Enteric bacterial loads are associated with interleukin-6 levels in systemic inflammatory response syndrome patients
Conclusion Enterocyte damage is associated with hypotension and tachypnia in patients with SIRS. Gut function failure may permit enteric bacteria to enter the blood, thereby elevating IL-6 levels and inducing a systemic inflammatory response, resulting in multiple organ failure. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 13, 2016 Category: Surgery Source Type: research

Colonic hemangioma, a diagnostic challenge in young adults with lower gastrointestinal tract bleeding
We report a case of a 15-year-old girl who presented with the passage of bright red blood after defecation. Diagnostic studies, including plain abdominal radiography, barium enema study, computed tomography scan, magnetic resonance imaging, and colonoscopy, revealed characteristics specific to a diagnosis of colonic hemangiomas. Awareness of the clinical features of colonic hemangiomas may help avoid inappropriate surgical intervention in these patients. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 11, 2016 Category: Surgery Source Type: research

Surgical repair of a complex renal artery aneurysm through bench surgery and autotransplantation
Publication date: Available online 12 November 2016 Source:Formosan Journal of Surgery Author(s): Hung-Yi Chen, Cheng-Chia Lin, Pin-Fu Huang, Shian-Shiang Huang, Cheng-Feng Lin, Wen-Hsiang Chen, Chun-Te Wu A 58-year-old woman with underlying medically controlled hypertension presented after an episode of sudden-onset chest pain. Chest computed tomography imaging revealed a left renal artery aneurysm (RAA) measuring 1.6 cm in diameter with mural thrombi in the distal left renal artery at bifurcation level. An interval enlargement of approximately 0.4 cm in diameter was noted within a 6-month period; however, endo...
Source: Formosan Journal of Surgery - November 11, 2016 Category: Surgery Source Type: research

Rare presentation of discrete ureteral metastasis from prostate adenocarcinoma
Publication date: Available online 4 November 2016 Source:Formosan Journal of Surgery Author(s): Che-Yuan Kuo, Shian-Shiang Wang, Chen-Hui Lee, Yen-Chuan Ou Ureteral metastasis from prostate cancer is rare. Here, we report a case of ureteral metastasis from prostate cancer in a 65-year-old man who presented with lower urinary tract symptoms. The initial prostate-specific antigen level was 372 ng/mL, and the Gleason score was 9 (4+5). Abdominal computed tomography revealed right hydronephroureter and bony metastasis but no obvious lymphadenopathy. The patient underwent bilateral orchiectomy. After 6 months, the metast...
Source: Formosan Journal of Surgery - November 4, 2016 Category: Surgery Source Type: research

Effects of computed tomography for preoperative diagnosis of acute appendicitis on hospital expenditure
Conclusion Patients with higher severity and Charlson Comorbidity Index scores are associated with an increased use of CT for the assessment of patient condition in addition to diagnosis. The preoperative use of CT depends mainly on the severity of the disease. Therefore, we do not hesitate to use CT, particularly for elderly patients or patients with high Charlson Comorbidity Index scores. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - November 1, 2016 Category: Surgery Source Type: research

Successful treatment through single-port laparoscopy for a gastrojejunal fistula caused by an accidentally ingested toothpick
We report the case of a 46-year-old man who visited the emergency department with a 3-day history of dysuria, left upper abdominal pain, left flank soreness, and high fever. Physical examination revealed tenderness in the left upper abdominal quadrant and left costovertebral angle. Abdominal computed tomography and gastroduodenoscopy were inconclusive for gastrojejunal fistula with regional peritonitis caused by an ingested toothpick. A 7-cm toothpick was successfully removed through single-port laparoscopy. Toothpick ingestion is a medical emergency because it can lead to acute abdomen and gut perforation. Single-port lap...
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research

Ischemic preconditioning in hepatic ischemic –reperfusion injury
Conclusion From the preliminary findings, further elucidation is warranted. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research

Delayed unilateral vocal cord paralysis caused by minor head trauma
Publication date: Available online 22 October 2016 Source:Formosan Journal of Surgery Author(s): Chun-Ting Chen, Zhuo-Hao Liu, Shih-Tseng Lee, Po-Hsun Tu Vocal cord paralysis caused by lower cranial nerve paralysis originating from skull base fracture is rare. Delayed unilateral glossopharyngeal and vagus nerve paralysis after minor head injury is extremely rare. In this paper, we present the case of a 49-year-old man who sustained delayed-onset right vocal cord paralysis and dysphagia in a fighting accident. High-resolution computed tomography of the skull base revealed a bony disruption in the wall of the jugular forame...
Source: Formosan Journal of Surgery - October 29, 2016 Category: Surgery Source Type: research

Incarcerated hernia following hemiarthroplasty of the hip with Austin Moore prosthesis
We report a rare case of immediately inguinal incarcerated hernia following cemented Austin Moore hemiarthroplasty for femoral neck fracture in an eighty-three years old man. Three recommendations for this critical complication following hip arthroplasty are as follows. First, a pre-operative evaluation must include a history on the development of hernia and a detailed physical examination. Second, incarcerated hernias should be included in the differential diagnosis of acute abdominal pain following hip surgery. Third, a lateral support device should be placed in the appropriate position to prevent excessive pressure on t...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Does age affect the outcomes and management of pediatric appendicitis in  Taiwan?
Publication date: Available online 29 June 2016 Source:Formosan Journal of Surgery Author(s): Hung-Chieh Lo, Wen-Kuei Chien, Chen-Sheng Huang, Sheng-Mao Wu, Hung-Chang Huang, Ray-Jade Chen, Chih-Cheng Luo Background The comprehensive coverage offered by the Taiwan National Health Insurance program enabled us to effectively evaluate the effect of age on postoperative morbidity. Purposes To investigate whether age affected the outcomes and management of appendicitis in children in Taiwan. Methods We use the Collaboration Center for Health Information Application database to identify 21,827 patients ≤18 years of age with ...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Ischenic preconditioning in ischemia –reperfusion injury
Conclusion From the preliminary findings, further elucidation is warranted. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Early feeding after loop ileostomy reversal: A prospective study
Conclusion Early enteral feeding after LIR is safe and sufficiently tolerated. Furthermore, it leads to the early return of bowel functions and thus shortens hospital stay. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Spinal gossypiboma
Publication date: Available online 16 July 2016 Source:Formosan Journal of Surgery Author(s): Yew-Weng Fong, Cheng-Ta Hsieh, Chih-Ju Chang Gossypiboma describes a reaction due to a mass within the body composed of a retained surgical cotton matrix surrounded by a foreign body. Although it can cause serious complications, it is rarely reported due to medicolegal implications. Here, we report a case of a 79-year-old female patient who presented with lower back pain for 1 month. She had undergone spinal surgery for a herniated intervertebral disc at the L5–S1 level more than 10 years ago. Computed tomography and magnet...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Laparoscopic heminephroureterectomy for urothelial carcinoma in a horseshoe kidney
Publication date: Available online 26 July 2016 Source:Formosan Journal of Surgery Author(s): Shu-Chi Wang, Siu-Wan Hung, Kun-Yuan Chiu A 75-year-old man with gross hematuria for 10 months received a diagnosis of urothelial carcinoma in the left moiety of a horseshoe kidney. Laparoscopic heminephroureterectomy was performed smoothly and without perioperative complications. Preoperative computed tomography angiography was shown to be a valuable imaging modality for evaluating anatomical variations, and the laparoscopic approach was effective for managing malignancy in a horseshoe kidney. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Postendoscopic intraoral prolapse of a giant esophageal fibrovascular polyp
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Ashok Kumar, Anu Behari, V.K. Kapoor, Arpit Verma, Kiran Preet Malhotra Fibrovascular polyp of the esophagus is a benign, slow-growing, intraluminal, submucosal tumor. When present in the upper esophagus, it may rarely prolapse through the mouth and may cause asphyxia because of acute airway obstruction. Here, we report a case of a giant fibrovascular esophageal tumor that prolapsed through the mouth during the removal of an upper gastrointestinal endoscope, inducing respiratory distress. Urgent nasotracheal intubation was perf...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Transmesenteric small bowel herniation causing intestinal obstruction following laparoscopic transperitoneal nephrectomy
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Mohammed M. Hajhamad, Reynu Rajan, Nik R. Kosai, Badrulhisham Bahadzor In the field of urology, laparoscopic nephrectomy has become the most frequently performed laparoscopic procedure. Bowel-related complications are rare and predominantly ileus related. In addition, intestinal obstruction (IO) secondary to internal herniation is rarely documented. According to our review of the literature, only a few such cases have been reported worldwide. Here, we report a 72-year-old man with painless macroscopic hematuria. He was diagnose...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Delayed cerebral venous infarction after transarterial embolization of intracranial dural arteriovenous fistula: A rare complication
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Chee-Tat Lam, Yong-Hui Liu, Chen-Yu Hsiao, Hang-Wei Liu, Ming-Dar Tsai A 34-year-old male patient presented with seizure and was finally diagnosed with intracerebral hematoma because of dural arteriovenous fistula bleeding. Acute onset of hemiplegia developed after 9 days of endovascular therapy. Angiography confirmed venous thrombosis. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Spontaneous ureteral rupture
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Yu-Chuang Chu, An-Hsun Chou, Wing-Keung Cheung, Kuang-Chau Tsai, Min-Po Ho Spontaneous ureteral rupture is defined as the nontraumatic leakage of urine from the ureter. This is a rare urological disorder, and only a small number of cases have been reported. Here, we report a rare case of a patient with spontaneous ureteral rupture who presented at our emergency department with abdominal distension and flank pain; the final diagnosis was confirmed through computed tomography (CT). The patient received urgent right percutaneous n...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Anastomotic aneurysm formation after superficial temporal artery – middle cerebral artery bypass surgery in 5 months
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Chien-Lun Tang, Chiung-Chyi Shen Direct revascularization is beneficial in patients with moyamoya disease under selective conditions. Here, we report the case of a patient with moyamoya disease who developed a complication following revascularization through cerebrovascular bypass surgery. A 42-year-old man experienced an acute onset of weakness in the right limbs with slurred speech. He was initially treated for a suspected transient ischemic attack. Further workup revealed luminal narrowing in the left M1 segment (from the or...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Buried penis
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Tai-Wai Chin Buried penis is a congenital anomaly in which the penis is normal in size but appears to be small (i.e., the external genitalia appear small). This anomaly is usually associated with inadequate outer penile skin, fibrosis of the Dartos fascia, inadequate subcutaneous attachment to Buck's fascia, and narrow opening of the prepuce. Various systems have been used to classify this anomaly and its related conditions. Several symptoms such as difficulty maintaining hygiene and holding the penis during voiding, balanitis,...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Incarcerated internal hernia of the broad ligament
Publication date: Available online 6 August 2016 Source:Formosan Journal of Surgery Author(s): Chi-Feng Yen, Cheng-Yu Lee, Hung-Bun Lam Internal hernia-related small-bowel loop obstruction is very rare, and hernia through a defect of the broad ligament is especially rare. Here, we report a case of a 45-year-old woman with small-bowel obstruction secondary to internal hernia through a defect in the broad ligament and diagnosed through multiple detector computed tomography (MDCT) and confirmed at surgery. The CT findings that enabled the diagnosis of this extremely rare cause of small-bowel obstruction are presented here. A...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Management for primary thyroid lymphoma: Experience from a single tertiary care centre in Taiwan
Conclusion Core-needle biopsy is superior to fine-needle biopsy for diagnosing primary thyroid lymphomas without increasing complications. Thyroidectomy in localized, low-grade MALT lymphoma of the thyroid can cure the disease and exclude high-grade malignancies in the remaining glands. By contrast, DLBCL should be treated with chemotherapy and radiotherapy after diagnosis through biopsy, and extensive surgery should be avoided. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Acute appendicitis following blunt abdominal trauma in children: by chance or a cause?
Conclusion Acute appendicitis or appendiceal perforation following significant BTA is rare. In the two corresponding cases in this study, the etiology may have been dislodgement of the appendicolith at the moment of injury. Moreover, children may erroneously implicate appendicular pain to be trivial trauma sustained during play (6.8% of the current cases). In all children presenting with right lower abdominal pain and vomiting following BTA (although trivial), the possibility of appendiceal pathology should be considered. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Successful treatment through single-port laparoscopy of a gastrojejunal fistula caused by an accidentally ingested toothpick
We report the case of a 46-year-old man who visited the emergency department with a 3-day history of dysuria, left upper abdominal pain, left flank soreness, and high fever. Physical examination revealed tenderness in the left upper abdominal quadrant and left costovertebral angle. Abdominal computed tomography and gastroduodenoscopy were inconclusive for gastrojejunal fistula with regional peritonitis caused by an ingested toothpick. A 7-cm toothpick was successfully removed through single-port laparoscopy. Toothpick ingestion is a medical emergency because it can lead to acute abdomen and gut perforation. Single-port lap...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Spontaneous rupture of an extremely large gastrointestinal stromal tumor of the jejunum
In this report, we review the literature on this rare condition and discuss potential strategies for diagnosing and managing patients with a spontaneous rupture of an extremely large GIST of the jejunum. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research

Supratentorial leptomeningeal hemangioblastoma resection after tumor  embolization
Publication date: April 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 2 Author(s): Ching-Yi Lee, Shiu-Jau Chen Cerebral hemangioblastomas are vascular tumors and rarely occur in supratentorial locations. Here we present a case of a 52-year-old woman with a supratentorial hemangioblastoma mimicking a meningioma. Brain computed tomography and magnetic resonance imaging revealed an intensely contrast-enhanced dural-based solid mass in the left frontal region. We demonstrate that vascular supratentorial hemangioblastomas can be resected with limited blood loss through preoperative middle meningeal artery emboli...
Source: Formosan Journal of Surgery - June 17, 2016 Category: Surgery Source Type: research

Transmesenteric small bowel herniation that caused intestinal obstruction following laparoscopic transperitoneal nephrectomy
Publication date: Available online 11 June 2016 Source:Formosan Journal of Surgery Author(s): Mohammed M. Hajhamad, Reynu Rajan, Nik R. Kosai, Badrulhisham Bahadzor In the field of urology, laparoscopic nephrectomy has become the most frequently performed laparoscopic procedure. Bowel-related complications are rare and predominantly ileus related. In addition, intestinal obstruction (IO) secondary to internal herniation is rarely documented. According to our review of the literature, only a few such cases have been reported worldwide. Here, we report a 72-year-old man with painless macroscopic hematuria. He was diagn...
Source: Formosan Journal of Surgery - June 11, 2016 Category: Surgery Source Type: research

Epidemiology and treatment of inpatients urolithiasis in Taiwan
Conclusion This study reveals patterns in the epidemiology and utilization of medical resources for inpatients with urolithiasis and provides a basis for the implementation of stone treatment guidelines in Taiwan. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - June 5, 2016 Category: Surgery Source Type: research

Treatment of locally advanced low rectal cancer
Publication date: Available online 3 June 2016 Source:Formosan Journal of Surgery Author(s): Po-Chuan Chen, Jenq-Chang Lee Rectal cancer is a formidable disease with high recurrence and metastasis rates, particularly before total mesorectal excision (TME) was first described by Heald and Ryall in 1982. Through this ground-breaking operative procedure, rectal cancer has become a potentially curable condition. Traditional abdominoperineal resection has gradually been replaced with TME and coloanal anastomosis for resectable low rectal cancer. In addition, improved overall survival and decreased local recurrence rates hav...
Source: Formosan Journal of Surgery - June 2, 2016 Category: Surgery Source Type: research

Role of the blood vessel and arachnoid as conflicting structures during microvascular decompression for treating typical trigeminal neuralgia
Conclusion The tightness of the junction between the offending artery and the trigeminal nerve may represent a major factor affecting different postoperative outcomes following MVD. An offending artery may be attached to the arachnoid thickening, resulting in a neurovascular compressive effect, whereas the role of venous contact as a cause of TN remains debatable. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - May 29, 2016 Category: Surgery Source Type: research

Xanthogranulomatous lesion in recurrent appendicitis
Publication date: Available online 24 May 2016 Source:Formosan Journal of Surgery Author(s): Asri Che Jusoh, Syahmi Abdul Ghani Acute appendicitis (AA) is the most common acute surgical condition of the abdomen. Most resected specimens have been reported to have marked cellular infiltration, predominantly by neutrophils. By contrast, the occurrence of a xanthogranulomatous (XG) lesion is extremely rare. To date, only a few cases have been reported in the literature. Moreover, its clinical implications remain to be evaluated. Here, we report the case of a 16-year-old boy who presented with a typical history of AA for 2 ...
Source: Formosan Journal of Surgery - May 24, 2016 Category: Surgery Source Type: research

Cecal perforation in a pediatric patient caused by cecal bascule
Publication date: Available online 24 May 2016 Source:Formosan Journal of Surgery Author(s): Rahul Gupta, Sunil Mehra, Soumyodhriti Ghosh, Pradeep Kumar Gupta, Praveen Mathur, Anu Bhandari Cecal volvulus is a rare condition. Cecal bascule, a variant of cecal volvulus, is also rare, with only a few cases reported in the literature. To the best of our knowledge, only one case of cecal bascule in a pediatric patient with neurological impairment has been reported. The clinical presentation of cecal bascule is similar to that of cecal volvulus. The goal of management in patients with cecal bascule is to prevent complica...
Source: Formosan Journal of Surgery - May 24, 2016 Category: Surgery Source Type: research

Salvage of ineffective transarterial embolization with liver resection in a patient with repeated hepatic angiosarcoma bleeding
In conclusion, TAE is only a temporary treatment for internal bleeding from a ruptured hepatic angiosarcoma. Recurrent, potentially fatal bleeding may be caused by supplemental vascularization of the portal vein. Surgical tumor resection is necessary for the curative treatment of hepatic angiosarcomas and the prevention of repeated internal bleeding. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - May 23, 2016 Category: Surgery Source Type: research

Supratentorial leptomeningeal hemangioblastoma resection after tumor embolization
Publication date: April 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 2 Author(s): Ching-Yi Lee, Shiu-Jau Chen Cerebral hemangioblastomas are vascular tumors and rarely occur in supratentorial locations. Here we present a case of a 52-year-old woman with a supratentorial hemangioblastoma mimicking a meningioma. Brain computed tomography and magnetic resonance imaging revealed an intensely contrast-enhanced dural-based solid mass in the left frontal region. We demonstrate that vascular supratentorial hemangioblastomas can be resected with limited blood loss through preoperative middle meningeal artery emboli...
Source: Formosan Journal of Surgery - May 2, 2016 Category: Surgery Source Type: research

Coronary artery revascularization in hemodialysis patients with multivessel coronary artery disease
Publication date: Available online 23 April 2016 Source:Formosan Journal of Surgery Author(s): Chan-Yang Hsu, Yih-Sharng Chen Coronary artery disease (CAD) is a major cause of morbidity and mortality in patients with end-stage renal disease (ESRD). Such a combination poses a considerable technical challenge for revascularization because of multiple comorbidities and higher surgical risk. Here, we conducted a literature review on different revascularization strategies, on-pump and off-pump bypass grafting outcomes, harvested internal mammary artery numbers, and potential complications (e.g., steal syndrome) in managing ...
Source: Formosan Journal of Surgery - April 22, 2016 Category: Surgery Source Type: research

Successful downstaging of isolated bony metastatic prostate cancer after metastasectomy and androgen deprivation therapy
We present a case of isolated left sixth rib metastasis from prostate cancer that was treated with metastasectomy and androgen deprivation therapy. Salvage radical prostatectomy was conducted subsequently, successfully downstaging the tumor. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - April 10, 2016 Category: Surgery Source Type: research

Management of traumatic arterial pseudoaneurysms as a result of limb trauma
Conclusion Publications relating to traumatic artery PSAs have increased significantly over the past decade. The target population is often the young adult male. The treatment of arterial trunks is largely dominated by conventional surgery, despite the technical innovations of the endovascular method. However, it is interesting for PSA-dependent arterial branches. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - April 3, 2016 Category: Surgery Source Type: research

Using inhaled nitric oxide for a patient with pulmonary hypertension during biventricular assist device surgery in the operating room
Publication date: Available online 30 March 2016 Source:Formosan Journal of Surgery Author(s): I-Chun Hou, Fan-Yen Lee, Su-Fang Wang, Szu-Hui Wu, Mei-Ling Hsueh, Mei-Lein Tu Many patients experience hemodynamic collapse associated with severe heart failure despite receiving an optimal medical therapy. Therefore, mechanical circulatory assist devices, such as the intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO) device, and ventricular assist device (VAD), are used. In this paper, we report the successful treatment of a 59-year-old male patient with heart failure awaiting heart transplanta...
Source: Formosan Journal of Surgery - March 30, 2016 Category: Surgery Source Type: research

Occlusion of acute distal brachial, proximal radial and ulnar arteries in a young thrower
Publication date: Available online 24 March 2016 Source:Formosan Journal of Surgery Author(s): Wei-Chien Hsu, Chung Da Wu Acute arterial occlusion, a rare condition in throwers, requires early detection and treatment for avoiding further complications. Thus far, no study has mentioned the occurrence of distal brachial, proximal radial, and ulnar artery occlusion in baseball players. An adolescent baseball pitcher presented with acute occlusion of the distal brachial, proximal radial, or ulnar artery. The patient complained of a cold sensation in the hand, wrist, and distal forearm. On physical examination, decreased su...
Source: Formosan Journal of Surgery - March 23, 2016 Category: Surgery Source Type: research

Supratentorial leptomeningeal hemangioblastoma resection after preoperative embolization
Publication date: Available online 21 March 2016 Source:Formosan Journal of Surgery Author(s): Ching-Yi Lee, Shiu-Jau Chen Cerebral hemangioblastomas are vascular tumors and rarely occur in supratentorial locations. Here we present a case of a 52-year-old woman with a supratentorial hemangioblastoma mimicking a meningioma. Brain computed tomography and magnetic resonance imaging revealed an intensely contrast-enhanced dural-based solid mass in the left frontal region. We demonstrate that vascular supratentorial hemangioblastomas can be resected with limited blood loss through preoperative middle meningeal artery emboli...
Source: Formosan Journal of Surgery - March 21, 2016 Category: Surgery Source Type: research

A rare case of Rapunzel syndrome with multiple small bowel intussusceptions and bowel obstruction
We report a case of a 5-year-old girl with Rapunzel syndrome causing multiple small bowel intussusceptions. We were unable to identify the main cause of this condition during laparoscopic reduction. Definite diagnosis was made after the development of gastrointestinal tract obstruction. Surgeons should consider the possibility of Rapunzel syndrome when diagnosing the main cause of intussusceptions. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - March 15, 2016 Category: Surgery Source Type: research

Effects of tamoxifen on traumatic brain injury-induced depression in male rats
Conclusion Our results suggest that intraperitoneal injection of TMX may ameliorate TBI-induced depression-like behavior in rats by increasing neuronal p-ERK1/2 expression, which may be associated with neuronal Bcl2 and BDNF expression and decreased neuronal apoptosis. This effect might represent a mechanism underlying the recovery from depression-like behavior. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - March 9, 2016 Category: Surgery Source Type: research

Abdominis rectus intramuscular myositis ossificans
Publication date: February 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 1 Author(s): Wei-Tang Li, Shyue-Yih Horng, Hsiung-Fei Chien Myositis ossificans (MO) is a benign, localized, and self-limiting soft tissue tumor. The condition is associated with prominent heterotrophic bone formation within the muscles, ligaments, and fascia. Clinically, MO could be confused with malignant lesions, such as osteosarcoma and soft-tissue sarcoma. Few reports have described the cytological findings and differential diagnoses of MO and malignant tumors trough diagnostic imaging. Thus, we reviewed the literature on MO. We ...
Source: Formosan Journal of Surgery - March 3, 2016 Category: Surgery Source Type: research

Extensor-pollicis-longus or -brevis tendon rupture after corticosteroid injection
We present two cases and review possible rupture mechanisms. In case 1, the patient presented with a painful swelling on the dorsal side of her right first metacarpophalangeal joint. An orthopedic surgeon prescribed three local corticosteroid injections over 4 weeks, and the patient experienced a sudden loss of extension on the distal phalanx of her thumb 3 weeks after the last injection. Two days later, the proximal phalanx of the thumb lost its extension. Surgical exploration revealed that the extensor-pollicis-longus and extensor-pollicis-brevis tendons were completely severed. Both tendon ends had edematous n...
Source: Formosan Journal of Surgery - March 3, 2016 Category: Surgery Source Type: research

A rare hepatic trauma caused by vertical inertial force
We report the case of a 33-year-old man who presented to our emergency department with severe abdominal pain. He had no trauma history. Physical examination revealed peritonitis. Abdominal computed tomography revealed a large hepatic laceration with massive hemoperitoneum. The patient underwent emergency laparotomy and surgical repair of the hepatic laceration. A vertical inertial force was postulated as the cause of such a rare hepatic trauma. He recovered uneventfully. We review and discuss the detailed trauma history, clinical manifestations, imaging study observations, and mechanisms underlying inertial force injury in...
Source: Formosan Journal of Surgery - February 25, 2016 Category: Surgery Source Type: research

Arthroscopic synovectomy considerably reduces bleeding frequency and improves joint function in hemophilic patients with chronic synovitis
Conclusion Arthroscopic synovectomy, a less invasive procedure for HA, significantly reduced joint pain, prevented bleeding episodes, and improved joint function with few complications. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - February 17, 2016 Category: Surgery Source Type: research

Autologous fat grafting for treating lipoatrophy secondary to lupus erythematosus panniculitis
Publication date: Available online 14 February 2016 Source:Formosan Journal of Surgery Author(s): Hsiao-Peng Huang, Yung-Chia Huang, Yuan-Sheng Tzeng, Chih-Hsin Wang, Tim-Mo Chen, Shyi-Gen Chen Lupus erythematosus panniculitis (LEP) is an uncommon variant of LE and accounts for only 1–3% of cutaneous LE cases. LEP lesions often heal with cutaneous scarring and lipoatrophy resulting in disfigurement. Studies regarding the treatment of permanent lipoatrophy and disfigurement caused by LEP are lacking in the literature. Here, we report our experience with a rare case of lipoatrophy caused by LEP that was treated...
Source: Formosan Journal of Surgery - February 16, 2016 Category: Surgery Source Type: research

A rare case of multiple small bowel intussusceptions and bowel obstruction caused by Rapunzel syndrome
We report a case of a 5-year-old girl with Rapunzel syndrome causing multiple small bowel intussusceptions. We were unable to identify the main cause of this condition during laparoscopic reduction. Definite diagnosis was made after the development of gastrointestinal tract obstruction. Surgeons should consider the possibility of Rapunzel syndrome when diagnosing the main cause of intussusceptions. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - February 16, 2016 Category: Surgery Source Type: research

Huge abdominal wall reconstruction with island pedicle anterolateral thigh flap with tensor fascia lata plus vastus lateralis muscle
We report a large abdominal wall reconstruction with island pedicle ALT flap with tensor fascia lata plus vastus lateralis muscle. An 80-year-old man with a large recurrent abdominal wall tumor had undergone two tumor resections after 2010. The pathology report demonstrated fibromatosis in 2010. Recently, computed tomography revealed a large, lobulated mass measuring approximately 11.8 cm × 5.3 cm × 8.8 cm, with heterogeneous enhancement, located at the left abdominal wall with cutaneous and subcutaneous involvement and adjacent omentum thickening. Wide excision and subsequent...
Source: Formosan Journal of Surgery - February 16, 2016 Category: Surgery Source Type: research

Experience of surgical treatment for hepatoblastoma
Conclusion A careful complete resection of HB combined with aggressive chemotherapy can yield long-term survival in most patients with HB. Liver transplantation should be performed in patients with unresectable tumors and tumor recurrence immediately after recurrence. Repeat hepatectomy is not recommended if a live donor is available. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - February 13, 2016 Category: Surgery Source Type: research