Delayed referral increases the need for surgery and intervention in patients with acute pancreatitis
Patients with acute pancreatitis were who were referred from other hospitals a tertiary care centre were studied and their outcomes were analysed. Subgroup analysis of patients between those referred early (7 days) versus those referred late (>7 days) was done. Patients referred 7 days of pain onset had higher rates of organ failure (P = 0.007), including acute lung injury (P = 0.008) and acute kidney injury (P = 0.026) whereas those referred late had higher infected necrosis (P < 0.0001),...
Mon Aug 24, 2020 18:39
We demonstrated that a post‐operative surveillance programme was effective only to prevent symptomatic dehydration related to defunctioning loop ileostomy after low anterior resection in rectal cancer. The intake of diuretics and the elderly are at risk for dehydration and should be followed cautiously. Abstract Background Defunctioning loop ileostomy (DLI) in low anterior resection (LAR) in rectal cancer patients reduces the morbidity of anastomotic leakages. In our previous study,...
Mon Aug 24, 2020 18:38
AbstractAmong synchronous colorectal cancers (SCRCs) reported previously, the incidence of quadruple advanced SCRCs is very rare. We present the case who underwent laparoscopic two-segment resection of the colon requiring two anastomoses that was performed for quadruple advanced cancers, and four tumors were curatively removed. There were no signs of recurrence at 64 months after surgery. Laparoscopic surgery provided less invasiveness even for quadruple advanced SCRCs in terms of early recovery...
Tue Aug 25, 2020 03:00
AbstractUrinary incontinence is one of the common complications after radical prostatectomy along with inguinal hernia. Artificial urethral sphincter implantation is widely accepted as a treatment option. We report two surgical cases of inguinal hernia after artificial urethral sphincter implantation for urinary incontinence following radical prostatectomy. In Case 1, since the device went through the inguinal canal, adhesion around the pubis was extremely hard. In Case 2, the device was placed on...
Mon Aug 24, 2020 03:00
AbstractPrimary mesenteric gastrointestinal stromal tumors may give rise to abdominal emergencies like bowel obstruction and should be considered in the differential diagnosis to reduce morbidity and mortality. The present study presents an unusual case of primary mesenteric gastrointestinal stromal tumor presenting with small bowel obstruction. A 44-year-old healthy male presented with abdominal pain for 2 days. Detailed examination revealed presence of a 4 × 4 cm mass in the small bowel mesentery...
Mon Aug 24, 2020 03:00
AbstractEfforts to recognize SARS–CoV-2 infection have focused on respiratory symptoms such as cough and shortness of breath. Although it is also well known that SARS–CoV-2 infection can cause gastrointestinal symptoms such as abdominal pain, nausea, vomiting and diarrhoea, there are emerging reports of SARS–CoV-2 infection causing surgical pathology. We present the first case report of SARS–CoV-2 infection directly causing acute appendicitis, first suspected due to highly atypical histological features...
Mon Aug 24, 2020 03:00
AbstractUnintentional foreign body ingestion is common among children. Normally, these ingested foreign bodies pass spontaneously. Only few of them may lead to complications such as fistula, which requires surgical intervention. We are reporting a case of accidental construction nail ingestion in a 3-year-old male child, for 30 days, without any symptoms. Diagnosis of duodenocolic fistula by construction nail was made on clinical examination and abdominal radiography features. He underwent surgical...
Mon Aug 24, 2020 03:00
AbstractAn 8-year-old girl was admitted with four limb weakness for 2 months. Hyperactive reflexes were observed in all four limbs, and positive Hoffmann’s signs were revealed. An MRI spine with the coronal slide detected two tumors, first in the intradural and intramedullary space at the C2–C4 level and the second in the intradural and extramedullary space at the C5–C7 level. Axial T1W contrast MRI brain showed a tumor in the left parietal region. The patient underwent spine surgery first and following...
Mon Aug 24, 2020 03:00
AbstractHepatic artery infusion pump chemotherapy (HAIPC) for colorectal liver metastasis (CRLM) is a new technique in the treatment of CRLM, whose side effects are not well studied. Case Report: This paper aims to understand the side effect profile of HAIPC as it relates to recurrent pleural effusions. This is a case report of a 48-year-old male with CRLM being treated with HAIPC, who presents with recurrent pleural effusions found to be benign/transudative after right-side video-assisted thoracoscopic...
Mon Aug 24, 2020 03:00
AbstractThis is a case of a woman with massive hemoptysis, associated with a pulmonary artery pseudoaneurysm, and a fistula between the right pulmonary artery and bronchus intermedius. Bronchoscopic evaluation revealed an endobronchial mass in the right bronchus intermedius, suspicious for a tumor. Upon biopsy of the mass, massive bleeding occurred. The right lung was surgically resected. No specific etiology for the fistula was identified on pathologic examination. To our knowledge, this is the...
Mon Aug 24, 2020 03:00
AbstractAllergic fungal sinusitis (AFS), a noninvasive form of fungal sinusitis, is rarely seen in immunocompetent patients. Involvement of sphenoid sinus can result in proptosis and loss of vision. We report AFS masquerading as posterior cavernous sinus syndrome. A 59-year-old African-American man presented with right complete ptosis with ophthalmoplegia. After an initial work-up and imaging studies, patient underwent endonasal sphenoid surgery, which revealed characteristic ‘allergic fungal mucin’....
Mon Aug 24, 2020 03:00
AbstractWhile peritonsillar abscesses are the most common deep neck infections, bilateral forms are rare. A peritonsillar abscess occurs when pus accumulates in the peritonsillar space, located between the tonsils and superior constrictor muscle, causing medial displacement of the uvula, trismus, odynophagia or even upper airway obstruction. High clinical suspicion is needed to diagnose bilateral peritonsillar abscess due to frequent history, computerized tomography scan of the neck with IV contrast...
Mon Aug 24, 2020 03:00
AbstractIntussusception of the appendix is a rare disease that constitutes a diagnostic challenge to the surgeon. Intussusception is defined as the telescoping of a segment of the gastrointestinal tract into an adjacent one. We are reporting a case of a 14-year-old boy who presented in our institution with the features of acute appendicitis. On exploration appendiculo-cecal intussusception was found for which right hemicolectomy with ileotransverse colon anastomosis was done.
Mon Aug 24, 2020 03:00
AbstractAlloplastic material is often used for thoracic wall reconstruction following extended resection bringing the risk of infection, especially after chemotherapy and/or radiation. We present the case of a 66-year-old male with lung adenocarcinoma of the right lower lobe. After extended lobectomy, a partial resection of the sixth to eighth ribs followed by chest wall reconstruction with Mersilene mesh and osteosynthesis for sixth and seventh rib was performed. One month postoperatively, he developed...
Mon Aug 24, 2020 03:00
AbstractParaganglioma in the spine remains a rare occurrence that is mostly benign and commonly associated with other inherited symptoms. Presentation in the pediatric population is rare with a high risk of recurrence. This case reports an unusual presentation of a slowly progressing nonfunctional thoracic paraganglioma in a 6-year-old female child that presented with mass-related symptoms sparing the spinal canal. Tumor recurred after initial video-assisted thoracoscopic surgery excision with significant...
Mon Aug 24, 2020 03:00
AbstractLaparoscopic cholecystectomy (LC) carries a significant risk of gallbladder perforation and resulting scattering of bile stones into the abdominal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Most cases do not create long-term problems, although some cases may be complicated in future and create uncertainties regarding the correct diagnosis. Diagnosis can be difficult, and in most cases the patient may require open surgery for management of...
Mon Aug 24, 2020 03:00
ABSTRACTThe indication for transcatheter aortic valve implantation (TAVI) is continuously expanding with a simultaneous increase in number of TAVI associated prosthetic valve endocarditis (TAVI–PVE). Evidence for management of TAVI–PVE is lacking but the need for surgical management of complex TAVI–PVE is expected to increase. The Commando procedure, a technically challenging surgery for treatment of complex endocarditis, has never been described in a patient with TAVI–PVE. An 80-year-old female...
Mon Aug 24, 2020 03:00
Publication date: Available online 24 August 2020Source: Journal of Surgical EducationAuthor(s): Claudio Canal, Julian Scherer, Dominique Lisa Birrer, Malte Johannes Vehling, Matthias Turina, Valentin Neuhaus
Tue Aug 25, 2020 14:18
Publication date: Available online 24 August 2020Source: Journal of Surgical EducationAuthor(s): Heather A. Lillemoe, Kenneth A. Lynch, Mary C. Schuller, Andreas H. Meier, John R. Potts, Jonathan P. Fryer, David T. Harrington
Tue Aug 25, 2020 14:18
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