International Journal of

Surgery Research and PracticeISSN: 2378-3397

Archive

 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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