International Journal of Surgery Research and Practice is an open access, peer-reviewed journal intended for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. It is dedicated to the comprehensive advancement of surgical research, education and clinical practice aiming to promote continued developments in surgery through the sharing of knowledge, ideas and good practice across all surgical specialties. Journal covers invasive, minimally invasive and non-invasive surgical methods in the open spectrum of surgical classifications. Surgical topics based on surgical timing, source, purpose, equipment is gathered to provide all the surgeons and clinicians a common platform to share and learn. All the quality submissions submitted shall be screened under the stringent peer review process and selectively accepted. The journal is intended to share and explore wide range of topics such as Endocrine Surgery, General Surgery, Gynecological Surgery, Hand Surgery, Neurosurgery, Head and Neck Surgery, Bariatric Surgery, Orthopedic Surgery, Ophthalmological Surgery, Ophthalmological Surgery, Breast Surgery, Colon and Rectal Surgery, Hernia Surgery, Outpatient Surgery, Pediatric Surgery, Pediatric Surgery, Plastic and Reconstructive Surgery, Robotic Surgery, Thoracic Surgery, Trauma Surgery, Urologic Surgery, Vascular Surgery, Minimally Invasive Surgery.

The journal is dedicated to promote the published articles across world-wide web following the open access regulations and scientific publishing standards.

Journal Information

Title: International Journal of Surgery Research and Practice

ISSN: 2378-3397

Editor-in-chief: Brian Richard Davis

NLM title abbreviation: Int J Surg Res Pract

ICV: 85.09

ISO abbreviation: Int J Surg Res Pract

Other titles: IJSRP

Category: Surgery Research

DOI: 10.23937/2378-3397

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Publication type(s): Periodicals

Publisher: ClinMed International Library

Country of publication: USA

Language: English

Contact email:

Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI


 Open Access DOI:10.23937/2378-3397/1410163

Necrotizing Fasciitis of the Thigh Secondary to a Complicated Perforated Colon Cancer: A Case Report

Akram Z A Bolbol

Article Type: Case Report | First Published: 2024/03/25

Necrotizing fasciitis (NF) is a rare life-threatening soft tissue infection. The development of NF of the lower extremity secondary to a perforated colorectal tumor has been reported only in a few cases. Early diagnosis and aggressive surgical intervention are crucial in NF management. Awareness of the development of NF secondary to perforated colon cancer is essential to prompt diagnosis and to prevent delays in proper management....

 Open Access DOI:10.23937/2378-3397/1410162

Idiopathic Jejuno-Jejunal Intussusception in an Adult: A Case Report

Hadeel Yousri Gabr, Abdullah Salah Alharbi, Sallam M Omran and Fahad A Alghamdi

Article Type: Case Report | First Published: 2024/01/25

Adult intussusception is a rare condition, and idiopathic cases are even much more uncommon. We report a case of a 38-year-old female patient who presented with severe abdominal pain, vomiting, and a paraumblical palpable mass. Initial investigations revealed elevated white blood cell count, and low hemoglobin level. Computed tomography (CT) scan confirmed the presence of an intussuscepted jejunal loop with obstructive changes....

 Open Access DOI:10.23937/2378-3397/1410161

Chilaiditi Syndrome: A Rare Case of Diaphragmatic Interposition and its Multidisciplinary Management

Mladen N Kasalović, Marija G Lomigora, Aleksandar R Jakovljević, Gojko Lj Igrutinović, Zlatan N Elek, Nikola M Miljković, Milica N Milentijević and Dalibor D Rakić

Article Type: Case Report | First Published: 2024/01/06

Chilaiditi syndrome is a rare entity, with a worldwide incidence ranging from 0.025% to 0.28%, and it tends to affect males more frequently than females, with a ratio of 4:1. This paper explores and presents a rare medical case of Chilaiditi syndrome, emphasizing its rarity and complexity in diagnosis and treatment....

 Open Access DOI:10.23937/2378-3397/1410160

Factors Associated with Management Outcomes of Enterocutaneous Fistula Patients at the University of Dodoma Affiliated Teaching Hospitals

Nicholaus Mrimi Masiaga, MD and Masumbuko Yatembela Mwashambwa

Article Type: Research Article | First Published: 2023/12/29

Enterocutaneous fistula is not an uncommon complication among patients who have undergone abdominal surgery. Small bowel enterocutaneous fistulas, age above 45 years, and anemia with a hemoglobin level below 11 g/dl are significant factors associated with unfavorable outcomes among patients with ECF. These findings emphasize the complex nature of managing ECF and the crucial role of addressing both the primary condition and its associated complications to enhance patient outcomes....

 Open Access DOI:10.23937/2378-3397/1410159

Duodenal Lipoma Causing Recurrent Duodenal Obstruction: A Rare Case, Managed Surgically

Sachin Jain, Neeraj Goel and Amit Kumar

Article Type: Case Report | First Published: 2023/12/24

Duodenal lipomas are rare gastrointestional (GI) tumours. Due to their rarity and the uncertainty of their presentation, as the majority of these lesions are asymptomatic, these lesions are occasionally overlooked. Most patients experience symptoms in lesions > 2 cm in diameter. These lesions can present with GI haemorrhage, bowel obstruction and abdominal pain or discomfort. Symptomatic duodenal lipoma requires excision. ...

 Open Access DOI:10.23937/2378-3397/1410158

Participation of the Mexican General Surgery in International Journals

Jesús Andrés Montero-Puga, Guillermo Padrón-Arredondo and Adriana Tereza Cruz-Méndez

Article Type: Case Report | First Published: 2023/12/01

Scientific publications are essential for disseminating knowledge and updates among physicians. Integrating scientific research into clinical practice and medical education is crucial for improving patient care. Developing scientific skills alongside clinical skills is essential for applying the scientific method in evidence-based medicine. Publishing research findings in journals is the final step in the scientific process, but it is sometimes overlooked, affecting a country's scientific output...

 Open Access DOI:10.23937/2378-3397/1410157

Clinical Expressions of Herniosis: Report of a Case

Jesús Andrés Montero-Puga, Guillermo Padrón-Arredondo and Adriana Tereza Cruz-Méndez

Article Type: Case Report | First Published: 2023/11/25

The etiology of hernias involves changes in the expression of different components of the extracellular matrix, which especially affect the fascia transversalis (FT), such as collagen, the elastic component and metalloproteinases (MMP). On the other hand, there is an overexpression of MMP-2 in the FT of young patients with direct inguinal hernia, correlated with an increase in TGF-beta1 that shows an attempt to counteract an increased process of degradation of the extracellular matrix in these p...

 Open Access DOI:10.23937/2378-3397/1410156

Gallstone Ileus in a Woman - A Case Report

Alejandro Alberto Flores-López, Víctor Hugo Solís-Reyna, Rubén García-Flores, Miguel Alejandro Solís-Vázquez and Guillermo Padrón-Arredondo

Article Type: Case Report | First Published: 2023/08/31

Prevalence of GSD has been 10-20% in developed countries, 2.5-10% in African populations, and 3.1-6.1% in Asians. Approximately 3-8% of GSD patients experience complications, including cholecystitis, gallstone ileus, pancreatitis, empyema, and gallbladder perforation. Therefore, GSD care could be expensive and place a considerable burden on the budget of health systems....

 Open Access DOI:10.23937/2378-3397/1410155

Symptomatic GERD after Sleeve Gastrectomy

Azzam S Al-Kadi

Article Type: Research Article | First Published: 2023/08/10

Laparoscopic sleeve gastrectomy (LSG) remains an effective standalone bariatric surgery. Some patients might experience gastroesophageal reflux (GERD) symptoms post LSG despite its beneficial outcome on weight loss and improving obesity morbidities. This study aims to determine the prevalence of post-LSG GERD symptoms and associated risk factors....

 Open Access DOI:10.23937/2378-3397/1410154

Post Sleeve Gastrectomy Fistula: Experimental Model in Pigs

Maria Helena Wanderley Costa Dantas, Giuliana Fulco Gonçalves, Barbara Escarllet Coutinho Seabra, Irami Araújo-Filho, PhD and Amália Cinthia Meneses do Rêgo, PhD

Article Type: Research Article | First Published: 2023/07/13

Bariatric surgery is considered the primary treatment against severe obesity, as it is effective in sustained weight loss and reduces the prevalence of associated comorbidities. However, bariatric surgery is not free of complications observed at various postoperative stages, including fistulas....

 Open Access DOI:10.23937/2378-3397/1410153

Post-Thyroidectomy Visual Loss in a Patient with Comorbidities - Case Report

Olufunmilola A OGUN, Oluwasanmi A AJAGBE and Adefemi O AFOLABI

Article Type: Case Report | First Published: 2023/07/12

We report a case of bilateral POVL in a 62-year-old female patient with multiple systemic comorbidities who had total thyroidectomy following acute respiratory obstruction from a huge compressive multinodular goitre. She had a difficult intubation complicated by cardiac arrest in the perioperative period. She noticed acute bilateral severe vision loss on the second day post-thyroidectomy....

 Open Access DOI:10.23937/2378-3397/1410152

Giant Hydronephrosis Presented as a Huge Abdominal Mass in a 22-Year-Old Male: A Case Report

López Alvarado Mariela Itzayana, Martínez Villalpando Ricardo Ismael and Carmona Flores Oscar

Article Type: Case Report | First Published: 2023/06/25

Giant hydronephrosis (GH) is defined as a dilated collecting system containing more than one liter of fluid. In this case we reported a 22-year-old man who presented acute onset abdominal pain, so an extension study: Computed tomography (CT) is performed finding a giant hydronephrosis (9037 cc)....

 Open Access DOI:10.23937/2378-3397/1410151

Minimally Invasive Surgery for Resection of Appendiceal Mucocele: A Single-Center Experience Case Series

Abdullah S Al-Darwish, MD, Abdullah Z Alsaif, MD, Sami AlHawassi, MD, Hisham AlKhalidi, MD, PhD, Youssuf AlSuhaibani, MD Nahar A AlSelaim, MD, MPH and Abdulrahman Al-Balla, MD

Article Type: Case Series | First Published: 2023/06/25

Appendiceal Mucocele is a rare medical condition, sometimes it is discovered incidentally but occasionally it could mimic acute appendicitis. Laparoscopic resection of appendiceal mucocele recently has been reported, but the safety and efficacy are still controversial....

 Open Access DOI:10.23937/2378-3397/1410150

Postoperative Tetanus in Abdominal Surgery: Scope Review

Giuliana Fulco Gonçalves, Italo Barros Miranda, Amália Cinthia Meneses do Rêgo, PhD and Irami Araújo-Filho, PhD

Article Type: Scope Review | First Published: 2023/06/22

Postoperative tetanus is a rare, often forgotten, but potentially fatal complication of abdominal surgery. The purpose of this paper is to review the available literature on postoperative tetanus following abdominal surgery, including its incidence, risk factors, clinical features, management, and outcomes. A comprehensive search of the PubMed, Embase, Scopus, Lilacs, and Google Scholar databases was conducted using relevant keywords ("Tetanus," "abdominal surgery," "Postoperative"), and a total...

 Open Access DOI:10.23937/2378-3397/1410149

Rigler Triad in Gallstone Ileus: Case Report and Literature Review

Hugo E Beyuma Mora, MD, Alejandro S Iturbide Aguirre, MD, Dulce C López Graciano, MD and Uriel H Quiroz Díaz, MD

Article Type: Case Report | First Published: March 31, 2023

Gallstone ileus is an uncommon complication of calculous cholecystitis, which can lead to a gastro-intestinal obstruction. A non-specific clinical presentation is frequent. Imaging studies can present characteristic radiological signs. We present a 56-year-old female patient with constipation for the past 72 hours, colicky intermittent abdominal pain and vomiting. Plain CT-scan showed Rigler's triad. Gallstone ileus was diagnosed and laparotomy was performed with stone extraction by enterolitoto...

 Open Access DOI:10.23937/2378-3397/1410148

A General Surgeon’s Guide to Post COVID-19 Multi-System Inflammatory Syndrome (MIS)

Ali Baker, BMBS, Howard Tang, MD, Russel Krawitz, MBCHB, FRACS, James Molton, MD, RACP, Adrian Tramontana, MD, RACP and Justin Yeung, MD, FRACS

Article Type: Research Article | First Published: March 03, 2023

Presented is a literature review on Multisystem inflammatory syndrome (MIS) which can occur following recovery from the initial phase of COVID-19 infection. Because of the predominance of gastro-intestinal symptoms MIS can mimic an acute abdomen. We present a series of two cases of MIS-A occurring over a six month period at a single institution. The rationale for this work was to highlight MIS-A as an emerging syndrome and reduce associated morbidity and mortality....

 Open Access DOI:10.23937/2378-3397/1410147

Nasal and Cheek Reconstruction with Flaps

Carlos Santiago Ruggeri, Elian García Pita, Gabriel Rondón Gonzalez, Ana Clara Ragoni and Inés Fagalde

Article Type: Original Article | First Published: December 12, 2022

Reconstruction of the nose and cheek after oncologic resections or severe infections resulting in facial necrosis is challenging. Sometimes different facial regions must be repaired, and different flaps must be used to achieve a good functional and aesthetic result. Local flaps and in cases of extensive defects, regional flaps are an excellent option for the reconstruction....

 Open Access DOI:10.23937/2378-3397/1410146

Seasonality of Acute Cholecystitis: A Review of Global Patterns

Auda Fares, Adnan Taib and Resul Toprak

Article Type: Review Article | First Published: September 30, 2022

Acute Cholecystitis occurs throughout the year, but some months are associated with higher incidences. The aim of this study is to review prior research, summarise the current knowledge and controversies related to seasonal variability of acute cholecystitis and to examine whether acute cholecystitis has a seasonal pattern....

 Open Access DOI:10.23937/2378-3397/1410145

Anti-DVT Prophylaxis in Patients Undergoing Thermal Endovenous Treatment: Use of a Simple Scoring System

Ahmed G and Nyamekye I

Article Type: Research Article | First Published: August 22, 2022

Venous thromboembolism (VTE) is a rare but potentially life-threatening complication of superficial endovenous treatment. Use of VTE risk assessment to guide pharmacological prophylaxis could mitigate this danger. However, currently there is no accepted management of VTE risk in these, usually fit, ambulatory patients....

 Open Access DOI:10.23937/2378-3397/1410144

Analyzing Letters to the Editor Guidelines of Major Surgery Journals: A Brief Report

Morgan Garrett, Brayden Rucker, Max Bouvette and Matt Vassar

Article Type: Research Article | First Published: August 06, 2022

Peer review is the process by which an author’s work is subjected to critical evaluation by experts in the same field [1]. A survey performed in 2016 by the Publishing Research Consortium showed that 82% of researchers were in agreement that “without peer review, there is no control in scientific communication” [2]....

 Open Access DOI:10.23937/2378-3397/1410143

Occult Metastatic Follicular Thyroid Carcinoma-A Case of Unremarkable Clinical Neck Examination

Kenneth Chun Kok Sheng

Article Type: Case Report | First Published: July 30, 2022

Follicular thyroid carcinoma is prevalent in the age group 40-60 years old and accounts for 10% of the types of thyroid cancers [1]. FTC has the propensity to spread via hematogenous route, mainly to the bones and lungs....

 Open Access DOI:10.23937/2378-3397/1410142

Necrotizing Fasciitis: Analysis of the Clinical, Microbiological Pattern, and Factors Associated with Mortality

Hamza Assad Shirah, Ibraheem Abdulaziz Zabeery, Osama Abdulqader Sogair, Ahmed Medawi Alahmari and Waal Nafa Aljabri

Article Type: Research Article | First Published: June 30, 2022

Necrotizing fasciitis is a life-threatening rapidly progressing bacterial infection associated with necrotic changes of the superficial fascia, subcutaneous tissue, and the deep fascia. It is a surgical emergency requiring a high suspicion, early diagnosis, and early treatment. We aim to analyze the clinical and microbiological pattern of necrotizing fasciitis and to determine factors associated with mortality....

 Open Access DOI:10.23937/2378-3397/1410141

Role of Briefing and Debriefing in Running Surgical Ward Round Effectively: A Prospective Observational Study

Muhamamd S Sajid, FRCS, Shehram Shafique, BSc, Ahmed M Malik, MRCS, Christi Swaminathan, FRCS, Parv Sains, FRCS and Krishna K Singh, FRCS

Article Type: Research Article | First Published: June 15, 2022

A surgical ward round (SWR) is a review of all inpatients admitted electively for investigation or an operation or acute surgical admissions. This diverse and complex cohort of surgical patients can pose significant diagnostic and management challenges and therefore, their adequate review during SWR can undoubtedly improve safety of the patients....

 Open Access DOI:10.23937/2378-3397/1410140

Protection Status of Healthcare Professionals Working in the Operating Room from Surgical Smoke

Ikbal Cavdar, PhD, MSc, RN, Yasemin Ozhanli, PhD, MSc, RN, Ahmet Karaman, PhD, MSc, RN, Ayfer Ozbas, PhD, MSc, RN, Cagla Dastan, MSc, RN and Ertugrul Goksoy, MD

Article Type: Research Article | First Published: May 31, 2022

Despite knowledge of the dangerous components of surgical smoke and evidence-based practices to control surgical smoke, healthcare professionals continue to be exposed to surgical smoke. It is critical to determine the possible damages of surgical smoke during the operation and to minimize these damages....

 Open Access DOI:10.23937/2378-3397/1410138

Acute Appendicitis Secondary to Kaposi’s Sarcoma: Case Report and Literature Review

Hugo E Beyuma Mora, MD, Diana L Labastida Ramírez, MD, Laura M Murguía Zamora, MD, Osvaldo I Guevara Valmaña, MD and Carlos H Flores Juárez, MD

Article Type: Case Report | First Published: March 31, 2022

Acute appendicitis secondary to gastrointestinal Kaposi sarcoma is a rare but critical manifestation of this condition. An acute abdomen in patients with HIV-AIDS can be secondary to Kaposi sarcoma with appendiceal involvement. The timely identification of other clinical manifestations of pathologies associated with immunosuppression can lead to a promptly diagnosis. Regardless of the management of the underlying pathology, the treatment of choice for acute appendicitis is surgical. Kaposi’s s...

 Open Access DOI:10.23937/2378-3397/1410137

Impact of Neoadjuvant Chemotherapy Interval on Tumour Regression Grading for Rectal Cancer

Thomas Tiang, MBBS, FRACS, Ankur Sidhu, MBBS, FRACS, David Williams, MBBS, FRCPA and Andrew Bui, MBBS, FRACS

Article Type: Research Article | First Published: January 30, 2022

The rectum is the site of 30% of all colorectal tumours. When contemplating neoadjuvant alternatives and surgical treatments, the rectum’s position within the bony pelvis and its closeness to important tissues offer major therapeutic difficulties. Colorectal cancer survival times have improved as a result of advances in primary and adjuvant treatments. This paper aims to investigate the tumour regression grade (TRG) in rectal cancer patients, primarily if the interval of surgery after neoadjuv...

 Open Access DOI:10.23937/2378-3397/1410136

Whole-Body Computed Tomography for Polytrauma Patients in the Emergency Department: Recommended or Unnecessary Radiation

Akram Bolbol, Abdulhakam Ahmed, Osman EA Suliman and Abdullah Al-mater Abduraboh

Article Type: Research Article | First Published: January 24, 2022

Whole-body computed tomography (WBCT) is one of the standard non-invasive tests for trauma patients, to avoid the overuse of the WBCT and unnecessary radiation to the patients, a combination of evidence-based indications, approved guidelines and the clinical decision should be used. This study was done to emphasize on limitation of unnecessary WBCT following international or local criteria along with clinical assessment and decision without compromising the patient’s safety. This study was per...

 Open Access DOI:10.23937/2378-3397/1410135

Pristine Normal Looking Appendix on Diagnostic Laparoscopy-A Management Dilemma

Kasturi Rangan Sarathy and Abdus Samee

Article Type: Patient Care | First Published: December 31, 2021

Abdominal pain especially in the right iliac fossa (RIF) or right lower quadrant (RLQ) is one of the most common presentations as surgical emergencies. The cause for right lower quadrant abdominal pain encompasses a wide spectrum of diseases from a functional pain to an acute emergency where an immediate surgical intervention is definitely warranted. Acute appendicitis is the most common surgical emergency globally. The clinical presentation of appendicitis is right lower abdominal pain and asso...

 Open Access DOI:10.23937/2378-3397/1410134

Complications after Totally Implantable Venous Port Catheter Intervention in Cancer Patients

Hasan Reyhanoglu, MD and Kaan Ozcan, MD

Article Type: Research Article | First Published: December 08, 2021

The aim of this study was to evaluate the complications associated with totally implantable venous port catheter interventions and the management of these complications. Between January 2011 and October 2020, we reviewed patients who had totally implantable venous port catheter interventions. A total of 543 catheters were inserted into cancer patients via the subclavian, jugular, or femoral vein. Demographic data, venous access, primary diagnosis, catheter-related complications, catheter durati...

 Open Access DOI:10.23937/2378-3397/1410133

Retroperitoneal Paraganglioma in the Extra-Adrenal Gland: A Case Study Report, Aseer Central Hospital, Saudi Arabia

Dhafer Mohamed Al-Shehr and Fawaz Ali Ahmed Qasem

Article Type: Case Report | First Published: December 06, 2021

Paraganglioma is a neural crest-derived endocrine cells or organs located generally at the extraadrenal glands, head, necks, or abdomen. This research case study brings a detailed information of paraganaglioma occurred for a patient in Aseer region. 36-year-old patient who experienced no major symptoms such as hypertension, palpitation, vomiting, bleeding, or headache. for primary diagnosis ultrasonography and Computed Tomography (CT) were used to identify a heterogenous mass. The Magnetic Res...

 Open Access DOI:10.23937/2378-3397/1410132

Telemedicine Clinic Reviews as an Alternative to Traditional Postoperative Clinic Visits: Sub-Saharan Africa Dilemma

Alfred Ogwal, Kusse K Toitole, Vincent Medeyi, Emmanuel Nkonge, Herbert Ariaka and Felix Oyania

Article Type: Research Article | First Published: September 30, 2021

Maridi county hospital faces a critical shortage of space and staff and this study is intended to evaluate the possibility of introducing telephone calls to replace faceto- face postoperative clinic visits. We were looking at new ways of how the surgical team can decongest the physical postoperative clinic, so that they can have adequate time to assess new patients on clinic days. The mean age was 38.9 years with an equal number of male and female participants. Hernias and chronic appendicitis w...

 Open Access DOI:10.23937/2378-3397/1410131

Cancer of the Bladder in South East Nigeria: Epidemiological Patterns in a Low Resource Region

Obi Anselm O and Ogolo Donald E

Article Type: Research Article | First Published: September 30, 2021

Bladder cancer (CAB) is a urological malignancy that significantly contributes to morbidity and mortality, especially when detected late. This study highlights the challenges of late presentation and changing histological trend of the condition in a low resource region. The objectives were to establish the relationship between demographic factors, and to elucidate some characteristics of histological patterns in our region. A retrospective cohort study of all cases of bladder cancer seen at our ...

 Open Access DOI:10.23937/2378-3397/1410130

Retrospective Study on the Incidence of Thyroid Disorders in Bisha and Evolving Surgical Management Considerations

Dauda Bawa, Saleem Khan, Yasser Khalifa, Shashi Prabha Sharma, Amal Alghamdi, Hanan Albishiand Nasser Al Tufail

Article Type: Research Article | First Published: September 30, 2021

There is a high prevalence of goiter in Bisha despite more than 15 years of the national campaign for increased dietary iodine supplementation. The cause is multifactorial. It is associated with non-neoplastic and neoplastic conditions. Surgical management has evolved over many years. To describe the pathological types of goiter in Bisha along with their management and to discuss current surgical considerations. There were 339 patients, of which 280 (82.6%) were females and 59 (17.4%) males. Age...

 Open Access DOI:10.23937/2378-3397/1410129

10 Years of Experience of a Single Surgeon in Adrenalectomy: Retrospective Review

Emad Rezkallah, Wael Elsaify and Andrew Elsaify

Article Type: Research Article | First Published: June 30, 2021

Indications for adrenalectomy include mainly functional adrenal tumors, malignancy and uncertainty regarding the clinical diagnosis. Surgery is indicated for functional tumors regardless of the size of tumors. It should be minded that the cortex and medulla of the adrenal gland have different embryonic origins and accordingly have different structures and functions and develop different tumors. Adrenalectomy can be performed by either laparoscopic or open techniques. Currently, laparoscopic surg...

 Open Access DOI:10.23937/2378-3397/1410128

Huge Mesenteric Cyst: Case Report

Abiyere OH, Rosiji OB, Adewara O, Olofinbiyi BA and Osho AI

Article Type: Case Report | First Published: May 31, 2021

Mesenteric cysts are rare benign lesions occurring in the abdomen. The cystic lesions can be asymptomatic or present with a specific symptoms. When discovered, treatment is either open or Laparoscopic surgery. We present a case of 29-years-old woman with one year history of progressive increasing abdominal swelling after her first delivery via caesarean section. It was initially painless however occasional pain was noticed some months prior to presentation at the out-patient department. Examinat...

 Open Access DOI:10.23937/2378-3397/1410127

Feasibility and Advantages of a Modified Subxiphoidal Video-Assisted Thoracoscopy Procedure Compared to Established Traditional Video-Assisted Thoracoscopy Procedures in Intercostal Access

Mohammed Ibrahim, MD, Bernd Linsmeier, MD and Matthias Steinert, MD

Article Type: Research Ar ticle | First Published: March 28, 2021

Minimally invasive thoracic surgical techniques are under continual development, especially the subxiphoidal approach, which until recently could only be done in a few centers across the world, due mainly to the many challenges associated with this method. There are ongoing discussions around minimally invasive methods including the instrument sizes and types, the incision position and expected outcomes. Robotic surgery using the subxiphoidal approach is still under discussion and is expected to...

 Open Access DOI:10.23937/2378-3397/1410126

An Effective Use of Methylene Blue Dye for Guiding Resection of Nasal Dermoid Sinus Cyst

Shilpi Karmakar, Arun Kumar Singh and Saurabh Karmakar

Article Type: Research Article | First Published: March 10, 2021

Nasal dermoid sinus cyst (NDSC) is a rare congenital lesion, typically presenting at birth or in early infancy. Treatment of NDSC includes complete resection of the mass and the sinus tract, which may extend intracranially. Incomplete resection of the track is associated with high recurrence. We were looking for methods to delineate the NDSC track, without increasing the financial burden to the patient. The patient was a 12-year-old female who came with a recent onset nasal swelling, which devel...

 Open Access DOI:10.23937/2378-3397/1410125

Mucocele of the Appendix: Case Report & Review of Literature

Abiyere OH, Adewara O, Akute OO and Babatunde O

Article Type: Case Report | First Published: February 17, 2021

Appendiceal Mucocele is a rare disease. Sometimes, it is discovered accidentally and sometimes mimic acute appendicitis. Correct diagnosis before surgery is very crucial for the selection of adequate surgical treatment to avoid Intraoperative and Postoperative complication. Ultrasonography and particularly, computed Tomography should be used extensively for this purpose. If mucocele of the appendix is treated incorrectly Pseudomyxoma peritonei which is characterized by malignant process may deve...

 Open Access DOI:10.23937/2378-3397/1410124

Extraordinary Pattern with Brain Metastasis of Ovarian Cancer with Five Cases: Survival Impact of Cranial Metastesectomy. Do or Not To Do?

Emre Bilgin, MD and Berna Bozkurt Duman

Article Type: Research Article | First Published: February 12, 2021

Ovarian malignancies primarily disseminate through the peritoneal cavity and are only superficially invasive. They rarely metastasise through the haematogenous route, but that occurs in the presence of heavy peritoneal disease. Colon and brain metastasis are rare entity and both of them in one patient is in our first case with slightly elevated Ca125 level. Four cases had single and the other had multiple cranial metastasis with no evidence of the disease in the other part of the body. The brain...

 Open Access DOI:10.23937/2378-3397/1410123

Breast Fibromatosis Case Series and Literature Review

Thuraya Al Yazidi, Suad Al Aghbari, Badryia Al Qassabi and Marwa Al Riyami

Article Type: Case Report | First Published: January 30, 2021

Fibromatosis or desmoid tumor is a benign tumor that rarely affects the breast. It represents 0.2% of all breast tumors and 4% of all extra-abdominal desmoid tumors. Wide local excision with adequate safety margins is considered the standard of care. We report three cases of breast fibromatosis who were presented to and operated in the sultan Qaboos University. All of these cases underwent wide local excision. After close regular follow up now for six months no local recurrence was reported. Fib...

 Open Access DOI:10.23937/2378-3397/1410122

Unusual Sites of Metastasis of Well-Differentiated Thyroid Cancer: A Systematic Review

Awadh Alqahtani

Article Type: Systematic Review | First Published: January 30, 2021

Thyroid cancer is one of the most common endocrine malignancies secondary to ovarian cancer. Its incidence has surged swiftly than that of any other malignancy in recent years. Well-differentiated thyroid cancers (WDTC) are relatively common and usually slow-growing tumors with a good prognosis, including three types: Papillary, follicular, and Hürthle cell carcinoma. The first metastatic sites of these types of cancer typically involve lymph nodes, lungs, brain, and bones. The PICOT included a...

 Open Access DOI:10.23937/2378-3397/1410120

Surgical Management of an Intrathoracic Desmoid Tumor: A Rare Presentation

Santivañez JJ, Diaz A, Jiménez A and García Herreros LG

Article Type: Case Report | First Published: November 09, 2020

Desmoid tumor is a rare connective tissue tumor, accounting for approximately 3.5% of connective tissue tumors and 0.3% of all solid tumors. It can originate in any part of the body; however, we find them more frequently in extremities, thorax and abdomen. True intrathoracic desmoid tumors however (arise within the thoracic cavity) are remarkably rare. The main problem is the ability to continue growing more than in other locations, and the high relapse rates of this tumor. Adequate surg...

 Open Access DOI:10.23937/2378-3397/1410119

Economic Evaluation of Mammography-Based Breast Cancer Screening Program in Saudi Arabia

Awadh Alqahtani, MD, FRCSC

Article Type: Research Article | First Published: November 02, 2020

Breast cancer is the commonest malignancy among Saudi women, accounting for 23.6% of all female cancers. It has been the most frequent cancer in Saudi women for the last 30 years. The economic analysis of mammography screening carried out as a cost-effectiveness analysis. A decision tree based on a Markov model used in estimating effectiveness and costs. The purpose of the model is to integrate the following parameters: Screening costs, diagnostic costs, health care costs, discount rate and pote...

 Open Access DOI:10.23937/2378-3397/1410117

A Systematic Approach in Restructuring Elective Breast & Endocrine Cancer Surgery during COVID-19 Pandemic in Malaysia

Tan Yee Ling, Aminnur HM, Nor Safariny Ahmad, Sadhana Mahamad, Anita Baghawi, Jamil Omar and Suhaila Md Hanapiah

Article Type: Research Article | First Published: October 31, 2020

The COVID-19 pandemic had resulted in major disruptions in healthcare globally. As a response to the outbreak, global elective surgeries were suspended to preserve resources. To date, Malaysia’s effectiveness in tackling the COVID-19 was an instructive example for many East Asia countries. In addition to the public health preparedness, we report our experience in early restructuring of elective breast and endocrine cancer surgery to ensure a continuum in cancer care during the peak of the pand...

 Open Access DOI:10.23937/2378-3397/1410116

Surgical Treatment of Ulcerative Colitis: A Review

Talha Sarigoz, MD

Article Type: Review Article | First Published: September 09, 2020

Reasons for elective surgery mostly rely on discontinuity of the medical therapy. Other reasons are dysplasia and cancer. An elective surgery must be directed on removal of colon and rectum thus eliminating the target organ while achieving low mortality and morbidity rates and high quality of life. But with surgery comes complications, therefore different surgical techniques have been proposed to find better early and late outcomes and surgery for ulcerative colitis has evolved over the years. I...

 Open Access DOI:10.23937/2378-3397/1410115

Gram Stain Microscopy in Septic Arthritis

Soufiane Aharram, Jawad Amghar, Mounir Yahyaoui, Omar Agoumi and Abdelkarim Daoudi

Article Type: Research Article | First Published: September 05, 2020

Septic arthritis is a serious condition that can lead to rapid destruction of joint if it is not rapidly diagnosed and treated appropriately. The reported annual incidence is 10 in 100,000 although this increases to 70 in 100,000 in those with risk factors for developing septic arthritis mainly rheumatoid arthritis and immune-compromised patients. The aim of this study is to examine the sensitivity and specificity, and thus the clinical usefulness, of gram stain results. Single centre, retrospec...

 Open Access DOI:10.23937/2378-3397/1410113

Bilateral Primary Testicular Lymphoma: A Case Report

Rishabh Agarwalla, Rajashekar Mohan and Vijith Shetty

Article Type: Case Report | First Published: July 27, 2020

We report the case of a 64-year-old male with bilateral diffuse large cell, non germinal centre like B-cell lymphoma of the testes. MRI showed bilateral epididymitis with right sided orchitis and minimal left sided hydrocoele. Right high inguinal orchidectomy was done to confirm the diagnosis. 6 cycles of RCHOP adjuvant chemotherapy was given. He was, however, unable to tolerate the intensive chemotherapy regimen and succumbed to its adverse effects, 2 months after completion of the 6th cycle......

 Open Access DOI:10.23937/2378-3397/1410112

Acute Cholecystitis as an Unusual Cause of Abdominal Wall Abscess

Mehdi Hammemi, Wael Ferjaoui, Ghofrane Talbi and Mohamed Taher Khalfallah

Article Type: Surgical Image | First Published: June 29, 2020

It is about a 68-year-old woman who presented to the emergency department with a painful inflammatory swelling in the right upper abdomen and the epigastrium since 6 days. She had a medical history of obesity and type 2 diabetes. She had no surgical history. At physical examination, there is no fever with tenderness in the right upper quadrant of the abdomen. She presented a lump in the right upper abdomen and the epigastrium measured 5 × 6 cm which is red and painful. Laboratory data showed wh...

 Open Access DOI:10.23937/2378-3397/1410110

Evaluation of Intra-Operative Ultrasound in Assessing Clear Margin in Breast Conservative Surgery

Ahmed Shalaby, Matei Dordea, Marwa Badawi, Ashwin Rajenderia, Alyaa Shamardel and Khaled Noureldin

Article Type: Systematic Review Article | First Published: May 20, 2020

Breast conservative surgery (BCS) and oncoplastic procedures are becoming more and more popular, providing better aesthetic outcome but one of the main draw-back of these procedures is involvement of the margin and return to theatre, causing undesired economic and cosmetic outcome in addition to psychological burden on the patients. Frozen section can decrease incidence of involved margin however, it is not always available in addition to increasing the cost. Using Intra-operative ultrasound (IO...

 Open Access DOI:10.23937/2378-3397/1410108

Efficacy of Single Pre Operative Dose of Glucocorticoid (125 mg of Solumedrol Intravenous) in terms of Seroma Formation in Patients Undergoing Mastectomy with Axillary Clearance for Breast Cancer: A Randomized Controlled Trial

Aliya Ishaq, Nazia lodhi, Abida Parveen, Shadab Ishaq, Muhammad Jamshaid Hussain Khan, Mariya Ishaq and Rufina Soomro

Article Type: Research Article | First Published: February 28, 2020

Patients were randomly divided in two groups (study and control) each group consisting of 30 patients. Randomization was done by opening of a sealed envelope which had a slip bearing the name of study medication (solu-medrol or saline as placebo) to be administered. The study group received a single dose of inj 125 mg solu-medrol IV half an hour prior to surgery by resident scrub in surgery. A similar procedure was applied to the control group and patients in controlled group were administered a...

 Open Access DOI:10.23937/2378-3397/1410109

A Successful Surgical Treatment of Postoperative Hepato-Venous Fistula

Toshimitsu Iwasaki, Masataka Matsumoto, Shumpei Satoi, Yuta Yoshida, Kohei Kawaguchi, Keiko Kamei, Atsushi Takebe, Ippei Matsumoto, Takuya Nakai and Yoshifumi Takeyama

Article Type: Case Report | First Published: April 03, 2020

A 72-year-old man, who had been received hemodialysis for chronic kidney disease, underwent resection of hepatic bed and hepatocholedochus with satellite lymphadenectomy for incidentally identified gallbladder carcinoma after laparoscopic cholecystectomy. He developed spike fever on postoperative day (POD) 10. Computed tomography (CT) showed small fluid collection around the resection surface of liver (Figure 1). Percutaneous drainage was performed and a little fluid with serous appearance was g...

 Open Access DOI:10.23937/2378-3397/1410107

In Vivo Small Bowel Length is Longer than in Formalin-Fixed Cadavers

Randal Zhou, MD, Bruce A Orkin, MD, FACS, FASCRS, James M Williams, PhD, Anthony Serici, BS, Jennifer Poirier, PhD, Walid El-Bermani, MBChB, PhD, Ronald Bohn, PhD and Areta Kowal-Vern, MD, FCAP, FASCP

Article Type: Research Article | First Published: February 03, 2020

Surgeons require accurate ranges of normal small bowel length (SBL) to benefit patients. The relationship between cadaveric SBL and in vivo human SBL is not known. We hypothesized that cadaveric SBL is significantly different compared to human SBL. SBL was measured prospectively in 167 formalin- fixed cadavers; and studied in 118 without intestinal surgery. A standardized and reproducible method of small bowel measurement was utilized in both in vivo and cadaveric subjects. Small bowel was measu...

 Open Access DOI:10.23937/2378-3397/1410106

Laparoscopic Peritoneal Lavage versus Sigmoidectomy for Management of Perforated Diverticulitis: Meta-Analysis of Randomized Controlled Trials

Arslan Pannu, Ghulam Murtaza Dar, Shahzad Ahmed, Shahab Hajibandeh, Shahin Hajibaneh, Eloise Lawrence, Salman Jabber, Khurram Khan, Rishabha Sharma and Ahmad Mirza

Article Type: Review Article | First Published: January 04, 2020

Controversy exists regarding the role of laparoscopic peritoneal lavage in patients with perforated diverticulitis. Our objective was to conduct the first meta-analysis of Randomized Controlled Trials (RCTs) to compare the outcomes of patient undergoing laparoscopic peritoneal lavage with sigmoidectomy in patients with perforated diverticulitis. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards, we conducted a systematic search of ...

 Open Access DOI:10.23937/2378-3397/1410105

A Case Report of an Epiphrenic Esophageal Diverticulum was Treated via Laparoscopic Transhiatal Diverticulectomy

Kusay Ayoub, Bashar Banjah and Bassel Banjah

Article Type: Case Report | First Published: July 31, 2019

Epiphrenic diverticulum is a relatively rare clinical case. It is defined as an outpouching of the mucosal and submucosal layers through the muscular layer of esophagus in association with motility disorders. Most patients are asymptomatic and the other manifest with variable symptoms including dysphagia, regurgitation, halitosis, vomiting, heartburn and weight loss. Herein we report a case of a 50-year-old female who presented to our hospital with complaint of dysphagia and weight loss. The cl...

 Open Access DOI:10.23937/2378-3397/1410104

Intestinal Obstruction Secondary to Intra-Luminal Retained Laparotomy Towel: A Case Report

Joseph Yorke, Roland Williams Awoonor, George Ansong, Bernard Hammond, Edward Amoah Boateng, Frank Gyamfi, Francis Somiah-Kwaw Aitpillah, Kwabena Acheamfour Ababio, Dorcas Ahulu, Dennis Afful Yorke and Emmanuel Acheampong

Article Type: Case Report | First Published: July 29, 2019

Retained surgical sponges (gossypiboma) are very rare but occur even under the presumed correct sponge counts postoperatively. Gossypiboma has the ability to cause significant harm to the patient and carry heartfelt medicolegal and professional repercussions to clinicians and hospitals. Its mani-festations may be non-specific and may take weeks, months or even years from the time of surgery. Therefore, diagnosis is based on a high index of suspicion with careful assessment of the patient's histo...

 Open Access DOI:10.23937/2378-3397/1410103

Laparoscopic Choledochal Cyst Excision and Roux-En-Y Hepaticojejunostomy in Children: A Single-Institution Prospective Cohort Study

Nguyen Thanh Xuan, Ho Huu Thien, Phan Hai Thanh, Pham Anh Vu, Dang Nhu Thanh, Nguyen Du Vinh, Nguyen Huu Son and Pham Nhu Hiep

Article Type: Research Article | First Published: June 24, 2019

Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy is gaining popularity as a treatment for choledochal cyst in children. The aim of this study is to determine the feasible and safe of the laparoscopic excision with Roux-en-Y hepaticojejunostomy, and evaluate the short-term outcomes after treatment for children with choledochal cyst....

 Open Access DOI:10.23937/2378-3397/1410102

Current Status and Future Prospects of Idebenone in Treatment of Mitochondrial Diseases: Literature Review

Hendi Maher, MD, Weiwei Zhang, Ke Chen, MD, Henry Davies and Xiujun Cai, MD

Article Type: Review Article | First Published: June 15, 2019

Idebenone (IDBN) is an antioxidant compound, structurally related to coenzyme Q10. It's therapeutic potential is growing in different areas. Over the two decades ago, for potential treatments of mitochondrial diseases have been suggested, relatively few have undergone controlled clinical trials. This review focuses on the recent history of manuscripts of idebenone, coenzyme Q10 and exercise in both primary disorders and secondary disorders. Despite prior clinical impressions that IDBN had a posi...

 Open Access DOI:10.23937/2378-3397/1410101

Vertebral Endplate, Posterior Ligamentous Complex and Neural Dysfunction: Key Factors for Posterior Fusion Strategy in Thoracolumbar Fractures

Mingyong Liu, Liang Zhang, Liangmin Zhang, Jianhua Zhao, Peng Liu, W Fan, X Ying and Y Liu

Article Type: Research Article | First Published: May 25, 2019

The thoracolumbar region (T11 to L2) is more susceptible to injury than other parts of the spine. Approximately 50% of all vertebral body fractures and 40% of all spinal cord injuries occur from T11 to L2. Although basic principles of diagnosis and treatment are established, there are controversies concerning diagnosis and treatment, including classification, indications for surgery and approach, as well as long-or short-segment of fixation and fusion....

 Open Access DOI:10.23937/2378-3397/1410100

Role of Laparoscopy in Abdominal Trauma

Ala Wafa, Mustafa Elsagier, Rawad Friwan and Abdulaziz Baio

Article Type: Original Article | First Published: April 27, 2019

The role of laparoscopy in abdominal trauma has increased in the last years in diagnosis as well as therapeutic interventions. It is a viable alternative for the diagnosis of intra-abdominal injury in both penetrating and blunt trauma. The number of negative laparotomies decreased since the use of laparoscopy in trauma patients. A retrospective study of twenty eight patients with abdominal trauma (22 penetrating trauma, 6 blunt trauma) were laparoscopic intervention done by general surgery depar...

 Open Access DOI:10.23937/2378-3397/1410099

Management Outcome and Associated Factors of Surgically Treated Non Traumatic Acute Abdomen at Attat Hospital, Gurage Zone, Ethiopia

Tekalign Admasu Gebrie, Tilahun Beyene Handiso and Shemsu Nuriye Hagisso

Article Type: Original Article | First Published: April 17, 2019

Non traumatic acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. The causes of non-traumatic surgical acute abdomen and their relative incidence vary in different populations. The aim of this study was to assess the management outcome and associated factors of surgically treated non-traumatic acute abdomen. Hospital-based prospective cross sectional study was conducted on surgically treated non-traumatic acute abdomen ...

 Open Access DOI:10.23937/2378-3397/1410098

Improved Alvarado Score (MANTRELS) for the Early Diagnosis of Acute Appendicitis

Alfredo Alvarado, MD

Article Type: REVIEW ARTICLE | First Published: February 27, 2019

After a careful analysis of various diagnostic scores on acute appendicitis I am introducing here an Improved Alvarado score (MANTRELS) that includes several substitute predictive factors aimed to obtain better clinical results. A correct and timely diagnosis of acute appendicitis is very important in the medical practice since it could avoid complications such as perforation, abscess formation and peritonitis, and at the same time could reduce the negative appendectomy rate. It is for this reas...

 Open Access DOI:10.23937/2378-3397/1410097

Treatment of Combined Palmar, Axillary and Plantar Hyperhidrosis with T2-T3 Sympathicotomy

Reza Ershadi, MD and Ahmad Shirinzadeh, MD

Article Type: ORIGINAL ARTICLE | First Published: February 27, 2019

Video-assisted thoracoscopic sympathetic surgery is currently a worldwide accepted treatment of primary upper extremity hyperhidrosis. Compensatory hyperhidrosis is the most common late complication and appeared to correlate with the extent and number of levels of sympathicotomy performed. In patients with combined severe palmar and axillary symptoms, the surgeon must decide whether to divide the chain at multiple levels by combining what is done for palmar and axillary symptoms alone (T2-T3-T4)...

 Open Access DOI:10.23937/2378-3397/1410096

Duodenal and Jejunal Intussusception from Malignant Melanoma

Niroshini Rajaretnam and Somaiah Aroori

Article Type: CASE REPORT | First Published: February 20, 2019

Intussusception is the leading cause of intestinal obstruction and the second most common cause of an acute abdomen in children behind acute appendicitis but is considered a rare condition in adults with an incidence of only 1-5%. First reported by Barbette of Amsterdam in 1674, intussusception can be defined as the telescoping of a proximal segment of the gastrointestinal tract (intussusceptum) into the adjacent distal segment of the gastrointestinal tract (intussuscipiens). However, it wasn't ...

 Open Access DOI:10.23937/2378-3397/1410095

Early Removal of Foley Catheter after Sigmoid Colectomy for Diverticular Colovesical Fistula without Intraoperative Bladder Repair or Postoperative Cystography: Feasibility of a Quality Improvement Pilot Program

Anthony Carden, MD, Riley K Kitamura, MD, John Leppert, MD and Dan Eisenberg, MD

Article Type: Review Article | First Published: February 20, 2019

The treatment of colovesical fistula (CVF) due to diverticular disease is complex and imposes significant risk to the patient. Specifically, management of the bladder defect after fistula takedown is inconstant. In this quality improvement study, we report on the safety of early (< 7 days) urethral catheter removal without intraoperative or postoperative bladder imaging. Between 2008 and 2018, patients who were operated on for CVF due to diverticular disease were identified retrospectively. Medi...

 Open Access DOI:10.23937/2378-3397/1410094

Assessment of Breast Cancer Incidence in Patients with Mastalgia and Routine Screening

Altıntas Yasemin and Bayrak Mehmet

Article Type: Original Article | First Published: January 31, 2019

A total of 1884 women were included in the research. Following exclusion criteria: The 'mastalgia group' comprised 646 patients who had a mean age of 43.4 and the control group 647 patients who had a mean age of 44.2. There was no statistically significant difference in age between control with breast pain groups. Mammography was performed in 45.9% of the control group and 39.1% of the mastalgia group, and US was performed in 90.7% of patients with the control group and 93.1% in the mastalgia gr...

 Open Access DOI:10.23937/2378-3397/1410093

Gastrointestinal Stromal Tumor: Diagnosis and Management

Yasemin Altıntas and Mehmet Bayrak

Article Type: Original Article | First Published: January 18, 2019

To investigate the frequency, management, and consequences of gastrointestinal stromal tumors in thirty patients treated and followed up at a single site. All gastrointestinal stromal tumor patients admitted to our institution from 2008 to 2018 were retrospectively reviewed. Demographics, clinical findings, and tumor features, pathological, radiological, and immunohistochemical observations, surgical technique, recurrence, and mortality were documented. Thirty patients were selected for this stu...

 Open Access DOI:10.23937/2378-3397/1410092

Prevalence and Outcome of Hysterectomy at the Douala General Hospital, Cameroon: A Cross-Sectional Study

Thomas Obinchemti Egbe, Fidelia Mbi Kobenge, Metogo Mbengono Junette Arlette, Eta-Nkongho Egbe, Jacques Ernest Nyemb and Robinson Enow Mbu

Article Type: Research Article | First Published: December 14, 2018

We carried out a descriptive, hospital-based cross-sectional study during the period January 1, 2005 to December 31, 2015. Retrospectively, we studied medical records and theatre registers of women who underwent hysterectomy. Using pre-specified criteria for data collection, we administered a pre-tested questionnaire in which socio-demographic factors, clinical characteristics, indication, type, hospital stay, and complications of hysterectomy were recorded. Data management was with Epi-info and...

 Open Access DOI:10.23937/2378-3397/1410091

Broken Glass: The Precarious Rectal Foreign Body

Blaker KM and Altintas Yasemin

Article Type: Case Report | First Published: December 14, 2018

Despite the increasing frequency of presentations for retained rectal foreign body, it remains a topic of intrigue, likely in part due to the taboo nature of the dilemma and also the ingenuity that is often required for successful extraction. Although the true incidence of retained rectal foreign body is unknown, there is data to suggest that the incidence is on the rise and has been reported to be nearly one per month at a high volume center....

 Open Access DOI:10.23937/2378-3397/1410090

Percutaneous Treatment of Endoscopic Sphincterotomy-Related Duodenal Perforation

Bayrak Mehmet and Altıntas Yasemin

Article Type: Case Report | First Published: November 26, 2018

Duodenal perforation due to endoscopic sphincterotomy is an uncommon but occasionally fatal complication. This serious complication has been traditionally treated by immediate surgical exploration when digestive fluid leakage occurs. Herein, we will present the percutaneous treatments of an endoscopic sphincterotomy-related duodenal perforation and perforation-related retroperitoneal abscess by using percutaneous drainage techniques. An 8-F internal-external biliary drainage catheter provided me...

 Open Access DOI:10.23937/2378-3397/1410089

Inflammatory Pseudotumor in an Irreducible Inguinal Hernia

Edwina Ayaaba Ayabilah, Richmond Hagan, Martin Morna and Jacob A Akoh

Article Type: Case Report | First Published: November 26, 2018

A 64-year-old man presented with a 2 year history of reducible groin swelling which had progressively increased in size. The swelling had become irreducible 3 months prior to admission but apart from loss of weight, there were no other associated symptoms. He was anaemic (Hb 11 g/dL). At operation, a large, hard left inguinoscrotal hernia was encountered. This raised the suspicion of a tumour and therefore the testis and large mass were mobilised and resected along with an adherent segment of sm...

 Open Access DOI:10.23937/2378-3397/1410088

Laparoscopic Damage Control in Type IV Paraesophageal Hiatal Hernia after Minimally Invasive Esophagectomy: Case Report

Evelyn Astrid Dorado, Jessica Correa, Keyla Castillo and Hernan Esteban Munevar

Article Type: Case Report | First Published: November 05, 2018

Post-esophagectomy hiatal hernia is an uncommon condition. Patients may present with small asymptomatic hiatal hernias, nonspecific chronic symptoms or even acute presentations with signs of intestinal obstruction and ischemia. In this case, a three-stage esophagectomy was performed in a female patient diagnosed with end-stage achalasia with subsequent development of hiatal hernia strangulation, for which damage control surgery was key for its management. The implication of damage control surger...

 Open Access DOI:10.23937/2378-3397/1410087

Role of Clinical Decision and Management of Patients Admitted with Perforated Peptic Ulcer to Damascus Hospital (Al Moujtahed), Damascus, Syria

Muhammad Assem Kubtan, Alaa Mousa Alsharif and Mhd Nezar Al Sharif

Article Type: Research Article | First Published: October 24, 2018

As far as we know, there has been no previous published studies concerning the incidence of perforated peptic ulcer (stomach, duodenum) and its related risk factors in Syria, and their managements in association with the current Syrian conflict, that precipitated limited access to admitting such cases to over populated beds. This study addressing the burden shouldered by Health professionals, and aimed to determine the Prevalence of perforated peptic ulcer (PPU) in patients admitted to Damascus ...

 Open Access DOI:10.23937/2378-3397/1410086

An Alternative Mesofemoral Shunt for Uncontrolled Variceal Bleeding

Yi-Ju Wu, Chih-Che Lin, Yu-Hung Lin, Chao-Long Chen, Wayne Huang and Yu-Feng Kao

Article Type: ORIGINAL ARTICLE | First Published: September 07, 2018

Portal hypertension can lead to life-threatening variceal bleeding (VB). Transjugular intrahepatic portosystemic shunt (TIPSS) is the standard choice for uncontrolled VB. Unavailable for TIPSS, we design a mesofemoral shunt (MFS) as an alternative method for control of VB. From March 2011 to November 2014, eleven patients with VB due to liver cirrhosis were enrolled. The MFS was created by connecting from superior mesenteric vein below transverse colon, via subcutaneous tunnel, to right femoral ...

 Open Access DOI:10.23937/2378-3397/1410085

Giant Brunner's Gland Adenoma - An Unusual Cause of Gastrointestinal Haemorrhage

F Mahmood, Adil Ahmed, Chung Shen, Sinead Cabezon, and Vittal Rao

Article Type: CASE REPORT | First Published: September 07, 2018

Brunner's gland adenoma is a rare benign tumour of the duodenum. Less than 200 cases have been reported in the literature. Usually asymptomatic, these lesions rarely manifest as upper gastrointestinal haemorrhage or duodenal obstruction. We report a 40-year-old gentleman who presented with melaena and iron deficiency anaemia. Duodenoscopy revealed a large pedunculated tumour in the duodenal bulb. Due to the huge size, the patient underwent surgical polypectomy through laparotomy and duodenotomy....

 Open Access DOI:10.23937/2378-3397/1410084

BMI in Penetrating Abdominal Injury: Correlation with Morbidity

Rajiv K Chander, Hoan K Bui, John Phair, Matthew Carnevale, Samuel Kigongo and Robert V Madlinger

Article Type: Research Article | First Published: August 10, 2018

In 1960, Shaftan, et al. recognized that mandatory laparotomy for penetrating abdominal injury (PAI) resulted in negative findings in approximately one-third of patients, with significant associated morbidity and mortality. This was underlined by a 37 percent negative laparotomy rate after mandatory laparotomy for truncal stab wounds. Superior critical care facilities, advances in interventional radiology and the increased availability of abdominal ultrasonography, focused abdominal sonography i...

 Open Access DOI:10.23937/2378-3397/1410083

Cadaver Pylorus Simulates Hypertrophic Pyloric Stenosis

Paul A Brisson, Cayla C DeLuca, Kaitlyn Lemes and Samuel C Purkey

Article Type: Original Article | First Published: August 08, 2018

Hypertrophic pyloric stenosis (HPS) is a disorder of infants that results in an abnormal thickening of the pyloric sphincter. Surgical division of the pyloric muscle fibers under general anesthesia is the standard treatment. There is currently no realistic simulation model of hypertrophic pyloric stenosis. Surgeons learn the procedure on live infants. Our objective was to determine if an adult embalmed cadaver pylorus, a readily available resource at most medical schools, could serve as a simula...

 Open Access DOI:10.23937/2378-3397/1410082

Evaluation of the Diagnostic Accuracy of Hepcidin and Conventional Biochemical Markers as Predictors in Disease Severity of Intra-Abdominal Inflammation

Mehmet Ilhan, Recep Ercin Sonmez, Gizem Oner, Murat Kose, Tufan Tukek and Cemalettin Ertekin

Article Type: Original Article | First Published: August 06, 2018

Hepcidin is an iron-regulating protein that also behaves as an acute-phase reactant during the inflammation process. The aim of the current research was to assess the efficiency and usability of serum hepcidin levels in determining the severity of intraabdominal inflammation, and to compare hepcidin with other acute phase reactants....

 Open Access DOI:10.23937/2378-3397/1410081

The Use of Platelet-Rich Fibrin Plugs in the Treatment of Perianal Fistula: Traditional Curettage vs. Debridement with a Graduated Set of Cylindrical Curettes

FJ Perez Lara, JM Hernandez Gonzalez, A Ferrer Berges, H Oehling de los Reyes and H Oliva Munoz

Article Type: Original Article | First Published: July 28, 2018

Perianal fistula is a common disorder that produces a strong negative impact on patients' quality of life. The aim of fistula surgery is to eradicate the fistula tract by closing the internal orifice and to do so without endangering continence. Simple open fistulotomy, which is commonly used for low fistulas, is often unsuitable for complex ones, as it bears a significant risk of impairing continence. Various procedures have been suggested for treating complex perianal fistulas, but none have ye...

 Open Access DOI:10.23937/2378-3397/1410080

Recto-Gluteal Fistula from Colonic Stent Migration and Perforation in a Patient with Metastatic Colorectal Cancer Treated with Folfox and Bevacizumab: A Case Report

Danielle Collins and Eric J Dozois

Article Type: Case Report | First Published: July 11, 2018

A 47-year-old female with metastatic colorectal cancer underwent colonic stenting for an obstructing lesion at the recto-sigmoid junction. Staging CT imaging demonstrated a large bowel obstruction due to a stricturing lesion at the recto-sigmoid junction, numerous bilobar liver Mets and two lung nodules suspicious for metastatic disease. Colonoscopy and biopsy confirmed an adenocarcinoma 15 cm from the anal verge. She underwent an uneventful placement of a colonic self-expanding metal stent (SEM...

 Open Access DOI:10.23937/2378-3397/1410079

When a Case of Ulcerative Colitis Requires Mucosectomy and Hand-Sewn Ileo-Anal Pouch Anastomosis

Mary Teresa MO Donnell, Joshua IS Bleier and Gary Wind

Article Type: Case Report | First Published: June 07, 2018

Treatment of ulcerative colitis with total proctocolectomy and ileal pouch anal anastomosis (IPAA) provides a near cure for the bowel component of ulcerative colitis, a restoration of bowel continuity, and the possibility of normal defecation behaviors for patients. ...

 Open Access DOI:10.23937/2378-3397/1410078

85-Year-Old Male with New Onset Melena

Benjamin D Shogan

Article Type: Case Report | First Published: June 06, 2018

An 85-year-old otherwise healthy male originally presented to his local primary care physician with fatigue. He had no other complaints and specifically denied abdominal pain, constipation, diarrhea, or bloody stools. Routine lab work showed a hemoglobin of 7.5. To investigate his new onset anemia a colonoscopy was performed which found 3 large fungating masses in the sigmoid colon, transverse colon, and cecum. ...

 Open Access DOI:10.23937/2378-3397/1410077

Symptomatic Perineal Hernias: A Rare but Challenging Problem after Laparoscopic Abdominoperineal Resection for Rectal Cancers. Combined Abdominoperineal Approach and Biological Mesh Repair

Bodvar Ymisson, Ahmed Hamad, Narendranath Govindarajah and Arif Khan

Article Type: Case Report | First Published: June 06, 2018

Perineal hernia is a rare condition that can occur postoperatively following abdominoperineal resection of the rectum or other major pelvic resections. The current literature has limited described surgical techniques for their repair given its low prevalence as a surgical complication....

 Open Access DOI:10.23937/2378-3397/1410076

Appropriate Extension of Combined Hepatectomy for Radical Resection of Hilar Cholangiocarcinoma

Shuai Xiang and Xiao-ping Chen

Article Type: Case Report | First Published: June 01, 2018

Hilar cholangiocarcinoma is a malignant tumor of the bile duct that affects bile duct confluence and its bifurcation. The anatomical location of hilar cholangiocarcinoma is complicated, and the operation is challenging. Most doctors used local bile duct resection for hilar cholangiocarcinoma in the past....

 Open Access DOI:10.23937/2378-3397/1410075

Schistosomiasis with Recto-Vaginal Fistula Mimicking Crohn's Disease in an Immunocompromised Patient and the Surgical Management

Aaron Klinger, Michitaka Kawata and Brian Kann

Article Type: Case Report | First Published: May 28, 2018

Schistosomiasis is a parasitic illness caused by blood flukes known as schistosomes. Infection is caused by freshwater exposure in endemic areas (Africa, Middle East, South America, Caribbean, East Asia). Little damage is caused by the flukes themselves, but rather by the eggs which lead to a TH-2 mediated immune response leading to granuloma formation and scarring....

 Open Access DOI:10.23937/2378-3397/1410074

The Management of Pediatric Heart Failure: Current State and Future Managements

Cevdet Furat, Omer Faruk DOGAN

Article Type: Short Communication | First Published: May 28, 2018

As we know that heart failure is a complex pathology that may be seen in children with congenital heart disease include development of cardiomyopathies due to myocarditis. In general, this severe clinical condition is associated with a high rate of morbidity and mortality and places a significant burden on families. Current medical and/or surgical treatment modalities are taken largely from the management of heart failure in adults, though clear survival benefit of these medications are lacking....

 Open Access DOI:10.23937/2378-3397/1410073

A Fatal Case of Primary Anal Melanoma in a Patient with Diagnosed Haemorrhoids

Ross John Spero Calopedos, Tariq Cachalia, Richard George Arnold and Ban Sulaiman

Article Type: Case Report | First Published: May 25, 2018

A patient review revealed a history of recent occasional PR bleeding typically manifesting as spotting on toilet paper often accompanied by constipation. He had known diverticular disease, haemorrhoids and a previous gastric ulcer. He was also on rivaroxaban for atrial fibrillation and had a 30 pack years history of smoking cigarettes. He had never had a colonoscopy....

 Open Access DOI:10.23937/2378-3397/1410072

Parastomal Hernia with Incarcerated Gallbladder: A Case Report

Ramon A Brown, Brian Kann and James Woolridge

Article Type: Case Report | First Published: May 23, 2018

Parastomal hernias can occur in up to 37.8% of patients following an enterostomy. This type of hernia develops through an intentional fascial defect. Commonly these hernias may contain a variety of contents including omentum, small bowel, or colon, but very rarely contains the gallbladder. Few cases are reported in the literature and guidance to the appropriate management of these patients is managed on a case by case basis....

 Open Access DOI:10.23937/2378-3397/1410071

Colonic Phytobezoar Caused by Popcorn Kernels Resulting in a High Grade Large Bowel Obstruction

Lara Mckean Baste and Avery Walker

Article Type: Case Report | First Published: May 23, 2018

Phytobezoars are the result of ingestion of indigestible or poorly digestible substances. The stomach is the most commonly affected, with the small bowel being the next most common site. The colon is a rare location for a bezoar. We report the first case of pancolonic phytobezoar from popcorn kernels causing a large bowel obstruction....

 Open Access DOI:10.23937/2378-3397/1410070

Pre-sacral Smooth Muscle Tumor of Uncertain Malignant Potential

Andrew Discolo, Tafadzwa P Makarawo and Rodney Kratz

Article Type: Case Report | First Published: May 21, 2018

This is a case of a 55-year-old male patient that was incidentally found to have a large presacral tumor. After excision it was identified to be a smooth muscle tumor of uncertain malignant potential (STUMP). STUMPs are rare entities that have been identified most commonly in association with the genitourinary tract such as the uterus and prostate....

 Open Access DOI:10.23937/2378-3397/1410069

Arterio-colonic Fistula as a Complication of Failed Pancreatic Transplant

Mantilla N, Calata J, Trepanier JS, Tzvetanov I, Nordenstam J, Chaudhry V and Mellgren A

Article Type: Case Report | First Published: May 19, 2018

Arterio-enteric fistulas are rare but feared complications after failed enterically drained pancreatic transplants. Massive and abrupt gastrointestinal bleeding is the cardinal presentation as a result of pseudoaneurysm rupture into the bowel lumen. However, subclinical presentation of delayed arterio-enteric fistulas may represent a diagnostic challenge for surgeons and warrants a high index of suspicion. Endovascular techniques have evolved as an excellent option as a bridge to definitive trea...

 Open Access DOI:10.23937/2378-3397/1410068

Granular Cell Tumor Involving the Anal Sphincter: A Case Report and Review of the Literature

Terrah J Paul Olson, Emily Steinhagen and Lisa M Cannon

Article Type: Case Report | First Published: May 19, 2018

Granular cell tumors are unusual, typically benign tumors deriving from Schwann cells. They can arise of tissues anywhere in the body and can rarely involve the perianal tissues. We discuss the case of a granular cell tumor involving the external anal sphincter....

 Open Access DOI:10.23937/2378-3397/1410067

Splenic Flexure Mobilization for Subacute Large Bowel Obstruction Following Gastric Bypass: A Case Report

Tafadzwa P Makarawo, Sarah Bastawrous and Amir Bastawrous

Article Type: Case Report | First Published: May 02, 2018

Laparoscopic Roux-en-Y bypass (RYGB) is the approach of choice for bariatric surgical procedures, being performed in the majority of the 200,000 procedures performed in the United States in 2007. An established complication of laparoscopic gastric bypass surgery is bowel obstructions with a reported incidence as high as 9.7%....

 Open Access DOI:10.23937/2378-3397/1410066

Risk Factors of Choledocholithiasis after Distal Gastrectomy for Gastric Cancer

Yoshihide Asaumi, Mitsuaki Sakatoku, Saki Hayashi, Naohiro Ohta, Zensei Nozaki, Kohichi Yoshida, Hiroyuki Sugahara, Masahiro Kaneki, Kenichi Ietsugu and Kaoru Kiyohara

Article Type: Research Article | First Published: April 21, 2018

Some reconstruction methods are used after distal gastrectomy, and an endoscopic approach for choledocholithiasis is restricted by the type of reconstruction. We investigated retrospectively the risk factors for post-surgical choledocholithiasis after distal gastrectomy....

 Open Access DOI:10.23937/2378-3397/1410065

Application of Cognitive Theory of Multimedia Learning in Undergraduate Surgery Course

Muhammad Shamim

Article Type: Original Article | First Published: April 05, 2018

This questionnaire-based quasi-experimental study was conducted prospectively in the department of Surgery at the end of Surgery II course. The questionnaire comprised of items asking about demography, prior operating room experience, overall satisfaction and items based on principles of cognitive theory of multimedia learning....

 Open Access DOI:10.23937/2378-3397/1410064

Does Vitamin D Deficiency Cause Primary Hyperparathyroidism?

Rodrigo Arrangoiz, Jorge Sanchez-Garcia, Eduardo Moreno-Paquentin, David Caba Molina, Enrique Luque de Leon, Fernando Cordera, Manuel Munoz, Efrain Cruz-Gonzalez and Luis Fernando Negrete-Cervantes

Article Type: Research Article | First Published: March 31, 2018

Primary hyperparathyroidism (PHPT) is the third most common endocrine disease. It is caused by a single parathyroid adenoma in 85% to 90% of the cases. Vitamin D deficiency (VDD) is a common finding in PHPT with an incidence varying in the literature from 53% to 77%. The aim of our study is to describe a cohort of patients with PHTP with and without VDD....

 Open Access DOI:10.23937/2378-3397/1410063

Plastic Surgery Training Courses: Motivation, Money Matters and More

Anne M Collins, Jack FC Woods, Shane PO Neill, Richard P Hanson and Paul F Ridgway

Article Type: Research Article | First Published: Mach 08, 2018

The manner in which surgical training is delivered is changing. Internationally, work practice reform has challenged surgical educators to provide the same level of experience in an environment of reduced clinical contact hours. Extra-clinical training courses afford the opportunity to improve both technical proficiency and knowledge base, yet enrolment has significant implications for participants. The aim of this study was to ascertain the correlation between the perceived importance of specif...

 Open Access DOI:10.23937/2378-3397/1410062

Maxium Sutureless Closed Haemorrhoidectomy for Symptomatic Haemorrhoids Grades III and IV: An Observational Cross-sectional Study

Jawad Kadhim S Al-Dhahiry

Article Type: Research Article | First Published: February 07, 2018

A symptomatic haemorrhoidal disease is one of the most common anorectal diseases. Haemorrhoids grades I and II can be medically treated but haemorrhoids grades III and IV are surgically treated. Although Conventional Haemorrhoidectomy Techniques (CH) are commonly used but they are associated with some major complications. Many novel techniques have been introduced to overcome these complications such as Maxium Haemorrhoidectomy (MH)....

 Open Access DOI:10.23937/2378-3397/1410061

Novel Description of Nash's Rectal Funnel for Drainage of Pelvic Collections Following Colorectal Surgery

O Pickering, A Leonard, A Clarke and GF Nash

Article Type: Case Report | First Published: January 12, 2018

The Nash rectal funnel is a soft silastic hollow apparatus which can easily be inserted through the anus to open the blown rectal cross-staples after instillation of local anaesthetic jelly (Instillagel). It is introduced on the ward with the patient in the lateral position. The wider flange is folded over your finger and introduced without discomfort. ...

 Open Access DOI:10.23937/2378-3397/1410060

Preoperative Imaging in the Diagnosis of Acute Appendicitis is Associated with Low Negative Appendectomy Rate

Oystein Hoydahl, Hartwig Korner and Tom-Harald Edna

Article Type: Research Article | First Published: December 30, 2017

Acute appendicitis is the most common surgical emergency worldwide, but the diagnosis continues to challenge clinicians. In the light of the constantly increasing demand for evidence-based treatment and avoiding unnecessary surgery, the traditional rates of negative appendectomies up to as high as 25% are no longer considered acceptable. ...

 Open Access DOI:10.23937/2378-3397/1410059

Management of Incisional Hernias at a Tertiary Centre

Jacob A Akoh

Article Type: Research Article | First Published: December 30, 2017

All patients with incisional hernias who underwent repair at Derriford Hospital, Plymouth between 2009 and 2011 were included in the study. A retrospective review of elective and emergency cases; operative details of the index procedure and hernia repair; and postoperative events and outcome was performed. Analysis was performed using an Excel pivot table and tests of statistical significance performed using GraphPad Prism....

 Open Access DOI:10.23937/2378-3397/1410058

Clinical Progress of Toremifene and Tamoxifen in Endocrine Therapy for Breast Cancer

Zhu Lizhe, Li Xiongxiong, Yu Shuyao and Ren Yu

Article Type: Review Article | First Published: December 06, 2017

Researches on the breast cancer pathogenesis have been greatly progressed within the past few decades, so does the immunohistochemical classification of breast cancer. Recent clinical trials and studies have shown that endocrine therapy has become a clear target treatment with confirmed efficacy of breast cancer....

 Open Access DOI:10.23937/2378-3397/1410057

The Evaluation of the Early and Late Postoperative Pancreatic Function and Nutritional Status: Central Pancreatectomy Versus Distal Pancreatectomy

Wataru Izumo, Ryota Higuchi and Masakazu Yamamoto

Article Type: Research Article | First Published: July 31, 2017

Central pancreatectomy is performed to preserve pancreatic function in selected patients with low-grade tumors. We evaluated short-term and long-term pancreatic function and nutritional status after central or distal pancreatectomy....

 Open Access DOI:10.23937/2378-3397/1410056

Laparoscopic Sleeve Gastrectomy - An Unexpected Finding: MALT Lymphoma in a H.Pylori-Negative Patient

Ramesh Piyumal De Silva, Sukaina Jaffar and Michael Devadas

Article Type: Case Report | First Published: June 23, 2017

Overweight and Obesity have been associated with an increased risk of developing a variety of gastrointestinal cancers. The increasing implementation of bariatric surgery to manage overweight and obesity would likely increase the incidental diagnosis of malignancies in patients who were previously asymptomatic or had nonspecific gastrointestinal symptoms....

 Open Access DOI:10.23937/2378-3397/1410055

Laparoscopic Donor Nephrectomy of Dual Renal Artery Kidneys: Single Center Experience

Ibrahim AlOraifi, Mansour Tawfeeq, Hamad AlHellow, Mohammed S AlQahtani, Meteb M AlBugami, Abdulwahab AlShahrani and Gelu Osian

Article Type: Case Report | First Published: April 07, 2017

Renal transplantation is the only cure for patients with end-stage renal disease. However, this treatment modality is not readily available for all patients. It requires a specialized center of excellence, fellowship trained surgeons and an extremely intricate network of transplantation and organ procurement organization staff....

 Open Access DOI:10.23937/2378-3397/1410054

Wirsung Duct Occlusion Versus Pancreaticojejunostomy after Pancreaticoduodenectomy

Claudio F Feo, Alessandro Fancellu, Giorgio C Ginesu, Maria Laura Cossu, Antonio M Scanu, Antonio Pinna, Panagiotis Paliogiannis and Alberto Porcu

Article Type: Research Article | First Published: April 03, 2017

Postoperative pancreatic fistula is still a cause of major morbidity after pancreaticoduodenectomy. The optimal management of the pancreatic remnant is still controversial. Our aim was to analyze the role of two different procedures in the management of pancreatic stump in a single surgical unit....

 Open Access DOI:10.23937/2378-3397/1410053

Gender Differences in Left Ventricular Assist Device (LVAD) Support

Sneha Raju, Morgan Leigh Zych, Jane MacIver, FilioBillia and Vivek Rao

Article Type: Case Report | First Published: April 03, 2017

Studies have demonstrated gender differences in adverse events after cardiac surgery, with men experiencing more favorable outcomes. The scarce gender-focused literature in the left ventricular assist device (LVAD) population has failed to find consistent differences. It has also been suggested that women experience longer transplant wait times due to higher PRA values....

 Open Access DOI:10.23937/2378-3397/1410052

Percutaneous Closure of an Atrial Septal Defect in a Child with Congenitally Corrected Transposition of Great Arteries

Hasim Olgun and Naci Ceviz

Article Type: Case Report | First Published: March 20, 2017

Congenitally corrected transposition of the great arteries with a hemodynamically significant isolated atrial septal defect is rare. The treatment includes surgical or transcatheter closure techniques. With the introduction of percutaneous closure devices, close associated cardiac defects have been achieved without increasing the risk of surgery....

 Open Access DOI:10.23937/2378-3397/1410051

The Surgical Checklist Revisited

Caroline Daggett BA and Amanda Daggett MD

Article Type: Case Report | First Published: February 27, 2017

It is estimated that in-hospital adverse surgical events occur in the range of 3 to 17%. This paper reviews the use of surgical checklists as a tool for reducing preventable errors. It uses the work of Dr. Peter Pronovost, Dr. Atul Gawande, and the World Health Organization (WHO) to revisit the evidence-based proof that checklists do work in the right setting and under the right circumstances....

 Open Access DOI:10.23937/2378-3397/1410050

Prospective Comparison of CT scan, MRI and PET/CT in the Diagnosis of Oral Cancer and Nodal Metastasis

El Kininy W, Israr M, Toner M, Meaney J and Stassen LFA

Article Type: Research Article | First Published: February 27, 2017

The addition of the CT/PET scans to achieve both an anatomical aspect to the image via the CT component and a functional aspect via the PET component has been shown to improve clinical staging of Oral Squamous Cell Carcinoma (OSCC)/oral cancer over Positron Emission Tomography (PET) or Computerized Tomography (CT) alone....

 Open Access DOI:10.23937/2378-3397/1410049

Videothoracoscopic Ligation of Bulla via Single Utility-Incision for Spontaneous Pneumothorax: A Convenient Surgical Approach in a Developing Country

Bo Wei, Jinfang Yi and Fusheng Jiang

Article Type: Case Report | First Published: February 25, 2017

The ideal video thoracoscopic surgery for spontaneous pneumothorax should maximize the benefits of minimally invasive surgery but minimize the surgical cost; thereby reducing chest wall trauma using the fewest incisions and the least money possible without compromising therapeutic efficiency. Described here include a complete single utility-incision thoracoscopic approach and bulla ligation with a deep hypodesmus technique, so as to reduce the use of the multiple endostapling cartridges typicall...

 Open Access DOI:10.23937/2378-3397/1410048

Markedly Elevated Tumor Markers with a Benign Epidermoid Cyst of Spleen

Jane Lee, Jingjing Sherman and L Brian Katz

Article Type: Case Report | First Published: October 17, 2016

A 25-year old female presented with left upper quadrant pain of several weeks duration. Her labs were significant for elevated tumor markers including CA 19-9, CA 125 and CEA. Computed tomography of the abdomen showed ascites, ovarian cysts and enlarged spleen with a large cystic lesion measuring approximately 9.9 × 3.2 cm. Diagnostic laparoscopy revealed an enlarged cystic spleen, ovarian cysts and no evidence of malignancy. Splenectomy was performed along with ascites cytology, peritoneal...

 Open Access DOI:10.23937/2378-3397/1410047

Surgical Gastrostomy in Delayed Emergency: Indications, Morbidity and Mortality in 293 Patients from a Single Center Experience

Anne-Sophie Studer, Vincent Venchiarutti, Edouard Girard, Jessica Morel, Julio Abba and Catherine Arvieux

Article Type: Original Article | First Published: October 15, 2016

293 patients under went surgical gastrostomy according to the Witzel technique. Age, gender, indication, type of anesthesia, complications and 30-days mortality were analyzed. Complications were detailed according to type minor (tube site infection, gastric tube removal, obstruction, breakage or leakage, intra-abdominal displacement, parietal hematoma) or major (gastric bleeding, aspiration pneumonia, gastroesophageal reflux, peristomal hernia, peritonitis, digestive perforation, incisional hern...

 Open Access DOI:10.23937/2378-3397/1410046

Stone Ileus: An Unusual Presentation of Crohn's Disease

Charles Ma, H Tracy Davido

Article Type: Case Report | First Published: September 30, 2016

Stone ileus, also known as enterolith ileus enterolithiaisis, is a rare complication of cholelithiasis and an even rarer symptom of Crohn's disease. Gallstone ileus is secondary to fistula formation between the gallbladder and the gastrointestinal (GI) system. Enterolithiasis of Crohn's disease is thought to arise from the stasis of succus within the small bowel eventually leading to stone formation and growth. Both gallstone ileus and enterolithiasis of Crohn's disease can result in subsequent ...

 Open Access DOI:10.23937/2378-3397/1410045

A Rare Case of Subtotal Parotidectomy of Bilateral Oncocytomas with Facial Nerve Preservation

Constantinos Aristotelous, Sofia Georgiou Korsavva and Georgios Pantelas

Article Type: Case Report | First Published: September 02, 2016

Oncocytomas are a group of rare tumours of the parotid glands which have benign epithelial origin with incidence about 1% of parotid neoplasms but can exist in many organs. Bilateral non-malignant parotid oncocytomas are very rare. We report the case of a 63-year-old female patient who presented to the outpatients' clinic of Oral and Maxillofacial Surgery (OMFS) service with bilateral facial swelling of one year duration. Clinical examination determined bilateral parotid oncocytoma. Imaging stud...

 Open Access DOI:10.23937/2378-3397/1410044

Abdominal Wall Endometriosis after Gynaecological Interventions - A Cohort Study on Diagnostic and Treatment of Abdominal Wall Endometriosis

Sophia Thornton, Jorg Woll, Filiz Markfeld-Erol, Annette Hasenburg, Heinrich Proempeler and Michaela Bossart

Article Type: Research Article | First Published: September 01, 2016

Endometriosis is defined as the existence of ectopic endometrial tissue outside the uterine cavity. Endometriosis in the abdominal wall is painful and mainly emerges after surgical abdominal interventions such as laparoscopy, hysterectomy or caesarean sections. The increasing number of surgeries, caesarean section in particular, raises the incidence of abdominal wall endometriosis....

 Open Access DOI:10.23937/2378-3397/1410043

Alternatives to Liver Transplantation in Pediatric Liver Diseases

Clara T Nicolas and Scott L Nyberg

Article Type: Mini Review | First Published: July 18, 2016

Inherited metabolic disorders and acute liver failure (ALF) are often indications for liver transplantation in pediatric patients. Liver transplantation, however, is limited by the shortage of donor organs, as well as by the need for chronic immunosuppression. This review focuses on the latest advancements made in the field of liver regenerative medicine as possible future alternatives to pediatric liver transplantation or as a means of temporary liver function support. Cell transplantation offe...

 Open Access DOI:10.23937/2378-3397/1410042

Approach to Interdigital Pilonidal Sinus: Our Clinical Experience and Literature Review

Vahit Onur Gul, Sebahattin Destek, Ergin Etkin, Serkan Ahioglu, Zeynep Tatar, Serhat Ozer and Yesim Erbil

Article Type: Review Article | First Published: June 11, 2016

Interdigital pilonidal sinus disease, also called barber's disease, is an acquired occupational disease. Although sacrococcygeal pilonidal sinus disease is a common surgical issue, interdigital pilonidal sinus disease is rare and more likely localized between the fingers and toes. Approximately 50 cases of this disease have been published. However, there are insufficient publications on the incidence of this disease. This disease is caused by the penetration of newly cut, short, and sharp hair t...

 Open Access DOI:10.23937/2378-3397/1410041

Computed Tomographic Quantification of Thoracic Aortic Wall Calcification as a Predictor of Clinical Outcomes in Patients Undergoing Coronary Artery Bypass Grafting

Se Jin Oh, Kwang Nam Jin, Jae-Sung Choi, Hyeon Jong Moon, Yong Won Seong and Jeong Sang Lee

Article Type: Research Article | First Published: June 09, 2016

Background: We evaluated computed tomographic (CT) measurement of thoracic aortic wall calcification as a predictor of the postoperative clinical outcomes in patients who underwent coronary artery bypass grafting (CABG). Methods: Between 2009 and 2013, a total of 100 patients with isolated CABG underwent chest CT or total aorta CT angiography preoperatively. Using dedicated calcium measuring software, we measured thoracic aortic calcification score (TACS) on CT images. A high TACS was defined as...

 Open Access DOI:10.23937/2378-3397/1410040

Comparative Study of Laparoscopic Versus Open Resection of Colorectal Liver Metastasis

Christian Hunnicke Petersen, Peter Norgaard Larsen, Jan Storkholm, Nicolai Aagaard Schultz and Kenneth Hojsgaard Jensen

Article Type: Original Article | First Published: March 30, 2016

Laparoscopic liver resection is gaining increased application in the treatment of colorectal liver metastases (CRLM). The aim of this study is to compare safety and feasibility of minor laparoscopic liver resection vs. open liver resection in patients with CRLM. One hundred and twenty-eight patients who underwent minor resection of CRLM were retrospectively reviewed. Sixty-four consecutive cases of laparoscopic liver resections (LLR) were compared to a matched control group of 64 open liver rese...

 Open Access DOI:10.23937/2378-3397/1410039

Post-cardiotomy Rescue Extracorporeal Cardiopulmonary Resuscitation in Neonates with Single Ventricle after Intractable Cardiac Arrest: Attrition after Hospital Discharge and Predictors of Outcome

Anastasios C. Polimenakos, Patrice Wojtyla, Vincent Rizzo, Chawki F. ElZein and Michel N. Ilbawi

Article Type: Research Article | First Published: March 28, 2016

Extracorporeal cardiopulmonary resuscitation (ECPR) in children with cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) has been reported with encouraging results. We reviewed outcomes of neonates with functional single ventricle (FSV) surviving post-cardiotomy ECPR after hospital discharge....

 Open Access DOI:10.23937/2378-3397/1410038

Is Ligation an Option after Gunshut Injury of the Subclavian Artery?

Yucel Akkas, Bulent Kocer, Gultekin Gulbahar, Ahmet Gokhan Gundogdu and Bulent Ozkurt

Article Type: Case Report | First Published: March 18, 2016

We would like to present this case to emphasize on the importance of rapid and accurate diagnosis leading to lifesaving emergent surgical approach. A 30 year-old male patient was taken to the emergency department after suffering from a gunshot wound. He had right subclavian artery injury. Right subclavian artery was ligated through an infraclavicular incision. The subclavian artery angiography, which was performed postoperatively, demonstrated the right axillary artery to be supplied by the coll...

 Open Access DOI:10.23937/2378-3397/1410037

A Rare Case of Biliary Atresia and Choledochal Cyst in a Premature Infant

Abigail B Podany, Ryan M Juza, Sosamma T Methratta, Peter W Dillon, Mary C Santos, Brett W Engbrecht, Robert E Cilley, Dorothy V Rocourt and Karmaine A Millington

Article Type: Case Report | First Published: February 28, 2016

Recent case reports have described variants in the classification of biliary atresia and choledochal cyst requiring the expansion of the classical system for describing these anomalies. This in effect, further obscures the line between these two previously separate entities while highlighting the difficulties of intraoperative differentiation of biliary atresia, cystic biliary atresia, choledochal cyst, and Caroli's disease. In our case report, we describe a 34-week premature infant who develope...

 Open Access DOI:10.23937/2378-3397/1410036

Transcatheter Embolization of a Large Coronary Artery Fistula in a Child

Gorbatykh A, Krestjaninov O, Soynov I, Voitov A and Nichay N

Article Type: Case Report | First Published: January 25, 2016

Coronary artery fistula is a rare congenital disease of a coronary circulation. The progress is usually favorable, but in case of a large right atrial coronary fistula a volume overload with a progressing heart failure may occur. Conventional treatment involves fistula's closure using cardiopulmonary bypass. We present a case of endovascular closure of a large coronary artery-to-right atrium fistula....

 Open Access DOI:10.23937/2378-3397/1410035

Pain Management in Knee Arthroplasty: An Overview

Md Quamar Azam, Mir Sadat-Ali and Ahmed Bader

Article Type: Review Article | First Published: December 28, 2015

Perioperative pain management after knee arthroplasty has undergone a conceptual revolution in the last decade. Along with other exciting innovations, including minimally invasive techniques, computer-assisted procedures and a significant stride in tribology, understanding pain modulation and drug action at molecular level is recognized as the game changer in arthroplasty surgeries....

 Open Access DOI:10.23937/2378-3397/1410034

Anti-Rotational Plates with Intramedullary Nailing Stabilize Femoral Shaft Fracture Nonunion: A Biomechanical Study

Xianzhi Ma, Manyi Wang, Bosong Zhang, Zhendong Wang, Yunbang Lang and Xiaofeng Gong

Article Type: Research Article | First Published: December 28, 2015

Intramedullary nailing (IM) is the primary method for treating nonunion of femoral shaft fractures. However, with the advancement of IM technique and the increasing clinical indications, the incidence rate of femoral shaft fracture nonunion, according to the literature review, was 0.8-2%. Regarding its treatment, exchanging intramedullary nailing is considered as the golden standard treatment for femoral shaft fracture nonunion, with a cure rate of up to 70-100%....

 Open Access DOI:10.23937/2378-3397/1410033

Current Aspects of ABO-Incompatible Liver Transplantation

Naoki Kawagishi, Noriaki Ohuchi and Susumu Satomi

Article Type: Review Article | First Published: December 23, 2015

Liver transplantation is well recognized as treatment for patients with end-stage liver disease. Although the source of donors is limited, ABO blood type matched transplantation is commonly performed in deceased donor liver transplantation. On the other hand, where deceased donors are rarely available, a graft obtained from a family member of the recipient is mainly employed and thus ABO-incompatible (ABO-I) living donor liver transplantation (LDLT) becomes unavoidable. This review article descr...

 Open Access DOI:10.23937/2378-3397/1410032

Ranking and Rating Analyses of Barriers to Surgical Care for Children in Guatemala

Brian C Gulack, Shirin Heydari, Ligia Figueroa, Shannon Tew, Brad M Taicher, Sherry S Ross, David Boyd and Henry E Rice

Article Type: Original Article | First Published: November 20, 2015

Barriers to surgical care in low and middle-income countries (LMICs) remain poorly understood. This is particularly true of surgical care for children, where families are required to make complex decisions amidst multiple obstacles. Unmet surgical care contributes to at least 11% of the global burden of disease. For many disease processes in children, surgery is a cost-effective health intervention, as it results in a high degree of averted disability-adjusted life years (DALYs) with costs compa...

 Open Access DOI:10.23937/2378-3397/1410031

Vancomycin and Imipenem Release from Nails Covered with Antibiotic-Loaded Acrylic Cement

Jorge D Barla, Sancineto F Carlos, Luciano A Rossi, Gimenez I Maria, Visus M and Elizondo Cristina

Article Type: Research Article | First Published: November 17, 2015

There is a lack of information in the literature regarding pharmacokinetic properties of nails covered with antibiotic-loaded acrylic cement. The aim of this research work was to describe the release of vancomycin and imipenem from nails covered with ALAC over a period of 6 weeks. Furthermore, we analyzed if an increased nail diameter associated to a thicker ALAC coat could result in an increased antibiotic elution from the cement and if the combination of the two antibiotics in the same cement ...

 Open Access DOI:10.23937/2378-3397/1410030

Utilizing Patient Perspectives to Help Reduce Postoperative Readmission Rates

Vanessa Nomellini, Sarah E Tevis, Mary O'Leary, Maria Brenny-Fitzpatrick, Tamara LeCaire, Gregory D Kennedy, Emily R Winslow and Sharon M Weber

Article Type: Case Report | First Published: October 29, 2015

A total of 50 patients were enrolled in the study. There were no differences between the study patients and NSQIP patients in terms of age or gender, but there was a significant difference in ASA class (p < 0.01). The majority of patients had a scheduled follow up appointment, however 66% were readmitted before they were able to attend and 6% were readmitted from their postoperative clinic visit. When asked about suggestions to improve discharge planning, 50% were satisfied with the process. Amo...

 Open Access DOI:10.23937/2378-3397/1410029

Congenital Cystic Lung Malformation Presenting in a Previously Asymptomatic Thirty-Year-Old Patient

Alecia Vandevelde

Article Type: Case Report | First Published: October 26, 2015

This case is a rare presentation in an adult in his thirties of an uncommon disease normally detected in utero or shortly thereafter. It posed a diagnostic dilemma for our surgical and medical teams initially. We chose to manage this case surgically and have achieved a good outcome in doing so. The ideal management however is still controversial....

 Open Access DOI:10.23937/2378-3397/1410027

Time Required between Two Positioning Methods for Shoulder Arthroscopy. A Non-Randomized Controlled Study

Xavier Zwiebel, Anne-Marie Bedard, Alexandre Leclerc and Melissa Laflamme

Article Type: Research Article | First Published: August 27, 2015

Shoulder arthroscopy can be performed with the patient either in the lateral decubitus or the beach chair position. Since the advent of the beach chair position, orthopaedic surgeons have been debating which of those two positions is superior. Each one has its own advantages and disadvantages, whether for the ease of setup, the risks and complications, the intraoperative visualization or the joint accessibility....

 Open Access DOI:10.23937/2378-3397/1410026

The Management of GI bleeding after Gastric Bypass Surgery

Riley K Kitamura, Jane Lee and Lester Brian Katz

Article Type: Case Report | First Published: August 15, 2015

A 38 year-old female with a history of psoriatic arthritis on chronic NSAID use, and obesity underwent a RNYGB in 2010. In 2013, she presented to an outsidehospital with massive GI bleed, requiring multiple transfusions and ICU monitoring. Subsequently, she underwent both upper and lower endoscopy, angiography, capsule endoscopy, and exploratory laparotomy-however, the source of her bleed was ultimately never found and her symptoms resolved spontaneously....

 Open Access DOI:10.23937/2378-3397/1410025

A Surgical Procedure and Prognosis for Gallbladder Carcinoma According to the Extent of the Tumor Invasion-A Retrospective Case Series Study at a Japanese Hospital

Akitsugu Makino, Hiroshi Nakagomi, Atsushi Takano, Masahiro Maruyama, Kazunori Takahashi, Yuko Nakayama, Masayuki Inoue, Kazushige Furuya, Hidemitsu Sugai, Masao Hada, Yoshiaki Miyasaka and Toshio Oyama

Article Type: Case Series | First Published: August 14, 2015

Purpose: To analyze the prognostic effects of our selecting surgical procedures for gallbladder carcinoma based on the extent of tumor invasion. Methods: We reviewed 35 patients with gallbladder carcinoma who underwent the surgical treatment in our hospital. We divided the patients into three groups (8 with T1, 15 with T2, and 12 patients with T3) according to the pathological extent of the tumor invasion. Results: Although 8 patients with T1 group had been achieved curative operation (R0), 2 pa...

 Open Access DOI:10.23937/2378-3397/1410024

Left Renal Cell Carcinoma with a Tumor Thrombus in the Inferior Vena Cava: A Case Report

Changqin Jiang and Chaozhao Liang

Article Type: Case Report | First Published: July 30, 2015

A case of Left renal cell carcinoma with a tumor thrombus in the inferior vena cava in a 79-years-old woman is presented. Renal Cell Carcinoma (RCCs) is the most common malignancy of the kidney. Because of shorter right renal vein, the right renal cell carcinoma is more common, the cases of left renal cell carcinoma merging inferior vena cava cancer embolus were rare compared to those in the right. Here, we reported a case is with left renal cell carcinoma with a tumor thrombus in the inferior v...

 Open Access DOI:10.23937/2378-3397/1410023

Modified Vertico-Sagittal Osteotomy Technique

Renato de Toledo Breguez, Giovanni Gasperini and Jose Nazareno Gil

Article Type: Review Article | First Published: July 29, 2015

Among the techniques used to correct mandibular deformities, intraoral vertico-sagittal ramus osteotomy is indicated for small mandibular rotations and forward or backward movements. Although it is still little used by oral and maxillofacial surgeons, it presents advantages compared to intraoral vertical ramus osteotomy because of a greater contact between bone fragments, and in relation to sagittal split ramus osteotomy, it introduces a parallelism to the sagittal plane, thereby decreasing the ...

 Open Access DOI:10.23937/2378-3397/1410022

Electromyographic Amplitude Changes in the Laryngeal Adductors during Thyroidectomy with Vagal Nerve Stimulation: A Marker of Tensile Stress in the Recurrent Laryngeal Nerve?

James C. Lee, Sze Ling Wong, William R. Johnson, Meei J. Yeung, Simon Grodski, Jonathan W. Serpell and Michael Bailey

Article Type: Research Article | First Published: June 30, 2015

Most Recurrent Laryngeal Nerve Palsies (RLNP) occurs with visually intact nerves, indicating neurapraxia. However the mechanism of RLNP neurapraxia in intact nerves is not well understood. During thyroid surgery, Recurrent Laryngeal Nerve (RLN) palsy has occasionally been observed immediately following anteromedial rotation of the thyroid lobe (AMRT), upon identification but prior to dissection of the RLN....

 Open Access DOI:10.23937/2378-3397/1410020

Prospective Analysis and Technical Recommendations for Repair of Small Ventral/Umbilical Hernias Using the Ventralex Hernia Patch

Kejia Wang and Christophe R. Berney

Article Type: Research Article | First Published: March 12, 2015

The aim of this study was to examine the short- and long-term clinical outcomes of the technique, and to address the possible limiting factors. Methods: Open mesh repair following strict surgical methodology was performed on 100 consecutive patients with small ventral/ umbilical hernia defects of 1-3cm in diameter between April 2007 and December 2012. Short-term clinical outcome was obtained at 2- and 6-week post-operative visits, and long-term results were assessed by telephone interview with s...

 Open Access DOI:10.23937/2378-3397/1410019

The New Paradigm for the Treatment of Chronic Pancreatitis

Rainer W.G. Gruessner

Article Type: Opinion | First Published: March 10, 2015

Effective treatment of chronic pancreatitis remains one of the greatest surgical challenges to date. Th incidence of chronic pancreatitis ranges from 3 to 10 cases per 100,000 populations per year worldwide. In the United States alone, more than 50,000 hospitalizations per year are caused by this disease. Chronic pancreatitis is an inflammatory process, progressive and irreversible in nature that eventually leads to complete destruction of pancreatic parenchyma and ductal structures....

 Open Access DOI:10.23937/2378-3397/1410018

QOL of the Patients with Lymph Edema: Evaluation of Japanese Patients using SF-36

Makoto Hikosaka, Fumio Onishi, Masayoshi Takayama, Eri Konno and Kazuo Kishi

Article Type: Research Article | First Published: February 27, 2015

Purpose: This cross-sectional study aimed at evaluating the health related quality of life (QOL) of Japanese patients with lymphedema. Methods: A cross-sectional, descriptive study was conducted. Twenty-seven patients with lymphedema of the upper or lower limb(s) who presented the two institutions between January and December 2010 completed the Short Form 36 (SF-36: a generic health-related QOL measure)....

 Open Access DOI:10.23937/2378-3397/1410017

Why Does Diverticulitis Perforate?

Wolfgang B. Gaertner

Article Type: Review Article | First Published: February 04, 2015

Diverticular disease is a common entity in the western world with an increasing incidence globally. This probably reflects both an increase in detection and an ageing population. The pathophysiology of diverticular disease is likely multifactorial involving dietary habits, changes in colonic pressures and motility, and colon wall structural changes. Not only has the understanding of the natural history of the disease become more complex than previously believed but the treatment algorithms have ...

 Open Access DOI:10.23937/2378-3397/1410016

Fibrous Dysplasia of the Inferior Turbinate

Huseyin Baki Yılmaz, Sevtap Akbulut, Mustafa Paksoy, Arif Sanlı and Kayhan Basak

Article Type: Case Report | First Published: November 30, 2014

Fibrous dysplasia is a developmental abnormality of the skeletal system. Craniofacial involvement has been reported in about 10% -27% of the cases with monostotic disease. Involvement of the sinonasal tract has very rarely been reported. In this report, a 14 year old boy that has been treated for 6 months for acute sinusitis and allergic rhinitis is reported. Careful nasal endoscopic examination and obtaining a CT scan led to a diagnosis of unilateral fibrous dysplasia of the inferior turbinate....

 Open Access DOI:10.23937/2378-3397/1410015

Extraluminal Migration of a Metal Needle in a Child: Case Report of Unusual Complication

Btissaam Belhoucha, Youssef Rochdi, Hassan Nourinouri, Lahcen Aderdour and Abdelaziz Raji

Article Type: Case Report | First Published: November 28, 2014

We report the case of a 5-year old girl who was admitted to our ENT outpatient clinic with severe odynophagia while eating. Th parents gave history of ingesting a metal needle 15 days prior to presentations following which the complaints started. Otolaryngological examination was without abnormalities. Flexible fibreoptic endoscope of laryngopharynx showed a pooling of saliva at the right pyriform fossa....

 Open Access DOI:10.23937/2378-3397/1410014

Tumor Grading, Architectural Growth Pattern and Angiogenesis Proprieties Correlation in Surgical Patients Treated for HCC

Włodzimierz Otto, Maria Krol, Urszula Wilkowojska, Ewa Wilczek, Bogusław Najnigier, Janusz Sierdziński and Marek Krawczyk

Article Type: Original Article | First Published: November 28, 2014

Background: Tumor grading and architectural growth patterns impact the results, but the unfavorable tumor biology is revealed no sooner than on explant examination. Thus, they are not concerned in preoperative calculations. Aim of study: To evaluate the correlation between circulating EPCS, soluble angiogenesis factors and architectural growth patterns of HCC in surgical patients. Methods: The study reported on 159 patients treated for HCC in 2009/2013; 58 were suitable for surgery, 55 for liver...

 Open Access DOI:10.23937/2378-3397/1410013

Acute Operative Intervention for Intracranial Hemorrhage in Adult Patients with Ventricular Assist Device Therapy Associated with Fatal Outcomes

Daniel S. Ikeda, Shelly Bansal, Andrew Shaw, Evan Marlin, Chittoor B. Sai-Sudhakar, Eric Sauvageau and Ciaran J. Powers

Article Type: Research Article | First Published: November 26, 2014

Objective: Ventricular assist devices (VADs) are utilized more frequently in the management of patients with advanced heart failure due to benefits in survival and quality of life. Intracranial hemorrhagic injuries (HI) are a significant source of morbidity and mortality in VAD patients. The aim of this investigation was to describe prognostic variables in VAD patients with HI, describe the outcomes after neurosurgical intervention, and find indications for surgery. Methods: The records of 160 p...

 Open Access DOI:10.23937/2378-3397/1410012

A Comparative Study of Electrofulguration and Formocresol Pulpotomy Techniques in Primary Teeth

Omar A.S. El Meligy and Sawsan H. Mahmoud

Article Type: Research Article | First Published: November 22, 2014

While the formocresol pulpotomy has enjoyed long-term clinical use and success, concerns over its toxicity and mutagenicity have prompted research into other pulpotomy techniques. The purpose of this study was to prospectively compare electrofulguration pulpotomies versus formocresol pulpotomies in children vital primary molar teeth. Electrofulguration and formocresol pulpotomies were completed on 40 primary molars in 20 children aged 4 to 8 years. Each child had one molar treated by electrofulg...

 Open Access DOI:10.23937/2378-3397/1410011

Pilot Study of Pelvic Girdle Pain in Women with and Without Laparoscopically Diagnosed Endometriosis

Paul J. Yong, Justin Mui, Catherine Allaire, Christina Williams and Susannah Britnell

Article Type: Research Article | First Published: November 21, 2014

Objective: Pelvic girdle pain is a well recognized cause of back pain in the pregnant and postpartum population. In this pilot study, we explore whether pelvic girdle pain is also involved in the etiology of back pain outside the pregnant/postpartum period, in women with or without laparoscopically diagnosed endometriosis. Methods: Retrospective review of new patients seen for pelvic pain from June December 2012 at a tertiary referral centre. Patients self-rated back pain severity from 0-10. P...

 Open Access DOI:10.23937/2378-3397/1410010

The Diagnostic Yield of Double Contrast Barium Enema

Ashfaq Chandio, Ayub Ali, Ali Javaid, Syed Mustafa, Ruxandra Pietrosanu, Fuad Aftab, Muhammmed Ibrahim and Syed Naqvi

Article Type: Research Article | First Published: November 10, 2014

Introduction: The disease of colon and rectum impose a major diagnostic challenge to the clinician. Although double contrast barium enema (DCBE) has been overshadowed by the advent of colonoscopy and the sophisticated investigations, its role in failed colonoscopies can not be disputed. Aim: Aim of this study was to evaluate the diagnostic accuracy of DCBE. Methods: Patients attending the Mid-Western Regional Hospital, Ennis for DCBE from January 2003 to December 2007 were identified from comput...

 Open Access DOI:10.23937/2378-3397/1410009

Laparoscopic Resection of a Large Mesenteric Cyst - A Case Report

Willem M Deserno, Jeroen Heemskerk and Kim WFM Lambregts

Article Type: Case Report | First Published: October 03, 2014

Mesenteric cysts are rare lesions occurring in the abdomen. These cystic lesions can be asymptomatic or present with a specific symptoms. The decision whether to perform open or laparoscopic surgery depends on different features of the cystic lesion. If the cyst is thought to be of benign origin, a laparoscopic resection can be performed. We present a case of a young female with a large mesenteric cyst of 28cm, resected with laparoscopic approach....

 Open Access DOI:10.23937/2378-3397/1410008

Analysis of the Results on Perioperative Blood Loss after a Total Knee Arthroplasty Employing Tranexamic Acid Before or After Inflating the Tourniquet

Ana Torres, Mariano Fernandez-Fairen, Daniel Hernandez Vaquero and Jose Sueiro Fernandez

Article Type: Research Article | First Published: September 30, 2014

Introduction: Tranexamic acid has showed its good results reducing blood loss in total knee arthroplasties. It has also probed being cost-effective (red cell concentrate: 350 euros/ TXA vial 3, 05 euros) but it remains not being clear at what time during the surgery we have to administrate it. In this prospective, randomized study, we have investigated the effects of the use of tranexamic acid before or after inflating the tourniquet on blood loss, transfusion needs and thromboembolic complicati...

 Open Access DOI:10.23937/2378-3397/1410007

Renal Transitional Cell Carcinoma: Case report from the Regional Hospital Buea, Cameroon and Review of Literature

Eyongeta DE, Weledji and Enow Orock GE

Article Type: Case Report | First Published: September 29, 2014

Although transitional cell carcinoma is the most common tumour of the renal pelvis, we report the first histologically-confirmed case in our service in a period of about twenty years. The patient is a midaged female African, with no apparent risks for the disease. She presented with the classical sign of the disease (hematuria) and was treated by nephrouretectomy for a pT3N0MX grade II renal pelvic tumour. She is reporting well one year after surgery. The case highlights not only the peculiar di...

 Open Access DOI:10.23937/2378-3397/1410006

Predictors of Survival after Adult to Adult Living Donor Liver Transplantation (A-ALDLT)

Ayman Alsebaey, Maha Lotfy and Emad Hamdy Gad

Article Type: Research Article | First Published: September 26, 2014

Objectives: Adult-to-adult living donor liver transplantation (A-A LDLT) is an effective therapeutic modality to treat patients with end-stage liver disease. The aim of this study was to define the pre-, intra- and post- operative factors that may influence patient outcome. Methods: The data from 161 (A-A LDLT) patients who had operations between 2003 and 2013 were collected and analyzed retrospectively after exclusion of mortality due to intra-operative bleeding. Data were analyzed using uni-...

 Open Access DOI:10.23937/2378-3397/1410005

Vascular Complications after Adult to Adult Living Donor Liver Transplantation: Single Center Experience

Emad Hamdy Gad, Ahmed Elshawadfy Sherif, Hosam Solyman, Mohammed Elwarraky, Khaled AbouElela, Tarek Ibraheem and Koichi Tanaka

Article Type: Research Article | First Published: September 25, 2014

Objectives: Vascular complications (VC) after living donor liver transplantation (LDLT) are one of the most feared problems that result in graft and patient loss. The aim of this study was to assess the incidence, treatment, and outcome of vascular complications of patients after adult to adult LDLT in a single Egyptian center. Methods: Between April 2003 and February 2013, we performed 167 adult to adult LDLT. The overall male/female ratio was 147/20. We retrospectively identified and analyzed ...

 Open Access DOI:10.23937/2378-3397/1410004

Precision of Measurements from Computed Tomography (CT), Cone Beam Computed Tomography (CBCT) and their Reformatted Images in Pre-Operative Implant Assessment

Mushira M. Dahaba, Sherouk Khalifa and Walid Samir Salem

Article Type: Research Article | First Published: September 23, 2014

Background: Preclude the accuracy of dimensional, and linear measurements yielded from CBCT images, panoramic images reformatted from spiral CT, and panoramic images reformatted from CBCT in comparison to the measurements obtained from the cross-sectional CT. Methods: Twenty patients attending the Oral Maxillofacial Surgery Department, for placement of dental implants in both jaws (10 subjects required mandibular and the other ten required 10 maxillary). Results: A significant difference bet...

 Open Access DOI:10.23937/2378-3397/1410003

Surgical nurses Neglect of Research Utilization and Implementation of Evidence-based Knowledge to Improve Patient Care: Euphemism Barriers or lack of Abilities?

Connie Bottcher Berthelsen

Article Type: Editorial | First Published: September 11, 2014

The call for evidence-based knowledge (EBK) in clinical nursing practice has increased during recent decades. EBK is needed to improve patients' conditions, care and convalescence. However, a multitude of survey studies show that surgical nurses claim to be obstructed by multiple (and questionable) barriers in their efforts to derive and implement EBK in patient care. As a result, patients are being denied the best possible nursing care. We appear to have a problem on our hands the size of the G...

 Open Access DOI:10.23937/2378-3397/1410002

Single-Incision Laparoscopic Morgagni Hernia Repair in an Adult

Sharon Monsivais, Nicole E. Sharp, Hannah Vassaur and F. Paul Buckley

Article Type: Case Report | First Published: September 07, 2014

Introduction: This is a case report of a single-incision laparoscopic Morgagni hernia repair. We discuss our initial experience with this technique. Case Description: A 63-year-old man elected to undergo a single incision laparoscopic Morgagni hernia repairs after diagnostic imaging showed a large fat containing right diaphragmatic hernia. The patient's only preoperative symptom was periodic right sided chest pain....

 Open Access DOI:10.23937/2378-3397/1410001

Induced Pluripotent Stem Cells and Heart Failure Therapy

Hongran Wang

Article Type: Editorial | First Published: August 23, 2014

Heart failure is a major public health concern worldwide, and coronary artery disease in particular is the leading cause of death in developed countries. Percutaneous coronary interventions can effectively treat coronary artery disease, but the management of ventricular remodeling and chronic ischemic cardiomyopathy after Myocardial Infarction (MI) remains a challenge. The human heart has very limited regenerative capacity, which is insufficient to replace the cells lost after MI. Stem cell ther...


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ClinMed Journals Index Copernicus Values

Clinical Medical Image Library: 93.51

International Journal of Critical Care and Emergency Medicine: 92.83

International Journal of Sports and Exercise Medicine: 91.84

International Journal of Womens Health and Wellness: 91.79

Journal of Musculoskeletal Disorders and Treatment: 91.73

Journal of Geriatric Medicine and Gerontology: 91.55

Journal of Infectious Diseases and Epidemiology: 91.55

Clinical Medical Reviews and Case Reports: 91.40

International Archives of Nursing and Health Care: 90.87

International Journal of Ophthalmology and Clinical Research: 90.80

International Archives of Urology and Complications: 90.73

Journal of Clinical Nephrology and Renal Care: 90.33

Journal of Family Medicine and Disease Prevention: 89.99

Journal of Clinical Gastroenterology and Treatment: 89.54

Journal of Dermatology Research and Therapy: 89.34

International Journal of Clinical Cardiology: 89.24

International Journal of Radiology and Imaging Technology: 88.88

Obstetrics and Gynaecology Cases - Reviews: 88.42

International Journal of Blood Research and Disorders: 88.22

International Journal of Diabetes and Clinical Research: 87.97

New Issues


International Journal of Clinical Cardiology

ISSN: 2378-2951 | ICV: 89.24



Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004 | ICV: 88.42



Journal of Hypertension and Management

ISSN: 2474-3690 | ICV: 87.69



International Journal of Diabetes and Clinical Research

ISSN: 2377-3634 | ICV: 87.97



Journal of Infectious Diseases and Epidemiology

ISSN: 2474-3658 | ICV: 91.55