{"title":"Gastric Tumor Perforation Repair with Falciform Ligament","authors":"T. Aktokmakyan","doi":"10.23880/ijsst-16000164","DOIUrl":"https://doi.org/10.23880/ijsst-16000164","url":null,"abstract":"The rate of perforation in gastric tumors has been reported to be between 0.5 and 3.9%. Because the tumor is not diagnosed at the moment, or the tumor's stage is unknown, repairing the perforation site is recommended rather than resection. The first thing that comes to mind as a repair method is omentoplasty, but other alternatives can be applied in cases where this is not possible. In our case report, we aimed to present gastric tumor perforation repair with a falciform ligament in a case of linitis plastica under chemotherapy accompanied by peritoneal carcinomatosis.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116980390","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":"Mesenteric Cystic Lymphangioma Induced Recurrent Abdominal Pain And Signs of Intestinal Obstruction: A Case Report","authors":"Ebrahim Aldouseri","doi":"10.23880/ijsst-16000169","DOIUrl":"https://doi.org/10.23880/ijsst-16000169","url":null,"abstract":"Mesenteric cystic lymphangioma is an uncommon benign abdominal mass. This is a case of a 40-year-old female who presented to the hospital with recurrent abdominal pain and distention. Computed Tomography and magnetic resonance imaging tests suggested a mesenteric cyst. The patient underwent laparotomy which confirmed the presence of a mesenteric cyst along with small bowel narrowing at the site of the cyst caused by multiple adhesive bands released during the procedure. The cyst was found and excised approximately 200 cm away from the ileocecal junction, and was pathologically confirmed to be a mesenteric cystic lymphangioma. These findings support that mesenteric cystic lymphangioma could cause chronic abdominal pain and intestinal obstruction.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114945779","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":"Past, Present and Future of THA and Hip Surgery: An Expert Opinion","authors":"S. Bernardino","doi":"10.23880/ijsst-16000175","DOIUrl":"https://doi.org/10.23880/ijsst-16000175","url":null,"abstract":"Innovation in Orthopaedic Surgery is motivated by the desire to improve implant longevity, maximise patient function and reduce postoperative complications. In recent years, other goals of innovation include reduced Health Care costs and improved efficiency of Health Care delivery. In Orthopaedic Surgery, the outcome of an innovation may not become apparent until a considerable period of time has passed after the introduction of the new technology.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115021907","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":"Testis Sparing Surgery in Double Testicular Tumor in a Child: Report of a Case","authors":"Bernardo Nunez","doi":"10.23880/ijsst-16000172","DOIUrl":"https://doi.org/10.23880/ijsst-16000172","url":null,"abstract":"Mature teratomas are the most common benign testicular tumour during childhood. Epidermoid cyst are rare benign tumours, being more frequent before adolescence. We report so far the only case of ipsilateral and synchronous mature teratoma and epidermoid cyst in paediatric age.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"411 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115610972","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":"Closure of Abdominal Incisions Following Laparotomy for Peritonitis in Children: Primary Closure or Delayed Primary Closure?","authors":"C. Emeka","doi":"10.23880/ijsst-16000173","DOIUrl":"https://doi.org/10.23880/ijsst-16000173","url":null,"abstract":"Background: There is need to determine the optimal management strategy for dirty abdominal surgical wounds. The aim of this study was to evaluate the post-operative wound complications in children whose dirty surgical wounds were closed primarily, in relation to those closed by delayed primary closure. Materials and Methods: This was a prospective evaluation of children, aged 15 years and younger, who had laparotomy for peritonitis in a teaching hospital in Enugu, Nigeria. This study covered a 5-year period. The following data were evaluated: patients’ age, gender, presenting symptoms, laboratory results at presentation, duration of symptoms before presentation, time interval between presentation and intervention, intra-operative finding, definitive operative procedure performed, complications of treatment, and outcome of treatment of the 2 groups of patients. Results: A total of 204 cases of peritonitis in children were operated upon during the study period. The incisions were closed by primary closure (Group A) in 104 (51%) while 100 (49%) surgical wounds were closed by delayed primary closure (Group B). More males were involved. All the patients had abdominal pain and about half the patients were anemic and had electrolyte imbalance at presentation. Typhoid intestinal perforation was the most common cause of peritonitis and closure of ileal perforation was the most frequent performed surgical procedure. Comparing the 2 groups of patients, surgical site infection and stitch related were less common in group B patients whose surgical incisions were closed by delayed primary closure. Conclusion: Delayed primary closure of dirty laparotomy incisions has less complication in terms of surgical site infection and stitch related complications. Therefore, delayed primary closure of dirty laparotomy wounds is advocated in pediatric population.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130475881","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":"Foley's Catheter Balloon Avulsion of Posterior Urethral Valve in Children: How Effective?","authors":"C. Emeka","doi":"10.23880/ijsst-16000178","DOIUrl":"https://doi.org/10.23880/ijsst-16000178","url":null,"abstract":"Background: Endoscopic ablation under direct vision is the gold standard for treatment of posterior urethral valve. However, when the facilities are not available, Foley’s catheter balloon avulsion of the valve suffices. The aim of this study was to evaluate the initial outcome of management of children with posterior urethral valve treated by Foley’s catheter balloon avulsion. Materials and Methods: This was a retrospective study of children, aged 15 years and younger, who were treated for posterior urethral valves at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The parameters evaluated included the age of the patient at presentation, duration of symptoms before presentation, time interval between presentation and intervention, presenting symptoms, procedure performed, post-intervention complications, duration of hospital stay and outcome of treatment. Results: A total of 24 children underwent catheter balloon avulsion during the study period. The mean age of the patients at presentation was 18 months and the mean duration of hospital stay was 18 days. Poor urinary stream and overflow incontinence were the most common presentations of the patients. Twenty-three out of 24 (96%) patients achieved full recovery with marked improvements in urinary stream and resolution of urinary symptoms. Patients who had hydronephrosis and vesicoureteric reflux before treatment, had resolutions of their pathologies during the period of follow up. However, one tenth of the patients each, experienced urethral injury and temporary urinary incontinence. Conclusion: In resource poor settings where the necessary facilities are not available, Foley catheter balloon avulsion of posterior urethral valve is a simple and effective modality of treatment.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122856630","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":"Surgical Management of Sudden Intrathoracic Hemorrhage in Two Patients with Occult Diaphragmatic Injury and Rib Fracture","authors":"Shouqiang Yu","doi":"10.23880/ijsst-16000180","DOIUrl":"https://doi.org/10.23880/ijsst-16000180","url":null,"abstract":"Background: A sudden massive hemothorax as the initial manifestation of delayed diagnosis of blunt occult diaphragmatic injuries is extremely rare. We report our experience with two cases of sudden massive thoracic hemorrhage treated surgically for occult blunt diaphragm injury. In the present study, we aimed to present the successful rescue of two cases of sudden massive thoracic hemorrhage due to occult blunt diaphragmatic injury during hospitalization by surgical treatment. Sudden massive hemothorax a few days after hospitalization as an initial manifestation of blunt mysterious diaphragm injury is extremely rare.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132838968","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":"Ergonomics for the Surgeon","authors":"F. Karimian","doi":"10.23880/ijsst-16000168","DOIUrl":"https://doi.org/10.23880/ijsst-16000168","url":null,"abstract":"As a surgeon, few of us know much about ergonomics. However, all of us use ergonomics by instinct. How is that then? When we try to put everything at the “right” place in a surgical field, position the patient in a way that makes working easier for us, and perform fine maneuvers with our instruments in deep cavities with limited space we are using ergonomics; or trying to be ergonomic. Ergonomics is a rapidly growing science and is an essential part in every industrial product; be it the handle of a laparoscopic tool or a sophisticated surgical robot. We should feedback the Industry about what is more ergonomic for us, or what we “expect” from a product. If such a mutual communication develops, then we will be more satisfied by technical innovations in instruments. Ergonomics also applies to technical capabilities of humans; what makes some one better than others at handwork. Generally, this is the matter of inherent talent, which is diverse. However, all of surgeons need to be best at handwork during surgery. This is why we should learn more about ergonomics.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126185804","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":"Gut Instinct: How the Microbiome Affects Traumatic Brain Injury, A Narrative Review","authors":"M. Faraji-Rad","doi":"10.23880/ijsst-16000182","DOIUrl":"https://doi.org/10.23880/ijsst-16000182","url":null,"abstract":"Objectives: Emerging evidence suggests that the gut microbiome may play a role in the pathophysiology of traumatic brain injury (TBI). The objective of this systematic review is to identify and evaluate studies that investigate the relationship between TBI and gut microbiota alterations. Methods: Using the PRISMA 2020 Checklist, we searched five databases to identify relevant studies. Two independent researchers screened titles and abstracts and identified eligible studies according to the following PICO: studies that investigated the relationship between TBI and gut microbiota AND reported outcomes related to gut microbiome alterations. We assessed the risk of bias for included studies, extracted methodological data and related results of the articles, and used them for qualitative analysis. Results: We screened the titles and abstracts of 23 identified records and assessed the full text of 10 studies. In total, 5 studies met eligibility criteria and were entered into the qualitative analysis. These studies investigated the effects of TBI on gut microbiota in animal models and human patients. Although, we planned to systematic review, lack of adequate quantitively and qualitative data compelled us to write a narrative survey. The majority of studies reported significant alterations in gut microbiota composition and function following TBI, with potential implications for immune function, inflammation, and neurological recovery. Conclusion: This systematic review provides evidence supporting a relationship between TBI and alterations in gut microbiota. While the exact mechanisms underlying this relationship remain unclear, these findings suggest that targeting the gut microbiome may represent a novel therapeutic approach for TBI. Further studies are needed to elucidate the mechanisms involved and to evaluate the potential benefits of gut microbiota-targeted interventions in TBI.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126791626","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":"Piezosurgery - Safe and Reliable Method for Direct Sinus Lift","authors":"Dr. Shalender Sharma","doi":"10.23880/ijsst-16000165","DOIUrl":"https://doi.org/10.23880/ijsst-16000165","url":null,"abstract":"Piezosurgery is an alternative technique over conventional oral surgical procedure which is gained popularity in the field of dentistry. It offers a minimally invasive technique that reduces the risk of damage to soft tissues and important structures such as nerves, blood vessels, and the mucosa. This device is being used in osteotomies, periodontology and implantology, oral surgical procedures and in sinus augmentation procedures. The most important features of Piezosurgery include the selective cutting of bone depending on bone mineralization, without damaging the adjacent soft tissue (e.g. vessels, nerves or mucosa), providing a clear visibility in the operating field, and cutting with sensitivity without the generation of heat. This case report illustrates its use in the direct sinus lift procedure.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130908013","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}