Pub Date : 2026-01-16DOI: 10.1186/s12893-025-03409-3
Qingqing Mu, Wei Wang, Lei Zhao, Liang Cui, Zongyu Yang
Glomus tumors commonly manifest as solitary, painful digital nodules. The synchronous occurrence in both a hallux and a thumb is exceedingly rare. We report a 35-year-old woman with subungual glomus tumors in her left hallux and right thumb, diagnosed through clinical evaluation and high-resolution ultrasonography. A novel nail-preserving technique, "tripartite zonal localization and excision," was employed. This involved transverse reflection of the nail plate for complete tumor excision under microscopic guidance. The procedure achieved complete pain resolution and satisfactory nail regrowth without recurrence. This case highlights the potential for multifocal glomus tumors and introduces a surgical technique that optimally balances complete excision with excellent functional and cosmetic results.
{"title":"Glomus tumors of the left hallux and right thumb: a rare case report.","authors":"Qingqing Mu, Wei Wang, Lei Zhao, Liang Cui, Zongyu Yang","doi":"10.1186/s12893-025-03409-3","DOIUrl":"10.1186/s12893-025-03409-3","url":null,"abstract":"<p><p>Glomus tumors commonly manifest as solitary, painful digital nodules. The synchronous occurrence in both a hallux and a thumb is exceedingly rare. We report a 35-year-old woman with subungual glomus tumors in her left hallux and right thumb, diagnosed through clinical evaluation and high-resolution ultrasonography. A novel nail-preserving technique, \"tripartite zonal localization and excision,\" was employed. This involved transverse reflection of the nail plate for complete tumor excision under microscopic guidance. The procedure achieved complete pain resolution and satisfactory nail regrowth without recurrence. This case highlights the potential for multifocal glomus tumors and introduces a surgical technique that optimally balances complete excision with excellent functional and cosmetic results.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":"122"},"PeriodicalIF":1.8,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1186/s12893-026-03504-z
Jian Yang, Li Zhang, Ke Zeng
{"title":"Multidisciplinary management of a patient with vesicosigmoid fistula and multisystem diseases undergoing stoma reversal: a case report.","authors":"Jian Yang, Li Zhang, Ke Zeng","doi":"10.1186/s12893-026-03504-z","DOIUrl":"10.1186/s12893-026-03504-z","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":"126"},"PeriodicalIF":1.8,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1186/s12893-026-03486-y
Haichong Li, Hanwen Zhang, Rongxuan Gao, Haonan Liu, Dong Guo, Jun Cao, Xuejun Zhang, Ziming Yao
{"title":"Surgical treatment for neurofibromatosis type 1-related dystrophic scoliosis in children aged 8 to 11: traditional growing rod or posterior spinal fusion?","authors":"Haichong Li, Hanwen Zhang, Rongxuan Gao, Haonan Liu, Dong Guo, Jun Cao, Xuejun Zhang, Ziming Yao","doi":"10.1186/s12893-026-03486-y","DOIUrl":"10.1186/s12893-026-03486-y","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":"127"},"PeriodicalIF":1.8,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12896003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1186/s12893-026-03500-3
Muhammed Oguz, Erdem Aksay, Ahmet Burak Urfalioglu, Mustafa Oguz Tugcan, Saliha Oztoprak Hacioglu, Türkay Simsek, Alihan Kutur, Umit Unal, Fatma Ak, Agit Olgun, Mehmet Yildiz, Sadiye Yolcu Seven, Adnan Kuvvetli, Akkan Avci
Introduction: Firearm injuries continue to be a major cause of trauma-related morbidity and mortality worldwide. Abdominal firearm injuries are particularly critical due to the high risk of organ damage, hemorrhage, and sepsis. In trauma management, time to surgical intervention is considered one of the most decisive factors affecting survival. However, the evidence regarding the relationship between operating room (OR) access time and mortality remains inconsistent in the current literature.
Aim: This study aimed to evaluate the effect of the time to emergency surgery on mortality in patients presenting with isolated intra-abdominal firearm injuries. Additionally, it sought to identify clinical, hemodynamic, and organ-specific factors associated with early mortality.
Methods: This retrospective study included 121 adult patients who presented to the Emergency Department of Adana City Training and Research Hospital between January 1, 2018, and July 31, 2024, with isolated intra-abdominal gunshot injuries and underwent emergency surgery. Demographics, comorbidities, vital signs, laboratory parameters, imaging findings, organ injuries, OR access times, and clinical outcomes were analyzed. Statistical comparisons were performed using appropriate parametric and non-parametric tests, with a significance threshold of p < 0.05.
Results: Of the patients, 93.4% were male, and the median age was 34 years. The overall mortality rate was 6.6%. Mortality was significantly associated with chronic ischemic heart disease, colonic injury, and intra-abdominal vascular injury (p < 0.05). Non-survivors exhibited significantly lower blood pressure, hemoglobin, hematocrit, oxygen saturation, and pH levels and significantly higher heart rate, lactate, shock index, modified shock index, CK-MB, and hs-Troponin-I values (p < 0.05). Interestingly, time to the operating room was shorter in non-survivors (p = 0.002), reflecting more severe initial clinical presentation rather than improved outcomes.
Conclusion: In intra-abdominal firearm injuries, mortality is influenced more by the severity of organ damage and the patient's hemodynamic condition at presentation than by OR access time alone. Early recognition of critical injuries, rapid resuscitation, and timely surgical intervention remain essential for improving survival outcomes. Clinical indicators such as lactate level, shock index, and hemodynamic parameters may serve as valuable predictors of early mortality.
{"title":"Effect of time to surgical intervention on mortality in patients with abdominal gunshot wounds presenting to the emergency department.","authors":"Muhammed Oguz, Erdem Aksay, Ahmet Burak Urfalioglu, Mustafa Oguz Tugcan, Saliha Oztoprak Hacioglu, Türkay Simsek, Alihan Kutur, Umit Unal, Fatma Ak, Agit Olgun, Mehmet Yildiz, Sadiye Yolcu Seven, Adnan Kuvvetli, Akkan Avci","doi":"10.1186/s12893-026-03500-3","DOIUrl":"10.1186/s12893-026-03500-3","url":null,"abstract":"<p><strong>Introduction: </strong>Firearm injuries continue to be a major cause of trauma-related morbidity and mortality worldwide. Abdominal firearm injuries are particularly critical due to the high risk of organ damage, hemorrhage, and sepsis. In trauma management, time to surgical intervention is considered one of the most decisive factors affecting survival. However, the evidence regarding the relationship between operating room (OR) access time and mortality remains inconsistent in the current literature.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of the time to emergency surgery on mortality in patients presenting with isolated intra-abdominal firearm injuries. Additionally, it sought to identify clinical, hemodynamic, and organ-specific factors associated with early mortality.</p><p><strong>Methods: </strong>This retrospective study included 121 adult patients who presented to the Emergency Department of Adana City Training and Research Hospital between January 1, 2018, and July 31, 2024, with isolated intra-abdominal gunshot injuries and underwent emergency surgery. Demographics, comorbidities, vital signs, laboratory parameters, imaging findings, organ injuries, OR access times, and clinical outcomes were analyzed. Statistical comparisons were performed using appropriate parametric and non-parametric tests, with a significance threshold of p < 0.05.</p><p><strong>Results: </strong>Of the patients, 93.4% were male, and the median age was 34 years. The overall mortality rate was 6.6%. Mortality was significantly associated with chronic ischemic heart disease, colonic injury, and intra-abdominal vascular injury (p < 0.05). Non-survivors exhibited significantly lower blood pressure, hemoglobin, hematocrit, oxygen saturation, and pH levels and significantly higher heart rate, lactate, shock index, modified shock index, CK-MB, and hs-Troponin-I values (p < 0.05). Interestingly, time to the operating room was shorter in non-survivors (p = 0.002), reflecting more severe initial clinical presentation rather than improved outcomes.</p><p><strong>Conclusion: </strong>In intra-abdominal firearm injuries, mortality is influenced more by the severity of organ damage and the patient's hemodynamic condition at presentation than by OR access time alone. Early recognition of critical injuries, rapid resuscitation, and timely surgical intervention remain essential for improving survival outcomes. Clinical indicators such as lactate level, shock index, and hemodynamic parameters may serve as valuable predictors of early mortality.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":"124"},"PeriodicalIF":1.8,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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