Category: Asian Journal of Surgery

Asian Journal of Surgery

Surgical treatment of adult bladder exstrophy: A case report and literature review

Asian J Surg. 2021 Nov 29:S1015-9584(21)00661-8. doi: 10.1016/j.asjsur.2021.10.020. Online ahead of print.ABSTRACTBladder exstrophy is a rare birth defect in which the bladder develops outside the fetus. Without treatment, patients with bladder exstrophy may suffer incontinence. In addition, these patients are at a risk of sexual dysfunction and bladder cancer. Most patients with bladder exstrophy have been surgically treated in childhood, while the treatment for adults is rarely reported. A 36-year-old male patient presented with bladder exstrophy and pelvic defect. Because of the poor economic status of the patient and his inability to afford the high medical costs, the treatment strategy...

Long-term results of splenomegaly after surgery for biliary atresia in the native liver

Asian J Surg. 2021 Nov 27:S1015-9584(21)00471-1. doi: 10.1016/j.asjsur.2021.07.056. Online ahead of print.ABSTRACTBACKGROUND: Biliary atresia (BA) is a rare disorder characterized by obstructive jaundice in infants, shortly after birth. Postoperatively, some patients exhibit portal hypertension and progressive liver fibrosis. Splenomegaly is a symptom of portal hypertension. We aimed to investigate splenomegaly as a marker for complications of portal hypertension and the relationship between splenomegaly and liver fibrosis in the long-term native liver (NL).METHODS: Between 1977 and 2018, 71 patients underwent hepaticojejunostomy. We included 54 patients (34 NL group, 20 liver transplant (LT) group) who fulfilled the eligibility criteria. Spleen volume (SV),...

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