Pub Date : 2021-09-30DOI: 10.7438/jsurg.2021.03.07
Florin Bzovii
{"title":"Relevanța indicilor derivați din testele de laborator standard la pacienții cu tromboză venoasă superficială și profundă","authors":"Florin Bzovii","doi":"10.7438/jsurg.2021.03.07","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.07","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115322356","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 : 2021-09-30DOI: 10.7438/jsurg.2021.03.06
M. Cobzeanu
{"title":"Evolution of morphological and functional parameters of the right ventricle after mitral valve surgery","authors":"M. Cobzeanu","doi":"10.7438/jsurg.2021.03.06","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.06","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124703263","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 : 2021-09-30DOI: 10.7438/jsurg.2021.03.05
C. Bradea
{"title":"Laparoscopy in Bowel Obstruction at First Surgical Clinic of Iasi","authors":"C. Bradea","doi":"10.7438/jsurg.2021.03.05","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.05","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121789452","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 : 2021-09-30DOI: 10.7438/jsurg.2021.03.09
Dana Baran
{"title":"Thoma Ionescu, the prominent surgeon, about ‟our universities”","authors":"Dana Baran","doi":"10.7438/jsurg.2021.03.09","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.09","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130157997","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 : 2021-09-30DOI: 10.7438/jsurg.2021.03.03
Sabina Gabriela Ciuvica - Tanasescu
{"title":"Tulburări ale echilibrului hiroelectrolitic şi acido-bazic ȋn ocluziile intestinale la adult – Review al literaturii","authors":"Sabina Gabriela Ciuvica - Tanasescu","doi":"10.7438/jsurg.2021.03.03","DOIUrl":"https://doi.org/10.7438/jsurg.2021.03.03","url":null,"abstract":"","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126446672","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 : 2021-06-30DOI: 10.7438/jsurg.2021.02.04
A. Nicolaescu, D. Mărgăritescu, M. Bică, D. Marinescu, T. Bratiloveanu, Georgiana Graure, Ș. Pătrașcu, K. Sapalidis, V. Șurlin
Background. The surgical attitude and the treatment towards colon cancer did not change significantly over the past years. The most important features in achieving oncologically safe surgery are clean resection wedges and the removal of the locoregional lymph nodes. This study aimed to identify if emergency colon cancer surgery has any influence on the type and quality of resections. Methods. We performed a retrospective study of 163 patients admitted in our surgical department with colon cancer who underwent an oncological resection. The patients were divided in two groups: group A included patients that underwent emergency surgery in the emergency and group B included patients undergoing elective surgery. A comparative analysis of intraoperative markers for oncologic quality of resection and for the postoperative outcomes was performed. Results. Of the 163 patients included in this study, 104 were operated in the emergency setting and 59 as elective cases. The preoperative status of patients indicated that emergency cases had a more precarious nutritional and biological status. When the quality of oncologic resection was analyzed, no differences were observed. A higher number of ostomies were created in group A, as well as worse postoperative outcomes. Conclusion. Emergency surgery for colon cancer did not affect the quality of resection, but the morbidity was higher in patients who presented as surgical emergency.
{"title":"Quality of resection in emergency colon cancer surgery – a retrospective study","authors":"A. Nicolaescu, D. Mărgăritescu, M. Bică, D. Marinescu, T. Bratiloveanu, Georgiana Graure, Ș. Pătrașcu, K. Sapalidis, V. Șurlin","doi":"10.7438/jsurg.2021.02.04","DOIUrl":"https://doi.org/10.7438/jsurg.2021.02.04","url":null,"abstract":"Background. The surgical attitude and the treatment towards colon cancer did not change significantly over the past\u0000years. The most important features in achieving oncologically safe surgery are clean resection wedges and the\u0000removal of the locoregional lymph nodes. This study aimed to identify if emergency colon cancer surgery has any\u0000influence on the type and quality of resections. Methods. We performed a retrospective study of 163 patients admitted\u0000in our surgical department with colon cancer who underwent an oncological resection. The patients were divided in\u0000two groups: group A included patients that underwent emergency surgery in the emergency and group B included\u0000patients undergoing elective surgery. A comparative analysis of intraoperative markers for oncologic quality of\u0000resection and for the postoperative outcomes was performed.\u0000Results. Of the 163 patients included in this study, 104 were operated in the emergency setting and 59 as elective\u0000cases. The preoperative status of patients indicated that emergency cases had a more precarious nutritional and\u0000biological status. When the quality of oncologic resection was analyzed, no differences were observed. A higher\u0000number of ostomies were created in group A, as well as worse postoperative outcomes. Conclusion. Emergency\u0000surgery for colon cancer did not affect the quality of resection, but the morbidity was higher in patients who presented\u0000as surgical emergency.","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117109578","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 : 2021-06-30DOI: 10.7438/jsurg.2021.02.06
C. Pîrvu, F. Bratosin, C. Nica, D. Cȃrţu, Patrascu Ștefan, V. Șurlin, Konstantions Sapalidis, E. Georgescu, I. Georgescu, S. Pantea
Background: Acute intestinal ischemia stands as the most lethal acute condition encountered by general surgeons and one of the deadliest pathologies in medicine triggered by thromboembolic events. The patients’ survival decreases dramatically to a lower than 30% rate when diagnosed after 24 hours, thus early diagnosis with proper surgical or vascular intervention is mandatory. This study aims to determine the utility of biomarkers and routine blood tests in assessing the severity and mortality risk for patients with acute mesenteric ischemia. Methods: The study was developed on a prospective cross-sectional design over a period of five years, finding a total of 147 patients who underwent emergency surgery after a high suspicion of acute mesenteric ischemia. The available biomarkers used in our Clinic comprised a complete blood count, total bilirubin, CK, CK-MB, LDH, AST, ALT, amylase, and cholinesterase. Results: The leukocyte count (OR=1.105), hemoglobin (OR=3.912), LDH (OR=1.144), NLR (OR=1.154), and LLR (OR=1.286) were all independent and significant risk factors for AMI diagnosis. These covariates proved a good and reliable tool for diagnosing AMI with a 75.3% predicted probability. Conclusion: The prediction tool proved reliable, although it should only be considered in the clinical context where the surgeon suspects a case of acute mesenteric ischemia. The proposed model should be further investigated and validated in larger studies.
{"title":"The Utility of Biomarkers in Diagnosing and Predicting Outcomes in Acute Mesenteric Ischemia","authors":"C. Pîrvu, F. Bratosin, C. Nica, D. Cȃrţu, Patrascu Ștefan, V. Șurlin, Konstantions Sapalidis, E. Georgescu, I. Georgescu, S. Pantea","doi":"10.7438/jsurg.2021.02.06","DOIUrl":"https://doi.org/10.7438/jsurg.2021.02.06","url":null,"abstract":"Background: Acute intestinal ischemia stands as the most lethal acute condition encountered by general\u0000surgeons and one of the deadliest pathologies in medicine triggered by thromboembolic events. The patients’\u0000survival decreases dramatically to a lower than 30% rate when diagnosed after 24 hours, thus early diagnosis\u0000with proper surgical or vascular intervention is mandatory. This study aims to determine the utility of biomarkers\u0000and routine blood tests in assessing the severity and mortality risk for patients with acute mesenteric ischemia.\u0000Methods: The study was developed on a prospective cross-sectional design over a period of five years, finding a\u0000total of 147 patients who underwent emergency surgery after a high suspicion of acute mesenteric ischemia. The\u0000available biomarkers used in our Clinic comprised a complete blood count, total bilirubin, CK, CK-MB, LDH, AST,\u0000ALT, amylase, and cholinesterase. Results: The leukocyte count (OR=1.105), hemoglobin (OR=3.912), LDH\u0000(OR=1.144), NLR (OR=1.154), and LLR (OR=1.286) were all independent and significant risk factors for AMI\u0000diagnosis. These covariates proved a good and reliable tool for diagnosing AMI with a 75.3% predicted\u0000probability. Conclusion: The prediction tool proved reliable, although it should only be considered in the clinical\u0000context where the surgeon suspects a case of acute mesenteric ischemia. The proposed model should be further\u0000investigated and validated in larger studies.","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122817761","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 : 2021-06-30DOI: 10.7438/jsurg.2021.02.01
G. Ghidirim, T. Malcova, E. Șor, I. Mișin
Appendiceal intussusception (AI) is an unusual and rarely reported clinical entity. It was first described by McKidd in a 7-year-old boy in 1858. Since then the literature on it has been confined to a few case reports and very small cases series, in totally about 300 cases being published. Because of variations of clinical symptoms and lack of pathognomonic sign, rarety of the pathology and diversity of causing factors, accurately detection of the presence or absence of appendiceal pathology is difficult. However, imagistic and endoscopic methods may be useful in AI detection and play a large and important role in differential diagnosis. Treatment of AI differs significantly depending on underlying pathological condition, benign or malignant.
{"title":"Appendiceal intussusception","authors":"G. Ghidirim, T. Malcova, E. Șor, I. Mișin","doi":"10.7438/jsurg.2021.02.01","DOIUrl":"https://doi.org/10.7438/jsurg.2021.02.01","url":null,"abstract":"Appendiceal intussusception (AI) is an unusual and rarely reported clinical entity. It was first described by McKidd in a 7-year-old boy in 1858. Since then the literature on it has been confined to a few case reports and very small cases series, in totally about 300 cases being published. Because of variations of clinical symptoms and lack of pathognomonic sign, rarety of the pathology and diversity of causing factors, accurately detection of the presence or absence of appendiceal pathology is difficult. However, imagistic and endoscopic methods may be useful in AI detection and play a large and important role in differential diagnosis. Treatment of AI differs significantly depending on underlying pathological condition, benign or malignant.","PeriodicalId":385372,"journal":{"name":"Jurnalul de Chirurgie","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127736088","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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