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Results in Journal Archives of Surgery and Clinical Research: 76

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Tamegnon Dossouvi, Rafiou El-Hadji Yakoubou, Komlan Adabra, Ayi Amavi, Olivier Amouzou Efoé-Ga, Kouliwa Kanassoua Kokou, Iroukora Kassegne, David Dosseh Ekoué
Archives of Surgery and Clinical Research, Volume 6, pp 001-003; https://doi.org/10.29328/journal.ascr.1001062

Abstract:
Objective: To report our experience in the management of gastric cancers at the Kara University Hospital (Togo). Materials and methods: This was a retrospective and prospective study which was conducted from January 1, 2018, to July 31, 2021, in the general surgery and hepato-gastroenterology department of the Kara University Hospital (Togo). This study involved all patients treated for gastric cancer during the study period at CHU Kara (Togo). Results: We recorded 32 gastric cancers out of the 218 cases of cancer diagnosed during the study period. We had 20 men and 12 women with a sex ratio (M/F = 1.7). The average age was 58 years with the extremes ranging from 17 to 85 years. The pattern of the consultation was dominated by epigastralgia (100%) and deterioration in general condition (100%). Upper digestive endoscopy with biopsies was performed in all our patients. The antral localization was the most found in 62.5% of cases. The most common macroscopic appearance was ulcers-budding (90.6%) and the dominant histological type was moderately differentiated adenocarcinoma (87.5%). The extension assessment found liver metastasis in 10 cases, multiple regional lymphadenopathies of the hepatic pedicle and celiac trunk in 26 cases, ascites related to peritoneal carcinomatosis in 26 cases. Therapeutically, a 4/5 gastrectomy with D1 dissection was performed in 6 cases; gastrojejunal anastomosis in one case and palliative treatment in 25 cases. Survival at 1 year is 50% (3 patients) among operated patients. All the other patients (78.1%) who received palliative treatment all died within 3 months. Conclusion: Improving the prognosis of stomach cancer like other cancers requires early diagnosis to perform a gastrectomy, the only guarantee of long survival.
Anouar Dendane Mohamed, Rihab Sadqi, Zakarya Alami Hassani
Archives of Surgery and Clinical Research, Volume 5, pp 023-025; https://doi.org/10.29328/journal.ascr.1001061

Abstract:
Tumoral calcinosis is a rare, benign entity characterized by the deposition of calcium in periarticular soft tissues. We report the original case of an idiopathic tumoral calcinosis of the elbow in a 6-year-old girl successfully treated by drainage with no signs of recurrence after a 3-year follow-up. We discuss the particularities of this joint location and our therapeutic management.
Karahan Furkan, , Avcı Arzu,
Archives of Surgery and Clinical Research, Volume 5, pp 020-022; https://doi.org/10.29328/journal.ascr.1001060

Abstract:
Purpose: The sinusoidal obstruction syndrome (SOS) of the liver is an obliterative vasculitis that involves the terminal branches of the hepatic venules and sinusoids. When it is not treated, it will be a serious risk of mortality. Here, we aim to present our patient who has been associated with recurrent cholangitis attacks due to cholelithiasis and choledocholithiasis and is associated with sinusoidal obstruction syndrome with the literature. Description of the case: A 30 years old male patient had complaints of abdominal pain and nausea for a long time. The patient had a history of choledocholithiasis and cholangitis attacks. Although ERCP was performed and a stent was placed in the biliary tract, his jaundice did not disappear. Liver function tests were high. Tumor markers were negative. Methods: We could not make a definitive diagnosis with imaging methods and biopsy and we planned surgery. We performed segmental liver resection and biliary diversion in the surgery. Histopathological examination of the resected liver tissue was compatible with SOS. Conclusion: Many studies have been done on the etiology of SOS and different causes have been revealed. Accompanied with clinical findings, a definitive diagnosis is made with the exclusion of the presumptions considered. Surgery can be performed for both diagnostic and therapeutic purposes. If patients with elevated liver function tests and bilirubin have long-term abdominal pain, SOS should be bear in mind.
Singh Mahendra, Pandey Himanshu, Gupta Prateek, Ram Choudhary Gautam, Tyagi Vipin, Sarma Madduri Vijay Kumar, Shrivastava Nikita
Archives of Surgery and Clinical Research, Volume 5, pp 011-019; https://doi.org/10.29328/journal.ascr.1001059

Abstract:
Background: The rapid spread of “Coronavirus Disease 2019’ (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus-type 2 (SARS-CoV-2) significantly impacted health care facilities all across the globe. To assess impact on urology practice in our country, we developed a questionnaire based on relevant questions in current scenario for information regarding challenges and changes urologists were facing in their practices. Material and methods: We conducted an online survey to find out the impact of COVID-19 on urology practice in Indian scenario. The questionnaire comprised of total 18 questions, which were relevant to day to day practice. Results: Total 310 urologists across the India participated and consented to being part of the study. The majority admits change in their practice due to the recent COVID-19 outbreak. The majority admitted to attend fixed numbers of patients per day with prior appointment and to keep detailed records. The majority responded in positive that attendees will not be allowed, opted to wear N-95 mask in OPD, opted to take the relevant history, opted for thermal screening, opted for patients to wear a mask before entering OPD room, opted for using the new prescription at new visit and opted to avoid physical examination unless very necessary. The majority wanted to take consent from the patients that they may get infected by COVID-19 in the hospital and agreed on performing COVID-19 testing for every patient posted for surgery. The majority agreed to assign a separate operation theatre to operate patients with positive COVID-19 test and also preferred open surgery over minimal invasive surgery. Conclusion: Our survey revealed that the recent pandemic led to significant impacts on urology practice in our country. The urologists working in different setups are facing different challenges in this difficult condition. They have made certain changes in their practice to safely provide effective care to their patients.
, Bottai Vanna, Cosseddu Fabio, Cifali Roberta, De Franco Silvia, Scaglione Michelangelo
Archives of Surgery and Clinical Research, Volume 5, pp 007-010; https://doi.org/10.29328/journal.ascr.1001058

Abstract:
Purpose: Some physiological events in women’s life such as pregnancy and lactation can be associated to a condition known as Transient Osteoporosis of the Hip (TOH); if not promptly diagnosed it can lead to significant consequences such as femoral neck fracture. In this paper we describe a case of bilateral TOH, focusing on the importance of early treatment and how it influenced the outcome. Methods: A 40 years old post-delivery woman came to our attention for hip pain and a left femoral neck fracture was diagnosed. Magnetic resonance (MRI) showed bilateral edema of the femoral head. She underwent total hip replacement on the left side; toe-touch weight bearing and pharmacological therapy were prescribed for the right hip. Results: MRI at nine months showed complete regression of the femoral head and neck edema; the patient was clinically asymptomatic. Conclusion: If not promptly diagnosed and treated, TOH can potentially evolve in fracture. Many therapeutic strategies have been suggested since now; we believe that avoiding weight bearing on the involved hip as early as possible is the key to recovery.
, Ceylan Kenan Can, Ermete Sulun, Kilic Devrim, Kaya Seyda Ors
Archives of Surgery and Clinical Research, Volume 5, pp 001-003; https://doi.org/10.29328/journal.ascr.1001056

Abstract:
Introduction: Solitary fibrous tumor is a neoplasm of mesenchymal origin with benign and malignant forms. We aimed to present a case of solitary fibrous tumor which developed in a patient operated for laryngeal cancer and originated from diaphragm in the light of the literature. Case report: A 61-year-old male patient with tracheostomy with an undiagnosed lesion that appears to be almost 10 cm was referred to our clinic. Since it was a large volume mass, we chose to perform a thoracotomy over thorachoscopic approach. Discussion: Although solitary fibrous tumors most commonly occur in the pleura but may also originated from diaphragm, and our case is valuable that originates from diaphragmatic since there are less than 5 reported cases in literature for past two decades. Conclusion: Even in the case of recurrence, the main treatment remains as total surgical excision. Solitary fibrous tumors are usually detected because of compression symptoms. That is the main reason why we chose thoracotomy.
, Iarrobino Gianfausto
Archives of Surgery and Clinical Research, Volume 4, pp 054-058; https://doi.org/10.29328/journal.ascr.1001055

Abstract:
Laparoscopic approach in emergency theatre is an irreplaceable tool to manage patients with acute surgical pathology. We retrospectively reviewed surgical access records from the Emergency Department for acute right iliac fossa pathology. We considered 51 patients (16 male, 35 female, mean age 23.8 years) access for acute right iliac fossa pathology over the last year. 44 patients underwent laparoscopic approach (86%); 8 patients were treated with an open approach. Outcomes evaluation was based on data comparison from open appendicectomy over 4 year time period. Variables considered for data analyses were: role of laparoscopic surgery for gangrenous/perforated appendicitis, Conversion rate, Laparoscopy appendicectomy for elderly patients. Our study demonstrated that a laparoscopic approach at acute right iliac fossa pathology is feasible, safe and can offer a low incidence of infectious complications, less post-operative pain, rapid recovery, and represent a valid diagnostic tool in doubtful cases, at the expense of longer operating time than OA. We suggest that LA should be the initial choice for all patients with acute right iliac fossa pathology.
Var Hale,
Archives of Surgery and Clinical Research, Volume 4, pp 039-041; https://doi.org/10.29328/journal.ascr.1001051

Abstract:
Pyogenic granuloma is a benign localized lesion of the skin and mucosa closely related to trauma, chronic irritation and hormonal changes. The method of treatment is surgical excision. But relapses can occur. For this reason, treatment with alternative methods such as cryotherapy, electrocautery and laser has been investigated in recent years. In this case, the cause of PG was a feeder vessel. The lesion was excised before and recurred within two weeks. An intraosseous feeder vessel was identified by a magnetic resonance imaging. This vessel was exposed and cauterized with electrocautery.
, Vidanec Nenad, Smilović Joško, Mavrić Matija, Novak Miljenko, Mustač Jambrešić Petra
Archives of Surgery and Clinical Research, Volume 4, pp 051-053; https://doi.org/10.29328/journal.ascr.1001054

Abstract:
A knee arthroscopy in spinal anaesthesia was performed on a 67 years old male patient. During the procedure the patient was hemodynamically stable, until he suddenly turned pale and started complaining of severe pain in lower abdomen with signs of guarding. The procedure was finished as urgently as possible and after releasing the tourniquet we noticed significant difference in volume of the leg, with redness distal to tourniquet. Urgent lab results were essentially unremarkable and the patient was sent for the urgent radiological diagnostics. CD of the left leg described fluid in the soft tissues of the thigh, scrotum, and abdomen; and the unenhanced CT of the abdomen showed free fluid along the entire femoral shaft of the left thigh, extending towards pelvis and abdomen to perihepatic and perisplenic space, and retroperitoneum, with gas bubbles tracking along anterior aspect of the left thigh into the left retroperitoneum. He was admitted to the ICU, and within few hours all symptoms have resolved and his further recovery was without complications.
Şen Dilek Özkan, Irız Betül, Atay Ümmühan Tekin,
Archives of Surgery and Clinical Research, Volume 4, pp 047-050; https://doi.org/10.29328/journal.ascr.1001053

Abstract:
Intentional replantation is an alternative for the treatment of advanced periodontal destruction of the anterior teeth. Systemically healthy three female patient was referred to our clinic with functional complaints. Diagnosis were chronic periodontitis and class III mobility was noted at the mandibular incisors with complete periodontal attachment loss. After phase I periodontal treatment periodontally involved teeth were extracted, endodontic treatment accomplished, the teeth were replanted and fixed to its place with fiber reinforced composite splint. At the end of 2 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient’s own teeth.
, Akkas Yucel, Kocer Bulent
Archives of Surgery and Clinical Research, Volume 4, pp 042-046; https://doi.org/10.29328/journal.ascr.1001052

Abstract:
Segmentectomy may be applied to all segments; superior segmentectomies (lower lobe superior segments for both lungs), lingulectomies (two segments forming lingulas of upper left lobe) and basal segmentectomies (segments other than superior segment for both lungs). In lung segment resections; segmentectomy has an equivalent morbidity, recurrence and survival rate compared to lobectomy, in patients with stage I lung cancer, tumors smaller than 2 cm and within the segmental anatomical limits. Segmentectomy also contributes more to preserving lung function and exercise capacity than lobectomy. In tumor resection; especially in patients with advanced age, insufficient performance or insufficient cardiopulmonary reserve, 2 cm in diameter and acceptable segmental margins may be provided. Limited long-term results show oncological results of robotic approach similar to open and VATS approaches. Robotic approach facilitates surgery with more intuitive movements, greater flexibility and high definition, three-dimensional vision. However, high cost and lack of touch sense are main disadvantages of robotic surgery. New studies are needed to assess quality of life, morbidity, oncological results and cost effectiveness. However, considering development of technology in our age and fact that many surgical robot brands will be released in the near future, it is predicted that disadvantages of robotic surgery will be minimized in the near future. This article reviews experience of segmentectomy in non-small cell lung cancer and discusses benefits and limitations of robotic segmentectomy.
Islam Sardar Rezaul, Rahman Shafiqur, Talukdar Shaurav, Sarkar Shah Alam, Poran Shah
Archives of Surgery and Clinical Research, Volume 4, pp 001-005; https://doi.org/10.29328/journal.ascr.1001043

C Garcia Gubern, L Colon Rolón, I Ruiz Mercado, C Oliveras Garcia, D Caban Acosta, J Muñoz Pagán, I Iriarte, G Bolaños Ávila, J Peguero Rivera, F Sánchez Gaetan, et al.
Archives of Surgery and Clinical Research, Volume 3, pp 078-081; https://doi.org/10.29328/journal.ascr.1001041

, Olinda Miranda, Alexandre Lima Carneiro, Sandrina Braga, João Correia Simões, Celso Carrilho, Amílcar Mesquita, Jorge Cotter
Archives of Surgery and Clinical Research, Volume 3, pp 059-060; https://doi.org/10.29328/journal.ascr.1001035

Abdelhamid Ms, Nabil Tm, Ms Abdelhamid, Garib Az, Soliman Ss
Archives of Surgery and Clinical Research, Volume 3, pp 022-026; https://doi.org/10.29328/journal.ascr.1001027

Abdelhamid Ms, Ms Abdelhamid, Tm Nabil, Am Rashad, Ss Soliman, Tm El-Gaabary
Archives of Surgery and Clinical Research, Volume 3, pp 001-004; https://doi.org/10.29328/journal.ascr.1001023

Abdelhamid M, , Am Bekeet, Ma Negida, Az Garib, Ss Soliman
Archives of Surgery and Clinical Research, Volume 3, pp 005-009; https://doi.org/10.29328/journal.ascr.1001024

Abdelhamid Mohamed, Mohamed Abdelhamid, Am Rashad, Ma Negida, Az Garib, Ss Soliman, Tm EL Gaabary
Archives of Surgery and Clinical Research, Volume 2, pp 031-038; https://doi.org/10.29328/journal.ascr.1001021

, Lonne Michael, Bennnet James, Patel Bhavik
Archives of Surgery and Clinical Research, Volume 2, pp 029-030; https://doi.org/10.29328/journal.ascr.1001020

, Kunal Chowdhary, Gurinder Kaur, Kapil Sindhu, Aliya Shah, Rohit Dang, Ashish Kumar, Jose John Maiakal, Ashutosh Bawa
Archives of Surgery and Clinical Research, Volume 2, pp 018-024; https://doi.org/10.29328/journal.ascr.1001018

Masao Endo, Fumiko Yoshida, Masaharu Mori, Miwako Nakano, Toshiya Morimura, Yasuharu Ohno, Makoto Komura
Archives of Surgery and Clinical Research, Volume 2, pp 005-012; https://doi.org/10.29328/journal.ascr.1001015

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