Journal of surgical technique and case report最新文献

Anterior Palatal Island Advancement Flap for Bone Graft Coverage: Technical Note. 用于骨移植覆盖的前腭岛状推进瓣:技术说明。

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185655

Amin Rahpeyma, Saeedeh Khajehahmadi

引用次数: 1

Echinococcal Cyst of the Pancreas with Cystopancreatic Duct Fistula Successfully Treated by Partial Cystectomy and Cystogastrostomy. 胰腺棘球蚴囊肿合并膀胱胰管瘘经部分膀胱切除及膀胱胃吻合术成功治疗。

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185657

Ahmed Elaffand, Adarsh Vijay, Samah Mohamed, Hassan Hani Al-Battah, Ayda Youssef, Ahmed Farahat

{"title":"Echinococcal Cyst of the Pancreas with Cystopancreatic Duct Fistula Successfully Treated by Partial Cystectomy and Cystogastrostomy.","authors":"Ahmed Elaffand, Adarsh Vijay, Samah Mohamed, Hassan Hani Al-Battah, Ayda Youssef, Ahmed Farahat","doi":"10.4103/2006-8808.185657","DOIUrl":"https://doi.org/10.4103/2006-8808.185657","url":null,"abstract":"The primary pancreatic hydatid (echinococcal) cyst is extremely rare with a reported incidence of <1%. Owing to its rareness and a considerable overlap of imaging features, a preoperative diagnosis is usually difficult. The dilemma in confirming this benign diagnosis has often questioned the extent of radical pancreatic resection. The involvement of pancreatic duct (cystopancreatic duct fistula) further complicates the management of such cystic lesions. In this report, we present a case of isolated hydatid cyst of the pancreatic body and tail communicating with the pancreatic duct. Cystogastrostomy preceded by partial cystectomy in the same setting has never been reported to date. The patient had an uneventful postoperative course and follow-up showed no evidence of cyst recurrence or dissemination. We consider this a safe surgical option in longstanding large cysts, especially if a cystopancreatic fistula is detected beforehand. The success of such a procedure however may rely on the size and thickness of the cyst wall to support this anastomosis. ","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 2","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/1a/JSTCR-7-48.PMC4966206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34748021","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}

引用次数: 4

Acute Physiological and Chronic Health Evaluation II Score and its Correlation with Three Surgical Strategies for Management of Ileal Perforations. 急性生理和慢性健康评估II评分及其与三种手术策略处理回肠穿孔的相关性

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185653

Anand Munghate, Ashwani Kumar, Sushil Mittal, Harnam Singh, Jyoti Sharma, Manish Yadav

{"title":"Acute Physiological and Chronic Health Evaluation II Score and its Correlation with Three Surgical Strategies for Management of Ileal Perforations.","authors":"Anand Munghate, Ashwani Kumar, Sushil Mittal, Harnam Singh, Jyoti Sharma, Manish Yadav","doi":"10.4103/2006-8808.185653","DOIUrl":"https://doi.org/10.4103/2006-8808.185653","url":null,"abstract":"Introduction: Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. It is reported to constitute the fifth common cause of abdominal emergencies due to high incidence of enteric fever and tuberculosis in these management based on Acute Physiological and Chronic Health Evaluation II (APACHE II) score.Methods: The following study was conducted in the Department of General Surgery, Government Medical College, Patiala. A total of 57 patients were studied and divided in to Group I, II, and III. APACHE II score accessed and score between 10 and 19 were blindly randomized into three procedures primary closure, resection-anastomosis, and ileostomy. The outcome was compared.Results: Ileal perforations were most commonly observed in the third and fourth decade of life with male dominance. APACHE II score was accessed and out of total 57 patients, 6 patients had APACHE II score of 0-9, 48 patients had APACHE II score of 10-19, and 3 patients had APACHE II score of ≥20. In APACHE II score 10-19, 15 patients underwent primary closure, 16 patients underwent resection-anastomosis, and 17 patients underwent ileostomy.Discussion and conclusion: Primary closure of perforation is advocated in patients with single, small perforation (<1 cm) with APACHE II score 10-19 irrespective of duration of perforation. Ileostomy is advocated in APACHE II score 10-19, where the terminal ileum is grossly inflamed with multiple perforations, large perforations (>1 cm), fecal peritonitis, matted bowel loops, intraoperative evidence of caseating lymph nodes, strictures, and an unhealthy gut due to edema.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 2","pages":"32-6"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/08/JSTCR-7-32.PMC4966202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34746215","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}

引用次数: 7

Primary Squamous Cell Carcinoma of Stomach: A Rare Entity - Case Report and Brief Review of Literature. 原发性胃鳞状细胞癌:罕见病例报告及文献综述。

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185656

Rashmi Patnayak, Venkatarami Reddy, Radhakrishnan, Amitabh Jena

引用次数: 4

Reduction and Fixation of Unstable Fractures of the Zygomatic Arch: Report of a Series of Cases. 颧骨弓不稳定骨折的复位和固定:附一系列病例报告。

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185647

Josuel Raimundo Cavalcante, Josuel Raimundo Cavalcante Junior, Tony Santos Peixoto, Talita Telles Pereira de Albuquerque, Alessandro Leite Cavalcanti

{"title":"Reduction and Fixation of Unstable Fractures of the Zygomatic Arch: Report of a Series of Cases.","authors":"Josuel Raimundo Cavalcante, Josuel Raimundo Cavalcante Junior, Tony Santos Peixoto, Talita Telles Pereira de Albuquerque, Alessandro Leite Cavalcanti","doi":"10.4103/2006-8808.185647","DOIUrl":"https://doi.org/10.4103/2006-8808.185647","url":null,"abstract":"Background: This study evaluated a series of cases of fracture in the zygomatic arch with displacement of the fractured segment.Materials and methods: This prospective cohort study was conducted between May 2008 and February 2009. The study sample which consist of 10 patients of both genders with fractures in the zygomatic arch. The collection instrument included a specific sheet with data concerning the patient's age, cause, side of the fracture, type of treatment performed, recurrence and presence of lesions in the facial nerve. The radiographic indices of Waters and Hirtz were used. The data were presented by means of descriptive statistics (absolute and percentage distributions).Results: Most of the patients were male (90.0%), the most frequent etiology was a motorcycle accident (70.0%) and the left side was more affected (60.0%). There was no recurrence in any of the patients examined; however, 1 patient had a lesion in the facial nerve. The treatment performed for all patients was reduction and fixation with titanium miniplates.Conclusion: Fractures in the zygomatic arch are more frequent in young male individuals and the most common cause is a motorcycle accident, with the use of miniplates constituting an effective treatment without recurrence.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 2","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f6/e3/JSTCR-7-29.PMC4966201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34746214","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}

引用次数: 8

Elective Bowel Surgery with or without Prophylactic Nasogastric Decompression: A Prospective, Randomized Trial. 选择性肠手术伴或不伴预防性鼻胃减压:一项前瞻性随机试验。

Journal of surgical technique and case report Pub Date : 2015-07-01 DOI: 10.4103/2006-8808.185654

H G Vinay, Mohammed Raza, G Siddesh

{"title":"Elective Bowel Surgery with or without Prophylactic Nasogastric Decompression: A Prospective, Randomized Trial.","authors":"H G Vinay, Mohammed Raza, G Siddesh","doi":"10.4103/2006-8808.185654","DOIUrl":"https://doi.org/10.4103/2006-8808.185654","url":null,"abstract":"Introduction: Routinely postoperative nasogastric decompression was done until the nasogastric drainage is minimal, reoccurrence of bowel sounds and passing flatus. But prolonged nasogastric intubation is associated with complications like basal atelectasis due to poor cough reflux, loss of electrolytes and increased patient morbidity.Aims and objectives: To study the need for routine use of nasogastric tube post operatively in bowel surgeries with reference to (1) Return of bowel movements (2) Compare the incidence of complications (3) Duration of hospital stay.Methodology: 100 patients who underwent elective bowel surgery were randomized into two groups: Study group (50): Nasogastric tube was removed immediately after operation or in the recovery room. Control group (50): Underwent nasogastric tube removal postoperatively after the patient passed flatus and audible bowel sounds on auscultation.Results: Incidence of complications were less in the study group i.e., only three patients had vomiting, and two patients had abdominal distension which lead to postponement of oral feeds. Most of our control group patients complained of discomfort and difficulty in coughing and in bringing out sputum, which was the probable cause for high incidence of pulmonary complications.Conclusion: Routine use of the nasogastric tube adjunct to patient care following bowel surgery may be safely eliminated.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 2","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/29/JSTCR-7-37.PMC4966203.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34746217","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}

引用次数: 9

Malignant Transformation of Vagal Nerve Schwannoma in to Angiosarcoma: A Rare Event. 迷走神经神经鞘瘤恶性转化为血管肉瘤:罕见事件。

Journal of surgical technique and case report Pub Date : 2015-01-01 DOI: 10.4103/2006-8808.184941

Sangeet Kumar Agarwal, Manish Munjal, Devinder Rai, Seema Rao

{"title":"Malignant Transformation of Vagal Nerve Schwannoma in to Angiosarcoma: A Rare Event.","authors":"Sangeet Kumar Agarwal, Manish Munjal, Devinder Rai, Seema Rao","doi":"10.4103/2006-8808.184941","DOIUrl":"https://doi.org/10.4103/2006-8808.184941","url":null,"abstract":"Schwannomas are benign, rare peripheral nerve sheath tumors that occur in the head and neck region. Some physicians opt to closely observe cases of schwannoma of the neck on an outpatient basis rather than to perform radical surgery. However, there is a possibility, albeit rare, of malignant transformation of a benign schwannoma. Here, we are reporting the first case from the Indian subcontinent which was transformed into the angiosarcoma from benign vagal schwannoma over a long period. A 47-year-old male patient complaining of left sided neck swelling since last 12 years, swelling was insidious in onset, gradually progressive very slowly. In last 2 months, the size of the swelling was suddenly increased. On examination, there was an approximately 6 cm × 6 cm of size, firm, nodular, well-defined, nontender swelling in the left lateral part of the neck. Fine-needle aspiration cytology (FNAC) revealed paraganglioma and magnetic resonance imaging demonstrated very clearly a tumor, its morphology, and its relation to the surrounding structures, the tumor was thought to be a vagal schwannoma. Surgery was done, and the whole of the tumor was removed in toto. On final histopathological diagnosis, the tumor was proved to be angiosarcoma developed from vagal schwannoma. Postoperative chemotherapy was given but due to distant metastasis, the patient died. Long standing neck masses can convert into malignancy as in our case, therefore, work up of the patient should be done properly. Multiple FNAC should be done because single FNAC can give the false negative result as in our case. This was our diagnostic drawback not to do multiple computed tomography guided FNAC. ","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/a1/JSTCR-7-17.PMC4959406.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34359939","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}

引用次数: 5

Propeller Flap for Complex Distal Leg Reconstruction: A Versatile Alternative when Reverse Sural Artery Flap is Not Feasible. 螺旋桨皮瓣用于复杂远端腿重建:当背腓肠动脉皮瓣不可行的一种多用途的选择。

Journal of surgical technique and case report Pub Date : 2015-01-01 DOI: 10.4103/2006-8808.184943

Samuel A Ademola, Afieharo I Michael, Femi J Oladeji, Kefas M Mbaya, O Oyewole

{"title":"Propeller Flap for Complex Distal Leg Reconstruction: A Versatile Alternative when Reverse Sural Artery Flap is Not Feasible.","authors":"Samuel A Ademola, Afieharo I Michael, Femi J Oladeji, Kefas M Mbaya, O Oyewole","doi":"10.4103/2006-8808.184943","DOIUrl":"https://doi.org/10.4103/2006-8808.184943","url":null,"abstract":"Reverse sural artery fasciocutaneous flap has become a workhorse for the reconstruction of distal leg soft tissue defects. When its use is not feasible, perforator-based propeller flap offers a better, easier, faster, and cheaper alternative to free flap. We present our experience with two men both aged 34 years who sustained Gustilo 3B injuries from gunshot. The donor area for reversed sural artery flap was involved in the injuries. They had early debridement, external fixation, and wound coverage with perforator-based propeller flaps. The donor sites were covered with skin graft. All flaps survived. There were minor wound edge ulcers due to the pressure of positioning that did not affect flap survival and the ulcers healed with conservative management. Perforator-based propeller flap is a versatile armamentarium for reconstruction of soft tissue defects of the distal leg in resource-constrained settings, especially when the donor area for a reverse flow sural flap artery is involved in the injury. ","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/4d/JSTCR-7-23.PMC4959408.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34746213","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}

引用次数: 3

Female Urethral Anomalies in Pediatric Age Group: Uncovered. 儿童年龄组女性尿道异常:未发现。

Journal of surgical technique and case report Pub Date : 2015-01-01 DOI: 10.4103/2006-8808.184937

Nikhil A Patil, Siddangouda B Patil, Vinay S Kundargi, Ashok N Biradar

引用次数: 1

Female Urethral Duplication: Rare Anomaly with Unusual Presentation. 女性尿道重复:罕见异常与不寻常的表现。

Journal of surgical technique and case report Pub Date : 2015-01-01 DOI: 10.4103/2006-8808.184939

Shailesh Solanki, M Narendra Babu, Vinay Jadhav, Gowrishankar, S Ramesh

引用次数: 3