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Volvulus of the Sigmoid Colon—Management in the surgery “A” department of the teaching hospital of point g

Surgical Science 2020年第12期11卷 469-478页

作者： Sidiki Keita Koniba Keita Moussa Sissoko Mahamadou Coulibaly Lamine Soumare Oumar Sacko Sekou Koumare Adama K. Koita Soumaîla Keita Zimogo Zié Sanogo general surgery “A” department Hospital Point-G. Bamako Mali general surgery department Hospital BSS Kati Mali

Introduction: The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. Methodology: The study was conducted in the surgery “A” departmen... 详细信息

g>Introduction:g> The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. g>Methodology:g> The study was conducted in the surgery “A” department of the teaching hospital of point g in Bamako. The study is retrospective and descriptive, over 5 years, ranging from January 2014 to December 2018. We conducted a comprehensive recruitment of all patients operated on for sigmoid volvulus during the study period. The only criterion for inclusion was patients operated on for volvulus of the sigmoid colon in the surgery “A” department of the point g hospital and the non-inclusion criteria were all patients operated on for other sigmoid pathologies without volvulation and patients operated on for other types of occlusions. g>Result:g> We conducted an exhaustive recruitment of 55 patients operated on for sigmoid volvulus during the study period. Sigmoid volvulus accounted for 13.75% of intestinal obstructions. The average age of patients was 48.013 ± 18.042 years with extremes of 24 years and 82 years. The age group 40 - 49 was the most represented at 21.8%. The sex ratio (M/F) was 8 in favour of male sex. The duration of the disease was less than 1-day in 50.94% of patients. There were two cases of ileo-sigmoid nodes. Immediate anastomosis resection was performed in 27 patients or 49.2% of cases. The time to restore continuity when specified was between 60 - 90 days and the median incision was the most common route of recovery at 80.8% of cases. The average length of hospitalization was 9 days with extremes of 2 days and 42 days. The morbidity rate was 7.3%. In our study we had 3 deaths or 5.5% of the cases. g>Conclusion:g> The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. The volvulus of sigmoid is a serious surgical emergency that requires early diagnosis and m

关键词： Volvulus Sigmoid Sigmoidectomy Hartmann Bouilly-Volkmann Anastomosis

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A Plastic surgery Mission: Personal Experience in Improving Outcomes

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Modern Plastic surgery 2025年第1期15卷 32-43页

作者： Mohamed Elsayed Mohamed Mohamed Plastic surgery department Ahmed Maher Teaching Hospital Cairo Egypt

Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating conditions. Methods: A team of plastic surgery volunteers was sent to Yemen by the KSHARC. Results: A successful mission was performed on 62 patients who underwent surgery, with more than 900 patients examined and receiving appropriate medications. Conclusion: Missions in disaster-affected areas are of great importance. The role of missions and humanitarian organizations should be empowered.

关键词： Missions Humanitarian Organizations Plastic surgery Natural Disasters Wars

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Chyle leak following root of mesentery dissection in pancreaticoduodenectomy with inferior infracolic superior mesenteric artery first approach

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World Journal of Clinical Cases 2025年第8期13卷 8-14页

作者： Prabir Maharjan Sujan Regmee Spandan D Adhikari Rabin Pahari Roshan ghimire Dhiresh K Maharjan Suman K Shrestha Prabin B Thapa department of gastrointestinal and general surgery Kathmandu Medical College and Teaching HospitalKathmandu 44600Nepal

BACKgROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head ***-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic *** recognized superior mesenteric artery(SMA)first approaches are invariably *** mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this *** To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment *** This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the department of gastrointestinal and general surgery of Kathmandu Medical College and teaching hospital from January 1,2021 to February 28,***-erative findings and postoperative outcomes were *** In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach *** mean age was 67.6 years with a male-to-female ratio of 4:*** was seen in four *** virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four *** patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition *** mean operative time was 330 *** resection was achieved in 100%of the *** mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,*** Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of *** complete curative resection,these were managed with tota

关键词： Chyle leak Chylous ascites Clavien-Dindo Pancreatoduodenectomy Root of mesentery dissection Superior mesenteric artery first approach Total parenteral nutrition Uncinate mass Vascular resection Ventral body mass

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Abdominal Wall Hernias in Adults: Comparative Study of Anatomo-Clinical, Therapeutic and Progressive Aspects between Two hospitals in the South of Togo

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Surgical Science 2025年第1期16卷 7-14页

作者： Sogan Ananivi Amavi Kossigan Adodossi Alassani Fousséni Tamegnon Dossouvi Ekoue-bla Premier Tchangai Boyodi Adabra Komlan department of general surgery Anho Hospital Anho Togo Human Anatomy Laboratory Faculty of Health Sciences University of Lom Lom Togo department of general surgery Teaching Hospital (Sylvanus Olympio) of Lom Lom Togo department of Visceral surgery Regional Hospital Center Lom-Commune Lom Togo department of general surgery Dapaong Regional Hospital Center Dapaong Togo department of Visceral surgery Teaching hospital (Sylvanus Olympio) of Lom Lom Togo

Objective: We aim to analyze the surgical nursery of abdominal wall hernias in adults between two poorly fitted medical environments, the Regional hospital Center of Tsévié (RHC-T) and the Prefectural hospital Center of Kpalimé (PHC-K) in Togo. Methodology: It was a retrospective, descriptive and comparative study carried out over five years (2018-2022) focusing on abdominal wall hernias in adults. Information was gathered from the patients’clinical notes and registers on the frequency of hernias, the anatomo-clinical forms of hernias, the type of anesthesia, the hernia repair technique and the postoperative evolution. Results: Of the 1022 and 1026 operations performed, 312 and 412 were hernial repairs, representing 30.5% and 41.2% of operations at RHC-T and PHC-K respectively (p = 0.001). The inguinal hernia was the most often found in 83.7% (n = 261) at RHC-T versus 76.6% (n = 324) at PHC-K. Herniorrhaphy was the most frequently used repair method, in 93.6% (n = 292) of patients at RHC-T and in 91.3% (n = 376) at PHC-K (p = 0.11). Postoperative complications were noted in 5.1% of cases (n = 16) at RHC-T versus 3.5% of cases (n = 15) at PHC-K (p = 0.307). These complications included scrotal hematomas, surgical areas infections, and orchitis. We recorded 1.3% (n = 4) and 0.8% (n = 3) deaths at RHC-T and PHC-K respectively (p = 0.496). Conclusion: There is homogeneity in the treatment of hernia in these two hospitals in Togo.

关键词： Hernia Comparative Study South Togo

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Success of intravenous immunoglobulin and steroids in managing severe COVID-19 following lung transplantation:A case report

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World Journal of Transplantation 2025年第1期15卷 178-184页

作者： Yen-Shou Kuo Kuan-Hsun Lin Ying-Yi Chen Yuan-Ming Tsai Ti-Hui Wu Hsu-Kai Huang Tsai-Wang Huang Division of Thoracic surgery Department of SurgeryTri-Service General HospitalNational Defense Medical CenterTaipei 114202Taiwan

BACKgROUND Coronavirus disease 2019(COVID-19)pneumonia with severe septic shock and acute respiratory distress syndrome(ARDS)are critical illnesses for patients following *** immunoglobulin(IVIg)plays a role in both immune support and inflammation control,especially in immunocompromised *** case report describes the first successful experience using IVIg and pulse steroids to manage this critical condition following lung *** SUMMARY A 65-year-old male patient reported a history of chronic obstructive pulmonary disease and poor lung function and received bilateral sequential lung ***,he developed COVID-19 pneumonia,severe septic shock,and *** recovered from this critical condition after empirical antibiotics administration and veno-venous extracorporeal membrane oxygenation,in addition to IVIg and pulse *** IVIg is a valuable adjunct in managing severe sepsis in lung transplant recipients after COVID-19 *** aim,for the first time,to report the success of such a management approach for COVID-19 ARDS and sepsis in the post-lung transplant *** further investigations,this is a starting point for wider analysis of such an approach in this setting and consequently helps guide clinical practice for such a challenging patient population moving forward.

关键词： COVID-19 Septic shock Intravenous immunoglobulin Lung transplantation Post-transplant complications Case report

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Decompressive Craniectomy for Large Hemispheric Ischemic Stroke: Surgical Results in Nine Patients

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World Journal of Neuroscience 2025年第1期15卷 1-7页

作者： Youssouf Sogoba Seybou Hassane Diallo Boubacar Sogoba Moussa Diallo Mamadou Diallo Oumar Coulibaly Daouda Sissoko Mangané Moustapha Issa Alméimoune Hamidou Diop Thierno Madane Salimata Diallo Drissa Kanikomo department of Neurosurgery Gabriel Toure Teaching Hospital Bamako Mali department of Neurology Gabriel Toure Teaching Hospital Bamako Mali department of Neurosurgery Hospital of Mali Bamako Mali department of Emergency and ICU Gabriel Toure Teaching Hospital Bamako Mali

Introduction: Stroke is a worldwide leading cause of mortality and disability, and there are substantial economic costs for post-stroke. A large hemispheric ischemic stroke is a severe form of stroke that may occur in up to 10% of stroke cases. In these cases, decompressive craniectomy (DC) is an effective strategy to reduce early case fatality. In this study, the authors present their experience in the management of large hemispheric stroke in patients who underwent decompressive craniectomy. Patients and Methods: This study is a retrospective analysis of 9 patients who underwent decompressive craniotomy for large hemispheric stroke from February 2021 to January 2024. Demographic, clinical, and radiologic variables were collected from the hospital archives. All patients underwent head CT scan or MRI showing the involvement of the majority or complete middle cerebral artery distribution area. Hemicraniectomy with duraplasty was the main surgical procedure. The mortality and the outcome using Modified Rankin Scale (mRS) were reported. Results: A total of 9 patients with large hemispheric stroke who underwent DC were reviewed retrospectively. The mean age was 53 years with extremes of 39- and 67-year-old. There were 6 males and 3 females. The main risk factors of stroke were hypertension and diabetes in 5 and 3 cases, respectively. The large craniectomy was made and the dura was opened in the stellate fashion. Duraplasty was performed using epicrane in 7 patients and fascia lata aponeurosis in 2 patients. In the postoperative course, 4 (44%) patients died in 1 month and the mortality rate was 66.6% in 6 months. Conclusion: Decompressive craniectomy is a life-saving procedure used to manage cerebral edema after stroke onset. In our study, the high mortality rate could be explained by many factors, such as patient selection criteria and timing of surgery. Early surgery within the first 48 hours in patients less than 60 years old with large hemispheric stroke is recommen

关键词： Decompressive Craniectomy Ischemic Stroke Hemispheric Infarction

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Role of macrophage polarization in diabetic foot ulcer healing:A bibliometric study

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World Journal of Diabetes 2025年第1期16卷 169-186页

作者： You-Wen Zhang Lei Sun Yan-Nan Wang Shi-Yu Zhan department of Peripheral Vascular Disease Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinan 250014Shandong ProvinceChina department of surgery The Second Affiliated Hospital of Shandong University of Traditional Chinese MedicineJinan 250001Shandong ProvinceChina department of surgery Longkou Traditional Chinese Medicine HospitalYantai 265701Shandong ProvinceChina

BACKgROUND Diabetic foot ulcers(DFUs)are a significant contributor to disability and mortality in diabetic *** polarization and functional regulation are promising areas of research and show therapeutic potential in the field of DFU ***,the complex mechanism,the difficulty in clinical translation,and the large heterogeneity present significant ***,this study was to comprehensively analyze the publication status and trends of studies on macrophage polarization and DFU *** To examine the relevant literature on macrophage polarization in DFU *** A bibliometric analysis was conducted using the Web of Science *** literature was retrieved from the Web of Science Core Collection database between 2013 to 2023 using literature visualization and analysis software(VOSviewer and CiteSpace)and bibliometric online *** obtained literature was then subjected to visualization and analysis of different countries/regions,institutions,journals,authors,and keywords to reveal the research’s major trends and *** The number of publications on the role of macrophage polarization in DFU healing increased rapidly from 2013 to 2023,especially in the latter *** researchers were the most prolific in this field,with 217 publications,while American researchers had been engaged in this field for a longer *** Tan of Nanjing Drum Tower hospital and Qian Ding of Nanjing University were the first to publish in this *** Jiao Tong University was the institution with the most publications(27).The keywords“bone marrow”,“adjustment,replacement,response,tissue repair”,and“activation,repair,differentiation”appeared more *** study of macrophage polarization in DFU healing focused on the regulatory mechanism,gene expression,and other *** This study through the bibliometric method reveals the research trends and development trends in this field of macrophage polar

关键词： Diabetic foot Wound healing Macrophage polarization Bibliometric analysis Research cooperation Research trend

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Left Ventricular End-Diastolic Dimension as an Outcome After Combined Mitral Valve surgery and CABg

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World Journal of Cardiovascular surgery 2025年第1期15卷 12-21页

作者： Walid Hammad Aboubakr Hasan Mansour Mohamed Elsayed Moussa Ashraf Ibrahim Zahra Sherif S. Eliwa Cardiothoracic surgery department Al-Azhar Faculty of Medicine Al-Azhar University Cairo Egypt Children of Egypt Abulreesh hospital General Authority for Health Insurance Ministry of Health Cairo Egypt Cardiothoracic surgery department Shebin El Kom Teaching Hospital Shebin al-Kom Egypt

Background: Left ventricular size is a factor independently associated with increased mortality in mitral surgery, particularly, in the setting of ischemic mitral regurgitation (IMR). In some patients with dilated ventricles, reverse remodelling does not occur, with a high risk of residual or recurrent mitral regurgitation and therefore associated with worse outcome. We conducted multi-centers retrospective observational study on a cohort of patients who had combined CABg and mitral surgery for moderately severe IMR to correlate a relationship between perioperative left ventricular dimensions to postoperative mortality rates in both genders. Results: 287 patients had combined CABg and mitral valve surgery. The exclusion criteria were patients with very low function Conclusion: Failure of early ventricular remodeling with persistently elevated end systolic dimensions is a risk factor for postoperative death in both genders. Females gender will have an additional higher risk if the end diastolic dimensions remain elevated.

关键词： Left Ventricular Dimensions End Systolic Dimension End Diastolic Dimension

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Prevalence and Risk Factors for Cryptosporidium Diarrhea among Children Aged Five Years and below in Selected Health Institutions in Abakaliki, South-East Nigeria

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Advances in Microbiology 2025年第1期15卷 1-18页

作者： Onyinye Ifeyinwa Nkeiru Onyekachi Uduma Victor Uduma Emeka Donald Ogiji Kenechukwu Emmanuel Onyekachi Nweke Chinedu Idakari Nneka Marian Chika-Igenyi Chidiebere Brown Ene Chinwe Ifeoma Joe-Akunne Chinedum Christabel Amagwu Shedrach Chikezie Emeribe Felix Osogu Edegbe Bolaji Abdulazeez Akanni Chibuike Sunday Ugwuocha Kingsley Achi Adamma gloria Olisa Uzochukwu Chimdindu Ibe Chiedozie Kingsley Ojide department of Medical Microbiology Ebonyi State University Abakaliki Nigeria department of Medical Microbiology Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria department of Internal Medicine Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria department of Pharmacology and Therapeutics University of Liverpool United Kingdom department of Pediatrics Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi Nigeria department of Medical Microbiology Enugu State University Teaching Hospital Parklane Nigeria department of Medical Microbiology University of Nigeria Enugu Campus Enugu Nigeria department of Anatomic Pathology Ebonyi State University Abakaliki Nigeria department of surgery Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria department of Microbiology Alex Ekwueme Federal University Ndufu-Alike Ikwo Abakaliki Nigeria department of Medical Laboratory Sciences University of Nigeria Nsukka Nigeria department of Public Health Tennessee State University Nashville USA department of Anatomic Pathology Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Background: Diarrheal diseases have globally decreased over the past few decades, yet they remain one of the top three causes of mortality in children under five years, especially in sub-Saharan Africa and Nigeria. Seasonal peaks of diarrheal episodes continue to contribute significantly to childhood mortality in these regions. One of the notable causes of diarrhea in children is parasitic infections, particularly Cryptosporidium, which poses a serious health risk. In Nigeria, the burden of Cryptosporidium diarrhea is under-researched, making it imperative to investigate its prevalence and associated risk factors. Study Objectives: The study aims to determine the prevalence and risk factors associated with Cryptosporidium diarrhea among children aged five years and below in selected health institutions in Abakaliki, South-East Nigeria. Methodology: This cross-sectional study was conducted from January to May 2017, recruiting 200 children under five years with diarrhea from health institutions in Abakaliki. Fecal specimens were analyzed for Cryptosporidium oocysts using light microscopy with modified Ziehl-Neelsen staining and immunofluorescent antibody test (IFAT). Deoxyribonucleic acid (DNA) was extracted from positive samples using QIAmp® DNA stool kit, followed by Polymerase Chain Reaction (PCR) and molecular genotyping. Results: Cryptosporidium was detected in 0.5% (1/200) of children via light microscopy and 6.5% (13/200) via IFAT. All positive samples were confirmed as Cryptosporidium hominis by PCR. The prevalence of infection was significantly higher in children from institutionalized homes (50.0%) compared to monogamous homes (6.2%) (p Conclusion: Cryptosporidium hominis is a notable cause of diarrhea among children in Abakaliki, primarily transmitted through human-to-human contact. The study underscores the need for targeted interventions in childcare institutions to prevent outbreaks. Health authorities should promote breastfeeding and enhance education o

关键词： Cryptosporidium hominis Immunofluorescent Antibody Test Ziehl-Neelsen Stain

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Advanced Symptoms in Diabetics Mitigates Early Benefits of Coronary Artery Bypass grafting: Analysis of Over 10,000 Patients

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World Journal of Cardiovascular surgery 2025年第2期15卷 59-68页

作者： Tiffany Agbobu Dumbor L. Ngaage Hull York Medical School University of Hull Kingston upon Hull UK department of Cardiothoracic surgery Hull University Teaching Hospitals NHS Trust Castle Hill Hospital Kingston upon Hull UK

Objectives: Coronary artery bypass grafting (CABg) is the preferred revascularisation option for diabetics with multivessel coronary artery disease, in current guideline recommendations. Not infrequently, coronary artery disease causes minimal symptoms in diabetic patients, so they present late for surgery and this could have implications for clinical outcomes. We sought to examine differences in symptom severity between diabetics and non-diabetics at presentation for CABg, and the impact on in-hospital outcomes. Methods: We retrieved prospectively collected data for all patients who had CABg between January 2000 and December 2022. Perioperative variables were compared between diabetic and non-diabetics. The association between in-hospital major adverse cardiac and cerebrovascular events (MACCE) and perioperative variables was determined using multivariate analysis. Results: Of 10,834 patients, diabetics constituted 24.8% (n = 2687) with mean age 66.4 ± 8.7 years compared to non-diabetics 65.9 ± 9.4, p = 0.02. More diabetics (p Conclusions: Diabetics more often presented for non-elective CABg with advanced symptoms, impaired left ventricular function, prior myocardial infarction and coronary stenting. Advanced symptoms contributed to higher MACCE rates in diabetics. Diabetic patients should be referred early for surgery.

关键词： Coronary Artery Disease Diabetes Mellitus Advanced Cardiac Symptoms Coronary Artery Bypass grafting Major Adverse Cardiac and Cerebrovascular Event

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