Publisher: Medknow Publishers   (Total: 419 journals)

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Showing 1 - 200 of 419 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access   (Followers: 2)
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 8)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access   (Followers: 1)
African J. of Medical and Health Sciences     Open Access   (Followers: 4)
African J. of Paediatric Surgery     Open Access   (Followers: 8, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access   (Followers: 3)
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access   (Followers: 2)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 11)
Annals of African Medicine     Open Access   (Followers: 3, SJR: 0.258, CiteScore: 1)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 15, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access   (Followers: 1)
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 9)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 14, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 16, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 2)
Arab J. of Interventional Radiology     Open Access   (Followers: 1)
Archives of Cardiovascular Imaging     Open Access   (Followers: 2, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 11, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 7)
Archives of Medicine and Surgery     Open Access   (Followers: 2)
Archives of Pharmacy Practice     Open Access   (Followers: 12, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 6, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access   (Followers: 1)
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (Followers: 1, SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 7)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access   (Followers: 1)
Biomedical Research J.     Open Access   (Followers: 3)
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 4)
Canadian J. of Rural Medicine     Full-text available via subscription   (Followers: 1, SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access   (Followers: 1)
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 3)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 5)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 14, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 5, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 2)
CytoJ.     Open Access   (Followers: 3, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 5, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 14, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access   (Followers: 1)
Digital Medicine     Open Access   (Followers: 1)
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 10, SJR: 0.242, CiteScore: 0)
Education in the Health Professions     Open Access   (Followers: 2)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 4)
Egyptian J. of Psychiatry     Open Access   (Followers: 1)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 3)
Egyptian Pharmaceutical J.     Open Access   (Followers: 3)
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access   (Followers: 2)
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 4)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 5, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 3, SJR: 0.12, CiteScore: 0)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 2)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 4)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access   (Followers: 1)
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 4)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 5, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 2)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 3)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 2, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 3, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 6, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 3)
Indian J. of Pain     Open Access   (Followers: 2)
Indian J. of Palliative Care     Open Access   (Followers: 9, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 4, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (Followers: 1, SJR: 0.412, CiteScore: 1)
Indian J. of Psychiatry     Open Access   (Followers: 2, SJR: 0.408, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 5)
Indian J. of Research in Homoeopathy     Open Access   (Followers: 2)
Indian J. of Respiratory Care     Open Access   (Followers: 3)
Indian J. of Rheumatology     Open Access   (Followers: 1, SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 1)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 5, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 2)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access   (Followers: 2)
Intl. J. of Advanced Medical and Health Research     Open Access   (Followers: 1)
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access   (Followers: 1)
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 8, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 4)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 4)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 2)
Intl. J. of Orthodontic Rehabilitation     Open Access   (Followers: 2)
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 2)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 19)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 9)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Acute Disease     Open Access   (SJR: 0.163, CiteScore: 1)
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 3, SJR: 0.309, CiteScore: 1)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 10, SJR: 0.612, CiteScore: 1)
J. of Applied Hematology     Open Access   (Followers: 2)

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Formosan Journal of Surgery
Journal Prestige (SJR): 0.112
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1682-606X - ISSN (Online) 2213-5413
Published by Medknow Publishers Homepage  [419 journals]
  • Association between nonsteroidal anti-inflammatory drugs and lower
           incidence of surgical treatment of chronic subdural hematoma: A
           population-based study

    • Authors: Jui-Ming Sun, Cheng-Ta Hsieh, Yu-Hao Chen, Jin-Yin Chang, Chih-Shung Wong, Chih-Ta Huang
      Pages: 159 - 164
      Abstract: Jui-Ming Sun, Cheng-Ta Hsieh, Yu-Hao Chen, Jin-Yin Chang, Chih-Shung Wong, Chih-Ta Huang
      Formosan Journal of Surgery 2020 53(5):159-164
      Background: Chronic subdural hematoma (CSDH) is a common neurosurgical disease and is considered an inflammatory angiogenic entity. An association between nonsteroidal anti-inflammatory drugs (NSAIDs) and surgical CSDH in patients following minor head injury without intracranial bleeding has not been reported. Therefore, we used a national population-based database to investigate the association between the use of NSAIDs and the incidence of surgical CSDH.To investigate the association between nonsteroidal anti-inflammatory drugs and the incidence of surgical chronic subdural hematoma.Materials and Methods: We extracted analytical data from the Longitudinal Health Insurance Database (2010), a subset of the National Health Insurance Research Database. Patients aged younger than 50 years, who had undergone neurosurgical procedures or who had a head injury with intracranial bleeding, were excluded from the study.Results: Of 67,296 patients with minor head injury without intracranial bleeding, 482 (0.72%) developed surgical CSDH. Patients who received NSAIDs were more likely to have comorbidities, including ischemic heart disease, stroke, diabetes mellitus, hypertension, hyperlipidemia, renal diseases, arrhythmia, heart failure, chronic liver disease, and valvular heart disease (P < 0.001). Surgical CSDH was more likely to develop in male patients who did not receive NSAIDs (adjusted odds ratio [OR] = 1.34, 95% confidence interval [CI] = 1.05–1.72, P < 0.05) and those aged >65 years (adjusted OR = 1.5, 95% CI = 1.15–1.92, P < 0.01). The adjusted OR of surgical CSDH in patients who did not receive NSAIDs was 1.37 (95% CI = 1.09–1.71, P < 0.01).Conclusion: Surgical CSDH may be more likely to develop in patients aged >65 years, male patients, and patients who did not receive NSAIDs. NSAID use may be associated with a low incidence of surgical CSDH in patients following minor head injury without intracranial bleeding.
      Citation: Formosan Journal of Surgery 2020 53(5):159-164
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_23_20
      Issue No: Vol. 53, No. 5 (2020)
       
  • Role of mitochondrial DNA copy number alteration in non-small cell lung
           cancer

    • Authors: Chen-Sung Lin, Yi-Chen Yeh, Siao-Cian Pan, Shih-Yu Lu, Yann-Jang Chen, Wen-Yu Chueh, Yau-Huei Wei
      Pages: 165 - 176
      Abstract: Chen-Sung Lin, Yi-Chen Yeh, Siao-Cian Pan, Shih-Yu Lu, Yann-Jang Chen, Wen-Yu Chueh, Yau-Huei Wei
      Formosan Journal of Surgery 2020 53(5):165-176
      Background: Mitochondrial dysfunction may involve in the progression of human non-small cell lung cancers (NSCLCs). We analyzed the mitochondrial DNA (mtDNA) copy number, the expression levels of mitochondrial biogenesis-related proteins including pyruvate dehydrogenase, mitochondrial transcription factor A (TFAM) and mtDNA-encoded peptide NADH dehydrogenase subunit 1 (ND1), and the expression level of hexokinase II (HK-II) in human NSCLCs both ex vivo and in vitro.Materials and Methods: Paired cancerous and non-cancerous pathological specimens from 20 resected NSCLCs and an NSCLC cell line, the H23, were used in this study. H23 was infected by lentiviral particles to knockdown (KD) the expression of TFAM. TFAM-Null and TFAM-KD represent the control and TFAM knocked-down H23 cells, respectively. The mtDNA copy number was measured by quantitative real-time polymerase chain reaction and the protein expression levels were measured by immunohistochemical staining and Western blotting, respectively.Results: Low TFAM expression (P = 0.066) and low mtDNA copy number of NSCLCs (P = 0.009) were poor prognostic variables in NSCLC patients. Advanced T4 NSCLCs had lower TFAM expression (P = 0.021), lower expression of mtDNA-encoded ND1 polypeptide (P = 0.049), and lower mtDNA copy number (P = 0.050) than did T1 or T2/T3 NSCLCs, respectively. TFAM-KD cells expressed lower levels of TFAM protein (P < 0.005), ND1 polypeptide (P < 0.005) and mtDNA copy number (P = 0.003), but higher level of vimentin protein (P = 0.045) and higher transwell migration activity (P = 0.003) than did TFAM-Null cells.Conclusion: Mitochondrial dysfunction caused by lower levels of TFAM, mtDNA copy number, and mtDNA-encoded ND1 polypeptide may play an important role in the progression of NSCLCs.
      Citation: Formosan Journal of Surgery 2020 53(5):165-176
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_15_20
      Issue No: Vol. 53, No. 5 (2020)
       
  • Solid-predominant ground-glass opacity has a higher recurrence rate

    • Authors: Hsin-Ju Han, Han-Shui Hsu, Yi-Han Lin
      Pages: 177 - 183
      Abstract: Hsin-Ju Han, Han-Shui Hsu, Yi-Han Lin
      Formosan Journal of Surgery 2020 53(5):177-183
      Background: Although it is generally considered that ground-glass opacity (GGO) is less invasive and sublobar resection is adopted, recurrence still occurs in these patients. The risk factors that affect GGO recurrence need to be re-evaluated.Materials and Methods: We collect retrospectively the data of GGO patients and study the risk factors of tumor recurrence. Patients with T1N0M0 lung adenocarcinoma who underwent lung resection from 2011 to 2016 were enrolled in the study. The collected variables included GGO size, solid part size, consolidation/tumor ratio (CTR), clinical T stage, surgical procedure, and pathology report, from which the risk factors affecting tumor recurrence were analyzed.Results: A total of 28 recurred in 694 patients. Risk factors include age, tumor size, solid part size, CTR ≧50%, and surgical procedures. After multivariate analysis, the only risk factor was CTR ≧50% that will affect tumor recurrence (hazard ratio: 6.789, P < 0.001).Conclusion: CTR ≧50% is a risk factor affecting GGO recurrence. Clinicians should be more careful with such tumors.
      Citation: Formosan Journal of Surgery 2020 53(5):177-183
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_40_20
      Issue No: Vol. 53, No. 5 (2020)
       
  • Factors affecting mortality in trauma patients with more than three rib
           fractures

    • Authors: Po-Lun Tsai, Chun-Ying Huang, Jung-Fang Chuang, Sheng-En Chou, Wei-Ti Su, Shiun-Yuan Hsu, Ching-Hua Hsieh
      Pages: 184 - 190
      Abstract: Po-Lun Tsai, Chun-Ying Huang, Jung-Fang Chuang, Sheng-En Chou, Wei-Ti Su, Shiun-Yuan Hsu, Ching-Hua Hsieh
      Formosan Journal of Surgery 2020 53(5):184-190
      Background: In patients with rib fractures, a higher number of rib fractures has been reported to increase the risk of mortality. This study aimed to explore the risk factors for mortality in patients with more than three rib fractures.Materials and Methods: This retrospective study involved a data review of 35,154 trauma patients registered in the Trauma Registry System of a single urban trauma center in Taiwan from January 1, 2009, to December 31, 2018. In total, 1,296 patients who had more than three rib fractures were identified and categorized into two groups: mortality (n = 42) and survival (n = 1,254). Univariate and multivariate logistic regression analyses were applied to identify the independent effects of predictive variables of mortality in patients with multiple rib fractures.Results: Patients who died had a significantly higher number of rib fractures (6.9 ± 3.0 vs. 5.5 ± 1.7, P < 0.001), lower Glasgow Coma Scale (GCS) score (median [interquartile range, Q1–Q3]; 12.5 [3–15] vs. 15.0 [15–15], P < 0.001), and higher injury severity score (ISS) (median [Q1–Q3]; 35.0 [26–41] vs. 16.0 [13–22], P < 0.001) than those who survived. The mortality group had a 10.4-, 3.8-, and 2.9-fold higher odds of sustaining a sternal fracture, pulmonary contusion, and hemopneumothorax, respectively. Multivariate logistic regression analysis revealed that age (odds ratio [OR], 1.1; 95% confidence interval [CI], 1.05–1.12; P < 0.001), number of rib fractures (OR, 1.2; 95% CI, 1.04–1.47; P = 0.016), GCS (OR, 0.8; 95% CI, 0.76–0.93; P = 0.001), ISS (OR, 1.2; 95% CI, 1.10–1.21; P < 0.001), blood transfusion (OR, 4.3; 95% CI, 1.37–13.40; P = 0.013), and hemopneumothorax (OR, 15.5; 95% CI, 2.769–86.62; P = 0.002) were the significant independent risk factors for mortality.Conclusion: This study revealed that age, number of rib fractures, GCS, ISS, blood transfusion, and hemopneumothorax were the significant independent risk factors for mortality of the patients with more than three rib fractures.
      Citation: Formosan Journal of Surgery 2020 53(5):184-190
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_24_20
      Issue No: Vol. 53, No. 5 (2020)
       
  • Surgical treatment of Stanford type A dissection for a patient with situs
           inversus

    • Authors: Xiao Chun Ling, Kuei-Ton Tsai
      Pages: 191 - 194
      Abstract: Xiao Chun Ling, Kuei-Ton Tsai
      Formosan Journal of Surgery 2020 53(5):191-194
      Situs inversus totalis represents a positional anomaly of fetal development, in which the heart is right sided with inverted atria, along with mirror-imaged malposition of other visceral organs. Situs inversus totalis is frequently associated with concurrent cardiac anomaly of the patient. Therefore, in the event of life-threatening conditions such as acute aortic dissection, effective surgical planning, and optimal management are crucial to survival. We report the rare case of a 66-year-old male with situs inversus totalis and type A aortic dissection who, sustaining abdominal visceral ischemia and paraplegia at the initial presentation, had then undergone successful aortic graft reconstruction. Besides, a brief review of literature is presented with regard to situs inversus and aortic dissection.
      Citation: Formosan Journal of Surgery 2020 53(5):191-194
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_4_19
      Issue No: Vol. 53, No. 5 (2020)
       
  • Sump syndrome following choledochoduodenostomy

    • Authors: Dhaivat Vaishnav, Mahendra Narwaria
      Pages: 195 - 197
      Abstract: Dhaivat Vaishnav, Mahendra Narwaria
      Formosan Journal of Surgery 2020 53(5):195-197
      Sump syndrome is a rare long-term complication of side-to-side choledochoduodenostomy (CDD), a common surgical procedure in patients with biliary tract disease in the era before endoscopic retrograde cholangiopancreatography (ERCP). In the setting of a side-to-side CDD, the bile does not drain through the distal common bile duct (CBD) anymore. Therefore, the part of the CBD distal from the CDD anastomosis consequently transforms into a poorly drained reservoir, making this so-called “sump” prone to accumulation of debris. These patients are prone to cholangitis. We present a case of a 56-year-old woman with a history of side-to-side CDD 8 years ago who presented with cholangitis and ruptured liver abscess. Sump syndrome was diagnosed by magnetic resonance cholangiopancreatography. Laparoscopic peritoneal lavage was done for the ruptured liver abscess. After endoscopic debris removal and antibiotic treatment, the patient recovered well. In the ERCP era, little is known about CDD and its long-term complications. Therefore, this report provides an opportunity to refresh the knowledge and raise awareness of this syndrome.
      Citation: Formosan Journal of Surgery 2020 53(5):195-197
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_79_19
      Issue No: Vol. 53, No. 5 (2020)
       
  • Borderline malignancy solitary fibrous tumor of abdominal wall

    • Authors: Wang Lung-Jui
      Pages: 198 - 201
      Abstract: Wang Lung-Jui
      Formosan Journal of Surgery 2020 53(5):198-201
      Solitary fibrous tumor (SFT) is a rare mesenchymal tumor originating in the pleura or at virtually any site in the soft tissue. Although they are commonly thought of as intrathoracic tumors, 50% to 70% of SFTs arise outside the thorax. Approximately 78% to 88% of SFT are benign and 12% to 22% are malignant. The most common sign/symptom of intraabdominal SFT is a palpable abdominal mass with pain and weight loss. Compression symptoms, including dysuria, urinary retention, hydronephrosis, constipation, incontinence, or vomiting have also been reported. However, an intraabdominal SFT located abdominal wall was asymptomatic in this case presentation.
      Citation: Formosan Journal of Surgery 2020 53(5):198-201
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_25_20
      Issue No: Vol. 53, No. 5 (2020)
       
  • Scalp cirsoid aneurysm

    • Authors: Kuo-Chang Huang, Yu-Hao Chen, Cheng-Ta Hsieh, Jui-Ming Sun
      Pages: 202 - 204
      Abstract: Kuo-Chang Huang, Yu-Hao Chen, Cheng-Ta Hsieh, Jui-Ming Sun
      Formosan Journal of Surgery 2020 53(5):202-204
      Scalp cirsoid aneurysm, also known as arteriovenous fistula, is a rare condition that commonly presents with a pulsatile cutaneous mass. Angiography is the gold standard for diagnosing this rare lesion. Here, we report the case of a 21-year-old woman who presented with a 7-year subcutaneous pulsatile mass over the suboccipital region. Computed tomographic angiography and conventional angiography confirmed the diagnosis of scalp cirsoid aneurysm. No residual or recurrent fistulas were observed after treatment with only endovascular embolization.
      Citation: Formosan Journal of Surgery 2020 53(5):202-204
      PubDate: Mon,19 Oct 2020
      DOI: 10.4103/fjs.fjs_19_20
      Issue No: Vol. 53, No. 5 (2020)
       
 
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