Surgery, Gastroenterology and Oncology

Background: The classification criteria for primary gastrointestinal lymphoma have been recently updated. This study aimed to determine the immunophenotype and its association with the clinical features of common gastrointestinal lymphoma types.

Methods: We investigated 159 patients with primary malignant lymphoma of the gastro-intestinal tract from three tertiary referral hospitals. The patients were categorized according to the WHO (2019) classification of digestive system tumors based on histopathology and immunohistochemistry.

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Objective: This study evaluated the effectiveness of preincisional and postoperative bupivacaine injections in reducing pain after appendectomy.

Methods: This quasi-experimental study included 60 acute appendicitis patients undergoing appendectomy at Vajira Hospital. Participants were randomly assigned to three groups: group 1 received a preincisional 10-mL injection of 1% bupivacaine, group 2 received a postoperative 10-mL injection of 1% bupivacaine, and group 3 (control) received no bupivacaine. Postoperative pain was assessed using the....[more]

Background/Aims: HCV infection is a major health problem in Egypt, and unfortunately, its prevalence is higher in hemodialysis patients than in the general population. The advent of DAA led to an increased rate of recovery and lower rates of side effects compared to standard interferon therapy. Still, relapse of HCV is not uncommon among these patients. The aim of the current study was to assess the incidence of relapse among hemodialysis patients with HCV after treatment with different regimens of direct-acting antivirals (DAAs) and to identify the risk factors t....[more]

Background: Acute pancreatitis (AP) is a potentially fatal disease that can range from mild and self-limiting to rapidly progressive, leading to multiple organ failure and death. Aim: This study aimed to compare various severity scores in predicting outcomes in AP.

Methods: This is an observational cross-sectional study conducted from June 2018 to December 2019. Adults diagnosed with AP were included in the study.

Results: A total of 57 patients were included, with mean age of patients were 40.07 years. Among them,....[more]

Background: Para-umbilical hernias, a part of the ventral hernias group, are identified close to or right of the umbilicus. Objective: To compare open and laparoscopic surgery with mesh by analyzing differences in complication rates, efficacy, and recurrence in handling para-umbilical hernias.

Methods: This retrospective study was conducted at Al-Yarmouk Teaching Hospital and Al Arabi Privet Hospital in Baghdad, Iraq, on 40 patients with umbilical hernias. Forty patients were divided into two groups: 20 treated with open surgery and 20 tre....[more]

Background: Spleen injury is the most common injury to the solid organ in the abdomen. Treatment changes in the last 100 years have been from splenectomy to splenic preservation to nonoperative management. Purpose: To evaluate predictive factors in the management of blunt splenic injuries.

Methods: This was a prospective study conducted in our hospital from December 2021 to December 2023, in which all patients with blunt splenic injuries were included. Patient outcomes, whether operative or conservative, were also recorded. Failure of cons....[more]

Introduction: Intraductal papillary neoplasm of the bile duct (IPNB) is associated with better prognosis than biliary cancer after curative surgery.

Case report: We report a case of a 59-year-old woman who presented with an enlarging liver cyst with a mural nodule. Laboratory data indicated normal hepatobiliary function and tumor markers. Imaging revealed a lesion at liver segments 5 and 6, with dynamic computed tomography revealing slight enhancement of the nodule during the early phase, prolonged during the delayed phase.

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Gentleman in his late 70s presented with right side abdominal pain and flank pain in the rural hospital setting with a computed tomography finding of right adrenal haemorrhage. The patient was stable throughout the admission however, was transferred to a tertiary centre for optimal care and radiology intervention services availability. He was treated conservatively and was well and asymptomatic during phone call follow up 1 month later.

Introduction

A rare case of symptomatic adrenal haemorrhage presenting to the Emerg....[more]

4th Jaipur Surgical Festival (JSF) 2024

Naina Kumar¹, VK Kapoor²

¹Department of Surgical Oncology, Sawai Man Singh (SMS) Medical College Jaipur, Rajasthan, India

²Department of Surgical Gastroenterology, Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, India

“Successes, every surgeon can discuss but it takes utmost courage to come up and talk about the complications.”

Jaipur – aka the Pink City – the ca....[more]