General Surgery Open Access Open Journa最新文献

{"title":"A Curious Case of Giant Lipoma","authors":"M. Amir","doi":"10.33169/surg.gsoaoj-i-115","DOIUrl":"https://doi.org/10.33169/surg.gsoaoj-i-115","url":null,"abstract":"A lipoma is a fatty tissue tumor presenting as a painless, slow growing mass, that can affect any part of the body rich in adipose tissue. Lipomas can be present in the thigh, shoulder, trunk, etc. They are usually small in size. The lipomas that are larger may, sometimes, transform into malignancy. It may also hamper the quality of life as it can cause pain, prevent comfortable sleep, compress structures within its anatomical vicinity, lead to infections and so forth. Mass localization may also restrict body functions. Lipoma is described as “giant” beyond 1 kg of weight and 10 cm diameter. The diagnosis is primarily clinical. In this case, a 75-year old man presented with a huge swelling over his back, ranging from the left superior border of scapula to the left lumbar region, that has evolved over 15 years. The size and location of the lipoma prevented the patient from lying supine, sitting erect and made dressing problematic. The patient became extremely conscious of his physical appearance and preferred not to step out of his house. After examination, the patient was taken into surgery where a 35cm × 23cm × 22cm mass weighing 3476 grams was successfully excised. Cosmetic and functional results of the surgery were excellent leaving the patient satisfied. Post-surgery the patient reports an improved quality of life. Keywords: Giant lipoma, Tumor","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116381531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testicular Tumor Presenting as Scrotal Abscess","authors":"G. Arora","doi":"10.33169/surg.gsoaoj-i-114","DOIUrl":"https://doi.org/10.33169/surg.gsoaoj-i-114","url":null,"abstract":"We present a case of an 18-year-old male with a scrotal swelling which initially appeared to be a ruptured scrotal abscess but rapidly grew into a fungating mass after initial exploration. Investigations revealed Embryonal Carcinoma of testis with paraaortic and inguinal lymph nodal involvement. High inguinal orchidectomy and local excision of scrotum was followed by chemotherapy. Later the patient made complete recovery. Involvement of skin in case of testicular cancer is rare.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130439823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jejunal Atresia in Newborn: A Case Report","authors":"T. U. Vidyadhar","doi":"10.33169/gsoaoj-i-102","DOIUrl":"https://doi.org/10.33169/gsoaoj-i-102","url":null,"abstract":"Pancreatogenic or Type 3c diabetes is a rather new entry to the world of diabetes and accordingly is scarcely documented; less than 100 entries in a casual Pubmed search.1 This may be due to insufficient research, inaccurate classification, rare occurrence or misdiagnosis in routine clinical practice. Nevertheless, recent data suggests that it might be more common than initially presumed and might be under or misdiagnosed in routine clinical practice.2 Besides, T2DM (Type 2 Diabetes Mellitus) is common enough in global population to accidently coexist with exocrine pancreatic disease.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126852810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jejunal Atresia in Newborn: A Case Report","authors":"M. Engin","doi":"10.33169/SURG.GSOAOJ-I-105","DOIUrl":"https://doi.org/10.33169/SURG.GSOAOJ-I-105","url":null,"abstract":"Jejunal atresia is a rare congenital malformation. Mortality, which was 90% in the 1950s, decreased to approximately 10%. There are studies reporting 1/5000 incidence. We presented a case with polyhydramnios and enlargement of the intestines in the prenatal period, a nutritional defect after birth, with dilated bowel loops with air-fluid levels on the direct abdominal x-ray, and operated on the first day of postnatal diagnosis. Keywords: Abdominal distention, Polyhydroamniosis, Jejunal atresia, Newborn.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125720293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jejunal Atresia in Newborn: A Case Report","authors":"Muhammet Mesut Nezir Engin","doi":"10.33169/gsoaoj-i-105","DOIUrl":"https://doi.org/10.33169/gsoaoj-i-105","url":null,"abstract":"Jejunal atresia is a rare congenital malformation. Mortality, which was 90% in the 1950s, decreased to approximately 10%. There are studies reporting 1/5000 incidence. We presented a case with polyhydramnios and enlargement of the intestines in the prenatal period, a nutritional defect after birth, with dilated bowel loops with air-fluid levels on the direct abdominal x-ray, and operated on the first day of postnatal diagnosis.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114778770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cornual Ectopic Pregnancy, Which Had Continued to Full Term; Deliver a Healthy Fetus","authors":"Marina J Al Ata Allah","doi":"10.33169/surg.gsoaoj-i-104","DOIUrl":"https://doi.org/10.33169/surg.gsoaoj-i-104","url":null,"abstract":"Rudimentary horn pregnancy is a rare ectopic pregnancy in uterine horn caused by abnormal or failed development of one Müllerian duct with a healthy fetus. A significant number of cases reported an incidence of 1 in 76,000 and 1 in 150,000 and some cases are not detected. Timely management of rudimentary horn pregnancy is pivotal in reducing mortality and morbidity. This study is designed to present a case of live 36-week primary horn ectopic pregnancy diagnosis using Ultrasound. Serum B-HCG levels normalized on postoperative first month. Keywords: Cornual ectopic pregnancy, Healthy fetus, Müllerian duct anomaly Rudimentary horn.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123455758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selective Infracolic Omentecomy and Fixation Reduces Complications after Laparoscopic Assisted Peritoneal Dialysis Catheter Placement","authors":"A. Ryckx","doi":"10.33169/surg.gsoaoj-i-103","DOIUrl":"https://doi.org/10.33169/surg.gsoaoj-i-103","url":null,"abstract":"Introduction Peritoneal dialysis (PD) as a treatment for patients with end-stage renal disease (ESRD) provides a competitive alternative to hemodialysis (HD). Long-term catheter survival remains challenging and techniques are not standardized. Advanced laparoscopic placement with fixation and omentectomy might increase catheter survival. The goal of our study was to evaluate if selective infracolic omentectomy and fixation reduced complications after CAPD catheter placement. Materials and Methods A prospective database of patients with CAPD catheter placement from March 2004 to March 2015 was analyzed. All procedures were performed laparoscopically assisted and under general anesthesia by a single surgeon. 78 patients were included, there were no exclusion criteria. Statistical analysis was performed with SPSS. Fisher exact test and log-rank test with calculation of P-value was executed. P-value of <0.05 was considered significant. Results Of the 78 patients who underwent catheter placement, 53 (68%) were males and 25 (32%) were females. The mean age was 54 (ranged from 13 to 88 years). Selective infracolic omentectomy was performed in 32 patients if the momentum reached beyond the promontory. Non-resorbable sutures to fix the catheter were applied in 33 patients. The average duration of peritoneal dialysis was 21 months (range from ten days to 84 months). Omentectomy significantly reduced the incidence of catheter obstruction (3 vs. 11%, P=0.028) but not of catheter dislocation (19 vs. 30%, P=0.101). Omentectomy did not significantly increase the incidence of peritonitis (22 vs. 31%,P=0.133) or exit-site infection (16vs 17%, P=0.238). Catheter fixation with non-resorbable sutures reduced catheter dislocation (21 vs. 23%, P=0.226) and catheter obstruction( 12 vs.17%,P=0.223) with a significant reduction of peritonitis (15 vs. 29%, P=0.044) and no effect on exit-site infection (15 vs. 17%,P=0.251). Conclusion Laparoscopic PD catheter placement with selective omentectomy and fixation of the catheter to the abdominal wall is safe and feasible and leads to fewer complications. Key words: peritoneal, dialysis, catheter, complications, laparoscopy, omentectomy.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123241852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreatogenic Diabetes – Neglected, Underdiagnosed or Misdiagnosed?","authors":":. T. U. Vidyadhar","doi":"10.33169/surg.gsoaoj-i-102","DOIUrl":"https://doi.org/10.33169/surg.gsoaoj-i-102","url":null,"abstract":"Pancreatogenic or Type 3c diabetes is a rather new entry to the world of diabetes and accordingly is scarcely documented; less than 100 entries in a casual Pubmed search. This may be due to insufficient research, inaccurate classification, rare occurrence or misdiagnosis in routine clinical practice. Nevertheless, recent data suggests that it might be more common than initially presumed and might be under or misdiagnosed in routine clinical practice. Besides, T2DM (Type 2 Diabetes Mellitus) is common enough in global population to accidently coexist with exocrine pancreatic disease.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133250276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esophageal Cancer and Treatment Modalities","authors":"T. U. Vidyadhar","doi":"10.33169/gsoaoj-i-101","DOIUrl":"https://doi.org/10.33169/gsoaoj-i-101","url":null,"abstract":"Esophageal cancer is eighth most common cancer worldwide with high biological aggressiveness and poor prognosis. Switching of predominant type from squamous cell carcinoma to adenocarcinoma in Western population, ethnic discrepancies and increased occurrences have identified it as major public health problem. Though monotherapy includes – surgery, radiotherapy and chemotherapy, optimal therapy for esophageal cancer is still debated. Treatment requires a multi-modal approach which includes chemotherapy, radiation therapy with or without surgical follow-up for most patients and chemoradiation for those with inoperable disease; endoscopic therapies, including radiofrequency ablation, endoscopic mucosal resection and endoscopic sub mucosal dissection for Barrett’s esophagus/ early carcinoma patients and minimally invasive surgical approaches are standards for esophagectomy. Advancement in diagnostic techniques and the multi-modal treatment approach has led to an improvement in the overall survival of esophageal cancer patients.","PeriodicalId":119444,"journal":{"name":"General Surgery Open Access Open Journa","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125061279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}