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

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: contact@clinmedjournals.org

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

 

 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 surgic...
 

 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 resourc...
 

 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 tr...
 

 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 plac...
 

 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 ...
 

 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 corr...
 

 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 us...
 

 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...
 

 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, p...
 

 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 enterolith...
 

 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 det...
 

 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...
 

 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...
 

 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 sco...
 

 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 compare...
 

 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 th...
 

 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, w...
 

 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 ...
 

 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 (LD...
 

 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 disab...
 

 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 comb...
 

 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 ...
 

 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:10.23937/2378-3397/1410028

The What, Where and Why of Orthopaedic Simulation

Mohamed Mediouni

Article Type: Review Article | First Published: October 16, 2015

The collaboration between hospitals and industry has been underpinned for several years. The relationship between medical staff and health care providers is established especially in the pharmaceutical, medical products, surgical instruments and scanner. Today with the challenges in orthopaedics we need to create a bridge between orthopedist and professors in university to produce a new strategy of education using 3D simulation....
 

 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 spont...
 

 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 gro...
 

 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...
 

 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 parallel...
 

 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 r...
 

 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 pancre...
 

 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 prev...
 

 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 unila...
 

 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 200...
 

 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 indi...
 

 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 year...
 

 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. 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...
 

 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 los...
 

 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 sur...
 

 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...
 

 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 1...
 

 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 m...
 

 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 appea...
 

 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 ...

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Overcoming Endocrine Resistance in Hormone-Receptor Positive Advanced..
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Zinc Ionophore (Clioquinol) Inhibition of Human ZIP1-Deficient Prostate..
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Electron Microscopic Analysis of Silicate and Calcium Particles..
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Effects of chest physical therapy in patients with non-tuberculous mycobacteria
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A Community-Based Exercise and Support Group Program Improves Quality..
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Four Weeks of Balance Training Does Not Affect Ankle Joint Stiffness in Subjects..
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Social Ecology and Diabetes Self-Management among Pacific Islanders..
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Examining Characteristics of Hospitalizations in Heart Failure Patients: Results..
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