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1
Khalifah, Ali. "Common surgical affections in camels in state of Kuwait." International Journal of Applied Research 7, no. 1 (2021): 01–10. https://doi.org/10.5281/zenodo.4692719.
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Surgical affections of camels lead to production losses. The study was conducted from October 2018 to October 2019 in different farms belonging to Public authority for agriculture affairs and fish resources - Kuwait City, Kuwait in order to investigate surgical affection in camel. In this study we recorded 212 cases of common of surgical affections in camels. The incidence of recorded affections included: mandibular fracture 10.3%, cut tooth 8.4%, wound 8%, foreign body 7.5%, tumour 7.5%, dulaa inflammation 7%, uterus prolapse 5.6%, chronic mastitis 5.6%, metatarsus fracture 5.6%, dystocia 5.1%, deviation of the premaxilla and the nasal septum (wry face) 4.7%, rectal prolapsed 4.2%, lateral retropharyngeal lymph node abscess 2.8%, narrow valve 2.8%, umbilical hernia 2.8%, radius fracture 2.3%, femur fracture 2.3%, metatarsus fracture 1.8%, fetlock fracture1.8%, fetlock joint laxation 0.09%, rupture of the perineum 0.04%, intestines prolapsed 0.04%. In addition, the infection rate of females (66.6%) was higher than that of males (41%).
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Ali, K. Farghali H.A.M.A. &. Shamaa A.A.E. "Eye affections in sheep and goats in state of Kuwait." International Journal of Applied Research 6, no. 2 (2020): 33–37. https://doi.org/10.5281/zenodo.4276108.
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Numerous surgical affections are common among sheep and goats in different localities all over the world which may cause economic losses and most of these affections are curable. This study is especially for eye injuries in sheep and goats, which were recorded in two year from October 2017 to October 2019 in different farms belonging to Public authority for agriculture affairs and fish resources - Kuwait City, Kuwait. Thirteen different surgical affections were recorded in sheep and 11 in goat. In sheep keratoconjunctivitis, pick eye and hyphemai were the highest (12.90%) affection followed by 9.68% affection of coreal dermoid cyst, nictate gland and cherry eye. In goat Keratoconjuctivitis was recorded as highest (20%) eye affections followed by eye tumor (13.33%), pink eye, cherry eye, hyphemai, corneal dermoid cyst and nictate gland (each 10%). Cataract was found in both sheep and goat with 6.45 & 6.67% respectively. However Keratoconjuctivitis was the most common eye surgical affection in both sheep and goat in Kuwait city.
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Ali, Muhammad Niamot, Mahdi Hasan, Muhammad Ashraf Zaman Faruk, et al. "Surgical Affections of Pigs with Their Associated Risk Factors." European Journal of Veterinary Medicine 4, no. 5 (2024): 1–7. http://dx.doi.org/10.24018/ejvetmed.2024.4.5.130.
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Pigs are fertile, prolific breeders, and efficient meat converters. However, surgical affections pose a threat to their well-being and productivity, potentially leading to culling or death. This study has been conducted to explore the occurrence of surgical affections among pigs and their associated risk factors. A cross-sectional study conducted in seven communities in Rajshahi, Bangladesh, looked for surgical affections in 47 pigs. SPSS-25 was used to analyze the data. The prevalence of surgical affection was identified as 72.3% (in males: 79.41% and in females: 20.59%). The common surgical affections were wound 57.4%, abscess 36.2%, hemorrhage 12.8%, inflammation 14.9%, tumor 6.4%, and myiasis 6.4% regardless of age, sex, or body weight. According to age, the affections were observed as 2.94%, 5.88%, 35.29%, 26.47%, 8.82%, 14.71%, and 5.88% at the age of 7, 8, 9, 10, 11, 12, and 13 months respectively. Surgical affections were calculated as 25%, 57.14%, 10.71%, and 7.14% whenever the body weight of the animals was <10 kg, 10–15 kg, 16–20 kg, and >20 kg consecutively. The study found no significant relationship between pig sex/age and surgical affections, except for body weight versus abscess and incised wound. Management factors like intensive housing, unhygienic environments, rope tying, lack of awareness, and insufficient veterinary supervision exacerbated surgical affections. The study’s findings, despite being limited by sample size, age, and data collection time, serve as a baseline for further research on swine surgical affections.
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Noman, ASM, NS Juyena, MM Alam, RN Ferdousy, S. Paul, and MM Haq. "Prevalence of Surgical Affections of Cattle in Aarong Dairy Area of Pabna." Progressive Agriculture 24, no. 1-2 (2014): 85–92. http://dx.doi.org/10.3329/pa.v24i1-2.19104.
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AARONG dairy area of Pabna comprises a major part to meet the demand of milk and meat production in Bangladesh. Various diseases including surgical affections reduce the fitness, efficiency and productivity of cattle in this area. There is a need to investigate the occurrence of surgical diseases to take proper preventive measures. Therefore, the prevalence of surgical affections of cattle was studied in four Upazilas of Pabna from December 2012 to May 2013. A total of 2390 cattle from different households were included and surgical affections were recorded. The overall prevalence was 44.3% in stall feeding system, among which surgical affections were more prevalent in Sujanagar Upazilas (13.3%), and the highest prevalent surgical affection was foot diseases (8.2%) followed by navel ill (6.3%), myiasis (4.6%), arthritis, hernia and wounds (3.6%). Overall prevalence of surgical affections was slightly higher in female cattle in comparison to males The prevalence of navel ill (11.3%), foot disease (11.1%), hernia (6.1%) and horn affections (4.9%) were found to be higher in male. Whereas, myiasis (5.9%), upward patellar fixation (2.8%) were found to be higher in females. There is significant (P<0.01) difference in the prevalence of hernia, upward patellar fixation, horn affection, foot diseases and myiasis between male and female. It was also observed that cattle of 0-1 year was affected more frequently with surgical affections (18.7%) among which prevalence of navel ill (15.5%), hernia (8.3%), myiasis (5.4%) and foot diseases (5.3%) were higher. In addition, foot disease was more prevalent surgical affection in cattle of more than one year. Moreover, significant variation (P<0.01) was existed in the prevalence of upward patellar fixation, foot diseases, arthritis and wounds among three age groups. However, results of the present study indicate that there is a strong relation among the prevalence of surgical affections, sex and age of animals. Moreover, foot disease is a common occurrence in stall feeding cattle in Pabna.DOI: http://dx.doi.org/10.3329/pa.v24i1-2.19104 Progress. Agric. 24(1&2): 85 - 92, 2013
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Sarker, NU, K. Samaddar, MM Haq, and MM Rahman. "Surgical affections of cattle in the milk-shed areas of Bangladesh." Bangladesh Veterinarian 31, no. 1 (2015): 38–45. http://dx.doi.org/10.3329/bvet.v31i1.22841.
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Little is known of the occurrence of surgical affections of cattle at the government veterinary hospitals of Bangladesh. This study was undertaken to determine the occurrence of surgical disorders in five Upazila Veterinary Hospitals (UVH) in greater Pabna administrative district. A total of 33,584 sick animals were investigated and the overall occurrence of surgical disorders is 12.9%. The most common surgical affection is navel ill (25.8%) followed by myiasis (13.0%), foot diseases (11.3%), arthritis (8.8%) and teat obstruction (8.4%). Navel ill, umbilical hernia, arthritis, horn affections, urolithiasis and tail gangrene are more common in male than female. Foot diseases, myiasis, upward patellar fixation and hip dislocation are more common in female than male. Myiasis and arthritis are found more in summer, whereas foot diseases, urolithiasis and teat crack are more common in winter. DOI: http://dx.doi.org/10.3329/bvet.v31i1.22841 Bangl. vet. 2014. Vol. 31, No. 1, 38-45
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Talukder, Zaied, Nazmul Hoda, Pankaj Kumar Jha, Pravin Mishra, Moumita Kalowar Momy, and Md Mahmudul Alam. "A retrospective study on the occurrence of surgical affection in zoo carnivores of the national zoological garden at Dhaka, Bangladesh." Research in Agriculture Livestock and Fisheries 5, no. 3 (2018): 335–39. http://dx.doi.org/10.3329/ralf.v5i3.39582.
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This study was carried out to investigate the occurrence of various surgical affections often encountered in carnivorous zoo animals of National Zoological Garden, Dhaka, Bangladesh. The study was based on the surgical cases reported in the day record book maintained by the zoo authority during the period of January - December 2012 to January - December 2016. Of 74 surgically affected zoo carnivore’s cases; Felididae recorded highest 81.08 %, Canidae 12.61 % and, Ursidae 6.76 %. When affections were compared between sexes, it was observed higher in male 62.16 % than in female 37.84 %. Among the different surgical affections; the wound cases were observed at the apex with 29.7 % and 18.9 %, followed by paralysis 10.08 % and 6.8 %, skin injury 9.5 % and 6.8 %, myiasis 4.1 % and 2.7 %, lameness 2.7 % and 4.1 % in male and female, respectively. While, tail sore 1.4 %, conjunctivitis 1.4 % and hoof injury 1.4 % were observed in male carnivores only. In conclusion, this report signifies the common surgical affections suffered by zoo carnivores, while male carnivores showed comparatively more prone to affections than female one. This report may be helpful to develop a control strategy in managing zoo animal captivity and further minimizing these surgical affections.
 Res. Agric., Livest. Fish.5(3): 335-339, December 2018
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Islam, KM Ehasanul, Anup Kumar Talukder, and Ashit Kumar Paul. "Occurrence of common surgical affections in calves and goats at Jhenidah Sadar Upazila of Bangladesh." Asian-Australasian Journal of Bioscience and Biotechnology 1, no. 2 (2016): 394–97. http://dx.doi.org/10.3329/aajbb.v1i2.61608.
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The occurrences of different surgical affections are very common in Bangladesh. The aim of this study was to determine the occurrence of most common surgical affections and their risk factors in calves and goat at Jhenidah Sadar Upazila of Bangladesh during the period from July to December 2011. Thirty seven (37) calves and twenty two (22) goats were used for this study. All animals were brought to hospitals with the complaints of surgical conditions. In this study we found umbilical hernia (59.5%), umbilical abscess (10.8%), atresia ani (8.1%), intestinal prolapse (2.7%), fracture of jaw (2.7%), necrosis of eyeball (2.7%), congenital polypus (2.7%), naval myiasis (5.4%) and abscess (5.4%) in calves. In case of goats, gid disease (36.4%), testicular hernia (4.5%), subcutaneous cyst (13.6%), atresia ani (4.5%), myiasis (9.1%), block of urethra (4.5%), fracture (9.1%), stitch abscess (9.1%), abscess (4.5%) and hematocele (4.5%) were recorded. The young, male and crossbred calves were showed more affections than that of adult and female. It was also found that the young male goats were more significantly (p<0.05) prone to surgical affections than that of adult and female. The male calf with 1-3 months of age (84.6%) were higher than that of male with age <1 month (70.8%). In both calf and goat, the female were found comparatively lower rate of surgical affections than male. However, further extensive work is very imperative to identify the specific cause as well as any factors that may influence region to region. Asian Australas. J. Biosci. Biotechnol. 2016, 1 (2), 394-397
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Ali, K. Farghali H.A.M.A. &. Shamaa A.A.E. "Orthopedic surgical affection in sheep and goats in state of Kuwait." International Journal of Applied Research 6, no. 1 (2020): 44–49. https://doi.org/10.5281/zenodo.3993908.
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Numerous surgical affections are common among sheep and goats in different localities all over the world which may cause economic losses and most of these affections are curable. Neglection or late interventions to relieve such disorders lead to massive complications that may be ended by animal culling. In this study we recorded 75 cases of different surgical affections in sheep and goats in state of Kuwait. Among them 15 cases were metacarpus fracture, metatarsus fracture 12, tibia fracture 9, genital anomaly front & hind limb 5, mandibular fracture 4, front limb amputation 4, hind limb amputation 4, femur fracture 3, fetlock fracture 3, radius fracture 3, carpus joint 3, scapula fracture 3, hock joint 3, ulna fracture 2, homarus fracture 2. All surgical intervention has been successful in sheep and goats. The results imply that surgical disorders affecting the animal population in Kuwai city is a great threat for animal rearing. It could be mitigated by prompt surgical intervention of these defects.
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Raguib Munif, Mohammad, Moinul Hasan, and Md Rafiqul Alam. "Surgical interventions of udder and teat affections in dairy cows." Veterinary Integrative Sciences 20, no. 2 (2020): 317–30. http://dx.doi.org/10.12982/vis.2022.025.
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Various udder and teat affections are most common in high yielding dairy cows which cause huge economic loss to the dairy sectors. This study focuses on the surgical affections of udder and teat in dairy cows to restore the moderate productive performance as well as the morphology of udder and teat through feasible surgical procedures. Fifty-four dairy cows with various surgical affections of udder and teat were experimented. The amounts of milk yield (litre/day), and the morphology of udder (symmetry of quarters and circumference) and teat (size, shape and height) were recorded just before and after 45 days of the relevant surgical approaches to evaluate the changes. The surgical affections included mostly the teat laceration and fistulae (12.96%), moderately the teat sores, udder abscess, gangrenous teat, papilloma of teat and udder; whereas teat canal polyps, gangrenous udder and caseous lump in udder were less frequent (5.56%)individual cases among the selected dairy cows. After surgical interventions, the milk yield (litre/day) was significantly (P<0.01) increased along with the positive significant (P<0.01) changes in the morphology of udder and teat of the affected cows. Thus, the surgical managements highly impacted on the improvement of the affected udder and teat in the dairy cattle maintaining their productive performances.
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Senna, Nasser, Haitham Farghali, and Reda Shalaby. "Prevalence of the most common Surgical Affections of Canine Genital System in Egypt." Veterinary Medical Journal (Giza) 61, no. 4 (2015): 39–50. http://dx.doi.org/10.21608/vmjg.2015.385482.
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M, KELANY, HAITHEM M, and FARGHALI M. "Clinical and Surgical Survey on most common skin affections in police guard and explosive dogs." Veterinary Medical Journal (Giza) 58, no. 2 (2010): 199–218. http://dx.doi.org/10.21608/vmjg.2010.368192.
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Dar, Firdous Ahmad. "Surgical repair of a teat fistula in a cow." Applied Veterinary Research 3, no. 3 (2025): 2024017. https://doi.org/10.31893/avr.2024017.
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Teat and udder affections are common in domestic animals and, if not treated immediately, cause major financial losses to farmers and predispose animals to mastitis. Early diagnosis and treatment of diseases of teats and udders are very important for maintaining their health. Among teat affections, the fistula is a challenging condition to treat because the consistent flow of milk makes it difficult to heal. Currently, successful surgical correction of teat fistula in a cow has been reported. A 4-year-old crossbred cow was brought with the complaint of milk leakage from the side of the left hind teat. The condition was diagnosed as a teat fistula. As there was no other alternative to correct the fistula, reconstruction of the fistulous tract was performed with the consent of the owner. Surgical reconstruction was performed under 2% Lignocaine HCl via the ring block technique. The wound was freshened first and closed via a two-layered suturing technique with No. 2/0 chromic catgut inside and silk sutures outside the skin. For better and quicker healing, prosthetic tubing was inserted into the teat canal. Antibiotics and anti-inflammatory drugs were prescribed for 4 days, along with antiseptic dressing, regularly until healing. The skin suture and tubing were removed after 8 days, and the animal had an uneventful recovery.
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Abushhiwa, Mohamed H., Osama Sawesi, Khaled A. Milad, Aiman A. Shalgum, and Abdulrhman M. Alrtib. "Successful Anatomical Access for Surgical Removing of the Distal Fracture of Splint Bones in Thoroughbred Horses (Case Study)." AL-MUKHTAR JOURNAL OF SCIENCES 34, no. 2 (2019): 84–90. http://dx.doi.org/10.54172/mjsc.v34i2.80.
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Poor performance in athletic horses due to musculoskeletal affections is very common in Libya. Two mature thoroughbred horses suffering from poor performance and history of moderate degree forelimb lameness were admitted to the Aswany Private Equine clinic in Tripoli, Libya. The study is aiming for presenting a simple, time effective, cost effective surgical procedure to treat distal simple splint bone fracture in thoroughbred horses. Horses were examined thoroughly for the common muscle, hoof, and tendons affections. A progressed unilateral left forelimb swelling involving the lateral distal part of the fourth metacarpal bones was noticed. Three radiographs were taken to each horse including latero-medial, dorsolateral-palmaromedial, and palmarolateral-dorsomedial views to assess both splint bones. The radiographs showed that there is a complete fracture involving the distal extremity (button) of the fourth metacarpal bones. Surgical excisions of the fractured part of the splint bones have been decided to treat these horses. To precisely locate the site of the bone fragments, 1.5 mm stainless steel wires were placed over the distal part of splint prior to taking the radiographs. The surgical sites were aseptically prepared, and the horses were then sedated via intravenous injection of xylazine at a dose rate of 1 mg/kg body weight. The site of surgical incision was infiltrated with 2% lidocaine. The bone fragments were then removed after performing the surgical incision. The sharp end at the distal end of the proximal part of the splint bone was then smoothening with a scissor. The surgical incisions were then routinely closed and the post-operative care and radiographs were taken. The surgical incision made complete healing within two weeks. Both horses were followed up for up to three years post-operation, and they did well compared to what has been done in other studies. We concluded that the surgical technique used to treat the two horses with splint bone fracture enrolled in the current study is a simple and effective procedure.
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Ali, Magda Mahmoud, Kamal Hany Hussein, Ahmed Sadek, and Abdelbaset Eweda Abdelbaset. "Congenital urethral dilatation in cattle calves: Diagnosis and surgical intervention." February-2020 13, no. 2 (2020): 261–65. http://dx.doi.org/10.14202/vetworld.2020.261-265.
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Background and Aim: Congenital anomalies of the urinary system are common affections in ruminants. Dilatation of the pelvic urethra is one of these affections in which the pelvic urethra dilated than normal diameter. This study aimed to explain the diagnosis and surgical treatment of urethral dilatation in cattle calves. Materials and Methods: Twenty-three bull calves (2-7 months old) were presented with a history of stranguria, tenesmus, and straining. Diagnosis of urethral dilatation was relied on the case history and clinical examination and was confirmed using survey and contrast radiography, ultrasonography, and biochemical tests. Treatment was done by urethrostomy under the effect of local infiltration analgesia. Results: Physical examination revealed the presence of an oval, firm, and painless swelling at the perineal region, starting just below the anus and extended to the base of the scrotum. The owners reported that the initial swelling size and severity of symptoms increased with the progress of animal age. Biochemical findings revealed non-significant changes in blood urea nitrogen and creatinine levels. Radiographic findings showed an oval radiopaque mass. However, a well-demarcated structure with acoustic enhancement was detected on ultrasonographic examination. Urethrostomy resulted in a successful outcome of all cases. Conclusion: Depending on these findings, ultrasonography is the most reliable diagnostic tool and urethrostomy is the intervention of choice with acceptable results for diagnosis and treatment of urethral dilatation in cattle calves, respectively.
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Juyena, NS, MAH Tapon, RN Ferdousy, S. Paul, and MM Alam. "A Retrospective Study on Occurrence of Myiasis in Ruminants." Progressive Agriculture 24, no. 1-2 (2014): 101–6. http://dx.doi.org/10.3329/pa.v24i1-2.19110.
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The myiasis is very common surgical affections of ruminants in Bangladesh. There are limited researches on the maggot wound infestation in Bangladesh. A retrospective study was performed to collect data and to get a clear and genuine concept on myiasis affections in ruminants in respect to species. age, sex, breed, season and predilection sites. The present study was conducted in Veterinary Clinic, Bangladesh Agricultural University, Mymensingh and data was recorded from 2008 to 2012. Results showed that 151 animals were affected with myiasis and maggot wounds predominantly occurred in the cattle (71.6%) among which calves were more affected. Myiasis was very prone to occur in the navel, vulva, leg and ear. During the study period, more affection occurred in animals of below 6 months (41%). The females (66%) were more frequently affected than the males (34%) and cross breed (57%) was more affected compared to local breed (43%).Moreover, infestation frequently observed from March to June (80%). This study could help veterinarians as well as farmers to be aware of the occurrence of maggot wounds and to implement protective measures with minimum complications.DOI: http://dx.doi.org/10.3329/pa.v24i1-2.19110 Progress. Agric. 24(1&2): 101 - 106, 2013
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Arun, Kumar, Kumar Verma Manish, Saini Rashmi, Pal Singh Shishu, and Verma Rajat. "Surgical Condition of Udder and Teats in Cows." International Journal of Trend in Scientific Research and Development 2, no. 4 (2018): 2908–9. https://doi.org/10.31142/ijtsrd15898.
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Teat and udder affections are common in domestic animals. Early diagnosis and treatment of diseases of teat and udder is very important for maintenance of their health. Surgical conditions of udder and teats are getting much attention now a day as these affects the economy of the farmer. Milk alone contributes around 63 to the total output from livestock. The udder and teats are vulnerable to external trauma or injury because of their anatomical location, increase in size of udder and teats during lactation, faulty methods of milking, repeated trauma to the teat mucosa, injury by teeth of calf, metabolic disturbances at parturition. Any disease condition of udder and teats may prone to mastitis Arun Kumar | Manish Kumar Verma | Rashmi Saini | Rajat Verma | Shishu Pal Singh "Surgical Condition of Udder and Teats in Cows" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-4 , June 2018, URL: https://www.ijtsrd.com/papers/ijtsrd15898.pdf
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Bydžovský, Jan, Pavel Diblík, Jiří Holakovský, et al. "Results of 15 Years of Collaboration between the Departments of Ophthalmology and Stomatology in Oncological Surgery of the Orbit: A Diagnostic and Therapeutic Approach." Czech and Slovak Ophthalmology 76, no. 4 (2020): 146–57. http://dx.doi.org/10.31348/2020/24.
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Aim: To report an overview of the most frequent tumors of the orbit, suggest diagnostic approach and possible solution according to experience with own cohort of patients. Material and Methods: From patients’ files from the Department of Ophthalmology and Department of Stomatology, First Medical Faculty, Charles University, and General Faculty Hospital in Prague, Czech Republic, there were selected patients, who underwent the surgery due to the suspicion of malignant development in the orbit during the period 2005 – 2019. From the surgical records we found information about 497 cases. At the Department of Stomatology, there were 282 surgeries under general anesthesia performed, and at the Department of Ophthalmology, there were 215 surgeries, mostly under local anesthesia performed. Results: The number of surgeries in men and women was equal; patients of all ages were present. The median of patients’ age operated on at the Department of Stomatology was 53 years, and at the Department of Ophthalmology 63 years. The most common primary benign tumor was the cavernous hemangioma (9 %), the most common non-tumorous expansion was the dermoid cyst (7 %); the most common malignant tumor was the lymphoma (17.5 %). The last mentioned tumor was the most common diagnosis in the whole cohort as well. Conclusion: Our cohort of patients is comparable with large cohorts published in the literature concerning age and gender distributions. Differences in frequencies of some lesions may be explained by that our cohort includes patients after the surgery only. The malignant lymphoma is the most common diagnosis indicated to surgical procedure, mostly biopsy. Comparing the two cohorts from our departments 20 years apart, the malignant lymphoma remains the most common indication for surgery, but the incidence of adenomas and adenocarcinomas of the lacrimal gland decreased. It is not the goal of this paper to evaluate all possible orbital affections. Suggested surgical approaches are just recommendations according to years of experience; however, in some situations, to choose an individual surgical approach is necessary.
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Löhr, J.-Matthias, Miroslav Vujasinovic, Nikolaos Kartalis, and Philipp Osten. "Pancreatic incidentaloma: incidental findings from history towards the era of liquid biopsy." eGastroenterology 2, no. 3 (2024): e100082. http://dx.doi.org/10.1136/egastro-2024-100082.
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This report provides an overview of the most common diagnostic methods that bring to light incidental findings of pancreatic cancer. It reviews the impact of medical imaging and genetic assessment on the definitions of incidental findings and incidentaloma of the pancreas. For different diagnostic approaches (eg, MRI and CT) and for different affections (cysts/intraductal papillary mucinous neoplasia, solid lesions), specific guidelines have been proposed and some are established. Based on this, we summarise the differences between the traditional methods with those applied in the PANCAID project. Biomarkers, genetic predispositions, mutations and circulating tumour cells give rise to different levels of concern. The final part of the report discusses the risks and the opportunities associated with further diagnostic procedures and surgical interventions. From the ethical perspective, the most urging question is, can a screening based on liquid biopsy and blood samples open a gateway for the prevention of pancreatic cancer—even if morbidity and lethality of today’s surgical interventions is still very high?
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Goujon, D., D. E. Chouillard, D. B. Abdullah, D. B. Dew, D. L. Beer, and D. P. Grandin. "Liaison psychiatry: Its impact in an intrahospital treatment for a psychotic patient." European Psychiatry 33, S1 (2016): S148. http://dx.doi.org/10.1016/j.eurpsy.2016.01.263.
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Different manners of non-suicidal self-injuries are common ways to deliberately hurt oneself in order to aliviate suffering. It can be seen in various psychiatric affections. The ingestion of bizarre objects in psychotic patients is part of aggressive behaviour as a reaction to massive anxiety. We hereby present the case of a schizophrenic patient who presented to the Emergency Department for a second episode of ingestion of numerous metallic objects (screws, coins, knives, spoon, handles, …). Physical examination showed no abdominal guarding. CT scan revealed the presence of multiple metallic objects, which seemed impossible to go through the pylorus. Surgical transgastric extraction was performed. Outcome was uneventful. Patient was discharged and followed-up in a private structure. Three months later, the patient was readmitted for the same reason. Flexible endoscopy allowed this time complete extraction of the ingested objects. He recovered rapidly and was allowed to discharge from the surgical ward. The psychiatrist took decision with family to transfer him into a psychiatric hospital for the first time. His treatment was: chlorpromazine, Proton pump inhibitor, pain killers. Patient was treated by means of medication, psychotherapy, daily activities and family, preparation him for a day hospital.ConclusionWe discuss here the beneficial multifocal treatment of a 42-year-old man suffering from schizophrenia. The life threatening ingestion of sharp and other metallic objects three times in a year was treated surgically with success. The psychiatric affection including invalidating acoustic-verbal delusions and severe negative signs were treated in pcychiatric hospital. The definite results will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Busato, Eduarda Maciel, Jéssica Rodrigues Silva-Meirelles, Monalisa Lukascek de Castro, et al. "Trans-endoscopic ventriculocordectomy in horses using monopolar electrocautery." Semina: Ciências Agrárias 38, no. 5 (2017): 3363. http://dx.doi.org/10.5433/1679-0359.2017v38n5p3363.
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Laryngeal hemiplegia is one of the most common upper airway affections in horses. Laringoplasty is indicated in high-performance animals, and when the only complaint is noisy breathing, ventriculectomy and cordectomy can be performed. This study aimed to establish a minimally invasive surgical approach to ventriculocordectomy in horses, through a videoendoscopic procedure. The technique was developed in two stages, the first one was a cadaveric study and the second one was in vivo, both using two flexible endoscopes. A bilateral ventriculocordectomy was performed in two cadavers, totaling the removal of four vocal cords. In the second stage, a left unilateral ventriculocordectomy was performed in three animals with laryngeal hemiplegia. The vocal cords were pulled by one of the endoscopes with 3.2mm grasping forceps, while the second equipment was used for the resection of vocal cords with a flexible electrode adapted for monopolar electrosurgery (electrocautery). The average time for removal of the vocal cords was 23±5 minutes. In the postoperative care, moderate inflammation around the surgical wound was observed, with complete healing in 21 days in one horse and 28 days in the other two. One animal presented exuberant granulation tissue on the surgical site. Other complications due to the tested technique were not noticed; therefore, it could be a less invasive option for ventriculocordectomy in horses. The developed technique proved to be effective for ventriculocordectomy execution in horses. The main advantages of this approach were reduced surgical time, shorter healing average time, no need for daily dressings and return to normal activities in a shorter period when compared to other surgical approaches. The limitation of the technique consists of the need for two endoscopes for its accomplishment. Further studies, with more animals, are needed to improve the technique.
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FAROOQ, AA, MA KHAN, H. AKBAR, et al. "INCIDENCE OF FRACTURE IN SMALL RUMINANTS: A RETROSPECTIVE STUDY." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 738. http://dx.doi.org/10.54112/bcsrj.v2024i1.738.
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The availability of information or data regarding various affections forms a powerful tool for rendering appropriate treatment. The present study was designed to acquire data on fracture in small ruminants. This study will act as a base for policymakers to implement future projects in orthopedics for different species of animals. All the cases of bone affection at the indoor surgery clinic, Department of Veterinary Surgery, the University of Veterinary and Animal Sciences, Lahore, for four years from 2016 to 2019 were enrolled in the study. The diagnosis was based on the clinical history, signs, and clinical examination and by radiograph. Treatment as medicinal or surgical interventions was provided wherever feasible. The data concerning species, sex, age, bone, type of fracture, and cause were compiled and analyzed by using the Chi-Square test. The overall incidence of fracture was found to be 4.47%. Caprine was the most common (96.136%) subject exposed to bone fracture. The fracture incidence was highest between 7 and 12 months of age, 76.40% in goats and 67.857% in sheep. Furthermore, male subjects were more prone to fracture (69.617%) and (15.405%) than females (30.383%), and (6.527%) in goats and sheep, respectively. The metacarpal (43.953%) in goats was affected bone most commonly with fracture, followed by the metatarsal (28.319%), tibia fibula (14.159%), radius–ulna (11.504%), humerus (1.475%), femur (0.590%). While in the case of sheep, metacarpal (40.476%) was followed by metatarsal (22.619%), tibia-fibula (26.190%), and radius–ulna (10.714%). Moreover, in bovines, the overall incidence of fracture was 1.82%. Similarly, in equines, fractures were mostly of radius-ulna (16.66%) and metatarsal (23.33%). The most common site of the fractures was located in the mid-shaft of a bone. Trauma (46.018%) was the most common cause of a fracture in goats, while in sheep, it fell from a height (40.476%). It was concluded that the metacarpal bone fracture was the most common fracture in goats than other animals.
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della Vella, Fedora, Dorina Lauritano, Carlo Lajolo, et al. "The Pseudolesions of the Oral Mucosa: Differential Diagnosis and Related Systemic Conditions." Applied Sciences 9, no. 12 (2019): 2412. http://dx.doi.org/10.3390/app9122412.
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Pseudolesions are defined as physiological or paraphysiological changes of the oral normal anatomy that can easily be misdiagnosed for pathological conditions such as potentially malignant lesions, infective and immune diseases, or neoplasms. Pseudolesions do not require treatment and a surgical or pharmacological approach can constitute an overtreatment indeed. This review aims to describe the most common pseudolesions of oral soft tissues, their possible differential diagnosis and eventual related systemic diseases or syndromes. The pseudolesions frequently observed in clinical practice and reported in literature include Fordyce granules, leukoedema, geographic tongue, fissured tongue, sublingual varices, lingual fimbriae, vallate papillae, white and black hairy tongue, Steno’s duct hypertrophy, lingual tonsil, white sponge nevus, racial gingival pigmentation, lingual thyroid, and eruptive cyst. They could be misdiagnosed as oral potential malignant disorders, candidiasis, Human Papilloma Virus (HPV)-related affections, oral autoimmune diseases, or benign and malignant tumors. In some cases, pseudolesions feature in a syndromic panel, for example, fissured tongue in Melkersson–Rosenthal syndrome. It is strictly fundamental for dentists to know and to distinguish oral pseudolesions from pathological conditions, in order to avoid overtreatment.
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Chan, Justin CY, Aashray K. Gupta, Wendy J. Babidge, Michael G. Worthington, and Guy J. Maddern. "Technical factors affecting cardiac surgical mortality in Australia." Asian Cardiovascular and Thoracic Annals 27, no. 6 (2019): 443–51. http://dx.doi.org/10.1177/0218492319854888.
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Aim Examination of potentially avoidable issues in surgical deaths can provide a basis for quality improvement. Perioperative technical factors in cardiac surgery may lead or contribute to patient mortality. Using data from a well-established and comprehensive national surgical mortality audit, we aimed to identify and describe clinical management issues leading to mortality in Australian cardiac surgical patients. Methods Retrospective analysis of a cardiac surgical dataset from the Australian and New Zealand Audit of Surgical Mortality (February 2009 to December 2015) was undertaken. Clinical management issues related to technical factors were analyzed using a thematic analysis approach. Technical clinical management issues were categorized based on the most common themes, followed by qualitative analysis of each theme. Results We identified 256 patients with least one technical management issues (total 270). Injury to structures was the most common theme ( n = 115, 44.9%), followed by unaddressed surgical pathology ( n = 39, 15.2%) and inadequate myocardial protection ( n = 34, 13.2%). More specifically, the most common structural injury involved the right ventricle, with the aorta and femoral vessels also commonly injured. The most common unaddressed surgical pathology was incomplete coronary revascularization, followed by systolic anterior motion of the mitral valve during mitral repair. Graft failure occurred during coronary artery bypass graft surgery, with a poor target vessel being a common issue. Conclusion Technical factors in cardiac surgery resulting in potentially avoidable mortality constitute an important subset of deaths. These findings can inform various stakeholders to improve the quality and safety of surgical care.
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Mahmud, Sharfuddin, Dipali Biswas, Manilal Aich, and Md Abdur Rouf Sardar. "Management of Juvenile Nasopharyngeal Angiofibroma: A Three Years Retrospective Study." Bangladesh Journal of Otorhinolaryngology 21, no. 1 (2015): 33–37. http://dx.doi.org/10.3329/bjo.v21i1.24294.
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Introduction: Juvenile nasopharyngeal angiofibroma is a pathologically benign yet locally aggressive and destructive vascular tumor. It comprises 0.5% of neoplasms in the head and neck typically affecting adolescent boys.Material & Method: A retrospective study of surgically treated patients of juvenile nasopharyngeal angiofibroma was performed over a period of 3 years. The study discusses about most common presenting complaints, correlation of preoperative radiological and intraoperative staging and factors affecting recurrence of juvenile nasopharyngeal angiofibroma.Result: 20 surgically treated patients were included in the study; all were male with average age of 15.7yrs having epistaxis and nasal obstruction as the most common symptom. Preoperative staging was almost similar with intraoperative staging except one case which needed upstaging. Suitable surgical approach was adopted considering site of lesion. Two recurrent cases were also managd successfully.Conclusion: Juvenile nasopharyngeal angiofibroma is a benign disease of male adolescents with bone eroding capacity. The planning of surgical approach for its excision has utmost importance which is based on extent of the lesion or staging done pre-operatively. Early preoperative evaluation not only helps in better management but also prevents recurrence of JNA.Bangladesh J Otorhinolaryngol; April 2015; 21(1): 33-37
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Verscheure, Susan K., and Marc R. Hoefelein. "Factors Affecting the Treatment of Stress Fractures in Athletes: An Analysis of the Literature." Journal of Sport Rehabilitation 8, no. 2 (1999): 135–47. http://dx.doi.org/10.1123/jsr.8.2.135.
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Stress fractures are a common overuse injury among athletes. Repetitive loading during weight bearing causes a broad range of stress reactions, from increased bone remodeling to painful fractures. The literature indicates that such injuries are usually treated conservatively with rest or immobilization, but a more aggressive, surgical approach to treatment of stress fractures has also been reported. This study was designed to identify the factors that influence the decision to treat an athlete surgically or conservatively. An analysis of 28 articles was performed. A cross-tabulation design was used to compare 4 categories with the treatment chosen. The categories included severity, anatomical location, and type of stress fracture, as well as the athletic motivation of the individual. All 4 factors were found to influence the treatment of choice, although it was remarkable that only athletes who demonstrated high athletic motivation were treated surgically.
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O.A., Adetunji, Ayedebinu A.O., Bifarin M.T., and Oguntoye O. "Common Factors of Surgical Delays in the Surgical Environment at a Federal Teaching Hospital in the Southwestern Nigeria." African Journal of Health, Nursing and Midwifery 5, no. 3 (2022): 111–20. http://dx.doi.org/10.52589/ajhnm_obqclxic.
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Surgery is a cost-effective and core component of universal health coverage. Surgical delay is considered to be one of the most upsetting problems affecting patient satisfaction, and it is considered an important challenging issue at most public hospitals as the length of time a patient has to wait after being booked in and registered on the waiting list until the surgery is finally done. The study was a descriptive survey using the quantitative method conducted on Surgical Delays and Associated Factors on Surgical Outcomes among Surgical Teams at Obafemi Awolowo University Teaching Hospitals Complex, Ife Hospital Unit, Ile-Ife, Osun State, Nigeria. Questionnaires and observation checklists were designed as tools to collect the data about surgical delays and associated factors among surgical teams. A total of two hundred and seventy (270) questionnaires were distributed and administered. The data collected were filled and entered into the computer using freeware data entry and validation program known as Epidata 3.0. The finding revealed that the common factors affecting surgical delays among surgical teams include communication gap [Relative Importance Index (RII) = 0.55], clinical instability of the patient (RII = 0.53), non-availability of an operating space (RII = 0.52), and infrastructure problems (RII = 0.52). Communication gap between the surgical team members is the common factor that leads to surgical delays in the health facility. Establishment of perioperative guidelines and protocols as well as review and reinforcement of existing ones are needed to eliminate the attitudinal and systemic causes of surgical delays.
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Lillich, James S., and Donald E. Baxter. "Common Forefoot Problems in Runners." Foot & Ankle 7, no. 3 (1986): 145–51. http://dx.doi.org/10.1177/107110078600700302.
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Forefoot injuries constitute a significant portion of the problems that affect runners. With the increasing popularity of recreational running, more emphasis on the treatment of specific running injuries has surfaced. For the orthopaedic surgeon interested in treating runners, a thorough understanding of foot anatomy, biomechanics, shoes, orthotics, running surfaces, and conservative and surgical treatment options is mandatory. Runners place high demands on their feet and therefore require careful evaluation prior to embarking on a specific treatment course. This article represents a current overview of common problems affecting the forefoot of recreational and world-class runners. Treatment plans are based on the senior author's experience in the care of runners over the past 14 years.
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Mustafa, Nazih Shaban, Ahmad Badruddin Ghazali, and Rafiq Khalid. "Unusual Demonstration of Paradental Cyst Affecting Impacted Lower Third Molar." Scholars Journal of Medical Case Reports 11, no. 10 (2023): 1757–62. http://dx.doi.org/10.36347/sjmcr.2023.v11i10.009.
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The paradental cyst is an odontogenic cyst of inflammatory origin, localised on the buccal, distal, less common mesial aspects of partially erupted mandibular third molars, with the history of recurrent pericoronitis. This case report highlights paradental cyst that presented in the central of furcation area of a partially erupted mandibular third molar. Extra and intraoral examination, Dental Panoramic Tomograph (DPT) in addition to Cone Beam Computed Tomography (CBCT) have been done for the assessment and surgical planning accordingly. Tooth was removed surgically without any complications the tooth was removed in total with the cystic lesion attached between the two roots. The sample was sent for histopathological study which came out with the diagnosis of a paradental cyst. In conclusion this type of cysts is in unusual location, careful examination, radiographic assessment with histologic study is required in diagnosis of such lesion.
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Adrain, Alyn L., Hemchand Ramberan, and Gayle J. Weaver. "Evaluation of Common Liver Problems." Journal of the American Podiatric Medical Association 94, no. 2 (2004): 149–56. http://dx.doi.org/10.7547/87507315-94-2-149.
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Diseases of the liver and abnormalities of liver enzyme levels are among the most common reasons for gastroenterology consultation for surgical patients. Although the differential diagnosis of liver disease is exceedingly broad, the majority of patients will have one of several common disorders. A familiarity with the major disorders affecting the liver and the approach to patients with liver disease is therefore useful for clinicians from all disciplines. This article reviews common liver diseases, including the viral hepatitides; the interpretation of liver enzyme abnormalities; and the relationship between common medications and liver disease. Although an exhaustive knowledge of hepatology is impractical for most clinicians, a practical approach to common liver diseases is a necessity for all. (J Am Podiatr Med Assoc 94(2): 149-156, 2004)
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Song, Jun, and Caitlin Martin. "A Rare Case of a Large Composite Endometrioma–Mature Cystic Teratoma: The Importance of Surgical Treatment and Pathologic Diagnosis." Reproductive Medicine 5, no. 4 (2024): 280–87. https://doi.org/10.3390/reprodmed5040024.
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Endometriosis is a common benign gynecologic disorder associated with infertility and pelvic pain, affecting 6–11% of reproductive-age females, and can frequently lead to the formation of ovarian endometriomas. Mature cystic teratomas are benign ovarian tumors comprising 10–25% of ovarian tumors. Both pathologies are common individually but rarely coexist. The case presented here describes a 49-year-old female presenting with a large composite endometrioma–mature cystic teratoma, a rare occurrence with few documented cases. The patient had a 24 cm × 17 cm × 15 cm adnexal mass identified via imaging, which was surgically removed. Pathology confirmed a composite tumor, with the teratoma encased within the endometrioma. This case underscores the importance of surgical management in complex adnexal masses to obtain tissue for definitive diagnosis and to exclude malignancy. Given the rarity of such coexistence and the challenges in preoperative diagnosis, surgical intervention is crucial for accurate diagnosis and effective management.
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Ugli, Yulchiev Boymurod Dilshod. "ADVANCEMENTS IN FACIAL JAW SURGERY: EXPLORING SURGICAL INTERVENTIONS AND MANAGEMENT OF FACIAL JAW DISEASES." International Journal of Medical Sciences And Clinical Research 4, no. 2 (2024): 74–81. http://dx.doi.org/10.37547/ijmscr/volume04issue02-11.
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Facial jaw surgery, encompassing a wide array of surgical procedures aimed at correcting structural anomalies, deformities, and diseases affecting the jaw region, has seen significant advancements in recent years. This article provides an overview of facial jaw surgery, including common conditions such as temporomandibular joint disorders, orthognathic surgery, and maxillofacial trauma. We explore the latest surgical techniques, technological innovations, and interdisciplinary approaches in the diagnosis, treatment, and management of facial jaw disorders, emphasizing improved patient outcomes and quality of life.
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Thapa, Ashish, Bing-Xi Lei, Mei-Guang Zheng, Zhong-Jun Li, Zheng-Hao Liu, and Yue-Fei Deng. "The Surgical Treatment of Posttraumatic Skull Base Defects with Cerebrospinal Fluid Leak." Journal of Neurological Surgery Part B: Skull Base 79, no. 02 (2017): 205–16. http://dx.doi.org/10.1055/s-0037-1606555.
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Objectives The objective was to explore further the surgical treatment of posttraumatic skull base defects with cerebrospinal fluid (CSF) leak and to identify the most common factors affecting the surgical treatment of posttraumatic skull base defect with CSF leak retrospectively. Materials and Methods This study included 144 patients with head trauma having skull base defect with CSF leak who had been surgically treated at Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University from 1998 to June 2016. There were 113 (78.5%) males and 31 (21.5%) females, with age ranging from 1 to 78 years and mean age of 26.58 ± 14.95 years. We explored the surgical approaches for the treatment of the skull base defect and the graft materials used and also measured the association among surgical approaches; location, size, and type of skull base defects; presence or absence of associated intracranial pathologies; postoperative complications; outcome; age; Glasgow outcome score (GOS) at discharge; and days of hospital stay. Results The location, size, and types of skull base defect and the presence of associated intracranial pathologies were the common factors identified not only for choosing the appropriate surgical approach but also for choosing the materials for defect repair, timing of the surgery, and the method used for the defect as well as leak repair. The statistically significant correlation with p < 0.001 was found in this study. Conclusion From this study, we could conclude that size, location, and types of the defect and the presence of associated intracranial injuries were the common factors that affected the surgical treatment of posttraumatic skull base defect with CSF leak. Hence, the importance of careful evaluation of these factors is essential for proper selection of the surgical approach and for avoiding unnecessary hassles.
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Khan, Shehtaj, Vishal Bansal, and Sakshi Goyal. "Pattern of Surgical Diseases Affecting Females in a Teaching Hospital in Central India: A Demographic Study." Surgery Journal 09, no. 03 (2023): e75-e81. http://dx.doi.org/10.1055/s-0043-1770953.
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Abstract Introduction Despite progress in eliminating the social and health disparity between men and women during the last century, gender equality remains an elusive goal, particularly in the developing world. This gender-based bias has been found to directly result into poor health outcome in females. Hence, it is vital to know the number and pattern of surgical diseases affecting females in any setup, so as to improve their admission rates and reach out to this neglected half of population. Materials and Methods This was a demographic study done at a teaching hospital in Central India from January to June 2020. Data of patients discharged from female surgery ward were collected from medical record department. Age, diagnosis, urban–rural distribution, and length of hospital stay of patients were noted, and data were analyzed statistically. Results A total of 187 patient records were studied, which revealed that the mean age of the patients was 40.35 years; maximum patients were of gastrointestinal surgery (53.42%) in which the most common diagnosis was cholelithiasis (25.13%). Urological diseases (15.50%), breast diseases (12.83%), perianal disease (9.09%), and thyroid diseases (5.34%) were found in decreasing order of frequency. Overall hospital stays of patients ranged from 1 to 14 days with average stay of 6.35 days. Conclusion In our study, cholelithiasis was found to be the most common surgically treated disease followed by urological diseases. Breast symptoms, although commonly affecting females, did not turn into admissions as there remains a social taboo attached to it. Breast cancer still presents late, despite being the most common cancer in females in India. Approximately 65% patients were discharged within first 5 days of their admission, which indicates good hospital care and improves patient satisfaction levels. Still there is greater need for public health efforts to improve the monitoring, safety, and availability of surgical services to female patients.
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Topalovic, Bozo, Ivan Mratinkovic, Milan Tosic, Snezana Micic, and Vukadin Milankov. "Proximal humerus fractures in the pediatric population." Medicinski pregled 77, no. 9-12 (2024): 279–84. https://doi.org/10.2298/mpns2412279t.
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Introduction. Pediatric fractures can impose temporary activity restrictions and, in some cases, result in lasting functional limitations. The study examines the distribution of age and gender among affected patients, mechanisms of injury, duration of immobilization, and the prevalence of surgical treatment methods in children with proximal humerus fractures. Material and Methods. This retrospective study, conducted between 2016 and 2023, included 249 children (aged 0-17 years), both male and female, with proximal humerus fractures. Statistical analysis was performed using the Mann-Whitney test, Chi-square (?.) test, and post-hoc tests. Results. Among the 249 participants, 25 required surgical treatment. The surgical intervention rate increased with age, from 5.1% in children under 7 years to 17.4% in those over 12. Gender did not significantly influence the likelihood of surgical treatment (p > 0.05). Traffic accidents were significantly more common in the surgical group (30% vs. 3.7%), suggesting a correlation between high-impact trauma and the need for surgery. Immobilization duration was significantly shorter in non-surgical patients compared to those who underwent surgery (p < 0.05). The average hospital stay for surgically treated patients was four days, with treatments including various internal fixation methods. Conclusion. Proximal humerus fractures in children occur equally in both sexes, predominantly affecting those aged 7 to 12 years. Falls represent the most common injury mechanism, while trafficrelated trauma is more frequently associated with surgical cases. Approximately 10% of children require surgical intervention, particularly older patients due to reduced bone remodeling capacity. Elastic nails and Kirschner wires are effective fixation methods. Further studies should stratify patients based on demographics and fracture classification to optimize treatment strategies and evaluate long-term outcomes.
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Martens, A., L. Bogaert, H. Wilderjans, and C. Mespoulhès-Rivière. "Factors affecting outcome of extensor tendon lacerations in the distal limb of horses." Veterinary and Comparative Orthopaedics and Traumatology 21, no. 04 (2008): 358–64. http://dx.doi.org/10.3415/vcot-07-07-0069.
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SummaryDistal limb lacerations are common injuries in horses, with a better prognosis reported for extensor tendons lacerations compared to flexor tendons lacerations. The objective of the present study was to determine the influence of type and location of injury, modalities of treatment and post surgical complications on the outcome of extensor tendon lacerations. The medical records of 156 horses surgically treated for extensor tendon lacerations over a 10-year period were analysed retrospectively. Information was obtained for 124 horses with a minimum of 18 months follow-up. Statistical analysis was performed on 129 horses (five horses were euthanatized during hospitalization) in order to determine factors affecting outcome. Seventy-four percent of the horses returned to soundness, 17% had moderate gait impairment and 9% remained lame. Approximately 60% of the sports horses returned to an equal or higher level of performance, and 17.5% returned to a lower level. In the multivariate statistical analysis, the only significant factor that favourably influenced outcome was complete suture of the wound. A significant association could not be detected between outcome and absence of a functional extensor tendon, The most important post-surgical complication was extensive scarring of the wound. The present results report outcome of extensor tendon lacerations in a large number of horses and outline the importance of primary wound healing in order to avoid major scarring with potential functional consequences.
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Muhammad Imran, Jawad Hameed, Asif Ahmed, Aysha Mairaj, Samar Naeem, and Abdul Baseer. "Factors affecting complication rates of Pneumonectomy in destroyed lung." Medical Journal of South Punjab 4, no. 2 (2023): 129–35. http://dx.doi.org/10.61581/mjsp.vol04/02/17.
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Objective: to investigate the relationship between the characteristics of patients who underwent pneumonectomy for destroyed lung and the surgical procedures employed and factors that affect postoperative complications.
 Methodology: Study was completed at Lady reading hospital, Peshawar from February 2022 to January 2023 in duration of one year. A total of 60 patients enrolled in the study who were underwent pneumonectomy for destroyed lung. Main variables of study were risk factors like smoking, hypertension, diabetes and tuberculosis. Pathological findings and complications. SPSS version 27 was used for data analysis.
 Results: The mean FEV1 of the patients was 1.53±0.45%. The mean albumin of the patients was 3.51±0.68 g/dL. The mean hemoglobin of the patients was 11.86±1.34 (g/dL). The mean lactate dehydrogenase of the patients was 185.31±11.62 U/L. There were 36.7% patients who had right lung affected and 63.3% patients who had left lung affected. The most common pathological findings were bronchiectasis 53.3% and granulomatous inflammation 35.0%. Whereas, the most common postoperative complications were empyema and bleeding in10 (16.7%) patients.
 Conclusion
 Patients who undergo surgical resection for a destroyed lung face an elevated risk of postoperative complications if they exhibit low albumin levels. Despite this association, it is advisable not to preclude pneumonectomy as a surgical treatment option for eligible patients with destroyed lung.
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Kim, Young-Joo, Sung Dae Kim, and Jung-Sik Huh. "Abdominal vs Vaginal approach for pelvic organ prolapse." Journal of Medicine and Life Science 9, no. 2 (2012): 128–30. http://dx.doi.org/10.22730/jmls.2012.9.2.128.
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Pelvic organ prolapse(POP) is a common, affecting women of all ages and costly affliction of older women, especially. It has been known that surgical technique for POP is vaginal approach or abdominal approach with/without synthetic mesh and biological graft the common vaginal and abdominal surgical procedures for POP repair according to the defective compartment, with quoted success rates based on anatomical criteria. The objective of this review is to know pros and cons of two surgical approach. Operator needs to be proficient in many different prolapse surgical techniques so that approach of surgical treatment for POP can be tailored to patient needs.
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Aliyev, Ramil, and Kamran Musayev. "Modern aspects of surgical treatment of post-infarction ventricular septal defect." Azerbaijan Journal of Cardiovascular Surgery 1, no. 1 (2020): 28. http://dx.doi.org/10.5455/azjcvs.2020.1.1.7.
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Determination of the anatomical location of the ventricular septal defect (VSD), one of the complications that may develop after acute myocardial infarction (MI), affects the surgical intervention and surgical success. Improved surgical techniques and heart protection methods, increased anesthesia and reanimation experience with new prosthetic patches have increased the success of surgical intervention in post-MI VSD. Long-term survivals of patients treated surgically have been reported to be better than those who did not undergo surgery. In autopsy studies, the incidence of VSD after acute myocardial infarction is 1-2%. According to epidemiological studies, post-MI VSD occurs more frequently in male patients 65 years of age and older who have a single-vessel disease and who have had an infarction for the first time. Post-MI VSD, which develops because of anterior MI, which constitutes 60% of myocardial infarctions, is the most common anteroapical septum, and VSDs, which are formed because of inferior MI (20-40%), are usually located in the posterior septum. In this study, we investigated the risk factors affecting hospital mortality retrospectively in patients who developed post-MI VSD and operated.
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Cole, Eric, Wilma Hopman, and Jun Kawakami. "High resolution analysis of wait times and factors affecting surgical expediency." Canadian Urological Association Journal 5, no. 1 (2013): 13. http://dx.doi.org/10.5489/cuaj.553.
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Objectives: Wait times in Canada are increasingly being monitoredas an indicator of quality health care delivery. We created a higherresolution picture of the wait experienced by urological surgerypatients beginning with the initial referral. In doing so, we hopedto (a) identify potential bottlenecks and common delays at ourcentre, and (b) identify predictors of wait time.Methods: The charts of 322 patients undergoing surgery fromNovember 2007 to March 2008 were reviewed and specific dates,patient factors and delays were recorded. The data were used todetail the patient’s wait and to determine the patient factors whichwere predictive of wait time.Results: The mean time from decision to operate to the day ofoperation was 75.87 days for all patients. This number accountsfor 53% of the wait time, while the time from referral to decision tooperate is 47%. Predictors of a decreased wait time include cancercases, younger age, urgency score, repeat patients and female genderin multivariate analysis. Delays were experienced by 16.8% ofpatients; most common delays were operating room cancellations/time constraints, patients requiring further optimization and delaysin referral (4.7%, 3.4% and 3.1%, respectively).Conclusions: The waiting process is complex; the actual waitingtime that a patient must endure is much longer than the wait timestraditionally recorded and reported by hospitals. As strategies areimplemented to decrease wait times, it will become increasinglyimportant to monitor the entire wait time from referral to operationand to ensure that changes are being made that truly decreasewait times and not simply shift where and when the patient waits.
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Al-Imari, Amir Naif Kadum, Amine Mohammed Bakkour, Mohammed Hillu Surriah, and Ayaad Makki Saaid. "Surgical profile and management of carpal tunnel syndrome among sample of Iraqi patients attending a teaching hospital." International Surgery Journal 6, no. 5 (2019): 1477. http://dx.doi.org/10.18203/2349-2902.isj20191510.
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Background: Carpal tunnel syndrome (CTS) is a common condition that causes pain, numbness, and weakness in the hands and wrist. CTS affecting female more than male, and diagnosed by EMG and NCS. The aim of this study was to describe the profile and surgical management among sample of Iraqi patients.Methods: Sixty-two patients collected from the neuro-surgical departments of the specialized surgical hospital from June 2015 till June 2018, all patients studied thoroughly regarding age, sex, associated diseases, clinical features, EMG studies, surgery and out come and follow up for at least one year.Results: There was around 2:1 female: male, with age predominant between 40-60 years. All the patients had pain (aching) and most of them numbness, and tingling and only 1/3 had atrophy of muscle of the hand all diagnosed by EMG and NCS, treated surgically results were good compared with other studies regarding complications and final outcome.Conclusions: Surgery for CTS is safe and successful surgery under meticulus procedure and appropriate choice of patients.
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Schroeder, Grant G., Daniel J. McClintick, Rishi Trikha, and Thomas J. Kremen. "Injuries Affecting Intercollegiate Water Polo Athletes: A Descriptive Epidemiologic Study." Orthopaedic Journal of Sports Medicine 10, no. 7 (2022): 232596712211102. http://dx.doi.org/10.1177/23259671221110208.
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Background: There are few data on injuries suffered by collegiate water polo athletes. Purpose: To describe the epidemiology of injuries suffered by National College Athletic Association (NCAA) male and female water polo players by using injury surveillance data over a 5-year period. Study Design: Descriptive epidemiology study. Methods: Deidentified data on all water polo injuries and illnesses recorded in the Pac-12 Sports Injury Research Archive from July 2016 through June 2021 were obtained and analyzed. Three men’s and 4 women’s teams were observed for the entire 5-year period, and 1 men’s and 1 women’s team was observed from July 2018 through June 2021. Results: During the observation period, 729 injuries were recorded in the database, with no differences in overall injury rates between male and female athletes (relative risk [RR] = 1.0; 95% CI, 0.9-1.2); 33.7% of injuries required a physician encounter, and 3.6% required surgery. The shoulder was the most injured body part, making up 20.6% of all injuries, followed by the head/face (18.8%) and hand/wrist/forearm (11.7%). Shoulder tendinopathy was the most common shoulder injury diagnosis (4.5% of all injuries). Concussion was the most common injury diagnosis overall, making up 11.4% of injuries, and 81.9% of concussions occurred outside of competition. Male athletes were significantly more likely than female athletes to have a concussion in an off-season practice (RR, 3.25; 95% CI, 1.2-8.8) and via contact with another player (RR, 2.9; 95% CI, 1.3-6.4). Half of the 26 surgical procedures occurring over the observation period were for chronic joint trauma of the groin/hip/pelvis/buttock, with 9 of those 13 being for femoroacetabular impingement specifically. Conclusion: Among NCAA water polo athletes, the shoulder was the most injured body part; however, shoulder injuries rarely required missed time from sport or necessitated surgical intervention. Concussions were the most common injury diagnosis, had the worst return-to-play outcomes among common diagnoses, and were mostly sustained outside of competition. Femoroacetabular impingement was found to be the dominant diagnosis for which surgical intervention was required.
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Park, Seong Yong. "Surgical treatment of esophageal cancer." Journal of the Korean Medical Association 67, no. 2 (2024): 124–31. http://dx.doi.org/10.5124/jkma.2024.67.2.124.
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Background: Esophageal cancer was the seventh most common cancer worldwide in 2020 and the sixth leading cause of cancer-related deaths (544,000 deaths annually), accounting for one-eighteenth of all cancer-related deaths. In Korea, esophageal cancer accounted for 1.0% of all cancer cases, with 2,483 cases diagnosed in 2017, making it the fifteenth most common cancer and the eleventh most common cause of cancer-related deaths.Current Concepts: Esophageal squamous cell cancer (ESCC) is the most prevalent pathology (91.2%) in Korea, typically affecting the upper and middle esophagus. The common causes of ESCC are smoking, drinking, and hot beverages. ESCC lesions confined to the mucosa, such as cTis and cT1a, can be treated with endoscopic resection, but lesions invading the submucosa require esophagectomy. Patients with locally advanced ESCC with lymph node metastasis require neoadjuvant therapy followed by esophagectomy and reconstruction. Esophagectomy is associated with mortality and morbidity rates of 3% and 50%, respectively.Discussion and Conclusion: ESCC is associated with a poorer prognosis compared to those associated with other cancers, and the high mortality and morbidity rates associated with esophagectomy often lead to hesitation toward aggressive treatments. However, recent advances in chemotherapy, radiation therapy, and surgery can offer hope for a cure. Minimally invasive esophagectomy may reduce the rate of fatal complications. The shift from traditional platinum-based chemotherapy to immune checkpoint inhibitors also suggests promise for the treatment outcomes of ESCC.
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Ghosh Shrestha, Devjani, Kinjal Shankar Majumdar, Nirmalya Samanta, and Utpal Jana. "Surgical approach to Parapharyngeal Tumours - Our Experience." Bengal Journal of Otolaryngology and Head Neck Surgery 23, no. 2 (2015): 67–72. http://dx.doi.org/10.47210/bjohns.2015.v23i2.48.
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IntroductionThe complex anatomy of the parapharyngeal space, the surrounding vital structures and late presentation of the tumours affecting this space pose difficult surgical challenge to every otolaryngologist. The study gives an overview of the experience in managing parapharyngeal tumours in a tertiary care setting.
 Materials And MethodsFifteen patients with parapharyngeal tumours were treated surgically in a medical college hospital in Kolkata in the three year study period. Surgical approaches were chosen, considering the size, site, extent and histology of the tumours.
 ResultsMost of the patients (33.33%) were from 20-30 years age group. 60% were females. The most common presenting feature was neck swelling. 80% of the cases were benign.The most common histologic variant was Schwannoma. The tumours were accessed through Trans-cervical, Trans-cervical Trans-parotid or Trans-cervical with Midline Mandibulotomy approaches. The most common post-operative complication was wound dehiscence.
 DiscussionThe most common presentation of a parapharyngeal mass was neck swelling mainly behind the angle of mandible (86.67%). Younger patients in their third decade of life were found to be affected more. Gadolinium enhanced MRI was found to be the most important investigation in parapharyngeal tumours. Complications were minimal.
 ConclusionA conservative trans-cervical approach was found to be feasible and effective in majority of the cases over radical ones, which may be required in malignancies and skull-base involvement.
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Ávila Narváez, Juan Andrés, Pablo Andrés Salamea Avilés, Jorge Eduardo Ávila Narváez, Marcos Andrés Aguirre Vintimilla, and Zoila Katherine Salazar Torres. "Caso Clínico: Neurofibromatosis Tipo 1, resolución quirúrgica." Revista Médica del Hospital José Carrasco Arteaga 12, no. 2 (2020): 139–44. http://dx.doi.org/10.14410/2020.12.2.cc.21.
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BACKGROUND: Neurofibromatosis type 1, first described by von Recklinghausen in 1884, is an autosomal dominant genetically transmitted disease, caused by a spectrum of mutations in the NF-1 gen, with unpredictable evolution, that affects multiple organs and systems, such as the skin and the nervous system, also affecting child development and neurocognitive functions. It often requires complex management decisions from the physician that involve a multidisciplinary approach. CASE REPORTS: 9 year old female patient with a history of type 1 neurofibromatosis. She presented with a mass located in the anterior cervical region, occupying also the left hemithorax, compressing the anterior mediastinum, the trachea from its left side, the heart, and the left lung; the mass produced symptoms: dyspnea, dysphagia and pain, so surgical excision of the mass was scheduled. A left cervical-sternotomy-thoracotomy was performed, a 12 x 7cm mass, located at aortic arch level, closely adhered to the cervical-thoracic spine, was excised. EVOLUTION: During the surgical procedure, the patient had profuse bleeding, coming form the left common carotid colateral artery, so abdominal packing was performed, for later resolution. 24 hours later, bleeding control was achieved after the surgical re-intervention. The pathology lab results established that the mass was in fact a neurofibroma. Subsequent follow-up determined symptoms improvement, without late surgical complications. CONCLUSIONS: Neurofibromatosis is a congenital infrequent, disease, with a complex treatment. Although there is no definitive treatment for type 1 neurofibromatosis, comprehensive management can be achieved to improve the patient’s quality of life. Tumors can be surgically removed, although they often grow back.
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Mezerova, J., Z. Zert, R. Kabes, and L. Ottova. "Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic." Veterinární Medicína 53, No. 1 (2008): 29–42. http://dx.doi.org/10.17221/1933-vetmed.
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Colic was treated surgically in 576 horses (545 individuals). Twenty-seven horses were subjected to surgery twice and two horses three times during the period of this study. A total of 371 horses (64.4%) were discharged from the hospital, 205 animals (35.6%) died or were euthanised; 16 of them died during anaesthesia, 102 horses were subjected to euthanasia during surgery, 24 patients did not recover from anaesthesia after surgery completion, and 63 horses did not survive the postoperative period. Ileus of the small intestine was diagnosed in 267 cases (46.4%), affection of the large colon in 239 cases (41.5%), lesion of the small colon in 22 cases (3.8%), lesion of the caecum in 19 cases (3.3%), and affection of stomach and rectum in four and one cases, respectively. In 14 animals (2.4%), lesions were located at two different sites of the gastrointestinal tract. In four horses, the cause of colic was located outside the gastrointestinal tract. Three animals were affected by diffuse peritonitis. No gastrointestinal lesion could be identified during surgery in three horses with recurrent colic. The most common causes of small intestine ileus included incarceration in inguinal hernia (50 of 267 horses, 18.7%), hernia of the omental foramen (31 of 267 horses, 11.6%), anterior enteritis (19 of 267 horses, 7.1%), mesenterial volvulus (18 of 267 horses, 6.7%), and ileal impaction (18 of 267 horses, 6.7%). The most common caecal disorder was acute constipation/dysfunction (5 of 19 horses, 26.3%). Frequent causes of the large colon colic were torsion (63 of 239 horses, 26.4%), left dorsal displacement (36 of 239 horses, 15.1%), and right dorsal displacement (23 of 239 horses, 9.6%). The small colon was most often affected by focal obstruction/constipation (9 out of 22 horses, 40.9%). Surgical treatment of colic of the small intestine, caecum, large colon, and small colon was successful in 59.6%, 36.8%, 73.3%, and 63.6% of the cases, respectively.
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Salgado, Rodrigo, Farah Cadour, Riccardo Cau, and Luca Saba. "Current Status of CT Imaging Before Common Transcatheter Interventions for Structural Heart Disease." Diagnostics 15, no. 1 (2025): 97. https://doi.org/10.3390/diagnostics15010097.
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Background: Over the past decade, several trials and observational studies have validated the use of minimally invasive cardiac interventions as viable treatment options for various cardiac diseases. Transcatheter techniques for severe aortic valve stenosis have rapidly emerged as alternatives to surgical aortic valve replacement in certain patient populations. Additionally, non-surgical treatment options have expanded for conditions affecting other cardiac valves, such as the mitral valve. These emerging minimally invasive interventions complement already well-established endovascular techniques for, among others, atrial septal defect closure, left atrial appendage occlusion and pulmonary vein isolation in patients with atrial fibrillation. Given their non-surgical nature and lack of direct visualisation of the targeted anatomy, these procedures heavily rely on precise pre-procedural radiological imaging for optimal patient selection and procedural success. Method: This paper is based on the expert opinion of the authors and an exhaustive literature research. Results: This manuscript reviews the most commonly employed minimally invasive cardiac interventions, highlighting the essential pre-procedural imaging information and key aspects that must be included in radiological reports to mitigate potential complications. Conclusion: Accurate pre-procedural imaging is crucial for ensuring safe and effective minimally invasive cardiac interventions, underscoring the importance of the radiologist in the pre-procedural work-up of these patients.
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Mehra, Garima, Aarti Mahajan, and Gaurav Agarwal. "Peripheral cementifying fibroma of the oral cavity: A case report." International Journal of Oral Health Dentistry 9, no. 3 (2023): 220–24. http://dx.doi.org/10.18231/j.ijohd.2023.041.
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Peripheral cementifying fibroma is a relatively uncommon, solitary, nonneoplastic gingival growth. They are usually painless and are often ignored by the patient until they become symptomatic or are diagnosed by the dentist. Due to long-standing, undiagnosed lesions, ulcerations were common. A recurrence rate of 5 – 20% was seen after excision. It depends on the diagnosis, the efficacy of the surgical removal, and the reduction of local irritating factors associated with their aetiology. Histologic diagnoses for the lesions are recommended clinically; they may be similar to various lesions, but the recurrence rates may differ. This report discusses a peripheral certifying fibroma affecting the mandibular posterior region; the lesion was excised surgically, followed by appropriate treatment.
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Sujit, Kumar Mohanty, Choudhuri Sanjay, and Panda Sridhar. "Study of Gastrointestinal Tuberculosis and Role of Surgery in Its Management." International Journal of Pharmaceutical and Clinical Research 16, no. 2 (2024): 648–52. https://doi.org/10.5281/zenodo.11073020.
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<strong>Background:</strong> While abdominal TB is less frequent than its pulmonary cousin, this research will look at the clinical signs of Gastrointestinal Tuberculosis, the consequences of surgical therapies, and the anatomical distribution throughout the digestive system. <strong>Materials and Methods:</strong> Prospective observational research was carried out at SCB Medical college and Hospital, Cuttack from August 2020 to October 2022. The trial group consisted of fifty individuals with confirmed gastrointestinal TB. The diagnosis was made based on the clinical history, symptoms, and investigations such as ultrasonography, endoscopy, and histology. Patients received a variety of therapies depending on their condition, including surgery and anti-tuberculosis medication. <strong>Results:</strong> The prevalence of GI tuberculosis was virtually similar across sexes, with the majority occurring between the ages of 18 and 30. Presents major diagnostic and therapeutic obstacles. It is the sixth most common kind of extra-pulmonary TB, affecting the gastrointestinal system, peritoneum, lymph nodes, and solid organs. <strong>Objective:</strong> Common symptoms were stomach discomfort, lack of appetite, and fever. The ileocaecal region was the most afflicted area. Surgical intervention was required in situations with complications such as blockage or perforation. Postoperative problems included surgical site infections and pulmonary issues. <strong>Conclusion:</strong> The research found that GI tuberculosis is more common in younger persons, with a high incidence of concomitant pulmonary TB. Complications were often treated surgically, with resection and anastomosis being especially common. Anti-tuberculous therapy was a regular component of the treatment plan. The research emphasizes the need of increased awareness and early intervention in the treatment of gastrointestinal TB.
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Rao Venkata Mahipathy, Surya Rao, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, Anand Prasath Jayachandiran, and Suresh Rajendran. "Limited palmar fasciectomy for bilateral Dupuytren’s contracture." International Journal of Research in Medical Sciences 9, no. 10 (2021): 3186. http://dx.doi.org/10.18203/2320-6012.ijrms20213954.
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Dupuytren’s disease is a fibro-proliferative condition affecting the palmar and digital fascia. This disease is very common in Northern Europe but in India it uncommon as there are only a few cases reported, hence also called as ‘Viking Disease’. Surgical fasciectomy is the standard surgical treatment of choice for Dupuytren’s disease. Complications following surgery are high but there is no definitive cure for Dupuytren disease (DD), and recurrence of finger contractures after treatment is common.
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Velichko, A. V., Z. A. Dundarov, V. V. Pokhozhai, and S. L. Zyblev. "SURGICAL TREATMENT OF PRIMARY HYPERPARATHYROIDISM." Health and Ecology Issues, no. 3 (September 28, 2016): 70–76. http://dx.doi.org/10.51523/2708-6011.2016-13-3-15.
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Primary hyperparathyroidism (PHPT) is a disease developing as a result of primary lesion of the parathyroid gland (PTG) (adenoma, hyperplasia, cancer) and conditioned by the hyperproduction of parathyroid hormone and is declared in imbalance of calcium, phosphorus, affection of bone system and/or internal organs. Surgery is the only acceptable and pathogenetically grounded method of PHPT-correction. In modern endocrine surgery there is no unanimous opinion about common approaches to the surgical treatment of PTG pathology. At the present moment, different kinds of surgical inventions are applied. The most widely used method is classical Kocher`s incision of the parathyroid gland. However, the minimal access combined with different kinds of anesthetic support is gaining importance. This article provides the results of the examination of 200 after parathyroidectomy after the use of different methods of surgical support.