Journal of surgical technique and case report最新文献

{"title":"A Rare Cause of Postprandial Abdominal Pain.","authors":"Jesse Zhen Cheng Lee,&nbsp;Kamal Aryal","doi":"10.4103/2006-8808.184936","DOIUrl":"https://doi.org/10.4103/2006-8808.184936","url":null,"abstract":"<p><p>A 49-year-old woman with medical history of polymyalgia rheumatica presented with 3 weeks history of epigastric pain worse after meal. Gallstones, peptic ulcer, bowel ischemia, bowel obstruction, gastroesophageal reflux disease, chest pathology, etc., were excluded from the study. Computerized tomography showed a short stenotic segment at coeliac trunk with poststenotic dilatation of 8 mm. Ultrasound scan showed peak velocity of 326 cm/s at the coeliac artery. Diagnosis of median arcuate ligament syndrome was made. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"12-3"},"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/8e/16/JSTCR-7-12.PMC4959404.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34359937","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":"Intraoperative Development of Tension Pneumocephalus in a Patient Undergoing Repair of a Cranial-Dural Defect Under Nitrous Oxide Anesthesia.","authors":"Mansher Singh,&nbsp;Viren S Vasudeva,&nbsp;Arturo J Rios Diaz,&nbsp;Ian F Dunn,&nbsp;Edward J Caterson","doi":"10.4103/2006-8808.184942","DOIUrl":"https://doi.org/10.4103/2006-8808.184942","url":null,"abstract":"<p><p>Rapid buildup of gas within the cranial vault can result in a life-threatening condition known as \"tension pneumocephalus,\" necessitating immediate surgical intervention. Nitrous oxide (N2O), a commonly used inhaled anesthetic, is associated with the development of tension pneumocephalus and its role in neurosurgical procedures has been debated in the literature. We present a case of tension pneumocephalus with preexisting pneumocephalus secondary to the usage of N2O as an inhaled anesthetic. Included is a literature review of studies discussing the role of N2O in the development of tension pneumocephalus. N2O is associated with tension pneumocephalus especially in the setting of preexisting pneumocephalus. Tension pneumocephalus can manifest as Cushing response and immediate decompression is life-saving. Nitrous oxide should be used cautiously in neurosurgical procedures, especially with preexisting pneumocephalus. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"20-2"},"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/6d/1b/JSTCR-7-20.PMC4959407.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34359940","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":"Persistent Mullerian Duct Syndrome with Transverse Testicular Ectopia.","authors":"P Naresh Kumar,&nbsp;Kandgal Venugopala","doi":"10.4103/2006-8808.184940","DOIUrl":"https://doi.org/10.4103/2006-8808.184940","url":null,"abstract":"<p><p>Persistent Mullerian duct syndrome (PMDS) is a rare form of male pseudohermaphroditism characterized by the presence of Mullerian duct structures in a normal male with 46, XY karyotype. Transverse testicular ectopia (TTE) is rare form of testicular ectopia in which two testes are located on one inguinal side. The opposite scrotum is empty. PMDS with TTE is rare. We report a case of PMDS with TTE discovered during surgery for a right inguinal hernia in a 25-year-old male. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"4-6"},"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/01/1f/JSTCR-7-4.PMC4959409.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34359934","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":"Single Visit Feeding Appliance for 1-day-old Neonate with Cleft Palate Using Safe Dental Putty-Gauze Hybrid Impression Technique for Maxillary Impression.","authors":"Manu Rathee","doi":"10.4103/2006-8808.184938","DOIUrl":"10.4103/2006-8808.184938","url":null,"abstract":"<p><p>Cleft lip and palate is one of the most common craniofacial anomalies of humans. Intraoral impression making is the first clinical step in the fabrication of feeding appliance for infants with oro-nasal communication. It is difficult to control the flow of the impression material in the cleft area and undercuts in a child patient. This clinical report presents a simple and safe impression technique for maxillary impression making in neonates and infants with cleft palate. A gauze piece was used to confine the impression material during functional movements of sucking while impression making in an awake child to avoid the risk of aspiration or swallowing. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"7 1","pages":"7-11"},"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/94/74/JSTCR-7-7.PMC4959410.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34359936","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":"Retrorectal cystic hamartoma: a problematic 'tail'.","authors":"Suhani,&nbsp;Kusum Meena,&nbsp;Shadan Ali,&nbsp;Lalit Aggarwal,&nbsp;Shaji Thomas","doi":"10.4103/2006-8808.147261","DOIUrl":"https://doi.org/10.4103/2006-8808.147261","url":null,"abstract":"<p><p>The retrorectal space is an uncommon seat for neoplastic masses. Retrorectal hamartoma or tailgut cyst (TGC) is an uncommon developmental cystic lesion occurring in this space which mostly occurs in middle-aged females. We recently cared for a 16-year-old girl who presented with vague lower abdominal pain and occasional constipation. Per rectal examination revealed an extraluminal mass bulging from posterior rectal wall. Preoperative radiological investigations revealed by suggested it to be a mature cystic teratoma. The patient underwent exploratory laprotomy with en masse excision of the cyst. Histopathological examination of the specimen showed it to be a TGC. This case highlights the possibility of a TGC as a differential for retrorectal cystic lesions and the need to completely excise them given the possibility of future malignant transformation. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"58-60"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984321","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":"Duodenal Transection without Pancreatic Injury following Blunt Abdominal Trauma.","authors":"Sanket Subhash Bankar,&nbsp;Vikas S Gosavi,&nbsp;Mohd Hamid","doi":"10.4103/2006-8808.147264","DOIUrl":"https://doi.org/10.4103/2006-8808.147264","url":null,"abstract":"<p><p>With the inventions of faster cars and even more faster motorbikes there is a worldwide increase in road traffic accidents, which has increased the incidence of blunt abdominal trauma but still duodenal injury following a blunt abdominal trauma is uncommon and can pose a formidable challenge to the surgeon and failure to manage it properly can result in devastating results. It may typically occur in isolation or with pancreatic injury. Here, we report a case of an isolated transection of the third part of the duodenum with normal pancreas following a blunt abdominal trauma. The initial clinical changes in isolated duodenal injury may be extremely subtle before life-threatening, peritonitis develops. Hence, a high index of suspicion, on the basis of mechanism of injury and physical examination is the key in early detection of duodenal injury especially in a rural hospital like ours where the facilities for computed tomography scan are not available. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"67-9"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984323","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":"A useful adjunct in lower limb surgery.","authors":"Zeeshan Ahmad,&nbsp;Marcus J Davies","doi":"10.4103/2006-8808.147266","DOIUrl":"https://doi.org/10.4103/2006-8808.147266","url":null,"abstract":"70 Sir, Emergency endotracheal intubation and less experienced staff probably increase the chance of traumatizing hard and soft oral tissues. Intraoral manipulation is necessary during general anesthesia involving endotracheal intubation during many craniofacial and maxillofacial surgeries. With reference to an excellent article published in your esteemed journal regarding treatment of Vallecular Cyst Using Conventional Laparoscopic Instruments,[1] I would like to add some vital information regarding endoscopic intubation challenges. Although laryngoscopy is a safe procedure and complications rarely occur, intraoral manipulation can produce damage to soft and hard tissues of the oral cavity, patient discomfort, and postoperative pain.[2,3] In Pediatrics, the more frequently studied lesions occurred during placement of the tracheal tube are dental traumas, with an incidence ranging from one case in 150 intubations to one in 2805 intubations.[4] In addition to forceful intubation or extubation, vigorous suctioning of posterior teeth, pressure‐induced damage to the adjacent tissues by insertion of the laryngeal mask airway (LMA), masseteric spasm derived by hypothermic‐induced shivering and biting forces against antagonist teeth or endotracheal tube (ETT) should all be taken into account. Hence, intubation, extubation and suctioning should be performed with great care. If the child has a loose tooth and avulsion or aspiration is deemed, a careful suturing of the affected tooth to the adjacent sound tooth just around the crown of the teeth may prevent avulsion and aspiration.[5] During the preoperative assessment, the anesthetist should enquire about loose teeth, unstable crowns, veneers, bridgework and any intra‐oral prostheses (dentures or orthodontic appliances). The patient should be warned about the potential for dental damage and its incidence, and any particular risk factors, either anesthetic or dental, should be identified and explained to the patient. Following an incident of perioperative dental damage, the goal is to obtain an immediate assessment and provide a fair reimbursement for treating the injury. More detailed and comprehensive teaching courses for subspecialty fellows or nurses involved in critically ill pediatric patient care may warrant more professional insight into the different stages of dentitions, endotracheal intubation complications concerning hard and soft oral tissue damages and management options for when traumatic injury happens. The above‐mentioned details could help an oral surgeon and anesthetist in overcoming any dental hazards and a promising treatment pattern during surgery.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"70-1"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32983389","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":"Aberrant Right Subclavian Artery: A Life-threatening Anomaly that should be considered during Esophagectomy.","authors":"Rahim Mahmodlou,&nbsp;Nariman Sepehrvand,&nbsp;Sanaz Hatami","doi":"10.4103/2006-8808.147262","DOIUrl":"https://doi.org/10.4103/2006-8808.147262","url":null,"abstract":"<p><p>Aberrant right subclavian artery (ARSA) is a rare anomaly, in which the right subclavian artery arises directly from the aortic arch instead of originating from the brachiocephalic artery. This anomaly should be taken into consideration during surgical procedures around esophagus, such as esophagectomy. Any unintentional injury of this artery during surgical procedures could be extremely life threatening. A 56-year-old woman presented with dysphagia, with concurrent aberrant subclavian artery and esophageal cancer. The transhiatal esophagectomy was performed successfully since the anomaly was preoperatively diagnosed using computed tomography scan. The presence of ARSA during esophagectomy may be challenging, but if diagnosed preoperatively, the precise and diligent dissection of the retroesophageal space during esophagectomy, may prevent any injury to the aberrant artery and consequent complications. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"61-3"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984322","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":"Use of labels on local anaesthetic syringes.","authors":"Z Ahmad","doi":"10.4103/2006-8808.147267","DOIUrl":"https://doi.org/10.4103/2006-8808.147267","url":null,"abstract":"Journal of Surgical Technique and Case Report | Jul-Dec 2014 | Vol-6 | Issue-2 71 Through use of a sterile Mayo cover, an empty, un‐used sharps bin is placed into it. The surgeon then wraps the bin in the cover such that full sterility in maintained. The device can then be used to prop up legs or arms when performing surgery with the knowledge that the limb is elevated and secure, whilst maintaining good surgical access in a sterile fashion.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"71-2"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32983388","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":"Transverse testicular ectopia with bilateral pyocoele: case report and brief review of literature.","authors":"Lokendra Kumar,&nbsp;Praveen Garg,&nbsp;Asn Rao,&nbsp;Ashish Kumar","doi":"10.4103/2006-8808.147260","DOIUrl":"https://doi.org/10.4103/2006-8808.147260","url":null,"abstract":"<p><p>Transverse testicular ectopia (TTE) is a rare anomaly in which both testis descend through a single inguinal canal and enter to same hemiscrotum. To the best of our knowledge, we are reporting a new variant of TTE with right inguinal hernia with bilateral pyocoele. In this case, both testes descend separately through corresponding inguinal canal and present in single right scrotum. There is no report of bilateral orchidectomy for this variant of TTE with bilateral pyocoele with calcified necrosed testes. We also describe its embryology and management in brief, and review the previously reported cases. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"55-7"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984320","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}