A case of male hysteria, manifested in the form of algolagnia (the patient's desire for operations without any reason)

1934 ◽  
Vol 30 (7-8) ◽  
pp. 760-762
Author(s):  
I. E. Sandukovsky
Keyword(s):  
Emergency Room ◽  
Outpatient Clinic ◽  
Emergency Surgery ◽  
Nausea And Vomiting ◽  
Surgical Department ◽  
Old Russian

On 3/II 1934, a patient from a polyclinic was admitted to the emergency room of the Poltava Interdistrict Hospital with a diagnosis of "esophagus" for emergency surgery. The patient was admitted to the surgical department of the same hospital and the surgeon on duty was immediately called to him. Patient D. V., 41 years old, Russian, single, working in Dnepropetrovsk region as a lecturer. According to the patient, on the day of admission to hospital, he, passing Poltava by train, began to experience sharp pains in the abdomen, accompanied by nausea and vomiting. After some time, burping and bloating of the abdomen appeared. Gases did not come out, there were no stools that day. Due to these pains, the patient got off the train and went to the outpatient clinic for help, from where he was sent to the hospital.

scholarly journals New acute respiratory management in tracheal rupture caused by chest trauma

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Cheng Shen ◽  
Lin Ma
Keyword(s):  
Mechanical Ventilation ◽  
Oxygen Saturation ◽  
Emergency Room ◽  
Subcutaneous Emphysema ◽  
Emergency Surgery ◽  
Chest Trauma ◽  
Tracheal Rupture ◽  
Respiratory Management ◽  
Respiratory State ◽  
Ventilation Method

Abstract We report a case who is a 33-year-old man admitted to our Emergency room for chest trauma caused by the factory’s mechanical arm. Despite the endotracheal tube, the patient’s respiratory state was poor and the oxygen saturation did not improve and the subcutaneous emphysema progressed. To improve distressed breathing, we first proposed the concept “mechanical ventilation with dual ventilator” to maintain oxygen saturation of the patient. This is, to our knowledge, the first report of using a special mechanical ventilation method in emergency surgery.

scholarly journals Phimosis after circumcision

2021 ◽  
Vol 32 (1) ◽  
pp. 81-83
Author(s):  
V. I. Varsobin
Keyword(s):  
Outpatient Clinic ◽  
Definite Diagnosis ◽  
Surgical Department

In the surgical department of the Okhlebininskaya hospital on March 26, 30, a boy of 5 years was sent from the outpatient clinic. Tatar, without a definite diagnosis - "Cystic-altered penis?"

Primary Mesenteric Angiosarcoma in a Child with Associated Lymphangiectasia: A Case Report

2008 ◽  
Vol 11 (6) ◽  
pp. 482-486 ◽  
Author(s):  
E.C.C. Castro ◽  
C. Galambos ◽  
Peter H. Shaw ◽  
S. Ranganathan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Emergency Room ◽  
Acute Abdomen ◽  
Emergency Surgery ◽  
Hodgkin’S Lymphoma ◽  
Hodgkin's Lymphoma ◽  
Review Of The Literature ◽  
Rare Tumors

Angiosarcomas are rare tumors in children, usually occurring in soft tissue and liver. By contrast, angiosarcoma in adults usually occurs in the extremities in conjunction with lymphedema. Mesenteric angiosarcoma has only rarely been reported. When angiosarcomas arise in this location, they usually represent a 2nd malignancy following Hodgkin's lymphoma. We report a child who presented to the emergency room with an acute abdomen and underwent emergency surgery for a mesenteric angiosarcoma with associated lymphangiectasia of the bowel and mesentery. A brief review of the literature and the nomenclature of these unusual tumors are discussed.

scholarly journals Quality of resection in emergency colon cancer surgery – a retrospective study

2021 ◽  
Vol 17 (2) ◽  
pp. 107-111
Author(s):  
Andrei Nicolaescu ◽  
Dragos Margaritescu ◽  
Marius Bica ◽  
Daniela Marinescu ◽  
Tudor Bratiloveanu ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Retrospective Study ◽  
Emergency Surgery ◽  
Cancer Surgery ◽  
Postoperative Outcomes ◽  
Emergency Setting ◽  
Surgical Department ◽  
Group A ◽  
Colon Cancer Surgery

Background. The surgical attitude and the treatment towards colon cancer did not change significantly over the past years. The most important features in achieving oncologically safe surgery are clean resection wedges and the removal of the locoregional lymph nodes. This study aimed to identify if emergency colon cancer surgery has any influence on the type and quality of resections. Methods. We performed a retrospective study of 163 patients admitted in our surgical department with colon cancer who underwent an oncological resection. The patients were divided in two groups: group A included patients that underwent emergency surgery in the emergency and group B included patients undergoing elective surgery. A comparative analysis of intraoperative markers for oncologic quality of resection and for the postoperative outcomes was performed. Results. Of the 163 patients included in this study, 104 were operated in the emergency setting and 59 as elective cases. The preoperative status of patients indicated that emergency cases had a more precarious nutritional and biological status. When the quality of oncologic resection was analyzed, no differences were observed. A higher number of ostomies were created in group A, as well as worse postoperative outcomes. Conclusion. Emergency surgery for colon cancer did not affect the quality of resection, but the morbidity was higher in patients who presented as surgical emergency.

scholarly journals Unplanned Hospital Readmission and Visit to the Emergency Room in the First Thirty Days after Head and Neck Surgery: A Prospective, Single-center Study

2021 ◽  
Author(s):  
Carlos Miguel Chiesa-Estomba ◽  
Jon Alexander Sistiaga-Suárez ◽  
José Ángel González-García ◽  
Ekhiñe Larruscain Sarasola ◽  
Ariadna Valldeperes Vilanova ◽  
...  
Keyword(s):  
Emergency Room ◽  
Head And Neck ◽  
Outpatient Clinic ◽  
Hospital Readmission ◽  
Readmission Rate ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Major Surgery ◽  
Wound Complications ◽  
Surgery Group

Abstract Introduction Head and neck surgery remains a complex field; the patients can suffer important functional or life-threating complications after treatment that need unplanned readmissions, increasing the cost related to the treatment. Objective To evaluate the incidence risk factors and causes associated with 30-day unplanned hospital readmission and visit to the emergency room (ER) after surgery for head and neck cancer. Methods Prospective, longitudinal, nonrandomized study. Results A total of 834 patients were included, 726 in the major surgery group and 108 in the minor surgery group. The 30-day readmission rate for all causes was of 7,9% for the patients treated by a major surgery and of 0% for the patients treated in the outpatient clinic for minor procedures, to a total readmission rate of 6,8%. The rate of visit to the emergency room for all causes in the first 30 days was of 14% for the patients treated by a major surgery and of 2,7% for the patients treated in the outpatient clinic. Conclusion Major surgery, the American Society of Anesthesiologists (ASA) status and type of wound are conditions related to unplanned readmission or visit to the ER in the first 30 day after discharge. The most commonly associated causes are infections or wound complications. An evidence-based risk stratification of the patients can be important to improve decision-making and resource utilization. An educational strategy can provide possible ways to improve the rate of readmission and reduce the amount of money expended by healthcare systems.

scholarly journals ARROSIVE BLEEDING FROM THE APPENDICULAR ARTERY IN ACUTE DESTRUCTIVE APPENDICITIS

2021 ◽  
pp. 133-136
Author(s):  
A. V. Kapshitar ◽  
A. A. Kapshitar
Keyword(s):  
Acute Appendicitis ◽  
Research Methods ◽  
Antibacterial Therapy ◽  
Emergency Surgery ◽  
Clinical Case ◽  
Rare Complication ◽  
Abdominal Cavity ◽  
Favorable Outcome ◽  
Surgical Department ◽  
Prolonged Delay

Summary. Objective of the study: to present to the surgical community a rather rare complication of severe destructive appendicitis – arrosive bleeding and the cause of its development. Material and methods. Published a rare clinical case from prac-tice — the development of perforation of the appendix and arrosive bleeding from the appendicular artery in a patient with acute gangrenous appendicitis. Results and its discussion. The atypical course of acute appendicitis of undulating nature under the mask of acute adnexitis and antibacterial therapy has led to a prolonged delay with surgery in the surgical department. Only the appendicular abscess, which spontaneously opened into the abdominal cavity, made it possible to diagnose acute appendicitis and determine indications for emergency surgery, during which arrosive bleeding was diagnosed. The favorable outcome of the disease is due to the local purulent-necrotic process and small hemoperitoneum. Findings. Timely diagnosis of acute appendicitis, with the involvement of additional research methods in unclear cases, and subsequent appendectomy, are the prevention of a rather rare complication — arrosive bleeding from the appendicular artery in the development of severe complicated forms of acute destructive appendicitis.

scholarly journals Postoperative Recovery Quality after General Anesthesia in Patients Undergoing Emergency Surgery

2021 ◽  
Vol 9 (B) ◽  
pp. 715-719
Author(s):  
I Gusti Agung Gede Utara Hartawan ◽  
Made Violin Weda Yani ◽  
Tjokorda Gde Agung Senapathi ◽  
I Made Gede Widnyana ◽  
Christopher Ryalino ◽  
...  
Keyword(s):  
Emergency Room ◽  
General Anesthesia ◽  
Emergency Surgery ◽  
Postoperative Recovery ◽  
Cross Sectional ◽  
Quality Of Recovery ◽  
Poor Recovery ◽  
Statistical Program ◽  
Cross Sectional Design

BACKGROUND: The quality of post-operative patient recovery is part of the indicators of the quality of anesthesia services. However, side effects were still found in post-operative patients, which resulted in the speed and quality of recovery (QoR) and an increase in the length of stay for patients in the hospital. AIM: This study aims to describe the quality of a patient’s recovery after general anesthesia for patients undergoing surgery in the emergency room. MATERIALS AND METHODS: This research is a descriptive study with a cross-sectional design conducted from February to July 2020. Patients numbered 52 people who are patients aged 18–59 years who are willing to fill out a questionnaire QoR-40 on the day after surgery. All data were analyzed using the statistical program SPSS. The median of the QoR-40 score will be used as a cutoff point between good and poor recovery quality. RESULTS: Fifty-two patients responded to the study with a median age of 44 years. The median QoR-40 score was 188, with most of the good category’s recovery quality (55.8%). The middle-aged group showed better QoR (68.2 vs. 31.8%), as well as the female compared to male (65 vs. 35%). Patients who underwent neurosurgery showed poor recovery 61.9 vs. 38.1%). CONCLUSION: More than half of the patients who underwent emergency surgery under general anesthesia in the emergency room of Sanglah Hospital have good recovery quality.

Videoconferencing for orthopaedic outpatients: one-year follow-up

2003 ◽  
Vol 9 (1) ◽  
pp. 8-11 ◽  
Author(s):  
Saija Vuolio ◽  
Ilkka Winblad ◽  
Arto Ohinmaa ◽  
Kari Haukipuro
Keyword(s):  
Outpatient Clinic ◽  
Health Centre ◽  
Management Plan ◽  
University Hospital ◽  
Surgical Department ◽  
Orthopaedic Patients ◽  
Study Population ◽  
One Year ◽  
Clinic Visits

We studied whether consultations via videoconferencing and traditional outpatient clinic visits differ in terms of the implementation of the patient management plan during a one-year follow-up. First-admission and follow-up orthopaedic patients were randomly allocated to an outpatient visit at the surgical department of Oulu University Hospital or to videoconferencing at a health centre in Pyhäjärvi. In a prospective one-year study, there were 145 consecutive orthopaedic patients who met the inclusion criteria: 84 referred for their first visit to a specialist and 61 of them for follow-up. There were 66 males (46%) in the study population. Over half the patients had some form of regenerative arthritis: 15% had hip arthritis, 33% knee arthritis and 4% other arthritis. There were no differences in the implementation of the management plan between the two groups. The study showed that videoconferencing is a valid alternative to outpatient clinic visits for orthopaedic specialist consultations.

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