Incarcerated appendix within femoral hernia
We report a 74-year-old female patient who presented with severe and painful right groin swelling. An incarcerated appendix within the femoral hernia was discovered. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 4, 2014 Category: Surgery Source Type: research
Partition technique in management of difficult abdominal fascia closure
Conclusion The partition technique may be a single-stage solution to complex abdominal fascia defects, and the fascia defect width/abdominal circumference ratio is the most reliable parameter to predict the probability of complications. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Recent advances in postoperative free microvascular flap monitoring
Publication date: October 2013 Source:Formosan Journal of Surgery, Volume 46, Issue 5 Author(s): Cherng-Kang Perng Microvascular free flap surgery is one of the most important operations in reconstructive surgery. With the advancement of microsurgical technique, the success rate of free flap pedicle anastomosis is now >90%. The key to further enhance the free flap success rate is early detection of vascular thrombosis and salvaging of the failing flap with early intervention. The gold standard of postoperative free flap monitoring is clinical observation of flap color and capillary refill; however, it is subjec...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Laparoscopic ureteral repair for iatrogenic ureteral injury following lumbar disc surgery
Publication date: December 2013 Source:Formosan Journal of Surgery, Volume 46, Issue 6 Author(s): Ping-Ju Tsai , Hay-Yan J. Wang , Yung-Shang Lin , Tzu-Ming Yang Iatrogenic ureteral injury is a rare yet severe complication in lumbar disc surgery. In our hospital we encountered only one such incident in 1946 prior to this case. We hereby present a novel approach in which laparoscopic end-to-end ureteral anastomosis was adopted for the repair of ureteral injury after lumbar disc surgery. A 60-year-old female underwent minimal invasive transforaminal lumbar interbody fusion (TLIF) for spondylolisthesis of the L4–5 l...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Gliosarcoma with extension to infratemporal fossa and ventricle
Publication date: December 2013 Source:Formosan Journal of Surgery, Volume 46, Issue 6 Author(s): Sang-Jek Liew , Wen-Jui Liao , Jung-Tung Liu , Wei-Chean Tan Gliosarcomas are bimorphic intra-axial tumors. They rarely involve both the skull base and ventricles simultaneously. A case of temporal lobe gliosarcoma with significant infratemporal fossa and lateral ventricle extension is reported. The patient, an 82-year-old man, had gradual general weakness and a poor response to speech for 3 weeks. Neurological examination was unremarkable except for poor awareness and myoclonic jerks. Magnetic resonance imaging reveal...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Duplication of gallbladder with a common neck: A rare anatomical malformation
We report a rare case of double gallbladder in a young female, which was missed on ultrasonography, but was successfully treated by open cholecystectomy. It is paramount for an operating surgeon to be familiar with the anatomical details of the biliary system to prevent any inadvertent injury to the common bile duct and hepatic artery. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Adult bronchogenic cyst of the neck presenting as large neck abscess
We report a case of bronchogenic cyst with abscess formation in a 67-year-old woman who presented with progressive dysphagia. The cyst was completely excised. To the best of our knowledge, this is the third documented case of bronchogenic cyst leading to neck abscess in an adult. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Fatal tumor lysis syndrome in a patient with metastatic colon cancer after palliative chemotherapy
Publication date: December 2013 Source:Formosan Journal of Surgery, Volume 46, Issue 6 Author(s): Ming-Hao Hsieh , Chou-Chan Chen , Miao-Lin Hu , Te-Cheng Yueh Tumor lysis syndrome (TLS) is a rare but life-threatening complication of chemotherapy in patients with solid tumors such as colorectal cancer. Combination therapy comprising infusional irinotencan, 5-fluorouracil (5-FU), with folinic acid (FOLFIRI) and bevacizumab is considered the first choice for metastatic colorectal cancer. Reports of TLS after therapy with FOLFIRI and bevacizumab are rare. Here we report a case of TLS in a patient with metastatic colon...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Evaluation of a revised in-hospital trauma activation protocol according to clinical outcome for patients with major trauma
Conclusion The study shows that our TPA criteria are easy to follow and have a high accuracy rate. For patients with ISS ≥16 who did not meet our TPA criteria, escape was mainly due to head trauma. Additional factors besides GCS scores should be incorporated in the protocol to identify patients with significant head trauma. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Treatment modalities for tuberculosis of the spine: 22 years' experience in east Taiwan
Conclusion Patients with TB of the spine may involve more than one spinal segment. On the basis of the four-drug combination in the initial phase followed by treatment for up to 12 months, along with appropriate surgical correction, can lead to good clinical outcomes with acceptable risks. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Minimally invasive cardiac surgery
Publication date: December 2013 Source:Formosan Journal of Surgery, Volume 46, Issue 6 Author(s): Kuan-Ming Chiu Cardiopulmonary bypass surgery was invented in 1953. Since then, cardiac surgery has had a prosperous age for several decades. The introduction and evolution of percutaneous coronary intervention, however, was a great challenge to traditional coronary revascularization, one major part of cardiac surgical practices. In fact, the adoption of endoscopic techniques fundamentally changed several surgical disciplines. For the past 10 years, the concept and practice of minimally invasive cardiac surgery has gradua...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Dedifferentiated liposarcoma can induce a leukemoid reaction
In this report, we present the rare case of a patient who had de-differentiated liposarcoma and elevated G-CSF levels that resulted in a leukemoid reaction. The patient was a 65-year-old man who had been lame for one month due to right thigh swelling. His body temperature was slightly elevated at 38°C and leukocytosis with an elevated white blood cell (WBC) count (41500/μL) was noted. The findings of computed tomography of the lower extremities indicated the presence of a malignancy. Therefore, an incision biopsy was performed. Based on the finding of magnetic resonance imaging (MRI) and the biopsy pathology report, we d...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Groin synovial sarcoma with intraluminal femoral sheath involvement
Publication date: February 2014 Source:Formosan Journal of Surgery, Volume 47, Issue 1 Author(s): Pi-Jung Lee , Chun-Hui Chu , Shyh-Jou Shieh Synovial sarcomas are highly aggressive soft tissue malignant tumors that occur primarily in young adults. They arise from mesenchymal tissue and typically in or near tendons and tendon sheaths. They can develop at any site but the majority (80–95%) of synovial sarcomas are located in the extremities and mostly at the lower extremities. Groin synovial sarcoma is rare. About 10% of lower limb soft tissue sarcomas have major vessel involvement. In the past, amputation was the ...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Treatment of breast deformity with free deep inferior epigastric perforator flap secondary to pectoralis major flap harvesting
We present a female patient who had breast deformity due to PM flap reconstruction and was successfully treated with free deep inferior epigastric perforator (DIEP) flap. A 48-year-old woman had squamous cell carcinoma in the left side buccal mucosa, T2N0M0, stage II s/p wide excision with partial resection of maxilla and marginal resection of mandible. Free anterolateral thigh flap had been tried but in vain, then alternatively salvaged with a pedicle PM flap 3 years earlier. She presented with malposition of the left breast, nipple retraction, and high riding. We adequately released the contracture and reconstructed with...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
Temporoparietal fascial flap for reconstruction of open wounds in patients previously treated for head and neck cancer
The objective of this report is to present two head and neck cancer patients with chronic facial wounds and plate exposure after radiation therapy. A temporoparietal fascial flap was used to manage the wound in both cases. From January 2009 to January 2013, there were 37 patients with head and neck cancer who required reconstruction of composite mandibular defects in Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. Plate exposure developed in 10 patients, and in two patients the chronic facial wound was treated with a temporoparietal fascial flap. Both the flaps survived, and at 6 months of follow-up the wounds were h...
Source: Formosan Journal of Surgery - November 1, 2014 Category: Surgery Source Type: research
