients, and medical treatments applied o clinics were evaluated. \u0000Findings: 47.2% of the patients were male (mean age: 43.7), 52.8% were female (mean age: 39.9), 6.7% were children, 11.3% were 70 years or above. The number of patients who were diagnosed with genitourinary system infection was 8549. There were 4536 patients with acute renal colic, 67 patients with massive macroscopic hematuria. When 74 cases with genitourinary system trauma were evaluated, minor and major renal injuries were seen most frequently. 73 of the patients were surgically operated. A total of 5 (0.02%) patients with two major renal traumas, 2 Fournier gangrene and 1 gunshot injury to the scrotum region were referred to the secondary center after the first visit to the emergency center. \u0000Conclusion: Urological emergencies that are frequently encountered in the emergency department should be evaluated quickly by the emergency physician and should be referred to a urology specialist. Having a detailed knowledge of the urological experience of the urologist and assessing the patient quickly and making the necessary intervention in the shortest time can be lifesaving.","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122218199","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 : 1900-01-01DOI: 10.5455/ACES.20190202051423
Ahmed Elrouby
Objectives: The objective of our study was to study the outcome of the perforated gut in the neonatal age group in our institute in relation to the personal data (age, sex), the operative details (abdominal incision, peritonitis &collection, the type of the performed procedure, the type, site and cause of the perforation) and the length of the hospital stay. Material and methods: The records of all neonates with perforated gut, who were admitted to the Pediatric Surgery Department, Faculty of Medicine, Alexandria University, between January 2015 and November 2017 were retrospectively reviewed. The personal data (age, sex), the operative details (abdominal incision, peritonitis &collection, the type of the performed procedure, the type, site, and cause of the perforation) and the length of the hospital stay were collected and analyzed. All of the previously enumerated factors were correlated to the final outcome of the patients. Patients with incomplete data were excluded from our study. Results: Our study included 44 neonates; all of them were under one month old. The patients were divided into three groups (A, B, and C) according to their final outcome. Patients of group A were those who had been discharged after surgical exploration, patients of group B were those who died after surgical exploration and patients of group C who died before any surgical exploration. So the actual mortality rate in our study, including both patients of group B and group C (18 patient) was 40%. Sealed perforation was found in 2 patients, solitary perforation in 28 patients and only nine patients had multiple perforations. Nothing had been done for the two patients with sealed perforation; however, four patients had direct closure of their perforated loop, three patients had resection anastomosis of the perforated loop, and 31 patients had a stoma. Birth weight, prematurity, and the amount of peritoneal collection were the only factors which had a statistically significant effect on the fate of our studied patients. Conclusion: Neonatal perforated gut had a high mortality rate which could be affected by birth weight, prematurity and the amount of peritoneal collection
{"title":"Neonatal gastrointestinal perforation is a major challenge; A retrospective study","authors":"Ahmed Elrouby","doi":"10.5455/ACES.20190202051423","DOIUrl":"https://doi.org/10.5455/ACES.20190202051423","url":null,"abstract":"Objectives: The objective of our study was to study the outcome of the perforated gut in the neonatal age group in our institute in relation to the personal data (age, sex), the operative details (abdominal incision, peritonitis &collection, the type of the performed procedure, the type, site and cause of the perforation) and the length of the hospital stay. \u0000Material and methods: The records of all neonates with perforated gut, who were admitted to the Pediatric Surgery Department, Faculty of Medicine, Alexandria University, between January 2015 and November 2017 were retrospectively reviewed. The personal data (age, sex), the operative details (abdominal incision, peritonitis &collection, the type of the performed procedure, the type, site, and cause of the perforation) and the length of the hospital stay were collected and analyzed. All of the previously enumerated factors were correlated to the final outcome of the patients. Patients with incomplete data were excluded from our study. \u0000Results: Our study included 44 neonates; all of them were under one month old. The patients were divided into three groups (A, B, and C) according to their final outcome. Patients of group A were those who had been discharged after surgical exploration, patients of group B were those who died after surgical exploration and patients of group C who died before any surgical exploration. So the actual mortality rate in our study, including both patients of group B and group C (18 patient) was 40%. Sealed perforation was found in 2 patients, solitary perforation in 28 patients and only nine patients had multiple perforations. Nothing had been done for the two patients with sealed perforation; however, four patients had direct closure of their perforated loop, three patients had resection anastomosis of the perforated loop, and 31 patients had a stoma. Birth weight, prematurity, and the amount of peritoneal collection were the only factors which had a statistically significant effect on the fate of our studied patients. \u0000Conclusion: Neonatal perforated gut had a high mortality rate which could be affected by birth weight, prematurity and the amount of peritoneal collection","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128600229","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 : 1900-01-01DOI: 10.5455/aces.20180804105910
Yagmur Akbulut, C. Yeşiloğlu, Sebnem Altinkalem, O. Akdoğan, S. Yazgan, D. Gokmen, İsmail Çalikoğlu, M. Akkoca, S. Tokgöz, M. Kuzu
Objective: Rectal bleeding is one of the most important symptoms of colorectal cancer that fast-tracks the patient’s consultation with a physician. This study aims to assess the warning role of rectal bleeding in a risk group for colorectal cancer. Besides, the relationship among awareness, various socio-demographic criteria and the reasons for visiting or not visiting the physician was evaluated among greater than or equal to 40 years old. Methods: This descriptive study was conducted thousand one hundred and sixteen (1116) individuals greater than or equal to 40 years old. Awareness of rectal bleeding as a warning sign in participating individuals was assessed by a questionnaire in addition to their family history of cancer or polyps and reasons for visiting or not visiting a physician. Results: A prior history of rectal bleeding was found in 51.9% of subjects. Among those with rectal bleeding history, the rate of visiting a physician due to this bleeding was 49.7%. No statistically significant relationship was found between the frequency of those who contacted their physician and gender, education or age. The frequency of visiting a physician was significantly higher among individuals with a family history of colorectal cancer as compared with no family history and was directly proportional to the degree of family relationship (p = 0.007). Conclusion: Even rectal bleeding does not raise enough attention for visiting a physician. Therefore, public education and screening still have paramount importance in the prevention of colorectal cancer.
{"title":"One misfortune is better than thousands of pieces of advice: the warning role of rectal bleeding","authors":"Yagmur Akbulut, C. Yeşiloğlu, Sebnem Altinkalem, O. Akdoğan, S. Yazgan, D. Gokmen, İsmail Çalikoğlu, M. Akkoca, S. Tokgöz, M. Kuzu","doi":"10.5455/aces.20180804105910","DOIUrl":"https://doi.org/10.5455/aces.20180804105910","url":null,"abstract":"Objective: Rectal bleeding is one of the most important symptoms of colorectal cancer that fast-tracks the patient’s consultation with a physician. This study aims to assess the warning role of rectal bleeding in a risk group for colorectal cancer. Besides, the relationship among awareness, various socio-demographic criteria and the reasons for visiting or not visiting the physician was evaluated among greater than or equal to 40 years old. \u0000Methods: This descriptive study was conducted thousand one hundred and sixteen (1116) individuals greater than or equal to 40 years old. Awareness of rectal bleeding as a warning sign in participating individuals was assessed by a questionnaire in addition to their family history of cancer or polyps and reasons for visiting or not visiting a physician. \u0000Results: A prior history of rectal bleeding was found in 51.9% of subjects. Among those with rectal bleeding history, the rate of visiting a physician due to this bleeding was 49.7%. No statistically significant relationship was found between the frequency of those who contacted their physician and gender, education or age. The frequency of visiting a physician was significantly higher among individuals with a family history of colorectal cancer as compared with no family history and was directly proportional to the degree of family relationship (p = 0.007). \u0000Conclusion: Even rectal bleeding does not raise enough attention for visiting a physician. Therefore, public education and screening still have paramount importance in the prevention of colorectal cancer.","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134526644","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 : 1900-01-01DOI: 10.5455/ACES.20180621121428
Tawfeik Alyafi, Mohamed Alkahtani, Nouf Alturki, Mohammed Ashi
Objectives: This retrospective study aimed to estimate the incidence of the deep vein thrombosis (DVT) among patients suffering from burn in a tertiary care hospital at Saudi Arabia during the period from January 2010 to January 2016. Methods: A chart review study was conducted at National Guard hospital in the Management of Adult and Pediatric Patients with Burns, from 2010-2015. The study included 168 burn cases from 2010 to 2015, of which 109 (64.9%) were children and 59 (35.1%) were adults. Six cases from pediatric had incomplete data were excluded from analysis. Results: This study showed that 38.3% of the patients with burns in the study period were adults, 61.7% were children 66.9% were males, and 98% were Saudis. The main cause of burns was the flame in adults (45.7%) and children (66%), with significant difference (p=0.029). Lower limb was the main site of burns among (50.8%) of the adults, while the main site was the abdomen among the children (67.7). DVT (3.1%) and death (1.1%) was higher among children than adults with no significant difference. Conclusions: The rate of the burn was higher among children than adults without significant difference. The main cause for burning was flame. The main risk factors to develop DVT were increased total body surface area, insertion of the central line, and admission to ICU. There is a need for more meaningful evaluation of the patients with burns in order to calculate the incidence of DVT and identify the associated risk factors among them.
{"title":"The incidence of the deep veins thrombosis among adult and pediatric Saudi patients with burns. National Guard hospital between 2010-2015","authors":"Tawfeik Alyafi, Mohamed Alkahtani, Nouf Alturki, Mohammed Ashi","doi":"10.5455/ACES.20180621121428","DOIUrl":"https://doi.org/10.5455/ACES.20180621121428","url":null,"abstract":"Objectives: This retrospective study aimed to estimate the incidence of the deep vein thrombosis (DVT) among patients suffering from burn in a tertiary care hospital at Saudi Arabia during the period from January 2010 to January 2016. \u0000Methods: A chart review study was conducted at National Guard hospital in the Management of Adult and Pediatric Patients with Burns, from 2010-2015. The study included 168 burn cases from 2010 to 2015, of which 109 (64.9%) were children and 59 (35.1%) were adults. Six cases from pediatric had incomplete data were excluded from analysis. \u0000Results: This study showed that 38.3% of the patients with burns in the study period were adults, 61.7% were children 66.9% were males, and 98% were Saudis. The main cause of burns was the flame in adults (45.7%) and children (66%), with significant difference (p=0.029). Lower limb was the main site of burns among (50.8%) of the adults, while the main site was the abdomen among the children (67.7). DVT (3.1%) and death (1.1%) was higher among children than adults with no significant difference. \u0000Conclusions: The rate of the burn was higher among children than adults without significant difference. The main cause for burning was flame. The main risk factors to develop DVT were increased total body surface area, insertion of the central line, and admission to ICU. There is a need for more meaningful evaluation of the patients with burns in order to calculate the incidence of DVT and identify the associated risk factors among them.","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122817914","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 : 1900-01-01DOI: 10.5455/aces.20190318055641
Alvaro Ayora, G. González, C. Fernandez
The modular components facilitate joint replacement surgery but are associated with potential complications not present in the previous components. We present a case of polyethylene dissociation due to rupture of the anti-rotational blocks in a total hip prosthesis two years after surgery. We think about the possible causes and risk factors. Despite its low incidence, the dissociation between polyethylene and the acetabular cup is a catastrophic complication. The femoroacetabular impingement seems to play a key role.
{"title":"A polyethylene liner dissociation case report in depuy pinnacle cup. An impingement problem?","authors":"Alvaro Ayora, G. González, C. Fernandez","doi":"10.5455/aces.20190318055641","DOIUrl":"https://doi.org/10.5455/aces.20190318055641","url":null,"abstract":"The modular components facilitate joint replacement surgery but are associated with potential complications not present in the previous components. We present a case of polyethylene dissociation due to rupture of the anti-rotational blocks in a total hip prosthesis two years after surgery. We think about the possible causes and risk factors. Despite its low incidence, the dissociation between polyethylene and the acetabular cup is a catastrophic complication. The femoroacetabular impingement seems to play a key role.","PeriodicalId":371099,"journal":{"name":"Archives of Clinical and Experimental Surgery (ACES)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127504436","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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