Major chemical burn injury combined with a penetrating injury of the abdomen leading to hypovolemic shock
This report details the successful treatment of a major sulfuric acid burn complicated with an abdominal penetrating injury leading to hypovolemic shock. A 38-year-old woman presented with major second- and third-degree chemical burn injuries over her chin, anterior chest, and both upper limbs. The burns covered approximately 15% of her total body surface area and were combined with an abdominal penetrating injury and hypovolemic shock. Emergency damage control surgery was performed to stabilize the patient's vital signs. Second-stage reconstruction and debridement with skin grafting was performed when the patient had reac...
Source: Formosan Journal of Surgery - February 12, 2015 Category: Surgery Source Type: research
Symptomatic ischemia resulting from late upper extremity venous graft occlusion
We report two cases involving patients who developed acute symptomatic ischemia in their hands from occlusion of their vein grafts > 15 years after their initial surgery. Our management strategy was additional arterial reconstruction. An extensive review of the literature on late vein graft occlusion in the upper extremity was performed to compare presentations, management strategies, and outcomes for this disease. In both cases, computed tomography angiogram results confirmed clinical suspicions of late venous graft occlusions. Conservative management was attempted first with no resolution of symptoms. Repeated a...
Source: Formosan Journal of Surgery - February 8, 2015 Category: Surgery Source Type: research
Reverse-flow anterolateral thigh flap without antegrade venous reconstruction for knee soft-tissue reconstruction
Publication date: Available online 28 January 2015 Source:Formosan Journal of Surgery Author(s): Hsuan-Keng Yeh , Chung-Chen Hsu , Cheng-Hung Lin , Yen-Chang Hsiao , Yi-Chieh Chen , Yu-Te Lin , Chih-Hung Lin For soft-tissue defects around the knee area, the pedicled gastrocnemius flap is classically the first choice for reconstruction. However, the gastrocnemius flap is not always sufficient, and it carries certain donor site morbidity. When local lower limb flaps are insufficient or unavailable, free-tissue transfer is considered. Because few recipient vessels are located around the knee, free-tissue reconstruc...
Source: Formosan Journal of Surgery - January 29, 2015 Category: Surgery Source Type: research
Tissue expansion in the management of Klippel–Trénaunay syndrome in pediatric patients
Publication date: Available online 23 January 2015 Source:Formosan Journal of Surgery Author(s): Li-Ying Lin , Jian-Jr Lee , Carlos Chih-Ho Liu , Ming-Ting Chen Klippel–Trénaunay syndrome (KTS) is a rare congenital disorder that consists of mixed vascular malformations. The management of KTS is challenging and multidimensional. Debulking or excisional surgery may be performed in certain patients with KTS. Tissue expansion is a widely used reconstruction technique in plastic surgery and facilitates the reconstruction of skin and soft tissue defects after the excision of large vascular anomalies. In children with ...
Source: Formosan Journal of Surgery - January 24, 2015 Category: Surgery Source Type: research
Evaluation of an Advanced Trauma Life Support course in Taiwan
Conclusion The ATLS course is a critical learning experience for physicians treating trauma patients. Junior house staff and physicians working at local hospitals, particularly those in rural areas, should be encouraged to attend the ATLS course. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - January 23, 2015 Category: Surgery Source Type: research
Natural history and epidemiology of benign prostatic hyperplasia
Publication date: Available online 13 January 2015 Source:Formosan Journal of Surgery Author(s): Shing-Hwa Lu , Chih-Shou Chen Benign prostatic hyperplasia (BPH) is a common benign tumor that develops in men and is bothersome in elderly patients. The prevalence of lower urinary tract symptoms in the general population increases with aging. The normal prostate weighs 20 ± 6 g in men aged 21–30 years. The prevalence of pathological BPH is only 8% at the 4th decade of life; however, 50% of the male population develop pathological BPH at age 51–60 years. The average weight of a prostate that is recognized at au...
Source: Formosan Journal of Surgery - January 15, 2015 Category: Surgery Source Type: research
Management of extremity soft-tissue malignant fibrous histiocytoma at National Cheng Kung University Hospital: A 10-year experience
Conclusion An adequate resection margin during treatment for the primary MFH tumor achieves optimal results for local disease control. It influences the OS rate, because local-recurrence-related distant metastasis is significantly associated with high mortality. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - January 15, 2015 Category: Surgery Source Type: research
Hydatid disease in children: Our experience
Conclusion Hydatid disease is not rare in the pediatric age group. The liver and lung are commonly involved, but it may also present as primary disease in unusual sites like the spleen and brain. Proposed risk factors are rural background, farming community, low socioeconomic status, cattle rearing, lack of supply of potable water, and male sex. Intrinsic defects in the filter mechanism of the liver and lungs, dissemination through enteric lymphatic channels, and patency of the ductus arteriosus in early infancy are the proposed causes of unusual presentation of hydatid disease in children. During cyst removal, spillage of...
Source: Formosan Journal of Surgery - December 25, 2014 Category: Surgery Source Type: research
Transverse testicular ectopia associated with hemiscrotal hemangioma
We report three cases of variant presentations of transverse testicular ectopia: no inguinal hernia, both testes in one hemiscrotum, and capillary hemangioma in the contralateral hemiscrotum. All patients received a simple trans-septal orchiopexy. Follow-up revealed no inguinal hernia or testicular atrophy. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - December 19, 2014 Category: Surgery Source Type: research
Low-grade astrocytoma presenting as brain stone
Publication date: Available online 17 December 2014 Source:Formosan Journal of Surgery Author(s): Hsiao-Yue Wee , Jinn-Rung Kuo , Yao-Lin Lee , Tzu-Ju Chen , Yi-Ying Lee This paper presents the case of a 21-year-old male patient with a history of generalized tonic–clonic seizure induced by an almost completely and densely calcified intra-axial tumor located at the left frontal lobe. The tumor exhibited an unpublished combination of extensive ossification and calcification with minimal cytologic atypia and positive findings for glial fibrillary acidic protein. The final diagnosis was that of an intracerebral low-...
Source: Formosan Journal of Surgery - December 18, 2014 Category: Surgery Source Type: research
Mixed endocrine-glandular carcinoma of cecum
Publication date: October 2014 Source:Formosan Journal of Surgery, Volume 47, Issue 5 Author(s): Tung-Jung Liang , Tuan-Ying Ke Colorectal mixed endocrine-glandular neoplasms, a subtype of neuroendocrine tumors, are mainly diagnosed based on pathological characterization. The rarity and unusual presentation of mixed endocrine tumors makes their prognosis relatively poor, and an optimal management strategy for the tumors has yet to be devised. Here, we report a case of cecal mixed adenocarcinoma and neuroendocrine carcinoma with ileal tumor seeding, lymph nodes, and left iliac crest metastasis. After undergoing right ...
Source: Formosan Journal of Surgery - December 4, 2014 Category: Surgery Source Type: research
Complication of an acute subdural hemotoma located between dura and outer membrane space after burr-hole drainage for chronic subdural hemorrhage
In conclusion, precisely inserting the drainage catheter in the chronic SDH space and reversing coagulopathy before and after the surgical procedure are necessary to prevent such complications. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - December 4, 2014 Category: Surgery Source Type: research
Richter's femoral hernia manifested by a progressive ileus
Publication date: October 2014 Source:Formosan Journal of Surgery, Volume 47, Issue 5 Author(s): Chi-Hsiang Kang , Chung-Yu Tsai Richter's hernia is the protrusion and/or strangulation of part of the intestine's antimesenteric border through a rigid small defect in the abdominal wall. This hernia is difficult to diagnose because the signs and symptoms of development are innocuous. In most cases, because less than two-thirds of the circumference of the bowel wall is involved, the lumen of the intestine remains free; thus, features of intestinal obstruction are often absent. Here we report a case of strangulated Richte...
Source: Formosan Journal of Surgery - December 4, 2014 Category: Surgery Source Type: research
Potential pathophysiological mechanism of cancer-related fatigue and current management
Publication date: Available online 26 November 2014 Source:Formosan Journal of Surgery Author(s): Chi-Tai Yeh , Liang-Shun Wang Cancer-related fatigue (CRF) is a common and crucial disease entity encountered by oncologists, which has been well defined in the International Classification of Diseases (10th Revision). However, CRF is under recognized and difficult to treat. Cancer-related fatigue is frequently associated with advance-staged tumors and cancer therapies such as surgery, chemotherapy, and radiotherapy. Several studies have evaluated the use of drug interventions in CRF management but have conflicting resul...
Source: Formosan Journal of Surgery - November 27, 2014 Category: Surgery Source Type: research
Challenge of safety margin in laparoscopic liver resection for hepatocellular carcinoma
Conclusion Securing an appropriate safety margin for laparoscopic liver resection while dissecting using laparoscopic instruments was challenging without any tactile sensation by the surgeon. Moreover, no significant differences were observed in the postoperative survival of both Group I or II patients with a safety margin of ≥ 5 mm. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 7, 2014 Category: Surgery Source Type: research
