International Journal of Surgery Open最新文献

Introduction

and importance: Meningioma, also known as meningeal tumor, is a primary tumor of the central nervous system (CNS). Originates from arachnoid cap cells.

Case presentation

A 65-year-old female patient presented with hard, painless swelling in the right parieto-fronto-temporal region of the skull, which has been growing for the past 6 months. And computed tomography (CT) scans revealed a lytic lesion. The patient underwent a cranitotomy and Resection of tumor with safe margins were performed, after the operation, the patient was neurologically intact and the patient was discharged in stable condition after disappeared the symptoms.

Discussion

Extradural meningiomas make up a small percentage, approximately 1–2%, of all meningiomas, This type of mass comprise a small percentage of all meningiomas, with primary intraosseous meningiomas commonly found in frontotemporal orbits, anterior cranial fossa, paranasal sinuses, nasal cavity, neck, and petrous region of the temporal.

Conclusion

Here we present a case of primary intraosseous meningiomas although the origin of this tumor is not well understood, but usually present with the osteoblastic type or osteolytic lesion in rere case.

Background

Current study aims to investigate pre-surgical medical intervention on the reduction of POUR incidence in patients undergoing spine surgery.

Method

The study was a single center double-blind randomized placebo clinical trial. Participants were individuals over 18 years old who underwent spinal surgery at the Educational and Therapeutic Hospital between 2020 and 2023. Inclusion criteria included the ability to provide informed consent and follow the study schedule, while exclusion criteria included certain medical conditions, current medication use, and inability to take oral medication after surgery.

Results

The study enrolled 100 patients. There was no significant difference in age or gender distribution between the tamsulosin and placebo groups, but the tamsulosin group had a lower prevalence of diabetes. The duration of surgery was shorter in the tamsulosin group, and there was no significant difference in the surgical site. The tamsulosin group had significantly less post-void residual volume on the eighth day of the study, but there were no significant differences in urine output volume during surgery or residual urine volume before or after surgery.

Conclusion

Tamsulosin may be effective in preventing postoperative urinary retention (POUR), but its effectiveness in treating established POUR is uncertain. The Tamsulosin group had significantly lower post-void residual volume after spine surgery. Considering the low risk of adverse effects, Tamsulosin could be considered for high-risk patients. However, patients should be aware of potential risks and seek medical attention if they experience adverse effects. Further research is needed to determine the best dosage and duration of treatment.

Caesarean section is the operative intervention for the delivery of a fetus that is unable to deliver vaginally due to indications like obstructed labor, cephalo-pelvic disproportion, etc. Recent studies indicate a rising trend in the number of C-sections performed annually and the impact it may have on maternal and fetal well-being.

Introduction

During the COVID-19 pandemic, elective surgeries suspension, led to delayed hospital visits for non-emergent diseases like acute cholecystitis. Although nonsurgical treatment was successful in numerous cases, there are some warnings about the progression of the disease to more advanced stages for laparoscopy. In this study, we aimed to find out if COVID-19 had adverse effects on the difficulty of laparoscopic cholecystectomy (LC).

Methods

In a retrospective cohort study at a referral center for minimally-invasive surgeries, medical records from February 2019 to February 2020 (before the pandemic) and from February 2020 until 2021 (during the outbreak) were reviewed and various data were extracted. Using two different preoperative scoring systems, we estimated the rate of difficulty of LCs, and the results compared to each other with appropriate statistical methods.

Results

A total of 531 LCs were performed. Pre-COVID and post-COVID patients had a mean age of 46 ± 15 and 44 ± 14 years old, respectively, and less than 35 % of patients in each group were males. LCs decreased notably during the pandemic (161 vs. 369, p < 0.001). Besides, elective surgeries were reduced in this period (36.6 % vs. 55.7 %, p < 0.001). Despite no significant changes in operation duration (123 ± 42 vs. 129 ± 40, p = 0.16), scoring models revealed a remarkable change in difficulties.

Conclusion

Using two well-established scoring models, we concluded that LCs were done with less difficulty during that period. However, there was a remarkable decrease in elective surgeries, and higher volume studies are required to confirm our results.

Background

cesarean sections (C-sections) are the most popular surgical procedure for women of reproductive age. In the majority of procedures, effective postoperative pain management is crucial for postoperative care in order to lower morbidity and mortality while also making patients feel comfortable. The current study aims to compare the effects of injecting bupivacaine, tramadol, and bupivacaine-tramadol combination at the surgical incision site in patients undergoing elective cesarean section.

Method

The current study is a double-blind randomized clinical trial that included patients September of pregnant women referred to Obstetrics and Gynecology Clinic between 2021 June and 2022 September.

Results

This study included 180 patients (60 in each group). The average age of the patients was 31.33 years, and the difference in vas 6, vas 12, and vas 24 scores between groups was significant (P > 0.001). The group that used drugs in combination experienced significantly less pain and there was no significant difference in analgesic drug consumption.

Discussion and conclusion

results of the current study revealed there was a significant difference in vas 6, vas 12, and vas 24 scores between the groups, with the group of bupivacaine-tramadol combination providing a greater analgesic effect. However, there is no statistically significant difference in the frequency of post-operative side effects.