Surgery, Gastroenterology and Oncology

ABSTRACT

Background: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related deaths worldwide. Liver transplantation has become the standard therapy for patient with early-stage HCC, as it addresses both the tumor and the underlying liver disease. Aim: To investigate the risk factors of recurrence after living donor liver transplantation (LDLT) for HCC.

Methods: This retrospective study included 302 patients who underwent LDLT during the period between 2004 and 2021 for provisional diagnosis of HCC. Preo....[more]

ABSTRACT

Background: Gallbladder (GB) stone disease is a common gastrointestinal disorder with notable variations in demographic, clinical, and surgical outcomes between male and female patients. Understanding these differences can aid in optimizing management strategies and improving patient outcomes. Aim: This study aimed to assess the demographic characteristics, clinical factors, and postoperative outcomes in male and female patients diagnosed with GB stones undergoing cholecystectomy.

Methods: This is a cross se....[more]

ABSTRACT

Background: Penetrating abdominal trauma (PAT), typically caused by stab wounds, blasts, or gunshots is a serious emergency with high global mortality, particularly among young males in conflict or low-resource settings. Mortality is commonly associated with shock, delayed hospital arrival, and multiple organ injuries. Management follows ATLS protocols, with urgent surgery for unstable patients. Diagnosis is guided by clinical assessment and imaging tools such as FAST, CT scans, or exploratory laparotomy. Aim of study: To identif....[more]

Background:Hemodialysis remains the standard therapy for end-stage renal disease (ESRD), the final stage of chronic kidney failure often caused by diabetes mellitus (DM). Evaluating liver enzymes—vital markers of hepatic function—is complicated in ESRD due to uremia, dialysis effects, and accompanying illnesses. The specific contribution of DM to these enzyme changes in ESRD is not well defined. This study aimed to assess liver enzyme levels in hemodialysis patients and distinguish the influence of ESRD alone from ESRD combined with DM.

Methods: ....[more]

Background: Phyllodes tumors (PT) of the breast represent a rare entity of breast neoplasms, their unpredictable behavior and high recurrence potential present these tumors as a clinical challenge. Those tumors necessitate careful diagnostic evaluation and management. Our retrospective study aims to discuss the different clinico-pathological features as well as different management approaches for phyllodes tumors.

Methods: A retrospective review of 175 PT patients diagnosed and treated in our institution between 2006 and 2023 was conducted.....[more]

Background: Surgical site infection (SSI) remains one of the most common postoperative complications, contributing significantly to patient morbidity, prolonged hospital stay, and healthcare costs. Understanding local SSI patterns is essential for improving surgical outcomes. Purpose: to investigate SSI in Nassiryia teaching hospital in terms of pattern and hospital readmission rate.

Methods: This prospective study included 300 patients who underwent various surgical procedures. Data on demographic characteristics, comorbidities, surgical d....[more]

Background: The trend of prophylactic neck dissection for clinically nodal-negative papillary thyroid carcinoma (PTC) is still a subject of controversy. Despite the risk of higher morbidities, a more selective approach based on risk factors has been proposed. Systemic inflammation highlights the potential of preoperative neutrophil-to-lymphocyte ratio (NLR) as a convenient biomarker in predicting nodal metastasis. This review aims to evaluate the potential of preoperative NLR in predicting occult nodal metastasis in PTC.

Methods: We conduc....[more]

Current Management of Ocular Surface Squamous Neoplasia: A Systematic Review

Andi Muhammad Maksum Abdul Baqi, Halimah Pagarra, Suliati P. Amir, Andi Pratiwi

Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

ABSTRACT

Background: Ocular Surface Squamous Neoplasia (OSSN) represents a range of conditions from epithelial dysplasia to invasive carcinoma. Recent advancements in OSSN management have incorporated topical pharmacological agents as alterna....[more]

Introduction: Meckel’s diverticulum (MD) is a congenital anomaly resulting from incomplete regression of the vitelline duct, typically occurring in 2% of the population. Though usually asymptomatic, complications such as obstruction, bleeding, diverticulitis, and perforation may arise, especially in children. Diagnosis is often delayed due to its nonspecific presentation and similarity to other abdominal conditions.

Case Presentation: A 14-year-old boy presented with generalized abdominal pain, vomiting, fever, and signs of intestinal obs....[more]