Diagnosis and Treatment of Acute Pancreatitis

Abstract Not Provided

Volume 05, issue 4

The mission of CJS is to contribute to the effective continuing medical education of Canadian surgical specialists, using innovative techniques when feasible, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research. Visit the journal website at http://canjsurg.ca/ for more.https://ir.lib.uwo.ca/cjs/1061/thumbnail.jp

Portal Hypertension

Portal hypertension is a clinical syndrome defined by a portal venous pressure gradient, exceeding 5 mm Hg. In this book the causes of its development and complications are described. Authors have presented personal experiences on conducting patients with various displays of portal hypertension. Moreover, the book presents modern data about molecular mechanisms of pathogenesis of portal hypertension in liver cirrhosis, the information about the original predictor of risk of bleeding from gastro-esophageal varices and new methods for their conservative treatment

Gradual Rewarming Preservation of Liver and Kidney Grafts

The aim of this thesis was to study the role of gradual rewarming on enhancing organ quality in organs with low quality such as ECD and especially DCD during the organ preservation phase and before implantation. This thesis also addresses an improvement in gradual rewarming protocol by adding a hemoglobin-based oxygen carrier (HBOC) to the perfusion solution in the preclinical kidney and liver rodent models

A clinical study of blunt trauma abdomen

OBJECTIVES: 1. To find out age and sex distribution of blunt trauma abdomen. 2. To study the etiology of blunt trauma abdomen. 3. To study the modes of presentation, investigations and management for different organ injuries. 4. To study the morbidity and mortality of blunt trauma abdomen. BACKGROUND: Abdominal trauma is a preventable cause of trauma- related deaths. Blunt abdominal trauma is a hard encounter because clinical signs may not be obvious. In view of its increasing incidence, diagnostic and treatment issues, this dissertation has been chosen. METHODOLOGY: 50 consecutive cases of blunt trauma abdomen presenting to Government Royapettah Hospital from April 2014 to September 2014 were prospectively studied. Patients with head, chest and orthopaedic injuries that require immediate surgical intervention were excluded from the study. Various parameters were analysed, i.e., age, sex, etiology, latent period, symptoms, signs, different organ injuries, investigations, treatment, operative procedures, complications, duration of stay in hospital, outcome and inferences made. RESULTS: Blunt trauma abdomen was common in 3rd decade (26%), predominantly affecting males (80%). Road traffic accident was the commonest etiology (50%). 50% presented within 4 hours of injury. Pain (100%) and tenderness (98%) were the commonest presentation. 60% had intra-abdominal injuries. Spleen was commonly involved in 28%. USG and CECT were 73.3% and 100% sensitive, respectively. X-Ray was 85.7% sensitive in detecting bowel injuries. 56% were managed conservatively. 8% underwent splenectomy, the commonest procedure. Surgical site infections were seen in 18%. 72% were discharged without any complications. 6% died due to complications. CONCLUSION: Preventing road traffic accidents can considerably reduce blunt trauma abdomen. Clinical suspicion is more important which could be complemented with investigations. In haemodynamically stable patients with low-grade injuries, conservative management can be tried with careful monitoring