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Avian influenza A H3N8 virus causing human infections: A evolving threat 引起人类感染的甲型H3N8禽流感病毒:一种不断演变的威胁
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100614
Kamran Zaman, Aroop Mohanty, Bijaya Kumar Padhi, Ranjit Sah
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引用次数: 0
Dynamic control and timely correction of blood glucose levels in diabetic patients undergoing traumatic spinal vertebral fracture surgery to reduce surgery site infection 糖尿病患者外伤性脊椎骨折手术中血糖水平的动态控制和及时校正减少手术部位感染
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100618
Hamidreza Saeidiborojeni , Meraj Forougi Asl , Akam Shabrandy , Saeed Gharooee Ahangar

Objectives

This study was designed to clarify the impact of precise and dynamic control and timely correction of accurate blood sugar control in reducing the rate of post-spinal fracture surgery infections in impaired glucose tolerance or diabetic patients by posterior approach.

Methods

In this single-blinded clinical trial, a total of 290 patients with diabetes or impaired glucose tolerance candidate for traumatic spinal vertebral fracture by posterior approach (PSF) were randomly assigned to either a blood glucose control group (n = 145) or a control group (n = 145). The blood glucose control group received precise control of blood sugar levels before, during, and after surgery, while the control group did not. The incidence of SSI was compared between the two groups at one- and six months post-surgery using statistical tests and SPSS software version 22.

Results

Based on intergroup comparisons, the rate of infection at the site of surgery one month after spinal vertebral fracture surgery (PSF) in patients in the blood glucose control group was significantly higher than the control group (P < 0.05, 4.8%, and 11.7%). There was no significant difference between the rate of infection in the surgical site six months after spinal vertebral fracture surgery (PSF) in patients of the two groups studied (P > 0.05, 4.1%, and 4.8%). According to intragroup comparisons, there was no significant difference between the infection rate of the surgical site one month and six months after spinal vertebral fracture surgery in the patients of the blood sugar control group (P > 0.05). In patients in the control group, the infection rate at the surgery site of surgery 6 months after surgery was significantly lower than at the site of surgery one month after surgery (P < 0.05). Logistic multivariate regression analysis revealed that malnutrition variables, malignancy, duration of stay in the ICU after surgery, and blood sugar correction intervention statistically correctly contributed significantly to the classification of patients with infection and predicted the incidence of infection in Patients (P < 0.05).

Conclusion

Accurate and timely blood sugar control before, during, and after spinal vertebral fracture surgery by posterior approach is crucial in reducing the risk of SSI in diabetic or impaired glucose tolerance patients. The study highlights the importance of both dynamic control and timely correction of blood glucose levels, not only in the early postoperative period but also in preventing later infectious complications.

目的探讨精确动态控制及及时纠正准确血糖控制对降低糖耐量受损或糖尿病患者后路脊柱骨折术后感染率的影响。方法在该单盲临床试验中,290例经后路手术治疗创伤性脊柱骨折的糖尿病或糖耐量受损患者随机分为血糖对照组(n = 145)和对照组(n = 145)。血糖对照组在手术前、手术中和手术后都得到了精确的血糖控制,而对照组则没有。采用统计检验和SPSS软件22比较两组术后1个月和6个月的SSI发生率。结果经组间比较,血糖对照组患者脊柱骨折术后1个月手术部位感染率显著高于对照组(P <0.05、4.8%和11.7%)。两组患者脊柱骨折手术(PSF)后6个月手术部位感染率无显著差异(P >0.05, 4.1%和4.8%)。经组内比较,血糖对照组患者脊柱骨折术后1个月与6个月手术部位感染率差异无统计学意义(P >0.05)。对照组患者术后6个月手术部位感染率明显低于术后1个月手术部位感染率(P <0.05)。Logistic多因素回归分析显示,营养不良变量、恶性肿瘤、术后ICU住院时间、血糖校正干预对感染患者分类及预测患者感染发生率有统计学意义(P <0.05)。结论脊柱骨折后路手术前、术中、术后准确、及时的血糖控制对降低糖尿病或糖耐量受损患者发生SSI的风险至关重要。该研究强调了动态控制和及时纠正血糖水平的重要性,不仅在术后早期,而且在预防后期感染并发症。
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引用次数: 1
How do patients select their sports medicine orthopedist? Cross sectional study 患者如何选择他们的运动医学骨科医生?横断面研究
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100608
Rawan Masarwa , Yaniv Yonai , Yaniv Steinfeld , Merav Ben Natan , Yaron Berkovich

Objective

To explore factors that influence patient selection of a sports medicine orthopedist.

Study setting

A self-completion questionnaires were filled out by the patients independently at the entrance to the orthopedic clinic where they waited for their turn.

Study design

Cross sectional survey.

Data collection

Three hundred-and-eight patients that consulted a sports medicine orthopedist in the past year, whether in a private or a public sector, completed a questionnaire designed for the purposes of the present study.

Principal findings

Patient selection of a sports medicine orthopedist was primarily influenced by an orthopedist's professional skills and recommendations from friends, family members, and other patients, while patients seemed to be less concerned about an orthopedist's interpersonal skills, and less influenced by other physicians' recommendations or advertisements. Variance has been observed in attribution of importance to certain factors across patient groups.

Conclusions

These findings may be used in designing of marketing strategies aimed to assist patient selection of a sports medicine orthopedist. Marketing strategies need to be tailored to specific patient groups for example athletes.

目的探讨影响患者选择运动医学骨科医生的因素。研究设置一份自我完成的问卷由患者在骨科诊所门口独立填写,他们在那里等待轮到他们。研究设计横断面调查。数据收集在过去一年中,无论是在私立还是公立机构,有338名患者咨询了运动医学骨科医生,他们完成了一份为本研究目的而设计的问卷。患者对运动医学骨科医生的选择主要受到骨科医生的专业技能和朋友、家人和其他患者的推荐的影响,而患者似乎不太关心骨科医生的人际交往能力,而不太受其他医生的推荐或广告的影响。在不同的患者群体中,对某些因素的重要性归属存在差异。结论本研究结果可用于市场营销策略的设计,以帮助患者选择运动医学骨科医生。市场营销策略需要针对特定的患者群体,例如运动员。
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引用次数: 0
Can tooth germ show continuous development after autologous transplantation? Correspondence 自体移植后的牙胚能持续发育吗?来往信件
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100617
Nuraldeen Maher Al-Khanati, Zafin Kara Beit
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引用次数: 0
Clinico-pathological profile of schistosomal appendicitis detected in surgically resected appendices: A retrospective study 手术切除阑尾中发现血吸虫性阑尾炎的临床病理特征:一项回顾性研究
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100606
Abdulkarim Hasan , Mohammed E.A. Elhussiny , Mahmoud E. Nagaty , Mohamed Eid , Abd-Al-Kareem Elias , Ayman Abdulmohaymen , Adel Abdelwahid Ibrahim , Samar El-Sayed , Doaa Salem , Alyaa E. Othman , Essam Mandour

Background

Appendicular schistosomiasis (AS) is an uncommon cause of acute appendicitis that can only be diagnosed histopathologically. There are few reports of AS and its histopathological profile is unclear in Egypt. Therefore, we aimed to evaluate the prevalence and clinicopathological, profile of AS among patients presented with acute appendicitis for proper management and to reduce the health burden of the disease.

Methods

This is a retrospective study performed at a university hospital comprising all patients with pathological confirmation of appendiceal Schistosomiasis after appendectomies between 2017 and 2021. All data were extracted from patient's files including age, sex, residence, main patient's complaint, Alvarado scores, and laboratory data. The histopathological specimens were reviewed by the histopathologist in this study and special stains were done when indicated.

Results

The prevalence of AS was 1.07% (20/1870), all of them were adults or old age with a mean age of 39.25, 80% of cases were males. The most frequent clinical presentation in our patients was abdominal pain in the right iliac fossa (96%) with a mean duration of symptoms of 2.5 days. At the time of the operation, two patients had perforations, with no recorded mortality. Only 20% showed gross unusual foci, and lymphoplasmacytic infiltration was seen in 90% of cases. All patients were advised to postoperative praziquantel therapy.

Conclusion

Histopathological evaluation for schistosomiasis in all surgically removed appendix is recommended in endemic areas for middle and old ages and comprehensive postoperative follow-up with praziquantel therapy is required to ensure disease eradication and prevent further complications.

背景:阑尾血吸虫病(AS)是一种罕见的急性阑尾炎,只能通过组织病理学诊断。在埃及很少有AS的报道,其组织病理学特征尚不清楚。因此,我们的目的是评估急性阑尾炎患者中AS的患病率和临床病理特征,以便进行适当的管理并减轻疾病的健康负担。方法回顾性研究于2017年至2021年在某大学医院进行的所有阑尾切除术后病理证实的阑尾血吸虫病患者。所有数据均取自患者档案,包括年龄、性别、居住地、主要患者主诉、Alvarado评分和实验室数据。本研究的组织病理学标本由组织病理学家检查,并在需要时进行特殊染色。结果AS患病率为1.07%(20/1870),全部为成人或老年人,平均年龄39.25岁,80%为男性。我们的患者中最常见的临床表现是右侧髂窝腹痛(96%),平均症状持续时间为2.5天。手术时,2例患者出现穿孔,无死亡记录。只有20%的病例可见肉眼异常灶,90%的病例可见淋巴浆细胞浸润。所有患者均建议术后给予吡喹酮治疗。结论中老年血吸虫病流行地区推荐对所有手术切除的阑尾进行组织病理学评估,术后应进行全面随访并配合吡喹酮治疗,以确保疾病根除,防止并发症的发生。
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引用次数: 2
The uncommon complications of Meckel's diverticulum: A single center case series study and literature review Meckel憩室的罕见并发症:单中心病例系列研究和文献综述
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100613
Badhaasaa B. Bayissa, Abdurahman Yahya

Introduction and importance

Meckel's diverticulum is the most common congenital true diverticula of the gastrointestinal tract with 4–9% life time risk of complications. It is difficult to diagnose preoperatively other than having high index of suspicion. Therefore, the aim of this case series is to present the rare presentation of this disease and create awareness for clinician to deliver early intervention so that associated mortality and morbidity will be minimized.

Case presentation

Here we present four cases of Meckel's diverticulum managed in single center during a period of one year. Two cases were presented as isolated gangrenous Meckel's diverticulum with small bowel obstruction. The remaining two were: an adult male patient operated for generalized peritonitis as a result of perforated Meckel's diverticulitis and a child with intussusception in which Meckel's diverticulum was secondarily obstructed.

Clinical discussion

The less frequent complications of Meckel's diverticulum are more challenging to diagnose. It carries higher rate of morbidities since early diagnosis is difficult; especially, isolated axial torsion of the Meckel's diverticulum that we are presenting in this case series. Therefore it is prudent to consider for a pain originating from central abdomen which gets diffuse in the meantime unlike symptoms of complicated appendicitis as symptomatic Meckel's diverticulum.

Conclusion

The rare complications of Meckel's diverticulum need high index of suspicion to diagnose as their symptoms mimic other pathologies which cause diffuse abdominal pain. Timely intervention can prevent hospital mortality, morbidity and decrease duration of hospital stay.

eckel憩室是最常见的先天性胃肠道真憩室,其并发症的终生风险为4-9%。术前诊断困难,怀疑指数高。因此,本病例系列的目的是介绍这种疾病的罕见表现,并为临床医生提供早期干预的意识,以便将相关的死亡率和发病率降至最低。病例介绍在此,我们报告了四例在单中心治疗的梅克尔憩室。2例表现为孤立性坏疽性梅克尔憩室伴小肠梗阻。其余两例为:一名成年男性患者因穿孔性梅克尔憩室炎而行全身性腹膜炎手术,另一名患有肠套叠的儿童因梅克尔憩室继发梗阻而行手术。临床讨论Meckel憩室少见的并发症对诊断更具挑战性。由于早期诊断困难,该病的发病率较高;特别是我们在本病例系列中所呈现的孤立的梅克尔憩室轴向扭转。因此,与复杂阑尾炎的症状不同,将起源于中腹部并同时扩散的疼痛视为症状性梅克尔憩室是谨慎的。结论罕见的梅克尔憩室并发症的症状与引起弥漫性腹痛的其他病理相似,诊断时需高度怀疑。及时干预可预防住院死亡率、发病率,缩短住院时间。
{"title":"The uncommon complications of Meckel's diverticulum: A single center case series study and literature review","authors":"Badhaasaa B. Bayissa,&nbsp;Abdurahman Yahya","doi":"10.1016/j.ijso.2023.100613","DOIUrl":"10.1016/j.ijso.2023.100613","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Meckel's diverticulum is the most common congenital true diverticula of the gastrointestinal tract with 4–9% life time risk of complications. It is difficult to diagnose preoperatively other than having high index of suspicion. Therefore, the aim of this case series is to present the rare presentation of this disease and create awareness for clinician to deliver early intervention so that associated mortality and morbidity will be minimized.</p></div><div><h3>Case presentation</h3><p>Here we present four cases of Meckel's diverticulum managed in single center during a period of one year. Two cases were presented as isolated gangrenous Meckel's diverticulum with small bowel obstruction. The remaining two were: an adult male patient operated for generalized peritonitis as a result of perforated Meckel's diverticulitis and a child with intussusception in which Meckel's diverticulum was secondarily obstructed.</p></div><div><h3>Clinical discussion</h3><p>The less frequent complications of Meckel's diverticulum are more challenging to diagnose. It carries higher rate of morbidities since early diagnosis is difficult; especially, isolated axial torsion of the Meckel's diverticulum that we are presenting in this case series. Therefore it is prudent to consider for a pain originating from central abdomen which gets diffuse in the meantime unlike symptoms of complicated appendicitis as symptomatic Meckel's diverticulum.</p></div><div><h3>Conclusion</h3><p>The rare complications of Meckel's diverticulum need high index of suspicion to diagnose as their symptoms mimic other pathologies which cause diffuse abdominal pain. Timely intervention can prevent hospital mortality, morbidity and decrease duration of hospital stay.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100613"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47619531","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}
引用次数: 1
Abdominal cocoon syndrome; a rare etiology of intestinal obstruction; a case report 腹茧综合征;一种罕见的肠梗阻病因;病例报告
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-05-01 DOI: 10.1016/j.ijso.2023.100607
Athary Saleem, Ali Alenezi, Saqer Alenezi, Maher Hassan, Khaled Alshammari, Mohammed Alkandari

Introduction

and importance: The abdominal cocoon is a rare entity of intestinal obstruction. The exact etiopathogenesis of this condition is unknown. Most patients presented with signs and symptoms of intestinal obstruction. Radiological investigations such as abdominal ultrasonography and computed tomography are crucial to evaluate and diagnose abdominal cocoon syndrome, while most cases are usually identified intraoperatively.

Case presentation

A 32-year-old male patient presented to our hospital with three days of left iliac fossa pain that was associated with multiple vomiting episodes and bowel habits alterations. Physical examination showed a distended abdomen with generalized tenderness. Laboratory investigations showed abnormal values. A plain abdominal X-ray revealed multiple air-fluid levels. Then abdominal CT was performed, and the clinical picture was consistent with small bowel obstruction. So, diagnostic laparoscopy was decided after the conservative management plan failed, during which a cocoon sac was detected intraoperatively. The resected specimen was sent for histopathological studies. The postoperative period was uneventful.

Clinical discussion

Abdominal cocoon syndrome is an unusual cause of abdominal obstruction that can be categorized surgically into four types. It is considered a life-threatening surgical emergency. The clinical features of abdominal cocoon syndrome include those of intestinal obstruction. Radiological tools aid in the diagnosis demonstration but the definitive diagnosis is achieved by laparotomy and histopathology.

Conclusion

Due to the rare etiologic origin of abdominal cocoon syndrome, we report the case of a 32-year-old male patient with left iliac fossa pain, found to be caused by detected abdominal cocoon syndrome.

简介及重要性:腹茧是一种罕见的肠梗阻。这种情况的确切发病机制尚不清楚。大多数患者表现为肠梗阻的体征和症状。影像学检查如腹部超声检查和计算机断层扫描是评估和诊断腹茧综合征的关键,而大多数病例通常是在术中发现的。病例介绍:一名32岁男性患者因左侧髂窝疼痛3天来我院就诊,伴有多次呕吐和排便习惯改变。体格检查显示腹部肿胀伴全身压痛。实验室检查显示异常值。腹部x光平片显示多个气液面。随后行腹部CT检查,临床表现符合小肠梗阻。因此,在保守治疗方案失败后,决定进行腹腔镜诊断,术中发现茧囊。切除标本送组织病理检查。术后顺利。临床讨论腹茧综合征是一种罕见的腹部梗阻,可分为四种类型。它被认为是危及生命的外科紧急情况。腹茧证的临床特征包括肠梗阻。放射学工具有助于诊断证明,但最终诊断是通过剖腹手术和组织病理学来实现的。结论由于腹茧综合征的病因罕见,我们报告一例32岁男性左髂窝疼痛患者,发现是由腹茧综合征引起的。
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引用次数: 1
Endovascular revascularization and surgical bypass for the management of chronic limb ischemia: Which is better? 血管内血运重建和外科搭桥术治疗慢性肢体缺血:哪个更好?
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1016/j.ijso.2023.100601
Yelson Alejandro Picón-Jaimes, Julieth Vanessa Arboleda-Núñez, Carlos Andrés Pérez-Baquero, Adriana Sofhia Oyaga-Trigos, Laura Vanessa Alvernia-Cáceres, Alexis Rafael Narvaez-Rojas
{"title":"Endovascular revascularization and surgical bypass for the management of chronic limb ischemia: Which is better?","authors":"Yelson Alejandro Picón-Jaimes,&nbsp;Julieth Vanessa Arboleda-Núñez,&nbsp;Carlos Andrés Pérez-Baquero,&nbsp;Adriana Sofhia Oyaga-Trigos,&nbsp;Laura Vanessa Alvernia-Cáceres,&nbsp;Alexis Rafael Narvaez-Rojas","doi":"10.1016/j.ijso.2023.100601","DOIUrl":"10.1016/j.ijso.2023.100601","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"53 ","pages":"Article 100601"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46671711","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}
引用次数: 0
A resurgence of Sleeping sickness amidst the COVID-19 pandemic: Correspondence COVID-19大流行期间昏睡病死灰复燃:通信
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1016/j.ijso.2023.100604
Ranjit Sah, Aroop Mohanty, Ranjana Rohilla, Bijaya Kumar Padhi
{"title":"A resurgence of Sleeping sickness amidst the COVID-19 pandemic: Correspondence","authors":"Ranjit Sah,&nbsp;Aroop Mohanty,&nbsp;Ranjana Rohilla,&nbsp;Bijaya Kumar Padhi","doi":"10.1016/j.ijso.2023.100604","DOIUrl":"10.1016/j.ijso.2023.100604","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"53 ","pages":"Article 100604"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9286680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prophylactic Risk Reducing Mastectomy (PRRM): Are we ready to accept: Lower Middle-Income Country (LMIC) perspective 预防性降低风险乳房切除术(PRRM):我们准备好接受了吗:中低收入国家(LMIC)的观点
IF 1 Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1016/j.ijso.2023.100602
Mehwish Mooghal, Lubna Mushtaque Vohra, Wajiha Khan
{"title":"Prophylactic Risk Reducing Mastectomy (PRRM): Are we ready to accept: Lower Middle-Income Country (LMIC) perspective","authors":"Mehwish Mooghal,&nbsp;Lubna Mushtaque Vohra,&nbsp;Wajiha Khan","doi":"10.1016/j.ijso.2023.100602","DOIUrl":"10.1016/j.ijso.2023.100602","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"53 ","pages":"Article 100602"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42737979","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}
引用次数: 0
期刊
International Journal of Surgery Open
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