Journal of surgical technique and case report最新文献

{"title":"Pediatric thymoma with a difference: report of a case and review of literature.","authors":"Sudipta Saha,&nbsp;Suhani Suhani,&nbsp;Animesh Basak,&nbsp;Nitin Agarwal,&nbsp;Pooja Dewan","doi":"10.4103/2006-8808.147263","DOIUrl":"https://doi.org/10.4103/2006-8808.147263","url":null,"abstract":"<p><p>Thymoma represents <1% of all mediastinal tumors in children. Less than 50 cases of pediatric thymoma are reported in the literature. Thymomas are considered to be highly aggressive in pediatric patients, especially when age is <10 years. Paraneoplastic syndromes, of which around 70% are myasthenia gravis, correlate with poor prognosis. In this article, we report a case of a thymoma in an 8-year-old boy, who had favorable histopathology (Masaoka stage I, WHO type B2), despite the presence of young age and necrosis along with absence of myasthenia gravis. We have also reviewed the available literature on pediatric thymoma. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"64-6"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984324","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":"Endotracheal intubation challenges to oral cavity - prevention strategy.","authors":"Preetinder Singh,&nbsp;Samir Anand","doi":"10.4103/2006-8808.147265","DOIUrl":"https://doi.org/10.4103/2006-8808.147265","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"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32983386","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 Novel Surgical Pre-suturing Technique for the Management of Ankyloglossia.","authors":"Mayur Khairnar,&nbsp;Babita Pawar,&nbsp;Darshana Khairnar","doi":"10.4103/2006-8808.147259","DOIUrl":"https://doi.org/10.4103/2006-8808.147259","url":null,"abstract":"<p><p>Ankyloglossia or \"tongue-tie\" is a congenital anomaly caused by tight lingual frenulum that abnormally connects the tongue base to the floor of the mouth. Ankyloglossia can results in difficulty during speech and deglutition. This case series presents a novel surgical technique in the management of ankyloglossia in using presuturing technique in which different sets of sutures are given on lingual frenum before severing it. This results in reduced opening of the wound, minimal bleeding, pain and discomfort. Two male patients with severe ankyloglossia had been managed with this technique and after 2 years of follow-up of these cases showed satisfactory protrusive and lateral movement of the tongue with minimal scarring and discomfort. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 2","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.147259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32984319","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 case of esophagopericardial fistula as a complication of upper gastro-intestinal endoscopy.","authors":"Chima K P Ofoegbu,&nbsp;Neil Hendricks,&nbsp;Lovendran Moodley","doi":"10.4103/2006-8808.135142","DOIUrl":"https://doi.org/10.4103/2006-8808.135142","url":null,"abstract":"<p><p>A case of suppurative pericarditis from an esophagopericardial fistula (EPF) following the upper gastrointestinal endoscopy (UGIE). A 38-year-old schizophrenic male patient with gastro-esophageal reflux disease (GORD) and previously dilated esophageal stricture was presented with acute retrosternal chest pain. The patient pulled out the endoscope during UGIE the previous day. A barium swallow (BS) post endoscopy was normal. The patient was initially hemodynamically stable and cardiac evaluation was normal. The patient subsequently developed features of cardiogenic shock. Echocardiography confirmed pericardial effusion and pericardial aspiration yielded pus. Surgical drainage with pericardial tube insertion was done. Pericardial biopsy revealed acute suppurative inflammation with food particles. The patient continued with antibiotics and pericardial drainage for 14 days and repeat BS and chest computerized tomography scan revealed no EPF. The patient was discharged 24 days after the presentation and remained well at follow-up. A rare, serious complication of UGIE which may be easily missed and is associated with a high mortality with delayed treatment. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32495433","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":"Bilateral paratesticular liposarcoma - a rare case report.","authors":"Mohammed Raza,&nbsp;Hagadur Gurureddy Vinay,&nbsp;Mirzeeshan Ali,&nbsp;Gurubasappa Siddesh","doi":"10.4103/2006-8808.135140","DOIUrl":"https://doi.org/10.4103/2006-8808.135140","url":null,"abstract":"<p><p>Paratesticular liposarcomas are rare tumors and are often reported as isolated cases. Patients usually present with a painless scrotal or inguinal mass, mimicking inguinal hernia. They refer to liposarcomas arising from the spermatic cord, testicular tunics, and epididymis. We report a case of bilateral scrotal swelling which was misdiagnosed as inguinal hernia. Intraoperative diagnosis of testicular tumor was made. High inguinal orchiectomy was done. Histopathological examination revealed it to be liposarcoma of the cord. To our knowledge, there is no reported case of bilateral paratesticular liposarcoma in English literature, hence we report this case. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32495432","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":"Magnet-retained Prophylactic Appliance for Post-excisional Pressure Therapy and Custom-made Acrylic Therapeutic Pressure Appliance for Auricular Keloid: A Clinical Report.","authors":"Manu Rathee,&nbsp;Renu Kundu","doi":"10.4103/2006-8808.135150","DOIUrl":"https://doi.org/10.4103/2006-8808.135150","url":null,"abstract":"<p><p>Keloid is cutaneous lesion characterized by fibrous growth produced as a result of aberration in the healing process. Pressure therapy, in combination with other forms of therapy, is used for the management of keloids. Clips or stents are generally used for the therapy and prophylaxis. This report presents use of presurgical compression and prophylactic passive pressure therapy with acrylic appliances for auricular keloids in a patient. Spring and magnets were used in the design of custom-made appliances for compression and retention. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32497427","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":"Anterior Roux-en-Y Pancreatico-jejunostomy for Pancreatic Trauma.","authors":"P S Aravinda,&nbsp;Sudipta Saha,&nbsp;Manoj Andley,&nbsp;O P Pathania,&nbsp;Ajay Kumar","doi":"10.4103/2006-8808.135147","DOIUrl":"https://doi.org/10.4103/2006-8808.135147","url":null,"abstract":"<p><p>Isolated pancreatic laceration is a rare injury. The typical mechanism by which it occurs is overstretching of the pancreas across the vertebral column during blunt abdominal trauma. The management depends on the location and extent of the injury. Disruption of the pancreatic duct usually requires operative treatment. Operative options for pancreatic laceration at the neck include distal pancreatectomy or suturing of the cephalic remnant and Roux-en-Y pancreatico-jejunostomy on the left remnant. We are reporting two cases of isolated pancreatic injury with disruption of the pancreatic duct but preserved posterior surface of the pancreas. These patients were managed by performing anterior Roux-en-Y pancreatico-jejunostomy at the lacerated area. Both the patients had successful outcome with removal of drains by 6(th) postoperative day. Anterior Roux-en-Y pancreatico-jejunostomy in this particular scenario is easy, less time consuming, and has the advantage of preserving the pancreas and the spleen. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32497426","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":"Massive spontaneous hemothorax, giant intrathoracic meningocele, and kyphoscoliosis in neurofibromatosis type 1.","authors":"Ayodeji Salman Yusuf,&nbsp;Ashok Pillai,&nbsp;Sajesh K Menon,&nbsp;Dilip Panikar","doi":"10.4103/2006-8808.135151","DOIUrl":"https://doi.org/10.4103/2006-8808.135151","url":null,"abstract":"<p><p>Neurofibromatosis type 1 (NF-1) is a heterogeneous autosomal dominant disease with an incidence ranging from 1 in 2500 to 1 in 3000. Rare intrathoracic vascular disorders resulting in massive spontaneous hemothorax with fatal consequences may occur in these patients, so also are various types of skeletal dysplasia which may result in dramatic presentations, posing management challenges to the attending physicians. We report the case of a 43-year-old woman with NF-1 who developed spontaneous massive hemothorax and was discovered to have a concurrent giant intrathoracic meningocele and thoracic kyphoscoliosis with severe vertebral dysplastic changes. Surgical treatment via a right thoracotomy with primary repair of the meningocele and spinal fusion with fibula graft resulted in good outcome. This case represents an extreme manifestation of this otherwise indolent disease in clinical practice. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32497428","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 practical tip to prevent intraoperative blockage of suction tubing.","authors":"Usama Ahmed,&nbsp;Firas Al Aswad","doi":"10.4103/2006-8808.135165","DOIUrl":"https://doi.org/10.4103/2006-8808.135165","url":null,"abstract":"To prevent blockage of the suction tubing, we use a simple, economical and effective method that allows us to aspirate fluid from the cavity whilst minimizing the soft tissue damage and preventing the blockage of the suction catheter. When aspirating a large volume of fluid, firstly remove smaller caliber attachments from the suction tubing such as Yankauer suckers. Hold in place a small swab over the suction tubing whilst aspirating the fluid [Figure 1]. This allows the fluid to be aspirated from cavities and protects the surrounding soft tissues [Figure 2]. A similar technique has also been described for laparoscopic procedures.[1] The advantage of this technique is that in addition to aspirating fluids, debris such as clots or other pieces of soft issue collect in the gauze and can easily be removed from the surgical field.","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"43-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32497431","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":"Hollow mill for extraction of stripped titanium screws: an easy, quick, and safe technique.","authors":"Ravi Gupta,&nbsp;Harpreet Singh,&nbsp;Amit Singh,&nbsp;Sudhir Garg","doi":"10.4103/2006-8808.135135","DOIUrl":"https://doi.org/10.4103/2006-8808.135135","url":null,"abstract":"<p><p>Removal of jammed titanium screws can be difficult due to the problem of stripping of the hexagonal heads of the screws. We present a technique of extraction of stripped screws with the use of a standard 4.5 mm stainless steel hollow mill in a patient of peri-implant fracture of the radius fixed with a titanium locking plate 2 years back. The technique is quick, safe, and cost effective. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"6 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.135135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32495430","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}