Surgical Medicine Open Access Journal最新文献_第3页

Pre-Operative IV Iron Infusion for Vascular Patients: Need for More Evidence (Case Series) 血管患者术前静脉输铁:需要更多证据(病例系列)

Surgical Medicine Open Access Journal Pub Date : 2019-12-02 DOI: 10.31031/smoaj.2019.03.000557

A. Nassar, B. Renwick

引用次数: 0

Hypertension and Dental Implants: A Review 高血压和种植牙:综述

Surgical Medicine Open Access Journal Pub Date : 2019-10-11 DOI: 10.31031/smoaj.2019.03.000555

F. Nikolopoulou, Anestis Chrysostomidis

引用次数: 0

Pelvi-Acetabular Fixations__My Worst Case Scenarios and Lessons Learnt 骨盆-髋臼固定——我最糟糕的情况和经验教训

Surgical Medicine Open Access Journal Pub Date : 2019-10-04 DOI: 10.31031/smoaj.2019.02.000554

R. Bhargava

引用次数: 0

Primary Small Cell Breast Carcinoma-A Rare Diagnosis: Management Strategies and a Brief Literature Review 原发性小细胞乳腺癌-一种罕见的诊断:管理策略和简要的文献综述

Surgical Medicine Open Access Journal Pub Date : 2019-09-24 DOI: 10.31031/SMOAJ.2019.02.000553

Jameel Ali, R. Spence, D. Milne, Johnathan K Jarvis, Lyronne Olivier, Mikhail Barrow, N. Sookar

{"title":"Primary Small Cell Breast Carcinoma-A Rare Diagnosis: Management Strategies and a Brief Literature Review","authors":"Jameel Ali, R. Spence, D. Milne, Johnathan K Jarvis, Lyronne Olivier, Mikhail Barrow, N. Sookar","doi":"10.31031/SMOAJ.2019.02.000553","DOIUrl":"https://doi.org/10.31031/SMOAJ.2019.02.000553","url":null,"abstract":"Neuroendocrine Breast Cancers (NEBC) are reported in approximately 1% of all breast cancers with the small cell variety being the rarest and most poorly differentiated subtype [1]. Although neuro endocrine malignant tumors are frequently of pulmonary origin [2], extrapulmonary sites of this malignancy are reported in most other organs such as the GI tract, trachea ,larynx, bladder, prostate, cervix, ovaries [2]. In the breast, although the exact histogenesis of these tumors is unknown, they are thought to arise from aberrant differentiation of a neoplastic stem cell or less likely derived from neural crest cells that migrate to the breast or originate in neuroendocrine cells of the breast [3] .There are many conflicting reports on the prognosis of NEBC, some reports suggesting that they are less aggressive than the usual invasive ductal carcinoma [4] while others suggest a poorer prognosis [3]. As in invasive ductal carcinoma, high grade, larger tumor size, the presence of lymph node and distant metastasis are associated with poorer prognosis. The small cell subtype of NEBC is however generally associated with a poorer prognosis [5]. As described in our case presentation to follow, specific criteria must be met before a diagnosis of primary small cell breast carcinoma is made, first of all to exclude a lung or other primary source and to confirm that the immunohistochemical features are in keeping with a breast primary.","PeriodicalId":283483,"journal":{"name":"Surgical Medicine Open Access Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130962484","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}

引用次数: 0

Recurrent Inguinal Hernia as Richter’s Hernia 复发性腹股沟疝称为Richter疝

Surgical Medicine Open Access Journal Pub Date : 2019-08-26 DOI: 10.31031/SMOAJ.2019.02.000552

S. D. Rao, M. Kanagavel

{"title":"Recurrent Inguinal Hernia as Richter’s Hernia","authors":"S. D. Rao, M. Kanagavel","doi":"10.31031/SMOAJ.2019.02.000552","DOIUrl":"https://doi.org/10.31031/SMOAJ.2019.02.000552","url":null,"abstract":"An obese elderly gentleman of 85years presented with abdominal distension, vomiting and constipation of 2days duration. He was suffering from Parkinson’s disease and was disoriented. He had undergone surgery for left inguinal hernia about 40years ago, without a mesh. Examination revealed distension of abdomen with occasional bowel sounds. The groins and genitalia were normal. Since rectal examination revealed hard fecal matter, a clinical diagnosis of fecal impaction was made. Plain x ray and ultrasound revealed obstructed and dilated bowel. CT without contrast revealed a part of the sigmoid colon closely adherent to the inguinal region at the previous operation site. The patient was operated on emergent basis, through an inguinal incision, with the diagnosis of obstructed inguinal hernia. During surgery, in the hernia sac, the wall of the sigmoid colon was found to be incarcerated through the hernia defect (Figure 1), and the entrapped bowel wall was showing a dusky color. The ring was incised laterally, and the color of the bowel restored to normal slowly. The bowel was extracted further and found to be normal and viable and was returned into the abdominal cavity. The defect was closed with a polypropylene mesh to complete the repair. The patient had an uneventful recovery.","PeriodicalId":283483,"journal":{"name":"Surgical Medicine Open Access Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123656459","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}

引用次数: 1

Is the Anatomy of External Anal Sphincter Fully Understood? 肛门外括约肌的解剖是否完全了解?

Surgical Medicine Open Access Journal Pub Date : 2019-08-22 DOI: 10.31031/smoaj.2019.02.000551

G. Soni

{"title":"Is the Anatomy of External Anal Sphincter Fully Understood?","authors":"G. Soni","doi":"10.31031/smoaj.2019.02.000551","DOIUrl":"https://doi.org/10.31031/smoaj.2019.02.000551","url":null,"abstract":"The external anal sphincter is an elliptical cylinder of striated muscle that envelops the entire length of the inner tube of smooth muscle, but it ends slightly more distal than the internal anal sphincter. Knowledge of the exact anatomy of the anal sphincter complex is essential for management of pathology in this area. Many anatomical and radiological studies of the external anal sphincter have been conducted till date and yet there is no consistent and consensual description of EAS. Various researchers have described the anatomy of external anal sphincter; some authors suggested it to be a single continuous sheet; others described it to be a bilaminar structure and still further it was suggested to be a triple loop system. However, most of the modern-day anatomy and surgery textbooks describe the three parts of the external anal sphincter as subcutaneous, superficial and deep. Milligan & Morgan [1] reported that the external anal sphincter consists of subcutaneous, superficial and profundus components. Goligher et al. [2] on the other hand, found no suggestion of division of the external anal sphincter into separate parts: the muscle was considered to be a single continuous sheet.","PeriodicalId":283483,"journal":{"name":"Surgical Medicine Open Access Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132262477","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}

引用次数: 0

New Medical Therapies for the Treatment of Myelomeningocele 治疗脊髓脊膜膨出的新医学疗法

Surgical Medicine Open Access Journal Pub Date : 2019-07-22 DOI: 10.31031/SMOAJ.2019.02.000549

Aamir Jalal Al-Mosawi

{"title":"New Medical Therapies for the Treatment of Myelomeningocele","authors":"Aamir Jalal Al-Mosawi","doi":"10.31031/SMOAJ.2019.02.000549","DOIUrl":"https://doi.org/10.31031/SMOAJ.2019.02.000549","url":null,"abstract":"Spina bifida is a congenital abnormality associated with a defect in the bones and membranes surrounding the spinal cord. The most common site of the abnormality is the lower back. Myelomeningocele which is also called meningomyelocele is the most severe type and causes weakness and impairs the ability to walk. A myelomeningocele may also cause problems with bladder or bowel control, and it may be associated with hydrocephalus. In myelomeningocele, the defect in the vertebral column allows the spinal cord to herniate through an opening, and the meningeal membranes that cover the spinal cord protrude through the opening and form a sac enclosing the spinal elements (meninges, cerebrospinal fluid, and parts of the spinal cord and nerve roots). There is no curative or satisfactory effective therapy for the nervous tissue damage associated with myelomeningocele which generally results in a serious disability except in the less severe forms. Standard treatment of myelomeningocele is surgical closure which aims at preventing more damage of the nervous tissue. The patients may also need a shunt for hydrocephalus. A tethered spinal cord can sometimes be surgically repaired. Patients with myelomeningocele may need devices to aid with movement such as crutches or wheelchairs. Urinary catheterization sometimes is needed [1-4].","PeriodicalId":283483,"journal":{"name":"Surgical Medicine Open Access Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115831551","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}

引用次数: 15

Thinking About the Importance of and Developing Physician and Surgical Leaders 关于培养医师和外科领导者的重要性的思考

Surgical Medicine Open Access Journal Pub Date : 2019-07-10 DOI: 10.31031/SMOAJ.2019.02.000548

Joe Doty

引用次数: 0

Foreign Body Aspiration in children: A Review of 10 years 儿童异物吸入:10年回顾

Surgical Medicine Open Access Journal Pub Date : 2019-07-09 DOI: 10.31031/smoaj.2019.02.000547

G. Pabst

引用次数: 0

Anatomic Descriptive Technique Using the Posterior Leaflet of Mitral Valve to Tailor and Construction of a Posterior Bi-leaflet for Correction of Mitral Valve Insufficiency 二尖瓣后瓣裁剪的解剖描述技术及后瓣双瓣的构建矫正二尖瓣不全

Surgical Medicine Open Access Journal Pub Date : 2019-06-24 DOI: 10.31031/SMOAJ.2019.02.000546

Mario Abreu

引用次数: 0