W. Shale, Tolasa Jirata, Mekbeb Enawgaw, Ararso Metekia, Yosef Kelecha
{"title":"Rare Classic Presentation of Primary Hyperparathyroidism: A Case Report and Literature Review","authors":"W. Shale, Tolasa Jirata, Mekbeb Enawgaw, Ararso Metekia, Yosef Kelecha","doi":"10.2147/oas.s433529","DOIUrl":"https://doi.org/10.2147/oas.s433529","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"353 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993775","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":"Affinity of Colonic Granular Cell Tumor Within the Right Colon: Case Report and Review of Literature","authors":"A. Aggarwal, Saakshi Joshi, J. Bhullar","doi":"10.2147/oas.s424597","DOIUrl":"https://doi.org/10.2147/oas.s424597","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"102 ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993235","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}
N. Bogale, Sintayew Beyene, Dawit Desta, Eyob Tessema, Sebsbie Birhanie
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{"title":"Cecal Volvulus in Pregnancy, a Diagnostic Dilemma and Management: A Case Report and Literature Review","authors":"N. Bogale, Sintayew Beyene, Dawit Desta, Eyob Tessema, Sebsbie Birhanie","doi":"10.2147/oas.s436134","DOIUrl":"https://doi.org/10.2147/oas.s436134","url":null,"abstract":",","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"187 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139294482","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}
: Appendicitis is a common abdominal surgical emergency. However, treatment becomes more complex when the patient is pregnant. It is important to consider the diagnostic differences in pregnant and non-pregnant patients, as well as the changes to surgical and non-surgical management. Commonly, appendicitis in pregnancy is diagnosed with radiographic imaging, preferably ultrasound or MRI. Due to increased risk with delay to surgery, surgical management is recommended, as opposed to non-operative management, and ultimately a laparoscopic appendectomy is the surgery of choice. We aim to provide a comprehensive review of the best practices and clinical management of appendicitis in pregnancy.
{"title":"Appendicitis During Pregnancy: Best Surgical Practices and Clinical Management","authors":"Caroline Smolkin, Adam Kiridly, Aurora Pryor","doi":"10.2147/oas.s405514","DOIUrl":"https://doi.org/10.2147/oas.s405514","url":null,"abstract":": Appendicitis is a common abdominal surgical emergency. However, treatment becomes more complex when the patient is pregnant. It is important to consider the diagnostic differences in pregnant and non-pregnant patients, as well as the changes to surgical and non-surgical management. Commonly, appendicitis in pregnancy is diagnosed with radiographic imaging, preferably ultrasound or MRI. Due to increased risk with delay to surgery, surgical management is recommended, as opposed to non-operative management, and ultimately a laparoscopic appendectomy is the surgery of choice. We aim to provide a comprehensive review of the best practices and clinical management of appendicitis in pregnancy.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"2017 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305590","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":"Giant Cystic Hygroma with Complete Encasement of the Great Vessels of the Neck in an 18 Month Old Infant","authors":"Zinedin Abdulahi, Girum Meseret, Anteneh Belachew, Kalkidan Abera","doi":"10.2147/oas.s416166","DOIUrl":"https://doi.org/10.2147/oas.s416166","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605936","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}
Introduction: Major post-thyroidectomy complications, including recurrent laryngeal nerve injury, hypocalcemia, hypothyroidism, and hematoma, are associated with various risk factors, including the type of thyroid pathology, underlying patient comorbidities, extent of surgical resection, and the level of expertise of the surgeon. This study aimed to assess the magnitude of post-thyroidectomy complications and associated factors. Methods: A retrospective review of the medical records of 262 patients was conducted, and the data were analyzed using IBM SPSS Statistics version 25. Bivariate and multivariate logistic regression analyses were used to assess the association between the risk factors and post-thyroidectomy complications. Statistical significance was set at P < 0.05. Results: The majority of the patients (234, 89.4%) were females, and 56.4% were aged between 20 and 40 years. Seventy-seven (29.4%) patients had complication at first follow-up visit, and 54 (20.6%) had permanent complications at the 6-month follow-up. The most frequent complications at the first visit were hypothyroidism (9.9%), symptomatic hypocalcemia (9.5%), and voice hoarseness (5.7%). At the 6-month follow-up, 14.5%, 6.1%, and 2.7% of patients had hypothyroidism, hypocalcemia, and hoarseness of voice, respectively. Subtotal thyroidectomy was significantly associated with post-thyroidectomy complications ( P < 0.01). Conclusion: The prevalence of post-thyroidectomy complications at the SPHMMC was higher than the acceptable rates across guidelines. The complication rate at SPHMMC on first postoperative follow-up and 6-month follow-up visits was higher than that at the other centers. Subtotal thyroidectomy should be avoided or the last option to be considered because it is significantly associated with post-thyroidectomy complications.
{"title":"Post-Thyroidectomy Complications at St Paul’s Hospital Millennium Medical College, Ethiopia: Associated Factors and Outcomes","authors":"Shimelis Abegaz Daba, Berhanetsehay Teklewold, Yisihak Suga, Tolesa Diriba Biratu, Ibsa Kedir Hassen","doi":"10.2147/oas.s428155","DOIUrl":"https://doi.org/10.2147/oas.s428155","url":null,"abstract":"Introduction: Major post-thyroidectomy complications, including recurrent laryngeal nerve injury, hypocalcemia, hypothyroidism, and hematoma, are associated with various risk factors, including the type of thyroid pathology, underlying patient comorbidities, extent of surgical resection, and the level of expertise of the surgeon. This study aimed to assess the magnitude of post-thyroidectomy complications and associated factors. Methods: A retrospective review of the medical records of 262 patients was conducted, and the data were analyzed using IBM SPSS Statistics version 25. Bivariate and multivariate logistic regression analyses were used to assess the association between the risk factors and post-thyroidectomy complications. Statistical significance was set at P < 0.05. Results: The majority of the patients (234, 89.4%) were females, and 56.4% were aged between 20 and 40 years. Seventy-seven (29.4%) patients had complication at first follow-up visit, and 54 (20.6%) had permanent complications at the 6-month follow-up. The most frequent complications at the first visit were hypothyroidism (9.9%), symptomatic hypocalcemia (9.5%), and voice hoarseness (5.7%). At the 6-month follow-up, 14.5%, 6.1%, and 2.7% of patients had hypothyroidism, hypocalcemia, and hoarseness of voice, respectively. Subtotal thyroidectomy was significantly associated with post-thyroidectomy complications ( P < 0.01). Conclusion: The prevalence of post-thyroidectomy complications at the SPHMMC was higher than the acceptable rates across guidelines. The complication rate at SPHMMC on first postoperative follow-up and 6-month follow-up visits was higher than that at the other centers. Subtotal thyroidectomy should be avoided or the last option to be considered because it is significantly associated with post-thyroidectomy complications.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135810962","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":"Ileoileal Knotting as a Rare Cause of Acute Small Bowel Obstruction: Report of a Case with Review of Literature","authors":"Telila Mesfin, Abdella Degefa, Ibsa Hassen, Degefa Gomora, Hamza Sultan, Kenbon Seyoum, Elias Ibrahim, Girma Geta, Neway Ejigu, Sisay Abebe, Teketel Tilahun, Demisu Zenbaba, Biniyam Sahiledengle, Fikreab Desta, Getu Wakoya, Saddam Mohamoud, Mesfin Tsegaye","doi":"10.2147/oas.s433281","DOIUrl":"https://doi.org/10.2147/oas.s433281","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762979","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":"Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study","authors":"K. Gebresilassie, Mengistu Hagazi Tequare, Micheal Berhe Gebremedhin, Wegen Beyene Tesfamariam, Tesfaye Tekle, Teame Tekleab Gebremedhin, Kidanemariam Alem Berhie, Hailemariam Berhe, Hiluf Ebuy Abraha","doi":"10.2147/oas.s411401","DOIUrl":"https://doi.org/10.2147/oas.s411401","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43383480","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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