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Research Article
Surgical Management of Colorectal Tumours in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital
Kondano Saa Yawo*
,
Diakite Moussa,
Oulare Ibrahima,
Balde Fatoumata Lamarana,
Kaba Mohamed,
Leno Faya Emmanuel,
Kourouma Mohamed,
Douno Alpha,
Soumaoro Labile Togba,
Fofana Houssein,
Toure Aboubacar
Issue:
Volume 13, Issue 1, February 2025
Pages:
1-5
Received:
25 October 2024
Accepted:
7 November 2024
Published:
9 January 2025
DOI:
10.11648/j.js.20251301.11
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Abstract: Introduction: The aim was to contribute to the improvement of surgical management of colorectal tumors at CHU Ignace Deen. Material and Methods: Retrospective, descriptive and analytical study over 5 years (January 2018 to December 2022), involving 39 records of patients admitted and operated on for colorectal tumors and confirmed on histology at university hospital centre (CHU) Ignace Deen. Records of patients operated on for a colorectal tumour without histological evidence were not included in the study. Sociodemographic, clinical, therapeutic and evolutionary variables were studied. We calculated the numbers and proportions for the qualitative variables, and the averages and standard deviations for the quantitative variables. We performed a bivariate analysis to look for prognostic factors, and for any p-value less than or equal to 0.05 the statistical test was significant Results: The proportion of colorectal tumours was 0.82%. The sex ratio was 1.8 (M/F). The mean age was 49.4±17.3, with extremes of 24 and 76 years. Abdominal pain (97.4%) and cessation of bowel movements and gas (38.5%) were the main reasons for consultation. Diffuse tympany (38.5%) and abdominal mass (33.3%) were the most frequent findings on examination. The preferred sites were the cecum and rectum. Right hemicolectomy with immediate restoration of digestive continuity was performed in 35.9% of cases. Lieberkhunian adenocarcinoma was the most common histological type (71.8%). The morbi-mortality rate was 18%. Average hospital stay: 20 days. Conclusion: The implementation of a multicenter prospective follow-up policy could provide evidence of quality assurance in colorectal tumor surgery in resource-limited countries.
Abstract: Introduction: The aim was to contribute to the improvement of surgical management of colorectal tumors at CHU Ignace Deen. Material and Methods: Retrospective, descriptive and analytical study over 5 years (January 2018 to December 2022), involving 39 records of patients admitted and operated on for colorectal tumors and confirmed on histology at u...
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Review Article
Advances in the Clinical Application of Robotic-assisted Knee Arthroplasty
Ziyue Liu,
Chongjie Wu,
Tengfeng Zhuang,
Ning Liu*
Issue:
Volume 13, Issue 1, February 2025
Pages:
6-16
Received:
14 December 2024
Accepted:
24 December 2024
Published:
14 January 2025
DOI:
10.11648/j.js.20251301.12
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Abstract: As the population ages, the number of patients with osteoarthritis of the knee has increased dramatically. Surgery, particularly total knee arthroplasty, has proven to be a highly effective treatment for end-stage osteoarthritis of the knee. Robotic surgical techniques have become particularly important to further improve surgical outcomes and safety, and to minimize intraoperative injuries and postoperative complications. Studies have shown that surgical robots have advantages in improving the precision and personalization of knee arthroplasty, but they also come with limitations such as increased operative time and rising healthcare costs. Therefore, it is particularly important to understand the current application of robotic knee arthroplasty and consider its future trends. By systematically organizing and analyzing the relevant literature, this study reviewed the development history and current status of domestic and international clinical applications of knee arthroplasty surgical robots, evaluated the advantages and limitations of robot-assisted knee arthroplasty, and explored their future development, with the aim of providing a reference basis for the research and development and clinical application of knee arthroplasty surgical robots in the future, so as to guide the adoption of corresponding measures to improve development of robot-assisted knee arthroplasty.
Abstract: As the population ages, the number of patients with osteoarthritis of the knee has increased dramatically. Surgery, particularly total knee arthroplasty, has proven to be a highly effective treatment for end-stage osteoarthritis of the knee. Robotic surgical techniques have become particularly important to further improve surgical outcomes and safe...
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Research Article
Factors Influencing Quality of Life in Patients After Rectal Cancer Anus-Preserving Surgery: A Cross-Sectional Study
Issue:
Volume 13, Issue 1, February 2025
Pages:
17-26
Received:
20 December 2024
Accepted:
6 January 2025
Published:
23 January 2025
Abstract: Aims and Objectives: The purpose of this study was to investigate the symptoms and quality of life level in patients after rectal cancer anus-preserving surgery, and to explore the factors affecting the quality of life level. In addition, a correlation analysis was conducted between symptoms and quality of life level. Background: Patients after rectal cancer anus-preserving surgery may have related complications, and the quality of life is also affected by various factors. It is particularly important to pay attention to and improve the quality of life of patients, so it is necessary to clarify the influencing factors and better clinical nursing intervention. Design: A cross-sectional study. Methods: From June 2020 to May 2022, a convenience sample of 165 participants were recruited at two tertiary hospitals in Guangdong, China. Quality of life and postoperative symptoms were assessed using the Cancer Patient Quality of Life Measurement Scale (FACT-G) and the Chinese Cancer Anderson Symptom Assessment Scale (MDASI) face-to-face or by telephone. Results: The overall quality of life score of patients after rectal cancer anus-preserving surgery was 54.07±14.58 points. The top three most severe symptoms were sleep, fatigue, and numbness or tingling in the limbs or face. The most severe gastrointestinal symptom was constipation. The severity of symptoms, gastrointestinal symptoms, and symptom interference were negatively moderately correlated with the total score of quality of life (P<0.01). The severity of symptoms, the severity of gastrointestinal symptoms, and the degree of symptom interference were independent factors affecting the quality of life of patients after RCAPS, with statistical significance (P<0.05). Conclusion: The quality of life of patients after rectal cancer anus-preserving surgery is at a medium level. The higher the severity of symptoms and symptom interference of patients after rectal cancer anus-preserving surgery, the lower the quality of life of patients. Relevance to clinical practice: To provide a theoretical basis for clinical nursing interventions for patients after rectal cancer anus-preserving surgery, so as to improve their quality of life.
Abstract: Aims and Objectives: The purpose of this study was to investigate the symptoms and quality of life level in patients after rectal cancer anus-preserving surgery, and to explore the factors affecting the quality of life level. In addition, a correlation analysis was conducted between symptoms and quality of life level. Background: Patients after rec...
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Case Report
Atypical Presentation of Gerstmann Syndrome in a Patient with Encapsulated Right Chronic Subdural Hematoma
Kelechi Michael Azode*,
Ese-Enaorho Ewoye
Issue:
Volume 13, Issue 1, February 2025
Pages:
27-31
Received:
15 October 2024
Accepted:
4 November 2024
Published:
20 February 2025
DOI:
10.11648/j.js.20251301.14
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Abstract: Gerstmann syndrome, occasionally dubbed the angular gyrus syndrome is a constellation of clinical features that depict a potential inherent problem affecting the supramarginal and angular gyrus of the dominant left parietal cortex resulting in a partial or full complement of a tetrad of symptoms. It is a syndrome that depicts a derangement in key functions of the parietal lobe of the dominant hemisphere which is the left cerebral cortex in most people. Its cause can arise from a myriad of traumatic, vascular, tumoral, metabolic or infectious cerebral aetiologies. Chronic subdural hematoma is a common condition prevalent in the elderly population and managed by neurosurgeons worldwide. Its pathophysiology involves elaboration of fibrin degradation products, liquefaction of blood clots and new membrane formation due to fibroblast activity on a subdural hematoma over a period of time which warrants surgical treatment to ameliorate clinical features attributable to it. This article highlights the management of a relatively rare case in which features of Gerstmann syndrome were noted in a patient who had radiologic evidence of chronic subdural hematoma in the right non dominant hemisphere, bringing to the fore the importance of detailed neurologic evaluation of patients with parietal lobe lesions in either hemispheres for features of Gerstmann syndrome in order to avoid incidence of missed diagnosis which may influence holistic management of patients presenting symptom and reflect as suboptimal outcome following treatment.
Abstract: Gerstmann syndrome, occasionally dubbed the angular gyrus syndrome is a constellation of clinical features that depict a potential inherent problem affecting the supramarginal and angular gyrus of the dominant left parietal cortex resulting in a partial or full complement of a tetrad of symptoms. It is a syndrome that depicts a derangement in key f...
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Case Report
Neurocysticercosis: A Case of an Unusual Cause of Seizures
Issue:
Volume 13, Issue 1, February 2025
Pages:
32-36
Received:
22 January 2025
Accepted:
5 February 2025
Published:
20 February 2025
DOI:
10.11648/j.js.20251301.15
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Abstract: Neurocysticercosis is a parasitic infestation of the central nervous system caused by larva of the helminth Taenia solium. It is a relatively uncommon aetiology for seizures with varying presentations which are dependent on the stage of the cyst, its location and the immune response of the host. Incidence is rising in developing countries due to renewed interest in piggery. Associated risk factors include poor sanitary condition, rearing pigs or consumption of pork meat and overcrowded living conditions. Diagnostic yield has improved in recent years following relative improved health care seeking attitude, availability of neuroimaging modalities such as cranial magnetic resonance imaging and pathologic analysis of resected tissue specimen. Though prevalence has been domiciled in rural and suburban communities, an increase in global transmigration of individuals has led to some incidence in developed counties. The advent of cysticidal therapy which is complementary to surgical resection of symptomatic lesions has helped improve the prognosis and attenuate disease progression in these patients while improving clinical outcomes of treatment. We present a 23-year-old male patient with adult onset seizures who had neuroimaging and brain biopsy with histopathologic diagnosis of neurocysticercosis. The disease should be entertained in a patient with adult onset seizure residing in a potentially endemic area. We also encourage multidisciplinary management for optimal outcome.
Abstract: Neurocysticercosis is a parasitic infestation of the central nervous system caused by larva of the helminth Taenia solium. It is a relatively uncommon aetiology for seizures with varying presentations which are dependent on the stage of the cyst, its location and the immune response of the host. Incidence is rising in developing countries due to re...
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