Pub Date : 2023-01-16DOI: 10.15388/lietchirur.2022.21.67
Viljamas Sipavičius, R. Rimdeika
Background. Electrical injuries are not common, however these injuries are severe. The burns cause damage for both superficial and deep layers of skin, as well as deeper tissues, and can lead to necrosis. Morbidity and mortality from electrical injuries are quite high and have physical and psychological consequences. Epidemiological analysis of electrical burns helps to understand patterns of these devastating injuries and to plan further treatment strategies. The objective of the study is to evaluate the number of patients affected by electrical injuries in Lithuania from 2016 to 2020. Methods. Data for the study were used from the Health Information Center of the Institute of Hygiene, calculated from the information system SVEIDRA of the State Health Insurance Fund under the Ministry of Health of Lithuania. Statistical analysis of the data was performed using IBM SPSS statistics 23.0 software. Using the Mann-Whitney criterion, a comparison was made between the percentage distributions of electrical injuries during the study period. Results. During five years (2016–2020), 355 people in total, 85 of them children, were affected by electrical injuries. Men were more likely to suffer from electric injuries. 80.4 percent males were affected and 19.6 percent females. Overall, electrical injuries decreased by 8.45 percent. The number of electrical injuries decreased by 3.66% in the children group and 4.79% in the adult group. Conclusions. After reviewing the research data, it can be concluded that from 2016 to 2020, there was decreased tendency of electrical injuries in Lithuania by 15.3% among children and by 6.29% among adults. Men were more likely to experience electrical injuries. Ongoing prevention strategies and measures in society and raising social awareness are key factors in reducing electrical injuries.
{"title":"Changing Tendencies of Patients with Electrical Burns in Lithuania from 2016 to 2020","authors":"Viljamas Sipavičius, R. Rimdeika","doi":"10.15388/lietchirur.2022.21.67","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.67","url":null,"abstract":"Background. Electrical injuries are not common, however these injuries are severe. The burns cause damage for both superficial and deep layers of skin, as well as deeper tissues, and can lead to necrosis. Morbidity and mortality from electrical injuries are quite high and have physical and psychological consequences. Epidemiological analysis of electrical burns helps to understand patterns of these devastating injuries and to plan further treatment strategies. The objective of the study is to evaluate the number of patients affected by electrical injuries in Lithuania from 2016 to 2020. Methods. Data for the study were used from the Health Information Center of the Institute of Hygiene, calculated from the information system SVEIDRA of the State Health Insurance Fund under the Ministry of Health of Lithuania. Statistical analysis of the data was performed using IBM SPSS statistics 23.0 software. Using the Mann-Whitney criterion, a comparison was made between the percentage distributions of electrical injuries during the study period. Results. During five years (2016–2020), 355 people in total, 85 of them children, were affected by electrical injuries. Men were more likely to suffer from electric injuries. 80.4 percent males were affected and 19.6 percent females. Overall, electrical injuries decreased by 8.45 percent. The number of electrical injuries decreased by 3.66% in the children group and 4.79% in the adult group. Conclusions. After reviewing the research data, it can be concluded that from 2016 to 2020, there was decreased tendency of electrical injuries in Lithuania by 15.3% among children and by 6.29% among adults. Men were more likely to experience electrical injuries. Ongoing prevention strategies and measures in society and raising social awareness are key factors in reducing electrical injuries.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41989400","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.71
Živilė Žalalytė, Gytis Šustickas
Cranioplasty has its risks and complications as all surgical procedures. Treatment of complications are poorly known and could raise significant challenges. One of these complications is epidural fluid collection (EFC). We presented a case of recurrence EFC with deterioration of consciousness. A decompressive craniectomy was performed after rotten subdural hematoma and craniectomy so a cranioplasty was done after more than a half year of cured infection. An EFC occurred next day and one month after the cranioplasty. Due to many repetitive surgeries and head computed tomography scans a vacuum drainage system was formed. After twelve days of treatment the patient improved and the EDC disappeared with this system. We tried to search possible causes and treatment methods for EFC in literature. However, the pathogenesis is still unknown and treatment is only symptomatic.
{"title":"Challenges of Epidural Hematoma Treatment after Cranioplasty: Case Report and Review of the Literature","authors":"Živilė Žalalytė, Gytis Šustickas","doi":"10.15388/lietchirur.2022.21.71","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.71","url":null,"abstract":"Cranioplasty has its risks and complications as all surgical procedures. Treatment of complications are poorly known and could raise significant challenges. One of these complications is epidural fluid collection (EFC). We presented a case of recurrence EFC with deterioration of consciousness. A decompressive craniectomy was performed after rotten subdural hematoma and craniectomy so a cranioplasty was done after more than a half year of cured infection. An EFC occurred next day and one month after the cranioplasty. Due to many repetitive surgeries and head computed tomography scans a vacuum drainage system was formed. After twelve days of treatment the patient improved and the EDC disappeared with this system. We tried to search possible causes and treatment methods for EFC in literature. However, the pathogenesis is still unknown and treatment is only symptomatic.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43023231","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}
Background. Preoperative planning and design of microsurgical perforator flaps are the main steps for successful operation. The aim of this study was to determine the concordance between thermographic images obtained with smartphone thermal imaging camera and hand-held Doppler in the anterolateral thigh flap (ALT) model. Methods. A concordance study of diagnostic tests was carried out in Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Plastic and Reconstructive Surgery Department during 2020–2022. Patients’ who were scheduled to undergo reconstruction with ALT flap and healthy volunteers were included in the study. Dynamic thermal images were performed with smartphone thermal camera FLIR One PRO in the typical ALT flap territory. The number and distance of hotspots in the thermogram with respect to anterior superior iliac spine were recorded in the study protocol. Later, the examination was repeated with hand-held Doppler and the control of hotspot was performed. Sensitivity, specificity and concordance index calculations were performed. Statistical analysis was performed using IMB SPSS 23.0. Results. A total of 100 ALT flap territories were examined. 266 hotspots were detected with thermal imaging and 275 perforators with hand-held Doppler. In 96.6% of cases, hotspots detected by a thermal camera were confirmed by hand-held Doppler as perforators. The sensitivity and specificity of thermography for the detection of perforators with respect to the hand-held Doppler were 93.5% and 96.9% respectively. The measure of concordance kappa index was 0.095 (p = 0.001). Conclusion. Smartphone thermal imaging have a high concordance with hand-held Doppler in perforator mapping, thus could be considered a useful adjunct to conventional methods.
背景。显微外科穿支皮瓣的术前规划和设计是手术成功的主要步骤。本研究的目的是确定智能手机热像仪和手持多普勒在大腿前外侧皮瓣(ALT)模型中获得的热像图像之间的一致性。方法。2020-2022年期间，在立陶宛卫生科学大学考纳斯诊所医院整形和重建外科进行了诊断测试一致性研究。选择拟行ALT皮瓣重建的患者和健康志愿者作为研究对象。使用智能手机热像仪FLIR One PRO在典型ALT皮瓣区域进行动态热成像。在研究方案中记录髂前上棘热像图中热点的数量和距离。随后手持式多普勒重复检查，并进行热点控制。进行敏感性、特异性和一致性指数计算。采用IMB SPSS 23.0进行统计学分析。结果。共检查了100个ALT皮瓣区域。热成像检测到266个热点，手持多普勒检测到275个射孔器。在96.6%的病例中，热像仪检测到的热点被手持式多普勒确认为穿孔器。相对于手持多普勒，热成像检测穿支的灵敏度和特异性分别为93.5%和96.9%。一致性kappa指数为0.095 (p = 0.001)。结论。智能手机热成像与手持多普勒成像在射孔测绘中具有很高的一致性，因此可以被认为是传统方法的有用辅助。
{"title":"The Use of Thermal Imaging in Free Perforator Flap Planning","authors":"Adas Cepas, Mantas Fomkinas, Simas Gindriūnas, Kasparas Budreckis, L. Pilipaitytė, Domantas Rainys","doi":"10.15388/lietchirur.2022.21.68","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.68","url":null,"abstract":"Background. Preoperative planning and design of microsurgical perforator flaps are the main steps for successful operation. The aim of this study was to determine the concordance between thermographic images obtained with smartphone thermal imaging camera and hand-held Doppler in the anterolateral thigh flap (ALT) model. Methods. A concordance study of diagnostic tests was carried out in Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Plastic and Reconstructive Surgery Department during 2020–2022. Patients’ who were scheduled to undergo reconstruction with ALT flap and healthy volunteers were included in the study. Dynamic thermal images were performed with smartphone thermal camera FLIR One PRO in the typical ALT flap territory. The number and distance of hotspots in the thermogram with respect to anterior superior iliac spine were recorded in the study protocol. Later, the examination was repeated with hand-held Doppler and the control of hotspot was performed. Sensitivity, specificity and concordance index calculations were performed. Statistical analysis was performed using IMB SPSS 23.0. Results. A total of 100 ALT flap territories were examined. 266 hotspots were detected with thermal imaging and 275 perforators with hand-held Doppler. In 96.6% of cases, hotspots detected by a thermal camera were confirmed by hand-held Doppler as perforators. The sensitivity and specificity of thermography for the detection of perforators with respect to the hand-held Doppler were 93.5% and 96.9% respectively. The measure of concordance kappa index was 0.095 (p = 0.001). Conclusion. Smartphone thermal imaging have a high concordance with hand-held Doppler in perforator mapping, thus could be considered a useful adjunct to conventional methods.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43322027","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.65
Pavel Riabec, Gytis Šustickas
Objective. The purpose of this study was to quantify the rate of adverse events associated to in neurosurgery interventions, to evaluate the differences in reporting of such events among different authors and reviews, and to find the reason behind the occurrence of this differences. Methods. A systematic literature review of scientific publications on existing classifications and reports of frequency on complications in neurosurgery was performed by analysing articles from international databases. Results and conclusion. This current overview is taking an outlook on the existing issues in the classification and reporting of complications in neurosurgery. Complications are common in neurosurgery. Because of nonuniform criteria, unstandardized data gathering procedures, and retrospective data collection, their reporting is inconsistent and varies considerably among authors and reviews. The best way to address this issue is by gathering prospective, multi-institutional outcomes data on neurosurgical patients. The data collection initiatives in the future should be using same terminology and be based on the same universally accepted criteria.
{"title":"Addressing Problems in Reporting and Classification of Complications in Neurosurgery","authors":"Pavel Riabec, Gytis Šustickas","doi":"10.15388/lietchirur.2022.21.65","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.65","url":null,"abstract":"Objective. The purpose of this study was to quantify the rate of adverse events associated to in neurosurgery interventions, to evaluate the differences in reporting of such events among different authors and reviews, and to find the reason behind the occurrence of this differences. Methods. A systematic literature review of scientific publications on existing classifications and reports of frequency on complications in neurosurgery was performed by analysing articles from international databases. Results and conclusion. This current overview is taking an outlook on the existing issues in the classification and reporting of complications in neurosurgery. Complications are common in neurosurgery. Because of nonuniform criteria, unstandardized data gathering procedures, and retrospective data collection, their reporting is inconsistent and varies considerably among authors and reviews. The best way to address this issue is by gathering prospective, multi-institutional outcomes data on neurosurgical patients. The data collection initiatives in the future should be using same terminology and be based on the same universally accepted criteria.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43601858","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.70
Agnius Stulpinas, R. Venciūtė-Stankevičė, N. Jakutis
The treatment of avulsion injuries of the fingers is complicated by the lack of universally accepted treatment guidelines and the wide variety of reconstruction techniques. The aim of this paper is to present a case and review the scientific literature to provide clear criteria for amputation and reconstruction and to present and discuss the reconstruction techniques with the best results.
{"title":"Surgical Treatment of Finger Degloving Injuries Without Usable Skin: a Case Report and Literature Review","authors":"Agnius Stulpinas, R. Venciūtė-Stankevičė, N. Jakutis","doi":"10.15388/lietchirur.2022.21.70","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.70","url":null,"abstract":"The treatment of avulsion injuries of the fingers is complicated by the lack of universally accepted treatment guidelines and the wide variety of reconstruction techniques. The aim of this paper is to present a case and review the scientific literature to provide clear criteria for amputation and reconstruction and to present and discuss the reconstruction techniques with the best results.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45946267","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.66
Hongsik Kim, D. Kang, Jae Hyuk Lee, D. Y. Kim
Aim. This study evaluated the survival of gastric cancer patients with metastasis to the hepatoduodenal, retropancreatic, mesenteric, and para-aortic lymph nodes. Materials and methods. We analyzed the survival rate of 435 gastric cancer patients who underwent operation from 2001 to 2010 at the Department of Surgery, Chonnam National University Hospital. There were 43, 25, 16, and 55 patients with metastasis to the hepatoduodenal, retropancreatic, mesenteric, and para-aortic nodes, respectively. Results. Based on tumor location, metastasis to the para-aortic lymph nodes was more common in upper-third cancer, and that to the hepatoduodenal lymph nodes was more common in lower-third cancer. The survival rate of patients with non-regional lymph node metastasis was better than that of patients with hepatic metastasis or peritoneal dissemination (p < 0.05). Conclusion. We recommend performing a more extended lymphadenectomy than a D2 lymphadenectomy in patients with advanced gastric cancer those having metastasis to the hepatoduodenal nodes.
{"title":"Prognosis of Stage IV Gastric Cancer Patients","authors":"Hongsik Kim, D. Kang, Jae Hyuk Lee, D. Y. Kim","doi":"10.15388/lietchirur.2022.21.66","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.66","url":null,"abstract":"Aim. This study evaluated the survival of gastric cancer patients with metastasis to the hepatoduodenal, retropancreatic, mesenteric, and para-aortic lymph nodes. Materials and methods. We analyzed the survival rate of 435 gastric cancer patients who underwent operation from 2001 to 2010 at the Department of Surgery, Chonnam National University Hospital. There were 43, 25, 16, and 55 patients with metastasis to the hepatoduodenal, retropancreatic, mesenteric, and para-aortic nodes, respectively. Results. Based on tumor location, metastasis to the para-aortic lymph nodes was more common in upper-third cancer, and that to the hepatoduodenal lymph nodes was more common in lower-third cancer. The survival rate of patients with non-regional lymph node metastasis was better than that of patients with hepatic metastasis or peritoneal dissemination (p < 0.05). Conclusion. We recommend performing a more extended lymphadenectomy than a D2 lymphadenectomy in patients with advanced gastric cancer those having metastasis to the hepatoduodenal nodes.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45161720","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.73
Ugnė Imbrasaitė, Dovilė Giršvildaitė, R. Baušys, A. Baušys
Introduction. Surgery is the only curative treatment option for patients with gastroesophageal junction (GEJ) adenocarcinoma. These tumors can be resected by gastrectomy or esophagectomy depending on tumor localization. Although, both surgeries are available for Siewert type II GEJ cancer, it remains unknown which one is superior. This review summarizes current evidences on the optimal surgical approach for Siewert type II GEJ adenocarcinoma. Methods. The literature search was performed within the PubMed database and 9 studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma were included. The outcomes of interest included: length of surgery, numbers of retrieved lymph nodes, resection margins, postoperative morbidity and mortality, hospitalization time, 5-year overall, and disease-free survival rates. Results. Current studies do not favor any type of surgery in terms of length of the surgery, R0 resection rate, or postoperative morbidity. There is some tendency towards higher anastomotic leakage and postoperative surgical site infections rate after gastrectomy, while a higher incidence of pneumonia after esophagectomy. Similar, available studies suggest, that esophagectomy may lead to improved long-term outcomes. Conclusions. There is a lack of high-quality studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma. Esophagectomy may lead to improved long-term outcomes, but this preliminary data has to be confirmed in large, randomized control trials.
{"title":"Surgical Treatment of Siewert II Gastroesophagel Junction Adenocarcinoma: Esophagectomy or Gastrectomy? Review","authors":"Ugnė Imbrasaitė, Dovilė Giršvildaitė, R. Baušys, A. Baušys","doi":"10.15388/lietchirur.2022.21.73","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.73","url":null,"abstract":"Introduction. Surgery is the only curative treatment option for patients with gastroesophageal junction (GEJ) adenocarcinoma. These tumors can be resected by gastrectomy or esophagectomy depending on tumor localization. Although, both surgeries are available for Siewert type II GEJ cancer, it remains unknown which one is superior. This review summarizes current evidences on the optimal surgical approach for Siewert type II GEJ adenocarcinoma. Methods. The literature search was performed within the PubMed database and 9 studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma were included. The outcomes of interest included: length of surgery, numbers of retrieved lymph nodes, resection margins, postoperative morbidity and mortality, hospitalization time, 5-year overall, and disease-free survival rates. Results. Current studies do not favor any type of surgery in terms of length of the surgery, R0 resection rate, or postoperative morbidity. There is some tendency towards higher anastomotic leakage and postoperative surgical site infections rate after gastrectomy, while a higher incidence of pneumonia after esophagectomy. Similar, available studies suggest, that esophagectomy may lead to improved long-term outcomes. Conclusions. There is a lack of high-quality studies comparing gastrectomy and esophagectomy for Siewert type II GEJ adenocarcinoma. Esophagectomy may lead to improved long-term outcomes, but this preliminary data has to be confirmed in large, randomized control trials.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41889438","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}
Pub Date : 2022-12-30DOI: 10.15388/lietchirur.2022.21.72
A. Nikolovski, S. Trajkova, D. Dukovski, Goran Spirov, G. Petrushevska
Diffuse large B cell lymphoma is the most common extranodal non-Hodgkin lymphoma of the small intestine accounting for more than 50% of cases. Forty percent of these cases initially present with small bowel obstruction. Therefore, the diagnosis is usually established after surgery for bowel obstruction. The treatment is then continued with a certain chemotherapy regimens. We present a case of a 46-years-old female patient with signs of small bowel obstruction due to previously undiagnosed diffuse large B-cell lymphoma. Postoperatively, the patient was treated with 7 cycles of R-CHOP protocol and complete response was achieved in the short follow-up period.
{"title":"Extranodal Diffuse Large B-Cell Lymphoma of the Small Bowel in Female Patient Causing Intestinal Obstruction: A Case Report","authors":"A. Nikolovski, S. Trajkova, D. Dukovski, Goran Spirov, G. Petrushevska","doi":"10.15388/lietchirur.2022.21.72","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.72","url":null,"abstract":"Diffuse large B cell lymphoma is the most common extranodal non-Hodgkin lymphoma of the small intestine accounting for more than 50% of cases. Forty percent of these cases initially present with small bowel obstruction. Therefore, the diagnosis is usually established after surgery for bowel obstruction. The treatment is then continued with a certain chemotherapy regimens. We present a case of a 46-years-old female patient with signs of small bowel obstruction due to previously undiagnosed diffuse large B-cell lymphoma. Postoperatively, the patient was treated with 7 cycles of R-CHOP protocol and complete response was achieved in the short follow-up period.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44863281","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}
Pub Date : 2022-05-02DOI: 10.15388/lietchirur.2022.21.63
Jekaterina Butylkina, Jelena Volochovič
We present a clinical case of fetal and neonatal large sacrococcygeal teratoma. Sacrococcygeal teratoma mostly found in neonates, infant, and children below 4 years old and is more common in girls than boys. Antenatal fetus ultrasound is the main diagnostic method. Antenatal diagnosis is very important making pregnancy care plan, time and method of delivery also to prevent fetal and neonatal death. Complete excision of the sacrococcygeal teratoma, including the coccyx, remains the mainstay of treatment. Patient's birth mother gives consent for information about the patient (photograph and article) to appear in a journal article.
{"title":"Large Sacrococcygeal Teratoma in Fetus and Newborn: Clinical Case and Review","authors":"Jekaterina Butylkina, Jelena Volochovič","doi":"10.15388/lietchirur.2022.21.63","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.63","url":null,"abstract":"We present a clinical case of fetal and neonatal large sacrococcygeal teratoma. Sacrococcygeal teratoma mostly found in neonates, infant, and children below 4 years old and is more common in girls than boys. Antenatal fetus ultrasound is the main diagnostic method. Antenatal diagnosis is very important making pregnancy care plan, time and method of delivery also to prevent fetal and neonatal death. Complete excision of the sacrococcygeal teratoma, including the coccyx, remains the mainstay of treatment. Patient's birth mother gives consent for information about the patient (photograph and article) to appear in a journal article.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49177136","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}
Pub Date : 2022-05-02DOI: 10.15388/lietchirur.2022.21.62
H. Bolukbasi, S. Yılmaz, E. Yıldırım, Aziz Ocakoğlu
Objective. This study was designed to compare the diagnosis, treatment, and results of acute appendicitis in pregnant and non-pregnant women. Material and Methods. Women between the ages of 18 and 40 who were operated for acute appendicitis between 2015 and 2020 were included in the study. Results. There were 27 (3.8%) patients in Group Pregnant, and 679 (96.2%) patients in Group non-Pregnant. The mean WBC values in Group P and Group non-P was 16.53±2.91 and 13.99±4.31 (x103), and there was a significant difference between the groups.Mean pain symptom duration time was 3.40±1.90 in Group P and 1.91±1.34 day in Group non-P, while it was significantly longer in Group P . When the preoperative USG reports were evaluated, no significant difference was found between the groups.The diagnosis was made by MRI in 2 (7.4%) pregnant patients who non-visualized according to the USG report. In Group P, 10 patients were laparoscopic, 17 patients open; In group non-P, 153 patients laparoscopic and 526 patients were operated using open surgery technique. While the mean operation time did not differ significantly between the groups. Length of hospital stay was significantly higher in Group P with 3.48±4.26 days to 1.95±1.45 days. Conclusion. Diagnosis and treatment of acute appendicitis during pregnancy may be difficult, but with advanced radiological examinations and experienced surgeons, these difficulties can be easily overcome.
{"title":"Does Acute Appendicitis in Pregnancy a Clinical Challenge in Surgery Practice? Our Experience","authors":"H. Bolukbasi, S. Yılmaz, E. Yıldırım, Aziz Ocakoğlu","doi":"10.15388/lietchirur.2022.21.62","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.62","url":null,"abstract":"Objective. This study was designed to compare the diagnosis, treatment, and results of acute appendicitis in pregnant and non-pregnant women. Material and Methods. Women between the ages of 18 and 40 who were operated for acute appendicitis between 2015 and 2020 were included in the study. Results. There were 27 (3.8%) patients in Group Pregnant, and 679 (96.2%) patients in Group non-Pregnant. The mean WBC values in Group P and Group non-P was 16.53±2.91 and 13.99±4.31 (x103), and there was a significant difference between the groups.Mean pain symptom duration time was 3.40±1.90 in Group P and 1.91±1.34 day in Group non-P, while it was significantly longer in Group P . When the preoperative USG reports were evaluated, no significant difference was found between the groups.The diagnosis was made by MRI in 2 (7.4%) pregnant patients who non-visualized according to the USG report. In Group P, 10 patients were laparoscopic, 17 patients open; In group non-P, 153 patients laparoscopic and 526 patients were operated using open surgery technique. While the mean operation time did not differ significantly between the groups. Length of hospital stay was significantly higher in Group P with 3.48±4.26 days to 1.95±1.45 days. Conclusion. Diagnosis and treatment of acute appendicitis during pregnancy may be difficult, but with advanced radiological examinations and experienced surgeons, these difficulties can be easily overcome.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45716368","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}
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