Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献

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Alcohol & Drug Related Admissions Into Trauma & Orthopaedics 与酒精和药物有关的创伤和骨科入院情况

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.018

Dr Vincent Dundas-Smith

引用次数: 0

Impact of Adjuvant Chemotherapy on 5-Year Overall Survival in Non-Metastatic Colon Cancer: A Population-Based Study in Bulgaria 辅助化疗对非转移性结肠癌5年总生存率的影响：保加利亚一项基于人群的研究

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.021

Miss Ashpia Rahman

引用次数: 0

‘Does the use of methylprednisolone improve the post-operative outcome of neonatal and paediatric cardiac surgery?’ 甲基强的松龙的使用是否能改善新生儿和儿童心脏手术的术后预后？’

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.016

Ms Martina Schatz

引用次数: 0

SHIELD Project (Study of Hernia Interventions and Evaluation of Length of Stay and Complications) SHIELD项目（疝干预研究及住院时间及并发症评估）

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.025

Mr. Georgios Karagiannidis , Mohamed Abdallah , Dardan Uka , Yousef Salem , Tejashree Mane , Martin Sinclair

引用次数: 0

Smarter Trauma Surgery: Exploring the Role of Partial REBOA in Reducing Ischemic Risks 智能创伤手术：探索部分REBOA在降低缺血性风险中的作用

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.019

Jerome Abishek , M. Abilash

引用次数: 0

Evaluation of Patient-Initiated Follow-Up (PIFU) Service in a Fracture Clinic: A Comprehensive Service Evaluation and Patient Satisfaction Audit 骨折诊所患者主动随访（PIFU）服务的评价：综合服务评价和患者满意度审计

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.022

Mr Zubair Younis , Mr. Mohammad bin Abdul Hamid , Mr. Muhammad Murtaza Khan , Mr. Rahul Sapra , Dr. Gurukiran Gurukiran , Rohit Singh (Professor)

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Early Screening for Confusion and Vitamin D Deficiency in Elderly Hip Fracture Patients: A Quality Improvement Initiative to Mitigate the Risk of Postoperative Delirium 老年髋部骨折患者精神错乱和维生素D缺乏的早期筛查：降低术后谵妄风险的质量改进倡议

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/j.surge.2025.04.023

Mr. Zubair Younis , Dr. Gurukiran Gurukiran , Mr. Faliq Abdullah , Mr. Mohammad bin Abdul Hamid , Dr. Kubra Farooq Wani

引用次数: 0

List of editors 编辑人员名单

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-12 DOI: 10.1016/S1479-666X(25)00133-7

引用次数: 0

Massive ingestion of water-absorbent polymer beads in an adult requiring surgical management 成人大量摄入吸水聚合物珠需要手术治疗。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-11 DOI: 10.1016/j.surge.2025.08.006

Solange Belinha , Elizabeth Hanna , Amira Orabi, Shayanthan Nanthakumaran, Campbell Macleod

Background

The incidence of intentional foreign body ingestion is rising in the UK, with water-absorbent polymer beads (WAPBs) increasingly implicated in children. While commonly used in horticulture and as toys, WAPBs can pose serious risks when ingested. This report details a unique case of massive WAPB ingestion in an adult, emphasizing the potential complications and management challenges.

Case report

A 60-year-old male presented with severe abdominal pain, nausea, and vomiting after ingesting an estimated 25,000 WAPBs. CT imaging showed a massive volume of WAPBs throughout the gastrointestinal (GI) tract, and free fluid around the duodenum likely due to reactive pancreatitis. An emergency laparotomy was performed due to the risk of impending perforation. At laparotomy, a gastrostomy and 2 enterotomies were made to remove as many WAPBs as possible. A loop ileostomy was formed due to ongoing retention of the beads and risk of obstruction. Post-operatively, the patient was placed on total parenteral nutrition and the remaining WAPBs passed through the ileostomy. Further imaging revealed ongoing pancreatitis and a peripancreatic collection, which was managed conservatively. The patient was discharged two months after surgery.

Discussion

This case represents the first documented instance of massive WAPB ingestion in an adult. It highlights the significant risks associated with ingesting large quantities of WAPBs, including GI obstruction and pancreatitis. Early surgical intervention was critical in preventing further complications, as endoscopic removal was impractical given the volume.

Conclusions

Massive ingestion of WAPBs poses significant health risks and may necessitate prompt surgical management. This case underscores the importance of timely intervention to prevent severe outcomes associated with large volumes of ingested WAPBs.

背景：在英国，蓄意异物摄入的发生率正在上升，吸水聚合物珠（WAPBs）越来越多地与儿童有关。虽然wapb通常用于园艺和玩具，但当摄入时可能会造成严重风险。本报告详细介绍了一例成人大量摄入WAPB的独特病例，强调了潜在的并发症和管理挑战。病例报告：一名60岁男性在摄入约25,000个wapb后出现严重腹痛、恶心和呕吐。CT图像显示大量wapb遍布胃肠道，十二指肠周围有游离液体，可能是由于反应性胰腺炎所致。由于即将发生穿孔的风险，我们进行了紧急剖腹手术。在剖腹手术中，进行了一次胃造口术和两次肠切开术，以尽可能多地切除wapb。由于念珠的持续保留和阻塞的风险，形成了回肠袢造口术。术后，患者接受全肠外营养，剩余的wapb通过回肠造口。进一步的影像学显示持续的胰腺炎和胰腺周围的收集，这是保守管理。病人术后两个月出院。讨论：本病例是第一例有文献记载的成人大量摄入WAPB的病例。它强调了与摄入大量wapb相关的重大风险，包括胃肠道梗阻和胰腺炎。早期手术干预是防止进一步并发症的关键，因为内窥镜切除是不切实际的体积。结论：大量摄入WAPBs会造成严重的健康风险，可能需要及时手术治疗。该病例强调了及时干预的重要性，以防止与大量摄入wapb相关的严重后果。

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引用次数: 0

Computed tomography scan-guided preoperative identification of the appendicular root as an indicator of the best skin incision site in open appendicectomy: a retrospective single-center study. 计算机断层扫描引导阑尾根术前识别作为阑尾开放性手术中最佳皮肤切口位置的指标：一项回顾性单中心研究。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

Pub Date : 2025-09-08 DOI: 10.1016/j.surge.2025.08.007

Toshiyuki Suzuki, Daisuke Sugiki, Takahiko Akao, Hiroshi Matsumoto

Background: Appendicectomy is a well-established surgical procedure used for managing of acute appendicitis. In open appendicectomy, McBurney's point is the surgical landmark for locating the appendix, and it is common practice to make an incision there. However, in this study, we identified the root of the appendix via computed tomography, made an incision around that sites, and performed the appendicectomy through this incision. As such, this study aimed to assess the safety and outcomes of using the computed tomography scan-guided appendiceal root as a landmark of the incision site in open appendicectomy.

Methods: This retrospective single-center study included 117 consecutive patients undergoing surgery for acute appendicitis between April 2021 and December 2023. Patients with parabdominal rectus muscle incision and interval appendectomy were excluded. The root of the appendix was identified on computed tomography scan, and open appendicectomy was performed via an oblique incision made at the center of the site. The characteristics and perioperative factors of patients who underwent open appendicectomy and laparoscopic appendicectomy were compared.

Results: None of the patients required a change or widening of the incision site to identify the appendix, and there were no complications associated with using this site. The median wound size for open appendicectomy was 4 cm. Patients who underwent open appendicectomy performed comparable to those who underwent laparoscopic appendicectomy.

Conclusion: Using the computed tomography scan-guided appendiceal root as a landmark for the site of skin incision in appendicectomy is safe, acceptable, and useful.

背景：阑尾切除术是一种成熟的用于治疗急性阑尾炎的手术方法。在开放式阑尾切除术中，McBurney点是阑尾定位的手术标志，通常在那里切开。然而，在本研究中，我们通过计算机断层扫描确定了阑尾的根部，在该部位周围做了一个切口，并通过该切口进行了阑尾切除术。因此，本研究旨在评估使用计算机断层扫描引导阑尾根作为开放阑尾切除术切口部位的标志的安全性和结果。方法：该回顾性单中心研究纳入了2021年4月至2023年12月期间连续接受急性阑尾炎手术的117例患者。排除腹旁直肌切口及间隔阑尾切除术患者。在计算机断层扫描中确定阑尾的根，并通过在该部位的中心做一个斜切口进行阑尾切除术。比较开放式阑尾切除术与腹腔镜阑尾切除术患者的特点及围手术期因素。结果：没有患者需要改变或扩大切口部位来识别阑尾，使用该部位也没有并发症。开腹阑尾切除术创面中位大小为4cm。接受开放式阑尾切除术的患者与接受腹腔镜阑尾切除术的患者表现相当。结论：利用计算机断层扫描引导阑尾根作为阑尾切除术中皮肤切口位置的标志是安全、可接受和有用的。

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