Pub Date : 2019-07-11DOI: 10.17352/2455-2968.000071
V. Tran, Brenna Fitzpatrick, Stefanie N Edwards, Emily J. Ferraro, Federica Marafioti, Thi Hanh Tien Nguyen, Alia Rafhi, On Na Lam, Vincent Chan
Background: Post-operative nausea and vomiting is a common occurrence amongst surgical patients. Anecdotal reports suggest antiemetic prescribing patterns to be an area for improvement. Aim: To report the most commonly prescribed antiemetic agents in a major tertiary teaching hospital in Australia; and to assess medication dosage and compared to the current national and international guidelines with recommended multimodal therapies.
{"title":"Antiemetic prescribing patterns for post-operative surgical patients","authors":"V. Tran, Brenna Fitzpatrick, Stefanie N Edwards, Emily J. Ferraro, Federica Marafioti, Thi Hanh Tien Nguyen, Alia Rafhi, On Na Lam, Vincent Chan","doi":"10.17352/2455-2968.000071","DOIUrl":"https://doi.org/10.17352/2455-2968.000071","url":null,"abstract":"Background: Post-operative nausea and vomiting is a common occurrence amongst surgical \u0000patients. Anecdotal reports suggest antiemetic prescribing patterns to be an area for improvement. \u0000 \u0000Aim: To report the most commonly prescribed antiemetic agents in a major tertiary teaching hospital \u0000in Australia; and to assess medication dosage and compared to the current national and international \u0000guidelines with recommended multimodal therapies.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42243630","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 : 2019-07-01DOI: 10.33545/26644436.2019.v2.i2a.32
O. Balli
Purpose: To evaluate the effi cacy and safety of percutaneous cholecystostomy in acute cholecystitis cases with high surgical risk that were treated conservatively and developed perforation.
目的:评价经皮胆囊造瘘术治疗急性胆囊炎高危患者保守治疗后穿孔的疗效和安全性。
{"title":"Perforation as a cause of failure in the conservative treatment of acute cholecystitis: Is percutaneous cholecystostomy a sufficient treatment?","authors":"O. Balli","doi":"10.33545/26644436.2019.v2.i2a.32","DOIUrl":"https://doi.org/10.33545/26644436.2019.v2.i2a.32","url":null,"abstract":"Purpose: To evaluate the effi cacy and safety of percutaneous cholecystostomy in acute cholecystitis cases with high surgical risk that were treated conservatively and developed perforation.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74624633","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 : 2019-06-04DOI: 10.17352/2455-2968.000070
M. Alharbi
Gallbladder polyps (GP), especially adenomatous, is quite rare. The prevalence of GP globally is variable, its importance comes from its potential to progress to gallbladder adenocarcinoma.
{"title":"Gallbladder Adenoumatous Polyps prevelance in Cholcystectomy in Saudi Arabia-cross sectional study","authors":"M. Alharbi","doi":"10.17352/2455-2968.000070","DOIUrl":"https://doi.org/10.17352/2455-2968.000070","url":null,"abstract":"Gallbladder polyps (GP), especially adenomatous, is quite rare. The prevalence of GP globally is variable, its importance comes from its potential to progress to gallbladder adenocarcinoma.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47135081","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 : 2019-05-13DOI: 10.17352/2455-2968.000069
S. Nachimuthu, K. Senthil, M. Ramalingam
Alkaptonuria, a metabolic disorder with urological manifestation goes unnoticed till we are aware of it. Here we present an alkaptonuric patient with difficult catheterisation was diagnosed with a large prostatic calculus and his management.
{"title":"Large Prostatic Calculus in an Alkaptonuria patient – Caught unaware","authors":"S. Nachimuthu, K. Senthil, M. Ramalingam","doi":"10.17352/2455-2968.000069","DOIUrl":"https://doi.org/10.17352/2455-2968.000069","url":null,"abstract":"Alkaptonuria, a metabolic disorder with urological manifestation goes unnoticed till we are aware of it. Here we present an alkaptonuric patient with difficult catheterisation was diagnosed with a large prostatic calculus and his management.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47435179","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 : 2019-05-13DOI: 10.17352/2455-2968.000068
S. Rout, Chandrabhanu Parija, Devidutta Mohanty
Primary tumours arising from sternum are rare. We came across two patients with primary tumours arising from sternum, one malignant (Ewings sarcoma) and the other benign in nature (giant cell tumour) which are very uncommon. After wide local excision the reconstruction was done by using autologous free rib graft in one and titanium mesh in other. In both the cases the coverage was provided with pectoralis major muscles. After six months both were disease free with chest wall integrity well maintained. We believe the reconstructive options adopted by our team for these cases are simple, bio-compatible and reproducible.
{"title":"Rare primary sternal tumours – Reports of two cases","authors":"S. Rout, Chandrabhanu Parija, Devidutta Mohanty","doi":"10.17352/2455-2968.000068","DOIUrl":"https://doi.org/10.17352/2455-2968.000068","url":null,"abstract":"Primary tumours arising from sternum are rare. We came across two patients with primary tumours arising from sternum, one malignant (Ewings sarcoma) and the other benign in nature (giant cell tumour) which are very uncommon. After wide local excision the reconstruction was done by using autologous free rib graft in one and titanium mesh in other. In both the cases the coverage was provided with pectoralis major muscles. After six months both were disease free with chest wall integrity well maintained. We believe the reconstructive options adopted by our team for these cases are simple, bio-compatible and reproducible.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45791181","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 : 2019-04-05DOI: 10.17352/2455-2968.000067
J. Gilmartin, J. Maclean, Jill Edwards
Purpose: To identify body types and normative transformation after obesity surgery and body re-contouring. Methods: A qualitative secondary analysis was conducted involving 20 transcripts, extracted from one primary dataset containing interview data. A model of empirically grounded type construction was employed and adapted to analyse data. Results: Four emerging body types were revealed including type 1 ‘identity disruption’, type 2 ‘overcoming identity lag’, type 3 ‘refining appearance’ and type 4 ‘transformed new me’. The findings shed light on the normative transformation process and the huge challenges that patients encounter. It is crucial to acknowledge that body types 1 and 2 experienced identity disruption and emotional turmoil, post body recontouring surgery. Contrastingly, types 3 and 4 showed strong determination and resilience throughout the transformation process despite embodied turbulence.
{"title":"Body types following obesity surgery and skin re-contouring: A secondary level of analysis","authors":"J. Gilmartin, J. Maclean, Jill Edwards","doi":"10.17352/2455-2968.000067","DOIUrl":"https://doi.org/10.17352/2455-2968.000067","url":null,"abstract":"Purpose: To identify body types and normative transformation after obesity surgery and body re-contouring. \u0000Methods: A qualitative secondary analysis was conducted involving 20 transcripts, extracted from one primary dataset containing interview data. A model of empirically grounded type construction was employed and adapted to analyse data. \u0000Results: Four emerging body types were revealed including type 1 ‘identity disruption’, type 2 ‘overcoming identity lag’, type 3 ‘refining appearance’ and type 4 ‘transformed new me’. The findings shed light on the normative transformation process and the huge challenges that patients encounter. It is crucial to acknowledge that body types 1 and 2 experienced identity disruption and emotional turmoil, post body recontouring surgery. Contrastingly, types 3 and 4 showed strong determination and resilience throughout the transformation process despite embodied turbulence.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46310455","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 : 2019-03-23DOI: 10.17352/2455-2968.000065
T. Cherry, Ran Li, R. Shakerian
Lumbar hernias are a rare clinical presentation and are usually congenital, traumatic or spontaneous. We describe an unusual case of a pathological lumbar hernia due to recurrent retroperitoneal abscesses, likely precipitated by chronic tip appendicitis. A literature search of PubMed with the search terms “lumbar OR flank AND hernia” and “abscess” found only one similar published case.
{"title":"Pathological lumbar hernia following recurrent retroperitoneal abscess","authors":"T. Cherry, Ran Li, R. Shakerian","doi":"10.17352/2455-2968.000065","DOIUrl":"https://doi.org/10.17352/2455-2968.000065","url":null,"abstract":"Lumbar hernias are a rare clinical presentation and are usually congenital, traumatic or spontaneous. We describe an unusual case of a pathological lumbar hernia due to recurrent retroperitoneal abscesses, likely precipitated by chronic tip appendicitis. A literature search of PubMed with the search terms “lumbar OR flank AND hernia” and “abscess” found only one similar published case.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45477335","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 : 2019-03-23DOI: 10.17352/2455-2968.000066
B. Teoh, R. Chandra, Jacob McCormick, Ran Li
Rectal foreign bodies (RFBs) are an unusual emergency presentation readily confirmed via clinical examination and imaging, which must be quickly removed due to the risk of rectal wall tissue damage leading to perforation and subsequent peritonitis. Several non-operative methods are described in the literature to retrieve RFBs, however removal can be especially difficult if they not easily graspable, for example a ball-like object. We present the case of a spherical RFB successfully extracted using a vacuum-assisted delivery device.
{"title":"Vacuum-assisted foetal delivery device to remove a rectal foreign body – A novel application of the Ventouse method","authors":"B. Teoh, R. Chandra, Jacob McCormick, Ran Li","doi":"10.17352/2455-2968.000066","DOIUrl":"https://doi.org/10.17352/2455-2968.000066","url":null,"abstract":"Rectal foreign bodies (RFBs) are an unusual emergency presentation readily confirmed via clinical examination and imaging, which must be quickly removed due to the risk of rectal wall tissue damage leading to perforation and subsequent peritonitis. Several non-operative methods are described in the literature to retrieve RFBs, however removal can be especially difficult if they not easily graspable, for example a ball-like object. We present the case of a spherical RFB successfully extracted using a vacuum-assisted delivery device.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41791885","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 : 2019-03-21DOI: 10.17352/2455-2968.000064
B. Teoh, N. Campbell, P. Flanagan, I. Campbell
Gallbladder volvulus (GV) is a rare surgical emergency in which the gallbladder twists on its pedicle and becomes gangrenous. It most commonly presents with symptoms similar to acute cholecystitis. Investigations are seldom diagnostic, with both pathology tests and imaging often unremarkable, and as such it is often diagnosed intraoperatively. Given the potential consequence of a ruptured gallbladder leading to biliary peritonitis, it is an important condition to consider and suspected cases should proceed to cholecystectomy as soon as possible. We report the case of an elderly female patient who initially presented as having an acute coronary syndrome then was found intraoperatively to have GV, and discuss clinical points of the disease.
{"title":"Gallbladder volvulus mimicking a cardiac event – an unusual presentation","authors":"B. Teoh, N. Campbell, P. Flanagan, I. Campbell","doi":"10.17352/2455-2968.000064","DOIUrl":"https://doi.org/10.17352/2455-2968.000064","url":null,"abstract":"Gallbladder volvulus (GV) is a rare surgical emergency in which the gallbladder twists on its pedicle and becomes gangrenous. It most commonly presents with symptoms similar to acute cholecystitis. Investigations are seldom diagnostic, with both pathology tests and imaging often unremarkable, and as such it is often diagnosed intraoperatively. Given the potential consequence of a ruptured gallbladder leading to biliary peritonitis, it is an important condition to consider and suspected cases should proceed to cholecystectomy as soon as possible. We report the case of an elderly female patient who initially presented as having an acute coronary syndrome then was found intraoperatively to have GV, and discuss clinical points of the disease.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48484574","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 : 2019-03-01DOI: 10.17352/2455-2968.000063
A. Çi̇ftçi̇, Osman Esen, M. B. Yazicioglu, M. Haksal, Ç. Tiryaki, Abdullah Güneş, O. Civil, Mehmet Özyıldız, Hayrünisa Kahraman Esen
Background: The aim of our study was to demonstrate if there is any relation between the neutrophil-to-lymphocyte ratio (NLR) and mortality in severe burns Methods: The records of 366 patients who were admitted to Intensive Care Unit of Burn Center of Derince Training and Research Hospital between January 2012 and December 2015 were evaluated retrospectively. The cases who were hospitalized in service or did not require intensive care were not included in the study. The cases were divided into two groups: ex-group (Group 1) and discharge group (Group 2). In both groups demographic information such as age, gender, burn scores, neutrophil counts and lymphocyte counts during admission to the hospital were recorded. NLR is the ratio of absolute neutrophil count to the absolute lymphocyte count. Results: NLR was 10.94±7.63 in the exitus group and 5.5±5.56 in the discharged group. NLR was increased in mortality group and this value was statistically significant (p=0.00). Independent relationship between prognoses and NLR was shown with logistic regression analyses (Odds Ratio 0.895, 95% confidence interval 0.856-0.936, p=0.00). Conclusion: NLR has increased in mortality group. Our study showed that NLR is correlated with probability of mortality after severe burn injuries. Therefore, it can be used as a cheap, easily obtained and new mortality predictor in severe burns.
{"title":"Could neutrophil-to-lymphocyte ratio be a new mortality predictor value in severe burns?","authors":"A. Çi̇ftçi̇, Osman Esen, M. B. Yazicioglu, M. Haksal, Ç. Tiryaki, Abdullah Güneş, O. Civil, Mehmet Özyıldız, Hayrünisa Kahraman Esen","doi":"10.17352/2455-2968.000063","DOIUrl":"https://doi.org/10.17352/2455-2968.000063","url":null,"abstract":"Background: The aim of our study was to demonstrate if there is any relation between the neutrophil-to-lymphocyte ratio (NLR) and mortality in severe burns Methods: The records of 366 patients who were admitted to Intensive Care Unit of Burn Center of Derince Training and Research Hospital between January 2012 and December 2015 were evaluated retrospectively. The cases who were hospitalized in service or did not require intensive care were not included in the study. The cases were divided into two groups: ex-group (Group 1) and discharge group (Group 2). In both groups demographic information such as age, gender, burn scores, neutrophil counts and lymphocyte counts during admission to the hospital were recorded. NLR is the ratio of absolute neutrophil count to the absolute lymphocyte count. Results: NLR was 10.94±7.63 in the exitus group and 5.5±5.56 in the discharged group. NLR was increased in mortality group and this value was statistically significant (p=0.00). Independent relationship between prognoses and NLR was shown with logistic regression analyses (Odds Ratio 0.895, 95% confidence interval 0.856-0.936, p=0.00). Conclusion: NLR has increased in mortality group. Our study showed that NLR is correlated with probability of mortality after severe burn injuries. Therefore, it can be used as a cheap, easily obtained and new mortality predictor in severe burns.","PeriodicalId":93785,"journal":{"name":"Journal of surgery and surgical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48595257","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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