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A Brief Review of the History of Traditional Chinese Medicine Manual Reduction in the Treatment of Fractures
Dingjie Liang,
Mengmeng Xu,
Jianing Zhang,
Tao He,
Yixuan Zhou,
Weiqing Qian
Issue:
Volume 11, Issue 2, April 2023
Pages:
26-30
Received:
28 February 2023
Accepted:
29 March 2023
Published:
11 April 2023
Abstract: Chinese orthopedic surgeons have accumulated rich experience in clinical practice for thousands of years and formed a unique theoretical system and treatment methods, which have been passed down from generation to generation. With the introduction of western plastic surgery technology into China in the mid-19th century, orthopedics of traditional Chinese medicine had a great development. At this stage, traditional Chinese orthopedic surgeons accepted modern western surgical techniques and summed up eight new techniques for bone-setting (traditional Chinese medicine manual Reduction). The history of the development of CO (Chinese osteosynthesis) is briefly reviewed in this article. Instead of pursuing open reduction and internal fixation, CO insists on closed reduction to treat long bone fractures of the extremities. CO pursues functional alignment of fractures, relative fixation, and recovery of the function of the affected limb as the primary purpose. This treatment concept has been widely recognized by orthopedic surgeons in China. This article introduces eight kinds of reduction manipulations for treating long bone fractures under the guidance of the concept of CO, including Touching with Hands; Traction; Rotation, Flexion, and Extension; Lift-pressing and Squeezing; Swing and Percussing; Separating the bones; Folding and Rotation; Massage. It is important that manual Reduction should not be used for open fractures. Attention should be paid to avoid injury of blood vessels and nerves during reduction.
Abstract: Chinese orthopedic surgeons have accumulated rich experience in clinical practice for thousands of years and formed a unique theoretical system and treatment methods, which have been passed down from generation to generation. With the introduction of western plastic surgery technology into China in the mid-19th century, orthopedics of traditional C...
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A Retrospective Study on Assessment of Prevalence and Treatment Outcome of Acute and Chronic Osteomyelitis at Surgical Ward in HFUSH from 2018-2021
Bethel Tesfaye Bizuneh,
Tewodros Kassahun Tarekegn,
Frewengel Melake Weldeslassie,
Sosina Abebaw Tsehay,
Teame Kiflom Gaim,
Salem Sium Mesfin,
Rediet Abebe Mekonnen,
Rediet Habtu Lebelo,
Feven Wondimu Gezahagne,
Solomon Endale Dagnachew
Issue:
Volume 11, Issue 2, April 2023
Pages:
31-40
Received:
3 January 2023
Accepted:
7 April 2023
Published:
27 April 2023
Abstract: Background: As everyone has access to the streets of cities of Ethiopia, osteomyelitis is becoming a major burden in Ethiopia and causes disability in many cases. Osteomyelitis is an infection of the bone caused by various microorganisms, most frequently S. aureus, which can enter the bone directly or through the bloodstream. The femur, tibia and humerus are bones most typically infected, but every bone can be affected. Early intravenous antibiotics treatment is the mainstays of treatment, followed by surgical treatment if no improvement. Objectives: The objective of the study is to assess the prevalence and the treatment outcome of osteomyelitis among the patients admitted to surgical ward in HFSUH from January 2018 to February 2021. Methodology: This Hospital based retrospective descriptive cross-sectional study was conducted by retrieving secondary data using structured data collection sheet on all surgical patients in HFSUH from January 2018 to February 2021. Result: total admitted cases in surgical ward between Jan 2018 and Jan 2021 were 1035. From this 211,343,339 & 142 at 2018, 2019, 2020 and 2021: years respectively. Out of a total of 41 clinical records, 30 (73.2%) were reviewed. The remaining 11 (26.8%) was omitted since the card was missing and was short of relevant information and could not fulfill the inclusion criteria. The prevalence of osteomyelitis was 30/1035x100=2.89% in HFSUH, in surgical ward from January 2018- February 2021. Conclusion: Osteomyelitis is a common, persistent and serious problem, and attention should be given to the preventable forms. There should be a proper documentation. Osteomyelitis cannot be treated effectively with IV antibiotics alone. Recommendation: Health education, building better infrastructure capacity and additional prevention method by the governmental side and routinely investigation and documentation of patient history and early referral of open fracture by the health professionals should be implemented for better prevention of osteomyelitis.
Abstract: Background: As everyone has access to the streets of cities of Ethiopia, osteomyelitis is becoming a major burden in Ethiopia and causes disability in many cases. Osteomyelitis is an infection of the bone caused by various microorganisms, most frequently S. aureus, which can enter the bone directly or through the bloodstream. The femur, tibia and h...
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Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021
Erdachew Gallo Beyene,
Tewodros Kassahun Tarekegn,
Rediet Habtu Lebelo,
Helen Assefa Berhe,
Hiwot Samuel Legesse,
Fitsum Terefe Asfaw,
Solomon Endale Dagnachew,
Michael Million Minase,
Rediet Abebe Mekonnen,
Efrata Sentayehu Teshome,
Teame Kiflom Gaim,
Salem Sium Mesfin
Issue:
Volume 11, Issue 2, April 2023
Pages:
41-54
Received:
17 January 2023
Accepted:
7 April 2023
Published:
27 April 2023
Abstract: Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value< 0.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.
Abstract: Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated ...
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Osteoplastic Orbitotomy for Surgical Treatment of Isolated Orbital Tumors
Anton Kalinovskiy,
Ekaterina Balkhanova
Issue:
Volume 11, Issue 2, April 2023
Pages:
55-59
Received:
29 December 2022
Accepted:
26 April 2023
Published:
10 May 2023
Abstract: Orbital tumors are a difficult pathology for surgical removal and are additionally complicated by the issue of selecting a proper surgical approach. Currently, the choice of approach remains debatable for the surgical treatment of orbital tumors. This paper presents a retrospective analysis of 26 patients with isolated orbital tumors who were operated on in our neurosurgical center from 2012 till 2020. The series included 15 female and 11 male patients, whose age varied from 3 to 75 years. The most common symptoms of lesions were exophthalmia (20 pts), retrobulbar pain (15 pts) and visual disorders (6 pts). In all the considered cases, the tumors were removed via osteoplastic orbitotomy. 12 patients (46%) had a tumor in either central or lateral location, 5 (20%) – in superior location, 5 (20%) – in inferior location. 24 tumors (92%) were removed totally and 2 tumors (8%) – were removed subtotally. More than 70% of the treated tumors comprised hemangiomas, pseudotumors and tear-gland tumors. 18 patients preserved their acuity at the preoperative level; 6 patients improved their visual function; visual function degraded in 2 patients. Orbitotomy has proven to be an effective technique in the removal of the most of isolated intraorbital tumors excluding those of medial location.
Abstract: Orbital tumors are a difficult pathology for surgical removal and are additionally complicated by the issue of selecting a proper surgical approach. Currently, the choice of approach remains debatable for the surgical treatment of orbital tumors. This paper presents a retrospective analysis of 26 patients with isolated orbital tumors who were opera...
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Seminoma Arising from Cryptorchidism Presenting as a Giant Extraperitoneal Abdominal Mass: A Case Report
Cheng-Kai Xia,
Xiao-Yang Wu
Issue:
Volume 11, Issue 2, April 2023
Pages:
60-63
Received:
2 April 2023
Accepted:
24 April 2023
Published:
10 May 2023
Abstract: Background: Preperitoneum cryptorchidism is infrequent in adults, and has an extremely high risk of malignant transformation. The diagnosis requires a comprehensive consideration of symptoms, findings upon physical examination, and laboratory and imaging tests. Case information: We report a case of a 38-year-old man with a massive abdominal mass corresponding to a seminoma arising from cryptorchidism. Contrast-enhanced computer tomography demonstrated a large mass with clear realm and uneven density. The testicular artery was found to originate from the left iliac fossa, and could be traced back to the abdominal aorta. The left spermatic cord was not present within the inguinal canal. Result: Laparotomy was performed with midline incision, and we did not enter the abdominal cavity, wherein a large solid mass was identified in the preperitoneum, with the vascular pedicle originating in the left iliac fossa. The mass was resected en bloc. The pathological evaluation of the resected specimen was compatible with seminoma. The patient was referred to the department of oncology after discharge. The patient completed four cycles of etoposide/cisplatin adjuvant chemotherapy. The five-year follow-up showed no evidence of local or distant disease recurrence. Conclusions: Malignant transformation of cryptorchidism can present as an abdominal mass, and clinicians must be aware of this possibility, in order to provide opportune diagnosis.
Abstract: Background: Preperitoneum cryptorchidism is infrequent in adults, and has an extremely high risk of malignant transformation. The diagnosis requires a comprehensive consideration of symptoms, findings upon physical examination, and laboratory and imaging tests. Case information: We report a case of a 38-year-old man with a massive abdominal mass co...
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