{"title":"Diagnosis and management of adnexal masses in pregnancy.","authors":"Ibrahim Adamu Yakasai, Lawal Abdullahi Bappa","doi":"10.4103/2006-8808.110249","DOIUrl":"https://doi.org/10.4103/2006-8808.110249","url":null,"abstract":"<p><p>Widespread use of ultrasound in early pregnancy has led to the detection of incidental adnexal masses more frequently. This article reviews the diagnosis and management options for adnexal masses in pregnancy. The availability of high-resolution ultrasound has made observation to be a viable option in some cases. However, for those masses suspicious of malignancy, at risk of torsion, rupture, or clinically symptomatic, surgical treatment is warranted. Laparoscopy has been successfully used in pregnancy and is safe in experienced and trained hands in properly equipped units.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"79-85"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/f7/JSTCR-4-79.PMC3673365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31484647","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}
Vignesh K Alamanda, Luke Tomycz, Dennis Velez, Robert J Singer
{"title":"Direct, High-flow Bypass for a Pediatric Giant, Fusiform Aneurysm of the Inferior Division of M2: Case Report and Review of Literature.","authors":"Vignesh K Alamanda, Luke Tomycz, Dennis Velez, Robert J Singer","doi":"10.4103/2006-8808.100357","DOIUrl":"https://doi.org/10.4103/2006-8808.100357","url":null,"abstract":"In this case report, we describe the first reported case of treating a 7-year-old male patient who has a giant, fusiform aneurysm confined to the inferior M2 segment by means of a saphenous vein graft. Given the lack of good endovascular management options for this particular scenario, craniotomy was recommended and an end-to-side ECA-ICA anastomosis was carried out with technical details of the surgery outlined in the manuscript. The patient did not sustain any major postoperative complications. The graft remained patent upon completion of the surgery and at the time of last follow-up, 9 months post-surgery. This case serves as an illustrative example of the need for high-flow bypass for a select few patients even as endovascular technology continues to improve.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"53-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977216","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":"Total laparoscopic management of a large renal hydatid cyst by using hydatid trocar cannula system.","authors":"Saurabh Sudhir Chipde, Abhishek Yadav, Priyadarshi Ranjan, Anand Prakash, Rakesh Kapoor","doi":"10.4103/2006-8808.100351","DOIUrl":"https://doi.org/10.4103/2006-8808.100351","url":null,"abstract":"<p><p>Renal hydatidosis usually requires surgical treatment such as pericystectomy, marsupialization, or nephrectomy. In the era of minimally invasive surgery, laparoscopic treatment is preferred. Two main challenges in laparoscopy are to avoid the spillage of contents and to minimize incision for delivering the specimen. We herein discuss the use of a hydatid trocar cannula system (HTCS) to overcome these problems. A 46-year-old male patient having a large renal hydatid cyst (18×15 cm) was operated using HTCS. Three standard laparoscopic ports were placed and the HTCS was placed from the fourth port (18 mm). After aspiration of contents, the cyst was inspected using laparoscope and all contents were sucked. The operation time was 120 min and the total blood loss was around 100 ml. No intraoperative spillage was noted. The patient was orally allowed on Day 2 and discharged on Day 3. Oral albendazole therapy was continued 3 months after the operation. He remained symptom free and abdominal computed tomography did not reveal any recurrences during a follow-up of 2 years. Use of HTCS in renal hydatidosis not only prevents the spillage of hydatid fluid, but also assists in the complete evacuation of contents and allows intracystic visualization to check complete removal of scolices.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"32-5"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977786","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}
Vivek Agrawal, Mally Rahul, Shadma Khan, Velho Vernon, Binayke Rachana
{"title":"Functional Paraganglioma: A Rare Conus-cauda Lesion.","authors":"Vivek Agrawal, Mally Rahul, Shadma Khan, Velho Vernon, Binayke Rachana","doi":"10.4103/2006-8808.100355","DOIUrl":"10.4103/2006-8808.100355","url":null,"abstract":"<p><p>Conus-cauda syndrome is caused due to involvement of the lower end of the spinal cord and arising bunch of nerve roots. It is caused commonly due to traumatic injury, spinal stenosis, spinal tumors, inflammatory, and infectious conditions, but paraganglioma is a rare cause. These tumors are rarely functional and secrete catecholamine. Till now only five case reports of functional spinal paragangliomas are available to the best of our knowledge. We report a 50-year-old hypertensive male patient with a lobulated lesion extending from lower border of D12 to L2, which was reported as ependymoma on imaging studies done preoperatively. This lesion was confirmed to be a functional paraganglioma postoperatively after the patient died because of its furious complication, thus highlighting the importance of its preoperative diagnosis and management. In conclusion conus-cauda functional paragangliomas are very rare entity. Diagnosing them in preoperative condition is critical from the therapeutic point of view, both medical and surgical. During surgery these tumors should be handled very gently to avoid spillage of catecholamines into blood. These tumors require assistance of expert anesthetist and endocrinologist in the perioperative period.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/b4/JSTCR-4-46.PMC3461779.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977789","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":"Flap hitching technique to the teeth after oral cancer resection.","authors":"Krishnakumar Thankappan, Subramania Iyer, Mayuri Rajapurkar, Mohit Sharma, Pramod Subash","doi":"10.4103/2006-8808.100347","DOIUrl":"https://doi.org/10.4103/2006-8808.100347","url":null,"abstract":"<p><strong>Objectives: </strong>After resection of the tumors of oral cavity adjacent to the mandible, it is a common situation that the whole of one side of the gingival mucosal segment has to be stripped off the mandible to get an adequate margin. When a cutaneous flap is used for reconstruction, it has to be hitched to the teeth to get a watertight seal. We describe a technique to hitch the flap to the adjacent teeth in such an instance.</p><p><strong>Materials and methods: </strong>The technique was applied in 10 patients with oral cancer, resected, and reconstructed with cutaneous flaps.</p><p><strong>Results: </strong>The technique was found to be effective in all 10 patients. Adequate seal was obtained in all patients. Oral diet was started within 7 days.</p><p><strong>Conclusion: </strong>An effective and simple technique to approximate a cutaneous flap to the teeth-bearing mandible, when all the mucosa is removed as part of oncological resection, is reported.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30978924","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}
Lata Bhoir, Pramod Nichat, Ashish Chug, Harish Verma
{"title":"Coexistent malignant peripheral nerve sheath tumor and lateral spinal meningoceles.","authors":"Lata Bhoir, Pramod Nichat, Ashish Chug, Harish Verma","doi":"10.4103/2006-8808.100353","DOIUrl":"https://doi.org/10.4103/2006-8808.100353","url":null,"abstract":"<p><p>Malignant peripheral nerve sheath tumor (MPNST) is a malignant spindle cell tumor of the soft tissue thought to be derived from the components of nerve sheath. MPNSTs are mainly located in the buttocks, thighs, brachial plexus, and paraspinal region. The objective of this article is to describe a case of neurofibromatosis type 1 who developed neurofibrosarcoma of the right lateral thoracic nerve with thoracic meningoceles, a rare coincidental finding which has not yet been reported in the English medical literature, and how both the conditions were managed in the same sitting.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977787","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":"Assessment of Speech in Primary Cleft Palate by Two-layer Closure (Conservative Management).","authors":"Harsha Jain, Dayashankara Rao, Shailender Sharma, Saurabh Gupta","doi":"10.4103/2006-8808.100344","DOIUrl":"https://doi.org/10.4103/2006-8808.100344","url":null,"abstract":"<p><p>Treatment of the cleft palate has evolved over a long period of time. Various techniques of cleft palate repair that are practiced today are the results of principles learned through many years of modifications. The challenge in the art of modern palatoplasty is no longer successful closure of the cleft palate but an optimal speech outcome without compromising maxillofacial growth. Throughout these periods of evolution in the treatment of cleft palate, the effectiveness of various treatment protocols has been challenged by controversies concerning speech and maxillofacial growth. In this article we have evaluated the results of Pinto's modification of Wardill-Kilner palatoplasty without radical dissection of the levator veli palitini muscle on speech and post-op fistula in two different age groups in 20 patients. Preoperative and 6-month postoperative speech assessment values indicated that two-layer palatoplasty (modified Wardill-Kilner V-Y pushback technique) without an intravelar veloplasty technique was good for speech.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30978921","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":"Rare tumor of conus medullaris in an adult with a favorable outcome.","authors":"Ashish Kumar, Rajan M Shah, Nimit Gupta","doi":"10.4103/2006-8808.100361","DOIUrl":"https://doi.org/10.4103/2006-8808.100361","url":null,"abstract":"Sir, A 44-year-old female presented to us with a history of nocturnal, continuous, and burning dysesthetic low back pain radiating to both lower limbs for the last three months. There were no bladder or bowel complaints. She had a normal neurological examination apart from reduced sensations in the L5 dermatome in both lower limbs. Magnetic Resonance Imaging (MRI) of the lumbar spine showed a well-circumscribed, solid-cystic conus lesion, which was hypointense on T1-weighted images and hyperintense on T2-weighted images, along with peripheral contrast enhancement and an associated rostral syrinx [Figure 1]. The rest of the spine was normal. Her urodynamics revealed low voiding pressures with significant abdominal straining, characteristic of lower motor neuron type of dysfunction. She underwent D11-L2 laminotomy and gross total excision of the tumor. Intraoperatively, the cyst was associated with a grayish solid moderately vascular component [Figure 2], which was adherent to the cord at some places. It was removed piecemeal without the use of an ultrasonic aspirator and almost the entire specimen was sent for pathology. Postoperative recovery was uneventful. Histopathology showed a biphasic pattern of compactly arranged bipolar cells with loose piloid cells, suggestive of pilocytic astrocytoma [Figure 3]. The patient is still under follow-up and has no recurrence to date.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"67-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977220","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}
Yahya A Al Abed, Kevin Lafferty, Vasilis Kosmoliaptsis
{"title":"A simple technique for safe mesenteric defect closure following bowel resection.","authors":"Yahya A Al Abed, Kevin Lafferty, Vasilis Kosmoliaptsis","doi":"10.4103/2006-8808.100348","DOIUrl":"https://doi.org/10.4103/2006-8808.100348","url":null,"abstract":"<p><p>The closure of the mesenteric defect following bowel resection remains controversial. Proponents of the intervention cite the risk of bowel herniation through an open mesenteric defect and subsequent bowel obstruction whereas supporters of the opposing view advocate that such practice may lead to inadvertent compromise of the bowel blood supply. We describe a novel technique that enables efficient mesenteric defect closure while minimizing the risk of blood vessel injury.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"22-3"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977782","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":"Gas-less Video-assisted Thyroidectomy for a Solitary Thyroid Nodule: Technical Report of the First Case Performed at a Rural Teaching Hospital in India and Review of Literature.","authors":"Sanoop K Zachariah","doi":"10.4103/2006-8808.100350","DOIUrl":"https://doi.org/10.4103/2006-8808.100350","url":null,"abstract":"<p><p>Minimally invasive thyroidectomy is still in its phase of evolution with various techniques being practiced only in certain centers internationally. The conventional thyroidectomy performed by the Kocher's cervicotomy often leaves an undesirable scar over the neck, the size of which is usually around 8-10 cm long. The main aim of minimally invasive thyroid surgery is to minimize or avoid the scar over the neck. Endoscopic thyroid surgery in India, especially in the state of Kerala, is still in its infancy. Here, we describe the first case report of a modified technique of video-assisted thyroid surgery using a laparoscope and conventional open surgical instruments. Video-assisted thyroidectomy enables adequate visualization of the operative field and provides a magnified view of the vital structures like the parathyroid gland, the recurrent laryngeal nerve, and the thyroid vasculature. The procedure described here can be considered as a more cost-effective alternative to the conventional minimally invasive video-assisted thyroidectomy (MIVAT), and therefore is feasible in a rural setup.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.100350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30977784","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}