ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-06-13DOI: 10.5402/2011/621682
Saumitra Saha, Anandabrata Bose
{"title":"Perils of prolonged impaction of oesophageal foreign bodies.","authors":"Saumitra Saha, Anandabrata Bose","doi":"10.5402/2011/621682","DOIUrl":"https://doi.org/10.5402/2011/621682","url":null,"abstract":"<p><p>Ill-conceived effort at removal of impacted foreign bodies (FBs) in oesophagus vies with delay in removal as the causes of morbidity and mortality. Most oesophageal FBs are safely removed endoscopically when attempted early. However, large sharp FBs like dentures and meat bones can get deeply embedded in the wall with prolonged impaction or injudicious attempts at removal leading to life-threatening mediastinitis. Open surgery to access the oesophageal-impacted FB in such an event is hazardous. This report emphasizes the need for early site-specific surgical approaches that may be required, albeit rarely, for oesophageal-impacted FBs, where attempts at endoscopic removal have failed or complications have ensued.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"621682"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/621682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30253064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-06-30DOI: 10.5402/2011/645104
Ahmed H Al-Salem, Mohammad Oquaish
{"title":"Adhesive intestinal obstruction in infants and children: the place of conservative treatment.","authors":"Ahmed H Al-Salem, Mohammad Oquaish","doi":"10.5402/2011/645104","DOIUrl":"https://doi.org/10.5402/2011/645104","url":null,"abstract":"<p><p>Objectives. Adhesive intestinal obstruction (AIO) is rare in the pediatric age group and its treatment is still controversial. This is a retrospective review of our experience in infants and children with AIO. Patients and Methods. The records of infants and children with AIO between January 2001 and December 2010 were retrospectively reviewed for age at diagnosis, sex, initial operation, interval between initial operation and presentation, diagnosis, treatment and outcome. Results. 44 infants and children were admitted with AIO. There were 28 males and 16 females who had 46 episodes. Their ages at presentation ranged from 1 month to 12 years (mean 5.4 years), while their ages at initial operation ranged from 2 days to 12 years (mean 4.15 years). Time elapsed from initial operation to presentation ranged from 7 days to 8 years (mean 1.5 years), and 66% developed AIO within 1 year from initial operation. Appenedecectomy was the commonest operation (29.5%). Four (9%) responded to conservative treatment. The other 40 (91%) required surgical intervention. Twenty-nine had release of adhesions only, while 10 (25%) had resection of small intestines and one underwent stricturoplasty. Two developed recurrence and one died. Conclusions. AIO is rare in the pediatric age group and the majority becomes symptomatic within 1 year of operation. Appendecectomy is the commonest operation leading to AIO. The place of conservative treatment is limited and to obviate delay and decrease the chance of intestinal ischemia, they should be treated early with surgical adhesiolysis.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"645104"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/645104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30253066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic accuracy of fine needle aspiration cytology in parotid lesions.","authors":"Naeem Sultan Ali, Shabbir Akhtar, Montasir Junaid, Sohail Awan, Kanwal Aftab","doi":"10.5402/2011/721525","DOIUrl":"https://doi.org/10.5402/2011/721525","url":null,"abstract":"<p><p>Objective. Histopathology of parotid gland tumors is extremely varied and complex due to heterogeneous cellular composition. Preoperative diagnostic tools include fine needle aspiration cytology, the role of which remains controversial. The aim of this paper is to evaluate the usefulness and accuracy of fine needle aspiration cytology (FNAC) in the diagnosis of parotid gland tumors. Methods. We retrospectively reviewed charts of 129 patients who underwent parotidectomy for parotid lesions at Aga Khan University Hospital from 2002 to 2010. We compared the results of preoperative FNAC with final histopathological diagnosis. Results. Concordance with histological results was observed in 86%, specificity was 98%, sensitivity was 84%, and diagnostic accuracy was 94%. Conclusion. Our results demonstrate that preoperative cytology in parotid lesions is fairly accurate and useful in diagnosing benign from malignant and in planning appropriate approach for treatment.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"721525"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/721525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30253070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-04-14DOI: 10.5402/2011/836568
Steven d'Hondt, Savas Soysal, Philipp Kirchhoff, Daniel Oertli, Oleg Heizmann
{"title":"Small bowel obstruction caused by an incarcerated hernia after iliac crest bone harvest.","authors":"Steven d'Hondt, Savas Soysal, Philipp Kirchhoff, Daniel Oertli, Oleg Heizmann","doi":"10.5402/2011/836568","DOIUrl":"https://doi.org/10.5402/2011/836568","url":null,"abstract":"<p><p>The iliac crest has become an often used site for autogenous bone graft, because of the easy access it affords. One of the less common complications that can occur after removal is a graft-site hernia. It was first reported in 1945 (see the work by Oldfield, 1945). We report a case of iliac crest bone hernia in a 53-year-old male who was admitted for elective resection of a pseudarthrosis and reconstruction of the left femur with iliac crest bone from the right side. One and a half months after initial surgery, the patient presented with increasing abdominal pain and signs of bowel obstruction. A CT scan of the abdominal cavity showed an obstruction of the small bowel caused by the bone defect of the right iliac crest. A laparoscopy showed a herniation of the small bowel. Due to collateral vessels of the peritoneum caused by portal hypertension, an IPOM (intraperitoneal onlay-mesh) occlusion could not be performed. We performed a conventional ventral hernia repair with an onlay mesh. The recovery was uneventful.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"836568"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/836568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-04-17DOI: 10.5402/2011/917350
Christian Bacci, Giulia Cassetta, Bruno Emanuele, Mario Berengo
{"title":"Randomized split-mouth study on postoperative effects of palmitoylethanolamide for impacted lower third molar surgery.","authors":"Christian Bacci, Giulia Cassetta, Bruno Emanuele, Mario Berengo","doi":"10.5402/2011/917350","DOIUrl":"https://doi.org/10.5402/2011/917350","url":null,"abstract":"<p><p>The aim of this study was to assess the efficacy of Normast 300 mg in reducing swelling and pain after the surgical extraction of impacted lower third molars. Materials and Methods. A randomized, split-mouth, single-blind study was conducted on 30 patients between 18 and 30 years of age requiring lower third molar extraction. Patients underwent bilateral extractions in a randomized sequence, one extraction being performed under Normast treatment. The Normast treatment involved 2 tablets a day for 15 days. The parameters assessed at each procedure were trismus, swelling, pain, NSAID consumption, postoperative complications, drug tolerability, and safety. The results obtained were processed using repeated measures analysis of variance. Results. Perceived postoperative pain was reportedly significantly milder on Normast treatment than control. The trend of the means differed over time (P < .0001) and between the two extraction groups (P < .0221). On the other hand, for edema and trismus, the trend differed over time for both groups but did not differ between the two groups. Discussion. Our analyses indicate that patients experienced significantly less postoperative pain when they were treated with Normast. Conclusions. Administering Normast improves the postoperative course-in terms of pain-after lower third molar extraction.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"917350"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/917350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30254957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-04-26DOI: 10.5402/2011/120367
Brian T Ragel, Gregory C Park, Sid Brevard
{"title":"Median nerve repair with autologous sciatic nerve graft: a case report.","authors":"Brian T Ragel, Gregory C Park, Sid Brevard","doi":"10.5402/2011/120367","DOIUrl":"https://doi.org/10.5402/2011/120367","url":null,"abstract":"<p><p>Background. Peripheral nerve injury treatment options are limited to primary nerve repair, nerve grafting, and tendon transfers. In this case, a large suitable donor site was easily accessible and delayed grafting was indicative of poor prognosis. Case Description. A 25-year-old soldier presented to a military hospital in Afghanistan following a roadside bomb attack. The patient had a medial shrapnel wound in the bicipital groove with a cool pulseless hand and catastrophic lower extremity injuries. Bilateral above-the-knee amputations (AKAs) and exploration of the medial shrapnel wound were undertaken. A 7 cm traumatic defect in the median nerve was repaired with interpositional sciatic nerve graft harvested from the AKA. Conclusion. Recovery of motor function after nerve grafting is dependent on motor axons reinnervating target muscles, making proximal nerve injuries problematic. We identify a potential nerve harvest site in patients with lower extremity amputations in need of long segment nerve repairs.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"120367"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/120367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30109830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Footballer's Lateral Meniscus: Anterior Horn Tears of the Lateral Meniscus with a Stable Knee.","authors":"Tetsuo Hagino, Satoshi Ochiai, Eiichi Sato, Yoshiyuki Watanabe, Shinya Senga","doi":"10.5402/2011/170402","DOIUrl":"https://doi.org/10.5402/2011/170402","url":null,"abstract":"This paper aimed to identify the characteristics of isolated anterior horn tear of the lateral meniscus in footballers who underwent arthroscopic surgery. We identified 8 patients with stable knee and no ligament injury, who had only isolated anterior horn tear of the lateral meniscus between 2007 and 2009. All 8 patients were footballers, comprising 7 men and 1 woman with mean age of 18.6 years. Arthroscopy revealed multiple longitudinal tears in 2 patients, longitudinal tear in 2 patients, degenerative tear in 3 patients, and flap tear in 1 patient. Two patients were treated by repair, five by partial excision, and one by rasping only. The mean Lysholm score was 65 before surgery and recovered to 89 at the last followup, on average 12 months after surgery. Anterior horn tear of the lateral meniscus in footballers with a stable knee is characterized by pain at the anterolateral aspect of the knee during knee extension, especially when kicking a ball, and pain during weight-bearing knee extension, together with MRI finding of hyperintense signal in the anterior horn of the lateral meniscus. Preoperative diagnosis may be possible based on these findings in footballers.","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"170402"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/170402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30109833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic treatment of stiff elbow.","authors":"Davide Blonna, Enrico Bellato, Eleonora Marini, Michele Scelsi, Filippo Castoldi","doi":"10.5402/2011/378135","DOIUrl":"https://doi.org/10.5402/2011/378135","url":null,"abstract":"<p><p>Contracture of the elbow represents a disabling condition that can impair a person's quality of life. Regardless of the event that causes an elbow contracture, the conservative or surgical treatment is usually considered technically difficult and associated with complications. When the conservative treatment fails to restore an acceptable range of motion in the elbow, open techniques have been shown to be successful options. More recently the use of arthroscopy has become more popular for several reasons. These reasons include better visualization of intra-articular structures, less tissue trauma from open incisions, and potentially the ability to begin early postoperative motion. The purpose of this paper is to review the indications, complications, and results of arthroscopic management of a stiff elbow.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"378135"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/378135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30110253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-04-13DOI: 10.5402/2011/306126
Bulbul Gupta, Achal Gulati, Divya Gupta
{"title":"A rare presentation of pellet injury in the neck.","authors":"Bulbul Gupta, Achal Gulati, Divya Gupta","doi":"10.5402/2011/306126","DOIUrl":"https://doi.org/10.5402/2011/306126","url":null,"abstract":"<p><p>Penetrating neck injuries are dangerous and deserve emergency treatment by virtue of the vital structures present underneath. There is a potential risk of unrecognized vascular injury and retained foreign bodies with their associated complications in these wounds. Therefore, an early diagnostic workup to localize the site of injury and an immediate neck exploration are important.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"306126"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/306126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30110250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ISRN surgeryPub Date : 2011-01-01Epub Date: 2011-06-01DOI: 10.5402/2011/652798
J M L Williamson, R S J Dalton
{"title":"Transient myocarditis associated with fulminant colitis.","authors":"J M L Williamson, R S J Dalton","doi":"10.5402/2011/652798","DOIUrl":"https://doi.org/10.5402/2011/652798","url":null,"abstract":"<p><p>Case Summary. An 18-year old man presented with a three-week history of abdominal pain, weight loss and bloody diarrhoea. He was profoundly septic, with generalised abdominal tenderness. CT and flexible sigmoidosopy confirmed colitis of the colon with rectal sparing. Laparotomy was performed when conservative management failed to improve his condition. Subtotal colectomy, with end ileostomy and mucus fistula formation, was performed in light of active colitis. Despite successful operative intervention the patient acute left ventricular failure, raising the possibility of giant cell myocarditis, which fully resolved before a definitive diagnosis could be reached. Discussion. It is possible that the transient cardiac failure in this case may represent an overwhelming inflammatory response or myocarditis. Inflammatory bowel disease is rarely associated with giant cell myocarditis (GCM). GCM usually affects a young population and its prognosis is variable, ranging from complete recovery, remission with recurrence and fatality. The management of this group of patients is still relatively experimental. Conclusion. Fulminant colitis can be associated with a rapid deterioration in cardiac function. Causes include sepsis, systemic inflammatory response syndrome or myocarditis. GCM should be considered in patients with new onset of left ventricular failure that decline rapidly.</p>","PeriodicalId":89400,"journal":{"name":"ISRN surgery","volume":"2011 ","pages":"652798"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/652798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30253067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}