台灣外科醫學會雜誌

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	第58卷第3期 2025-5 Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models
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	第58卷第3期 2025-5 Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives
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	第58卷第3期 2025-5 Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal
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	第58卷第3期 2025-5 COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery
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	第58卷第3期 2025-5 Eggplant deformity in penile fracture
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	第58卷第3期 2025-5 Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”
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	第58卷第3期 2025-5 Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis
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	第58卷第3期 2025-5 Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review
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	第58卷第3期 2025-5 Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain
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	第58卷第3期 2025-5 Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study
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	第58卷第3期 2025-5 Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)
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	第58卷第3期 2025-5 Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study
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	第58卷第3期 2025-5 Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics
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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
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	第58卷第2期 2025-3 Spontaneous bilateral basal ganglia hemorrhage
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	第58卷第2期 2025-3 Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis
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篇名	Non-operative treatment of idiopathic colonic perforation in a neonate
作者	Yun Chen, Hong-Shiee Lai
卷期/出版年月	36卷3期 (2003/6)
頁次	147-150
摘要	Single bowel perforation without clinical evidence of intestinal obstruction, NEC, or other gastrointestinal lesion may then be diagnosed as idiopathic bowel perforation. Idiopathic colonic perforation in the neonate is rare and difficult to diagnose clinically. Surgical treatment of idiopathic colonic perforation is usually necessary. We present the experience of successful conservative treatment for a fullterm neonate with idiopathic colonic perforation. She was a full-term baby who had abdominal distension and bilious vomiting at the age of three days. There was no occult blood in the stool. A contrast study of the lower gastrointestinal tract showed a small perforation at the splenic flexure of the colon on the 6th postdelivery day. Because her condition was stable and there were no peritoneal signs, conservative treatment was given. Feeding was started 17 days after admission, and she was discharged 9 days later. She was doing well after 10 months of follow up. It is advocated that non-operative treatment may be feasible in patients with idiopathic colonic perforation in a stable clinical condition wgere there is a small and localixed perforation and a good facility for close observation.
關鍵詞	idiopathic colonic perforation, non-operative treatment
分類	Case Report