Pub Date : 2020-01-01Epub Date: 2021-03-22DOI: 10.1007/s13126-020-0580-5
Dionysios Voros, G Anastasopoulos, G Sarris, A Fotopoulos, A Marinis, K Dougli
Background and aims: The "Open Abdomen" technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5-75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible.
Methods and materials: We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure.
Results and conclusions: The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen.
{"title":"Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen.","authors":"Dionysios Voros, G Anastasopoulos, G Sarris, A Fotopoulos, A Marinis, K Dougli","doi":"10.1007/s13126-020-0580-5","DOIUrl":"https://doi.org/10.1007/s13126-020-0580-5","url":null,"abstract":"<p><strong>Background and aims: </strong>The \"Open Abdomen\" technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5-75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible.</p><p><strong>Methods and materials: </strong>We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure.</p><p><strong>Results and conclusions: </strong>The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen.</p>","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 5","pages":"208-210"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0580-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25524067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.1007/s13126-020-0534-y
P. Dar, Liaqat Ahmad Malik, A. Wani, Supreet Kaur, S. Wani, M. A. Wani, S. Masoodi, K. Wani, W. Gulshan
{"title":"Characteristics, Management and Outcome of Primary Hyperparathyroidism in a Predominantly Vitamin D Deficient Population: A Single-Center Experience","authors":"P. Dar, Liaqat Ahmad Malik, A. Wani, Supreet Kaur, S. Wani, M. A. Wani, S. Masoodi, K. Wani, W. Gulshan","doi":"10.1007/s13126-020-0534-y","DOIUrl":"https://doi.org/10.1007/s13126-020-0534-y","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0534-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44602255","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 : 2020-01-01DOI: 10.1007/s13126-020-0543-x
E. de Bree, G. Schoretsanitis
{"title":"Retraction Note to: The Amsterdam Guild of Surgeons and the Training of Surgeons in the Early Modern Period","authors":"E. de Bree, G. Schoretsanitis","doi":"10.1007/s13126-020-0543-x","DOIUrl":"https://doi.org/10.1007/s13126-020-0543-x","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 1","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0543-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42854655","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 : 2020-01-01DOI: 10.1007/s13126-020-0542-y
Hüma Bölük Şenlikci, I. Karabay, G. Öztürk, T. Tiftik, H. Tunç, M. Ersöz
{"title":"A Rare Cause of Esophageal Rupture: Anterıor Cervıcal Fıxatıon","authors":"Hüma Bölük Şenlikci, I. Karabay, G. Öztürk, T. Tiftik, H. Tunç, M. Ersöz","doi":"10.1007/s13126-020-0542-y","DOIUrl":"https://doi.org/10.1007/s13126-020-0542-y","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 1","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0542-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46541556","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 : 2020-01-01DOI: 10.1007/s13126-020-0539-6
M. Kanakis, Evangelia Grisbolaki, K. Alexiou, A. Lioulias, D. Bobos, N. Giannopoulos
{"title":"Adult-Type Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Syndrome","authors":"M. Kanakis, Evangelia Grisbolaki, K. Alexiou, A. Lioulias, D. Bobos, N. Giannopoulos","doi":"10.1007/s13126-020-0539-6","DOIUrl":"https://doi.org/10.1007/s13126-020-0539-6","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0539-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48509893","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 : 2020-01-01Epub Date: 2021-03-22DOI: 10.1007/s13126-020-0568-1
Tarun Kumar, Robin Kaushik, Simrandeep Singh, Rajeev Sharma, Ashok Attri
Background: Necrotizing soft tissue infections (NSTI) are frequently encountered, with a high mortality despite advances in health care.
Material and methods: Patients presenting with NSTI were prospectively followed up in an attempt to identify factors that were significantly associated with mortality.
Results: There were a total of 86 patients [65 males (75.6%) and 21 females (24.4%)] with an overall mortality of 33.7% (29 patients). The average age was 50.37 years and trauma was the commonest aetiology (34 patients, 66.7%). The average duration of symptoms prior to presentation was 10.56 days; the lower limb was most commonly involved (62 patients, 72.09%). Fifty nine patients had comorbidities (commonest being diabetes mellitus in 41). Age above 50 years, symptoms for more than 8.5 days, involved surface area more than 15.5%, of the total body surface, on-admission pulse rate more than 99 beats/minute, systolic blood pressure less than 103 mm Hg, Glasgow scale less than 12, need for inotropes, low hemoglobin, high leukocyte counts, uraemia, deranged coagulation, low serum albumin, and high levels of lactic acid were significant for mortality. On multivariate analysis, only age above 50 years, presence of acidosis and low serum albumin significantly affected survival.
Conclusion: NSTI carry high mortality. The identification of potential risk factors associated with mortality might help in guiding and optimizing the management of patients who present with NSTI.
{"title":"Determinants of Mortality in Necrotizing Soft Tissue Infections.","authors":"Tarun Kumar, Robin Kaushik, Simrandeep Singh, Rajeev Sharma, Ashok Attri","doi":"10.1007/s13126-020-0568-1","DOIUrl":"https://doi.org/10.1007/s13126-020-0568-1","url":null,"abstract":"<p><strong>Background: </strong>Necrotizing soft tissue infections (NSTI) are frequently encountered, with a high mortality despite advances in health care.</p><p><strong>Material and methods: </strong>Patients presenting with NSTI were prospectively followed up in an attempt to identify factors that were significantly associated with mortality.</p><p><strong>Results: </strong>There were a total of 86 patients [65 males (75.6%) and 21 females (24.4%)] with an overall mortality of 33.7% (29 patients). The average age was 50.37 years and trauma was the commonest aetiology (34 patients, 66.7%). The average duration of symptoms prior to presentation was 10.56 days; the lower limb was most commonly involved (62 patients, 72.09%). Fifty nine patients had comorbidities (commonest being diabetes mellitus in 41). Age above 50 years, symptoms for more than 8.5 days, involved surface area more than 15.5%, of the total body surface, on-admission pulse rate more than 99 beats/minute, systolic blood pressure less than 103 mm Hg, Glasgow scale less than 12, need for inotropes, low hemoglobin, high leukocyte counts, uraemia, deranged coagulation, low serum albumin, and high levels of lactic acid were significant for mortality. On multivariate analysis, only age above 50 years, presence of acidosis and low serum albumin significantly affected survival.</p><p><strong>Conclusion: </strong>NSTI carry high mortality. The identification of potential risk factors associated with mortality might help in guiding and optimizing the management of patients who present with NSTI.</p>","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"92 5","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-020-0568-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25524065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.1007/s13126-019-0530-2
C. Palanivelu, M. Rangarajan, P. Jategaonkar
{"title":"Duplication of the Common Bile Duct Associated with an Abnormal Pancreatico-Bile Duct Junction. Case Report and Literature Review","authors":"C. Palanivelu, M. Rangarajan, P. Jategaonkar","doi":"10.1007/s13126-019-0530-2","DOIUrl":"https://doi.org/10.1007/s13126-019-0530-2","url":null,"abstract":"","PeriodicalId":86455,"journal":{"name":"Hellenike cheirourgike. Acta chirurgica Hellenica","volume":"91 1","pages":"172 - 175"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s13126-019-0530-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47797191","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号