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International Journal of

Surgery Research and PracticeISSN: 2378-3397

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 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 ...

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