{"title":"Parapharyngeal Lipomas: A Literature Review and Surgical Management","authors":"Patrick J. Hesketh","doi":"10.23880/ijsst-16000162","DOIUrl":"https://doi.org/10.23880/ijsst-16000162","url":null,"abstract":"Parapharyngeal space is a potential deep neck space extending between skull base and the hyoid bone. It is considered to be a rare site for neoplasms and it is even unusual to see Lipomas presenting in this space. Due to the proximity to skull base and presence of important structures in this space, surgical intervention can be complicated. An extensive literature review was carried out to comprehend the presenting features and management of this rare entity. Thirty-six reports/series were included presenting 37 patients between 15-83 years of age with a peak in 5th decade having lipoma in the parapharyngeal space/skull base region. The dimensions of these benign entities ranged between 3 cm to 16 cm. We present & discuss our experience with a large lipoma traversing parotid, submandibular and parapharyngeal spaces and its surgical management. We hope that this review and surgical principles presented will be helpful to the trainees and surgeons dealing with these entities.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"8 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":"125984785","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":"Juvenile Giant Fibroadenoma Vs. Phyllodes Tumor: Know the Difference in a 14-Years-Old Woman: Case Report","authors":"Padron S Johnny A","doi":"10.23880/ijsst-16000174","DOIUrl":"https://doi.org/10.23880/ijsst-16000174","url":null,"abstract":"Fibroadenoma is the most common benign fibroepithelial lesion of the breast in young women, accounting for around 90% of solid lesions of the gland in adolescence. However, juvenile giant fibroadenoma is a rare breast condition that occurs in women under 18 years of age. Due to the similarity of the characteristics of juvenile giant fibroadenoma and phyllodes tumor, both lesions characterized by rapid growth, it is important to establish the differential diagnosis of both pathologies when one of them is suspected, in order to guarantee the most appropriate therapeutic attitude to follow. A 14-year-old woman with no family or personal history of interest, who consulted due to a clinical picture characterized by breast asymmetry secondary to progressive growth of the left breast of 5 months of evolution. An ultrasound-guided core needle biopsy was performed that reported giant juvenile fibroadenoma. Lumpectomy was performed. Histopathological diagnosis compatible with juvenile giant fibroadenoma of the left breast. Based on our case and on the reviewed bibliography, we recommend an early differential diagnosis, as well as an accurate one, and surgical treatment of cases of juvenile giant fibroadenoma. The surgical tactics and technique depend on the age at the time of diagnosis, the clinical and imaging characteristics of the mammary gland and the tumor, as well as the wishes of the patient in question.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"60 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":"114803184","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":"Epidemiological Study of Molecular and Genetic Classification in Adult Diffuse Glioma","authors":"M. Faraji-Rad","doi":"10.23880/ijsst-16000171","DOIUrl":"https://doi.org/10.23880/ijsst-16000171","url":null,"abstract":"Background: Mutations in isocitrate dehydrogenase 1 (IDH1) and isocitrate dehydrogenase 2 (IDH2) are frequent in lowgrade and high-grade gliomas. However, the diagnostic criteria, in particular for gliomas, are highly various. The aim of our study was to establish genetic profiles for mutation and calcification of diffuse gliomas and to evaluate their predictive factors. Methods: We estimate the different clinical and molecular characterization between IDH1, IDH2 mutant gliomas, p53, ATRX and 1p19q. In addition, whole-transcriptome sequencing and DNA extraction data were used to evaluate the distribution of genetic changes in IDH1 and IDH2 mutant gliomas in a Iranian high grade glioma. Results: Between 2016-2019, among 53 gliomas in our study, 29 cases (54.7% %) harbored an IDH1,2 mutation, 21 cases (39.6 %) harbored an p53 mutation and 19 cases (35.8 %) harbored an ATRX. In addition, 1p19q co-deletion mutation was found in 7 cases (12.2%). We found that IDH1 and IDH2 are mutually entirely in gliomas. There was no significant relation between histopathology, tumor location and clinical finding with diagnosed mutations. Conclusion: Our study discloses an associated distinction between IDH1 and IDH2 mutant gliomas nearly in half of patients, followed by p53. These mutations should be reviewed separately because their differences could have indication for the diagnosis and treatment of IDH1/2 mutant gliomas.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"144 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":"115362754","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":"Rare Cases of Primary Glioblastoma Multiforme in the Cervical Spinal Cord, Report of Two Cases and Literature Review","authors":"M. Faraji-Rad","doi":"10.23880/ijsst-16000179","DOIUrl":"https://doi.org/10.23880/ijsst-16000179","url":null,"abstract":"Glioblastoma multiforme (GBM) is a highly aggressive and malignant tumor that can arise in the central nervous system, including the spinal cord. We presented two cases of GBM in spinal cord and cerebellum, respectively. First, 36-year-old female who presented to our clinic with a two-month history of progressive lower and upper extremities weakness and numbness. He also reported difficulty with urination and defecation. Second patient was 19 years-old-man with history of extremities weakness and neck pain. MRI demonstrated enhanced intra-medullary tumor in cervical spine. Both patients underwent surgical resection, followed by radiation therapy and chemotherapy. Further researches are needed to identify optimal treatment strategies and improve outcomes for patients with GBM in the spinal cord. Close monitoring and follow-up care are essential to manage potential complications and optimize quality of life for affected individuals.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"29 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":"115614268","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":"Gastric Gastro Intestinal Stromal Tumour","authors":"K. Vishnukumar","doi":"10.23880/ijsst-16000163","DOIUrl":"https://doi.org/10.23880/ijsst-16000163","url":null,"abstract":"Laparoscopic surgery was performed on 46-year-old women with a Gastric gastro intestinal stromal tumour (GIST). Laparoscopic gastric surgeries (LGS) may be an appropriate new, minimally-invasive operation for gastric myogenic tumours. Laparoscopic surgery can be applied to the traditional surgical principles with equal efficacy in selected patients.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"43 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":"127322791","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":"Robotic Simple Prostatectomy for Giant Prostate","authors":"H. Albadawe","doi":"10.23880/ijsst-16000176","DOIUrl":"https://doi.org/10.23880/ijsst-16000176","url":null,"abstract":"Benign prostatic hyperplasia (BPH) is a pathological process that contributes to, but is not the sole cause of lower urinary tract symptoms (LUTS) instead age-related detrusor changes and other common medical conditions are the causative factor in many cases. Despite this, benign prostatic hyperplasia (BPH) is still a significant cause of LUTS. The options for management are variable and include watchful waiting, medical therapy, and surgical intervention. Simple robotic prostatectomy was used as the treatment procedure of choice for the patient in this report since he has a large prostate, and according to the AUA and EAU guidelines, surgical management with prostatectomy is the gold standard for such cases. The benefits of using such a technique include precise removal of the prostate gland, minimal blood loss, a smaller opening, less pain, short stay in the hospital, and a reduced requirement for blood transfusion. In the end, it was one of the preferred methods to be utilized for prostate surgery","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"42 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":"125351009","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":"The Challenges of Achieving Universal Health Coverage by 2030 in a Sub-Saharan African Country (Kenya)","authors":"M. Njm","doi":"10.23880/ijsst-16000167","DOIUrl":"https://doi.org/10.23880/ijsst-16000167","url":null,"abstract":"The World Health Organization (WHO) recommends a minimum of 2 Physicians per 10,000 population. Thirty of the 47 sub-Saharan African (SSA) countries are below this level, 7 just qualify and only 10 are above this figure","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"106 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":"121128242","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":"Are Nodular Goiter Patients Previously Treated with L-Thyroxine have Unfavorable Outcomes after Surgery Compared to Patients without Medical Treatment?","authors":"E. Iskandarov","doi":"10.23880/ijsst-16000181","DOIUrl":"https://doi.org/10.23880/ijsst-16000181","url":null,"abstract":"This systematic review aimed to analyze the literature on PubMed Database regarding studies which compare the patient’s post-thyroidectomy outcomes, between those who were treated with L-Thyroxine prior to surgery and those who underwent to thyroidectomy without hormonal suppressive therapy. 500 articles were screened, 11 articles were selected, which were related to the outcomes of interests. Among all these articles with outcome interests, no article is appropriate to the research question of our investigation. The outcomes of surgical treatment of nodular goiter patients, depending on using L-Thyroxine treatment in anamnesis, are very interesting and could bring light to some issues of endocrinology. There is need for further research on this topic to generate relevant evidence on use of L-Thyroxine.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"226 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":"115947939","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":"Malignant Transformation of Intracranial Epidermoid Cyst to Squamous Cell Carcinoma, Case Report and Literature Review","authors":"M. Faraji-Rad","doi":"10.23880/ijsst-16000170","DOIUrl":"https://doi.org/10.23880/ijsst-16000170","url":null,"abstract":"Intracranial Epidermoid cysts (ECs) are rare, benign tumor of central nervous system that appears from maintain ectodermal implants. Malignant transformation of an EC to squamous-cell carcinoma (SCC) is rarely reported. Intracranial squamous cell carcinoma has known as a poor prognosis condition that optimal modalities remain uncertain. We present the case of 43-years old male complained 3 months severe headache and right eye hemianopia. Primary evaluation depicted right homogenous brain mass which was successfully totally removed. Pathological assessment found epidermoid cyst without any sign of malignancy. Six months later, patient was referred with episodes of intermittent headache and right eye blindness. After initial imaging, new tumor was growth in same site of frontal epidermoid cyst. Second surgery was performed and pathological report discloses to be a malignant SCC. SCC transformation was confirmed by two expert neuro- pathologists. The exact underlying mechanism causing malignant transformation is not definitely known and it seems SCC may have been transformed due to chronic inflammatory respond to epidermoid cyst. Literature reviews demonstrate that, although, optimal total resection in addition adjuvant radiotherapy is the recommended management of choice, patient’s general survival of this condition is generally poor and long-term follow-up is important.","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":"129991317","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":"Application of Platelet-Rich Plasma in Nasal Tip Reconstruction with Medpor Prosthesis","authors":"Bin Xu","doi":"10.23880/ijsst-16000177","DOIUrl":"https://doi.org/10.23880/ijsst-16000177","url":null,"abstract":"Objective: To observe the effect of platelet-rich plasma (PRP) on reducing ear cartilage absorption and nasal tip complications after nasal tip plasty with medpor prosthesis. Methods: During the conventional medpor rhinoplasty, PRP was injected locally around the tip and columella of the nose with medpor material. The morphology of the nasal tip cartilage and the shape of the nasal tip were observed at least 1 year after the surgery, and the status of cartilage absorption was judged. The statistical differences between the control group and the experimental group were analyzed by χ²-test. Results: After observation for 1 year, a total of 71 cases underwent conventional medpor rhinoplasty, of which 21 cases had cartilage resorption, and 10 cases had a prominent shape of the nasal tip prosthesis that required repair; In the platelet-rich plasma treatment group, there were 18 cases, 1 case of cartilage absorption, and 0 case requiring repair. There are significant statistical differences in clinical practice. Conclusion: PRP can significantly reduce the absorption of ear cartilage, maintain the appearance of the nasal tip, and improve the satisfaction of patients with medpor prosthesis rhinoplasty.","PeriodicalId":370833,"journal":{"name":"International Journal of Surgery & Surgical Techniques","volume":"33 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":"124092688","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}