Journal of surgical technique and case report最新文献

{"title":"Anastomotic urethroplasty in female urethral stricture guided by cystoscopy - a point of technique.","authors":"Sachin Patil,&nbsp;Deepansh Dalela,&nbsp;Divakar Dalela,&nbsp;Apul Goel,&nbsp;Pushpalata Sankhwar,&nbsp;Satya N Sankhwar","doi":"10.4103/2006-8808.128758","DOIUrl":"https://doi.org/10.4103/2006-8808.128758","url":null,"abstract":"<p><strong>Purpose: </strong>During anastomotic urethroplasty for stricture urethra with false passage using standard technique, there remains a chance of anastomosis of normal distal urethra to proximal false lumen. Herein, we present a point of technique in which by using antegrade cystoscope, one cannot just identify and dissect normal anatomical proximal urethral lumen, but also perform some of the steps for anastomosis under direct vision. This will avoid making anastomosis to false lumen and thus leading to further complications.</p><p><strong>Materials and methods: </strong>We report a case of 35-years-female who was presented to us with total mid-urethral stricture with false passage following multiple urethral dilatation attempts. We used antegrade cystoscopy during anastomotic urethroplasty to identify and dissect the proximal end of urethra thereby avoiding anastomosis to false tract.</p><p><strong>Results: </strong>We successfully performed anastomotic urethroplasty avoiding false passage. Post-operative Uroflow showed Q max of 18 ml/sec. Voiding cystourethrogram post-operatively showed anastomosis between normal anatomical lumens.</p><p><strong>Conclusion: </strong>This modification of using antegrade cystoscopy helps to identify proximal urethral end which in turn helps in avoiding anastomosis to false tract and ensures anastomosis between normal lumens.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 2","pages":"113-5"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.128758","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32269240","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":"Loss of guide wire: a lesson learnt review of literature.","authors":"Rajiv Srivastav,&nbsp;Vishal Yadav,&nbsp;Dimpy Sharma,&nbsp;Vikas Yadav","doi":"10.4103/2006-8808.128732","DOIUrl":"https://doi.org/10.4103/2006-8808.128732","url":null,"abstract":"<p><p>Catheterization of central veins is a routine technique which is widely used in emergency department and medical intensive care units. Seldinger's technique is widely used to place central venous and arterial catheters and is generally considered safe. The technique does have multiple potential risks. Guide wire-related complications are rare but potentially serious. We describe a case of a lost guide wire during central venous catheter (CVC) insertion followed by a review of the literature of this topic. Measures which can be taken to prevent such complications are explained in detail as well as recommended steps to remedy errors should they occur. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 2","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.128732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32270865","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":"Dentigerous cysts in four quadrants: a rare and first reported case.","authors":"Vinit Aher,&nbsp;Prasant Mohan Chander,&nbsp;Rajkumar Garudanahally Chikkalingaiah,&nbsp;Fareedi Mukram Ali","doi":"10.4103/2006-8808.118607","DOIUrl":"https://doi.org/10.4103/2006-8808.118607","url":null,"abstract":"<p><p>The dentigerous cyst is a developmental odontogenic cyst which usually occurs in the second and third decade of life. Dentigerous cyst is one of the most prevalent types of odontogenic cysts associated with partially erupted, developing, or impacted teeth. The mandibular third molars have a high predictability followed by maxillary canines. Occurrence of dentigerous cyst bilaterally is generally observed in syndromic cases. Non-syndromic dentigerous cyst occurring bilaterally or involving both arches at the same time is very rare. This presented case is rare and unique in which all four quadrants shows the presence of dentigerous cyst. In this case there are well-defined cysts associated with impacted molars as well as with supernumerary teeth in all the four quadrants of jaws. The clinical documentation of such a case in available literature is found to be first time. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"21-6"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067152","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":"Techniques of male circumcision.","authors":"Abdullahi Abdulwahab-Ahmed,&nbsp;Ismaila A Mungadi","doi":"10.4103/2006-8808.118588","DOIUrl":"https://doi.org/10.4103/2006-8808.118588","url":null,"abstract":"<p><p>Male circumcision is a controversial subject in surgical practice. There are, however, clear surgical indications of this procedure. The American Academy of Pediatrics (AAP) recommends newborn male circumcision for its preventive and public health benefits that has been shown to outweigh the risks of newborn male circumcision. Many surgical techniques have been reported. The present review discusses some of these techniques with their merits and drawbacks. This is an attempt to inform the reader on surgical aspects of male circumcision aiding in making appropriate choice of a technique to offer patients. Pubmed search was done with the keywords: Circumcision, technique, complications, and history. Relevant articles on techniques of circumcision were selected for the review. Various methods of circumcision including several devices are in use for male circumcision. These methods can be grouped into three: Shield and clamp, dorsal slit, and excision. The device methods appear favored in the pediatric circumcision while the risk of complications increases with increasing age of the patient at surgery. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118588","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067235","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":"Trans-umbilical Laparoscopic Appendectomy for Acute Appendicitis without Raising Skin-flaps: An Easy-to-use Modification Applied to the Series of 164 Patients from a Rural Institute of Central India.","authors":"Priyadarshan Anand Jategaonkar,&nbsp;Sudeep Pradeep Yadav","doi":"10.4103/2006-8808.118593","DOIUrl":"https://doi.org/10.4103/2006-8808.118593","url":null,"abstract":"<p><strong>Background: </strong>Laparoscopic appendectomy (LA) is widely used and generally an accepted method for managing appendicitis. And the recent invention of laparoscopic trans-umbilical-appendectomy is a further improvement of LA. However, it requires expensive instruments with the requisite expertise. We discuss a useful modification of trans-umbilical appendectomy for acute appendicitis using routine instruments.</p><p><strong>Materials and methods: </strong>From August 2009 to March 2011, 164 patients were operated by this method at our rural center. Out of them, 102 were males and 62, females. Mean age for males was 27.5 years (range, 14-51) and females, 31.2 years (range, 17-48). Mean body mass index was 21.7 kg/m(2) (range, 16.2-29) and 23.2 kg/m(2) (range, 17.4-30) for males and females respectively. Acute appendicitis patients wherein surgery was deemed essential were offered this technique. Three umbilical ports (one 10 mm and two 5 mm) were strategically placed to dissect out appendix. Routine laparoscopic instruments were used for all.</p><p><strong>Results: </strong>Mean operativetime was 45 min (range, 30-90) with 1.8% conversion-rate to conventional laparoscopy. Average blood-loss was 15 ml (range, 10-25). We had one caecal electrosurgical injury, which was managed expectantly. Umbilical sepsis and seroma were 3% and 6.1% respectively. Patients were discharged after an average 1.3 days (range, 1-4). The scars had receded in the umbilicus giving a near-scarless abdomen.</p><p><strong>Discussion: </strong>Recently developed technique of single-port appendectomy has primarily been used for chronic appendicitis. Moreover, >1 inch incision inducted per-umbilicum rises the attendant morbidity. We study a surgeon-friendly simple technique applied to acute appendicitis.</p><p><strong>Conclusion: </strong>Method described here is feasible and safe for managing acute appendicitis. It can be learnt rather easily (learning curve of 15 cases) by a laparoscopic surgeon and avoids expensive instrumentation. Thus, it may stand out in providing benefits of modern surgery to population of developing countries.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067236","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 simple technique for adjustment of the femoral offset at the site of hip spacer implantation.","authors":"Konstantinos Anagnostakos,&nbsp;Olaf Lorbach,&nbsp;Patrick Orth,&nbsp;Katrin Koch","doi":"10.4103/2006-8808.118605","DOIUrl":"https://doi.org/10.4103/2006-8808.118605","url":null,"abstract":"<p><p>The decrease of femoral offset might play a role in the emergence of hip spacer dislocations, but it has not been discussed in the literature yet. The present work describes a technique for femoral offset adjustment. Either a bended blade plate or a dynamic hip screw can be used. The depth of the insertion and the angle of the particular implant are defined by the size of the offset adjustment required in each case. The described technique is feasible to produce a customized hip spacer, allowing for the preservation of an adequate muscle tension by individual adjustment of the femoral offset between stages. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067151","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":"Primary tuberculosis of the appendix: a rare cause of a common disease.","authors":"B J Sharath Chandra,&nbsp;T U Girish,&nbsp;P B Thrishuli,&nbsp;H G Vinay","doi":"10.4103/2006-8808.118619","DOIUrl":"https://doi.org/10.4103/2006-8808.118619","url":null,"abstract":"<p><p>Tuberculosis is still a common infection in India. Although the ileocecal region is the most affected part in intestinal tuberculosis, acute tuberculous appendicitis is quite a rare entity. Our case report highlights a rare presentation of tuberculosis and a brief review of literature. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"32-4"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32067154","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":"Laparoscopic colectomy for a patient with congenital renal agenesis.","authors":"Hiroyuki Tanishima,&nbsp;Tetsuya Horiuchi,&nbsp;Yoshiharu Shono,&nbsp;Masamichi Kimura","doi":"10.4103/2006-8808.118631","DOIUrl":"https://doi.org/10.4103/2006-8808.118631","url":null,"abstract":"<p><p>We present a very rare case of laparoscopic colectomy for a patient with ascending colon cancer and an agenetic right kidney. A 57-year-old man visited our institute for further evaluation for a positive fecal occult blood test. Approximately, 20 years earlier, the right kidney of the patient was found to be congenitally absent. A physical examination indicated no anatomical anomalies in his genitourinary system, and the renal function was within the normal range. Total colonoscopy revealed a cancer of the ascending colon and laparoscopic colectomy was performed. The right colon was mobilized by lateral-to-medial extension of a retroperitoneal dissection between the fusion fascia and the anterior renal fascia. The right testicular vessels were preserved without injury to the anterior renal fascia; however, the right ureter could not be detected. The operation was performed safely. Thus, we believe that in patients with congenital unilateral renal agenesis, the anterior renal fascia is present, and laparoscopic ipsilateral colectomy can be safely performed in such patients. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"51-3"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118631","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069074","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":"The Use of T-tube Cholangiocatheter Stents in the Treatment of Pediatric Tracheomalacia.","authors":"Seyed Mohammad Vahid Hosseini,&nbsp;Mohammad Zarenezhad,&nbsp;Babak Sabet,&nbsp;Mehrdad Malek Shoar,&nbsp;Gholamreza Kangari","doi":"10.4103/2006-8808.118632","DOIUrl":"https://doi.org/10.4103/2006-8808.118632","url":null,"abstract":"<p><p>Tracheomalacia is a common disorder in neonate and infants, which can lead to life-threatening airway occlusion, because of external pressure or intrinsic defect of tracheobroncial cartilage. Aortopexy and Stents are effective in relieving tracheomalacia in the latter patients. In this case we are to show how t-tube cholangiocatheter is effective and easy available in sever tracheomalacia neonates with intrinsic defect. It can be easily replaced and causes no infection, erosion, or sever complication in 9 months period. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"54-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069075","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":"Vesical calculus 10 years post missing intrauterine contraceptive device.","authors":"Abdullahi Abdulwahab-Ahmed,&nbsp;Oluwagbemiga Olabisi Ogunleye","doi":"10.4103/2006-8808.118630","DOIUrl":"https://doi.org/10.4103/2006-8808.118630","url":null,"abstract":"<p><p>Intravesical migration of intrauterine contraceptive device (IUCD) is rare. Early diagnosis of this rare entity is difficult because of its non-specific manifestations and very low index of suspicion. We present this case of bladder stone following intravesical migration of IUCD found to have been missing since insertion 10 years earlier. Lower abdominal discomfort and a missing vaginal string may be the only pointer to this unfortunate event in the immediate post insertion period. It is pertinent to consider the possibility of an intravesical migration of a missing IUCD in a patient presenting with lower abdominal discomfort, urinary frequency, and missing IUCD string on vaginal examination. </p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"5 1","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/2006-8808.118630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32069073","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}