Caroline A Couch, Kristen L Coleman, Angela N Fellner, H. Guend
{"title":"A Comparison of Re-admission and Emergency Department Visits in a Colorectal Surgical Home versus Traditional Perioperative Care","authors":"Caroline A Couch, Kristen L Coleman, Angela N Fellner, H. Guend","doi":"10.26502/jsr.10020303","DOIUrl":"https://doi.org/10.26502/jsr.10020303","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84247859","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}
Md. Monoarul Islam Talukdar, Nazia Islam, Mohammed Tanvir Jalal, Mir Rasekh Alam Ovi, Shamima Nasrin, Md. Shahadot Hossain Sheikh
Background: Early reversal of temporary intestinal stoma might bring good clinical outcome as like as late reversal in the context of anastomotic leakage, postoperative ileus, sepsis, intraoperative bleeding etc. This may avoid stoma related morbidity & complications. This study was designed to find out the short-term outcomes of early reversal of intestinal stoma within 14 days of index surgery.
{"title":"Outcome of Early Reversal of Intestinal Stoma: A Cross-Sectional Study","authors":"Md. Monoarul Islam Talukdar, Nazia Islam, Mohammed Tanvir Jalal, Mir Rasekh Alam Ovi, Shamima Nasrin, Md. Shahadot Hossain Sheikh","doi":"10.26502/jsr.10020320","DOIUrl":"https://doi.org/10.26502/jsr.10020320","url":null,"abstract":"Background: Early reversal of temporary intestinal stoma might bring good clinical outcome as like as late reversal in the context of anastomotic leakage, postoperative ileus, sepsis, intraoperative bleeding etc. This may avoid stoma related morbidity & complications. This study was designed to find out the short-term outcomes of early reversal of intestinal stoma within 14 days of index surgery.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959059","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}
Md. Shahidul Islam, Anirudha Sardar, Mitheel-Ibna Islam, Md. Tarikul Islam
Background: Ureteropelvic junction obstruction (UPJO) is a frequently observed abnormality in the ureters of children. It has been reported that UPJO is approximately 5 cases per 100,000 infants each year. The obstruction at the ureteropelvic junction can be attributed to factors originating within the ureter itself (intrinsic UPJO). In contrast, cases caused by external factors are uncommon and usually result from abnormal vessels crossing the area crossing aberrant vessels.
{"title":"Laparoscopic Transperitoneal Pyeloplasty Outcomes in Adult Patients with Ureteropelvic Junction Obstruction","authors":"Md. Shahidul Islam, Anirudha Sardar, Mitheel-Ibna Islam, Md. Tarikul Islam","doi":"10.26502/jsr.10020315","DOIUrl":"https://doi.org/10.26502/jsr.10020315","url":null,"abstract":"Background: Ureteropelvic junction obstruction (UPJO) is a frequently observed abnormality in the ureters of children. It has been reported that UPJO is approximately 5 cases per 100,000 infants each year. The obstruction at the ureteropelvic junction can be attributed to factors originating within the ureter itself (intrinsic UPJO). In contrast, cases caused by external factors are uncommon and usually result from abnormal vessels crossing the area crossing aberrant vessels.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135440561","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":"Use of Indocyanine Green Imaging in Gastroyeyunal Reconstruction For Recalcitrant Gastroparesis - Case Report","authors":"Adolfo Leyva Alvizo, Cristina Villar- Canton, Giovanna Yazmin Arteaga-Müller, Meri Yeghiazaryan","doi":"10.26502/jsr.10020292","DOIUrl":"https://doi.org/10.26502/jsr.10020292","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73494867","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}
Purpose: The Totally extraperitoneal (TEP) herniorrhaphy is not an easy technique for beginner surgeons because of the complexity of inguinal anatomy and narrow space of the operation field. The aim of this study is to estimate learning curve of laparoscopic TEP herniorrhaphy using logarithmic function model and the exponential function model. Revealing the number of cases needs to overcoming the early learning curve and minimizing the recurrence rate. Methods: A retrospective analysis of the first 291 patient who underwent laparoscopic TEP herniorrhaphy by a single surgeon consecutively. A logarithmic function and an exponential function were derived from operating time data. The population was divided into three consecutive groups. Each groups assigned the starting point, the slope of the curve, and the plateau of the curve. We calculated how many operation numbers are needed to achieve reduction expected operating time to mean operating time. Results: 291 patients underwent laparoscopic hernia repair. The mean operation time was 70.3 minutes for unilateral hernias. According to two learning curve models, the operation time was decreased less than mean operation time after the initial 88 cases was performed. As the operation time decreased, the recurrence rate decreased. Conclusion: According to the two learning curve models, 88 cases are required to overcome the learning curve, minimize revision surgery, and achieve a qualified surgery. Further studies on learning curves and training methods are needed to enable a scientific approach to surgical education and quality improvement in surgical education for surgeons and medical services for patients.
{"title":"The Learning Curve for Laparoscopic Totally Extraperitoneal Herniorrhaphy by Logarithmic Function: Consecutive 291 cases Performed by a Single Surgeon","authors":"Duyeong Hwang, Y. Baik","doi":"10.26502/jsr.10020300","DOIUrl":"https://doi.org/10.26502/jsr.10020300","url":null,"abstract":"Purpose: The Totally extraperitoneal (TEP) herniorrhaphy is not an easy technique for beginner surgeons because of the complexity of inguinal anatomy and narrow space of the operation field. The aim of this study is to estimate learning curve of laparoscopic TEP herniorrhaphy using logarithmic function model and the exponential function model. Revealing the number of cases needs to overcoming the early learning curve and minimizing the recurrence rate. Methods: A retrospective analysis of the first 291 patient who underwent laparoscopic TEP herniorrhaphy by a single surgeon consecutively. A logarithmic function and an exponential function were derived from operating time data. The population was divided into three consecutive groups. Each groups assigned the starting point, the slope of the curve, and the plateau of the curve. We calculated how many operation numbers are needed to achieve reduction expected operating time to mean operating time. Results: 291 patients underwent laparoscopic hernia repair. The mean operation time was 70.3 minutes for unilateral hernias. According to two learning curve models, the operation time was decreased less than mean operation time after the initial 88 cases was performed. As the operation time decreased, the recurrence rate decreased. Conclusion: According to the two learning curve models, 88 cases are required to overcome the learning curve, minimize revision surgery, and achieve a qualified surgery. Further studies on learning curves and training methods are needed to enable a scientific approach to surgical education and quality improvement in surgical education for surgeons and medical services for patients.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78966918","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}
Nicole Remmert, Nawal Moin, K. Daniele, Rakhsanda Layeequr Rahman
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{"title":"Accessory Breast Cancer: A Case Series","authors":"Nicole Remmert, Nawal Moin, K. Daniele, Rakhsanda Layeequr Rahman","doi":"10.26502/jsr.10020299","DOIUrl":"https://doi.org/10.26502/jsr.10020299","url":null,"abstract":",","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90533323","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":"Food Bolus Ileus as a Cause of High-Grade Bowel Obstruction: A Case Report","authors":"Jin Kook Kang, Zhifei Sun","doi":"10.26502/jsr.10020285","DOIUrl":"https://doi.org/10.26502/jsr.10020285","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80669999","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}
Brian Begley, Francis Maguire, Tyler Hoskins, Justin M. Miller, James C. Wittig
{"title":"Emergency Department Management of Hip Fractures: Factors Predicting Readmission at 30 day, 60 day, 90 day and 1 year Intervals","authors":"Brian Begley, Francis Maguire, Tyler Hoskins, Justin M. Miller, James C. Wittig","doi":"10.26502/jsr.10020295","DOIUrl":"https://doi.org/10.26502/jsr.10020295","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79690316","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":"To ascertain the awareness among Triage Staff about Clinical Conditions treated in the department of Hand Surgery from their Referral Pattern: A Cross Sectional Observational Study in a Tertiary Care Center","authors":"M. Sethu, S. Rajappa","doi":"10.26502/jsr.10020308","DOIUrl":"https://doi.org/10.26502/jsr.10020308","url":null,"abstract":"","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78208206","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 : 2022-07-05DOI: 10.1101/2022.07.01.22277168
W. Tan, J. Li, Z. Jiang
BackgroundConsiderable geometric changes to the organs at risk (OARs) have been reported during treatment with chemotherapy and intensity modulated radiotherapy (chemo-IMRT) for locally advanced nasopharyngeal carcinoma (LA-NPC). This study aimed to quantify geometric changes to the central nervous system-related OARs (CNS-OARs), during chemo-IMRT for LA-NPC. MethodsThis prospective study included 20 patients with LA-NPC, treated with chemo-IMRT. Patients underwent a planning computed tomography (CT-plan) scan with intravenous contrast, followed by six weekly scans without contrast (CT-rep). For CNS-OARs, including the spinal cord, brainstem, optic chiasm and nerves, the globes of the eye, lens, and inner ears, their volume loss, the center of mass (COM) displacement, and spatial deformation was compared among weeks, respectively. The correlation between organ volume reduction and patients weight loss was estimated. ResultsThe volume of the brainstem, spinal cord, and the globe of left-and right-side eye averagely decreased by 2.6{+/-}2.3% (95% CI: 2.1%, 3.1%), 6.5{+/-}4.8% (5.6%,7.4%), 9.4{+/-}6.9% (8.1%, 10.6%) and 9.6{+/-}7.8% (8.2, 11.1%) respectively. The volume reduction of the spinal cord and that of the brainstem were significantly correlated with patients weight loss. For all OARs, the COM displacement was within 3 mm, except for the lower level of the spinal cord. The DSC value of the spinal cord, brainstem, and the globes of the eye was of >0.85 throughout treatment. ConclusionsThe volume and shape changes to the CNS-OARs during chemo-IMRT for NPC were quantifiable, which could be useful to refine radiation treatment protocols.
{"title":"Geometric changes to the central nervous system organs at risk during chemoradiotherapy for locally advanced nasopharyngeal carcinoma","authors":"W. Tan, J. Li, Z. Jiang","doi":"10.1101/2022.07.01.22277168","DOIUrl":"https://doi.org/10.1101/2022.07.01.22277168","url":null,"abstract":"BackgroundConsiderable geometric changes to the organs at risk (OARs) have been reported during treatment with chemotherapy and intensity modulated radiotherapy (chemo-IMRT) for locally advanced nasopharyngeal carcinoma (LA-NPC). This study aimed to quantify geometric changes to the central nervous system-related OARs (CNS-OARs), during chemo-IMRT for LA-NPC. MethodsThis prospective study included 20 patients with LA-NPC, treated with chemo-IMRT. Patients underwent a planning computed tomography (CT-plan) scan with intravenous contrast, followed by six weekly scans without contrast (CT-rep). For CNS-OARs, including the spinal cord, brainstem, optic chiasm and nerves, the globes of the eye, lens, and inner ears, their volume loss, the center of mass (COM) displacement, and spatial deformation was compared among weeks, respectively. The correlation between organ volume reduction and patients weight loss was estimated. ResultsThe volume of the brainstem, spinal cord, and the globe of left-and right-side eye averagely decreased by 2.6{+/-}2.3% (95% CI: 2.1%, 3.1%), 6.5{+/-}4.8% (5.6%,7.4%), 9.4{+/-}6.9% (8.1%, 10.6%) and 9.6{+/-}7.8% (8.2, 11.1%) respectively. The volume reduction of the spinal cord and that of the brainstem were significantly correlated with patients weight loss. For all OARs, the COM displacement was within 3 mm, except for the lower level of the spinal cord. The DSC value of the spinal cord, brainstem, and the globes of the eye was of >0.85 throughout treatment. ConclusionsThe volume and shape changes to the CNS-OARs during chemo-IMRT for NPC were quantifiable, which could be useful to refine radiation treatment protocols.","PeriodicalId":73961,"journal":{"name":"Journal of surgery and research","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83762077","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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