International Journal of Surgery Open最新文献

{"title":"Cholelithiasis in childhood: Report of two cases from Afghanistan and literature review","authors":"Turyalai Hakimi, F. Rahmani, Mansoor Aslamzai, M. A. Jawed","doi":"10.1016/j.ijso.2023.100632","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100632","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47946758","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}

{"title":"The incidence and prognostic role of β-catenin and E-cadherin biomarkers in bladder neoplasms, a cross-sectional study","authors":"Seyed Amir Miratashi Yazdi ,&nbsp;Sara Batmani ,&nbsp;Hedieh Moradi Tabriz ,&nbsp;Elham Nazar ,&nbsp;Elham Pourebrahimi","doi":"10.1016/j.ijso.2023.100609","DOIUrl":"10.1016/j.ijso.2023.100609","url":null,"abstract":"<div><h3>Objectives</h3><p>To predict the aggressive behavior of the bladder tumor as well as the poor prognosis of the disease, the use of some biomarkers including β-catenin and E-cadherin related to the detachment of tumoral cells from its primary lesion can be very beneficial. We intended to evaluate the incidence of β-catenin and E-cadherin expression and their association with tumor biological behavior in patients suffering bladder neoplasms.</p></div><div><h3>Methods</h3><p>This cross-sectional study was done on 30 established bladder neoplasms on tissue assessment with evidence of malignancy on cystoscopic examination. Hematoxylin and Eosin stains were planned for pathological evaluation in terms of tumor biological behavior. Immunohistochemistry staining for two markers E-cadherin and β-catenin was done to evaluate gene expression.</p></div><div><h3>Results</h3><p>Overall, β-catenin biomarker was expressed in nuclear in only one patient (3.3%), while abnormal E-Cadherin staining was revealed in none of the patients. The expression of these biomarkers was independent of tumor characteristics including vascular invasion, tumor size, tumor grade, and tumor stage (P-value&gt;0.05).</p></div><div><h3>Conclusion</h3><p>The change in β-catenin and E-cadherin expression probably has a weak prognostic role in the prediction of the biological behavior in bladder neoplasms as well as the clinical outcomes of patients in our society.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100609"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45569188","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}

{"title":"Avian influenza A H3N8 virus causing human infections: A evolving threat","authors":"Kamran Zaman,&nbsp;Aroop Mohanty,&nbsp;Bijaya Kumar Padhi,&nbsp;Ranjit Sah","doi":"10.1016/j.ijso.2023.100614","DOIUrl":"10.1016/j.ijso.2023.100614","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100614"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42889828","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}

{"title":"Dynamic control and timely correction of blood glucose levels in diabetic patients undergoing traumatic spinal vertebral fracture surgery to reduce surgery site infection","authors":"Hamidreza Saeidiborojeni ,&nbsp;Meraj Forougi Asl ,&nbsp;Akam Shabrandy ,&nbsp;Saeed Gharooee Ahangar","doi":"10.1016/j.ijso.2023.100618","DOIUrl":"10.1016/j.ijso.2023.100618","url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 &lt; 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 &gt; 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 &gt; 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 &lt; 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 &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100618"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43688489","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}

{"title":"How do patients select their sports medicine orthopedist? Cross sectional study","authors":"Rawan Masarwa ,&nbsp;Yaniv Yonai ,&nbsp;Yaniv Steinfeld ,&nbsp;Merav Ben Natan ,&nbsp;Yaron Berkovich","doi":"10.1016/j.ijso.2023.100608","DOIUrl":"10.1016/j.ijso.2023.100608","url":null,"abstract":"<div><h3>Objective</h3><p>To explore factors that influence patient selection of a sports medicine orthopedist.</p></div><div><h3>Study setting</h3><p>A self-completion questionnaires were filled out by the patients independently at the entrance to the orthopedic clinic where they waited for their turn.</p></div><div><h3>Study design</h3><p>Cross sectional survey.</p></div><div><h3>Data collection</h3><p>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.</p></div><div><h3>Principal findings</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100608"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48621809","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}

{"title":"Can tooth germ show continuous development after autologous transplantation? Correspondence","authors":"Nuraldeen Maher Al-Khanati, Zafin Kara Beit","doi":"10.1016/j.ijso.2023.100617","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100617","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48089355","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}

{"title":"Clinico-pathological profile of schistosomal appendicitis detected in surgically resected appendices: A retrospective study","authors":"Abdulkarim Hasan ,&nbsp;Mohammed E.A. Elhussiny ,&nbsp;Mahmoud E. Nagaty ,&nbsp;Mohamed Eid ,&nbsp;Abd-Al-Kareem Elias ,&nbsp;Ayman Abdulmohaymen ,&nbsp;Adel Abdelwahid Ibrahim ,&nbsp;Samar El-Sayed ,&nbsp;Doaa Salem ,&nbsp;Alyaa E. Othman ,&nbsp;Essam Mandour","doi":"10.1016/j.ijso.2023.100606","DOIUrl":"10.1016/j.ijso.2023.100606","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100606"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46487022","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}

{"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}

{"title":"Abdominal cocoon syndrome; a rare etiology of intestinal obstruction; a case report","authors":"Athary Saleem,&nbsp;Ali Alenezi,&nbsp;Saqer Alenezi,&nbsp;Maher Hassan,&nbsp;Khaled Alshammari,&nbsp;Mohammed Alkandari","doi":"10.1016/j.ijso.2023.100607","DOIUrl":"10.1016/j.ijso.2023.100607","url":null,"abstract":"<div><h3>Introduction</h3><p>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.</p></div><div><h3>Case presentation</h3><p>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.</p></div><div><h3>Clinical discussion</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"54 ","pages":"Article 100607"},"PeriodicalIF":1.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41749910","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}

{"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}