Journal of surgical technique and case report最新文献

{"title":"Phlebectasia of internal jugular vein.","authors":"Satish K Bindal,&nbsp;Gaurav O P Vasisth,&nbsp;Puneet Chibber","doi":"10.4103/2006-8808.110266","DOIUrl":"https://doi.org/10.4103/2006-8808.110266","url":null,"abstract":"<p><p>Internal jugular phlebectasia (IJP) is a rare disease in which there is a fusiform dilatation of internal jugular vein, usually presenting as a neck mass in children. Accurate diagnosis from careful history, physical examination, and radiological study can be made. We report a 12-year-old boy with history of swelling appearing on the right side of the neck only on straining, coughing, or during a Valsalva maneuver. Diagnosis of right IJP was made. Exploration and wrapping the dilated segment in an 8-mm-diameter polytetrafluoroethylene tube graft was done. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJP as differential diagnosis while dealing with such a swelling to avoid invasive investigations and inappropriate treatment.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"103-5"},"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/b8/02/JSTCR-4-103.PMC3673350.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486690","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":"Melioidosis of chest wall masquerading as a tubercular cold abscess.","authors":"Nelamangala Ramakrishnaiah Vishnu Prasad,&nbsp;Gopal Balasubramaniam,&nbsp;Vilvapathy Senguttuvan Karthikeyan,&nbsp;Chakravarti Kapil Ramesh,&nbsp;Krishnamachari Srinivasan","doi":"10.4103/2006-8808.110254","DOIUrl":"https://doi.org/10.4103/2006-8808.110254","url":null,"abstract":"<p><p>Melioidosis caused by Burkholderia pseudomallei, an important human pathogen in the tropical regions causes protean and multisystem clinical manifestations. A 50-year-old man on treatment for pulmonary tuberculosis developed a chest wall abscess. With a suspicion of tuberculous cold abscess, pus culture was done and it revealed Burkholderia pseudomallei. He was treated with 10 days of ceftazidime and incision and drainage was done. Wound healed well and he has now completed three months of oral cotrimoxazole eradication therapy and is on follow-up without recurrence. We report this case for the unusual presentation of melioidosis and the diagnostic challenge posed due to clinical similarity with tuberculosis.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"115-7"},"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/bc/28/JSTCR-4-115.PMC3673354.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486166","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":"Is aggressive therapy the answer for all cases of emphysematous pyelonephritis: a report of three cases.","authors":"Sidharth Kumar,&nbsp;Sushanto Neogi,&nbsp;Kamal K Gautam","doi":"10.4103/2006-8808.110268","DOIUrl":"https://doi.org/10.4103/2006-8808.110268","url":null,"abstract":"<p><p>Emphysematous Pyelonephritis (EPN) is a severe, necrotizing, life threatening infection of the renal parenchyma and management is not standardised due to scarcity of literature. We present 3 patients with this rare entity. All 3 patients were of class III on CECT findings based on Huang's classification and had more than two risk factors. Our first patient underwent percutaneous drainage of his condition upon which he recovered. The second and third patients underwent a laparotomy and nephrectomy. The second patient recovered after a stormy post operative period and the third patient died. Management of the first patient was contrary to that recommended in literature, for the other two it was as per recommendations. On successful management of our first patient without surgery and seeing no discernable benefits of surgery for our other two patients, it is possible that percutaneous drainage alone, coupled with antibiotics may be a viable strategy for managing this condition with nephrectomy being considered as a second tier option.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"106-9"},"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/78/ee/JSTCR-4-106.PMC3673351.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486691","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":"An Unusual Presentation of Vallecular Cyst with near Fatal Respiratory Distress and Management Using Conventional Laparoscopic Instruments.","authors":"Sandesh V Parelkar,&nbsp;Jiwan L Patel,&nbsp;Beejal V Sanghvi,&nbsp;Prashant B Joshi,&nbsp;Subrat K Sahoo,&nbsp;Nandita Sampat,&nbsp;Sanjay N Oak,&nbsp;Nilam Sathe","doi":"10.4103/2006-8808.110257","DOIUrl":"https://doi.org/10.4103/2006-8808.110257","url":null,"abstract":"<p><p>Vallecular cyst is a rare cause of upper airway obstruction in infants and children and presentation like acute stridor with near fatal respiratory distress is extremely rare. It is one of the rare causes of difficult intubation, during which cyst aspiration can improve the access. Vallecular cyst is commonly managed using microlaryngoscope and specialized instruments. We hereby report a method of endoscopic management of these cysts using conventional laparoscopic instruments.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"118-20"},"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/b6/1b/JSTCR-4-118.PMC3673355.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486612","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":"Mesh-free Ventral Rectopexy for Women with Complete Rectal and Uterovaginal Prolapse.","authors":"Adedayo O Tade,&nbsp;Adetola O Olatunji","doi":"10.4103/2006-8808.110256","DOIUrl":"https://doi.org/10.4103/2006-8808.110256","url":null,"abstract":"<p><strong>Background: </strong>Mesh rectopexy may be associated with infective complications, erosion into the vagina or rectum, and disintegration or dislodgement. A mesh-free rectopexy will avoid these complications. Objective of the study was to perform mesh-free ventral rectopexy and assess its safety and effectiveness.</p><p><strong>Materials and methods: </strong>Nine women with complete rectal and uterovaginal prolapse were treated with total abdominal hysterectomy, closure of the vaginal vault, extirpation of the pouch of Douglas and suture of anterior rectal wall to the posterior vaginal wall (ventral suture rectopexy). The ventral suture rectopexy was achieved by three pairs of interrupted silk sutures, 2.5 cm above each other, and the first pair very close to the pelvic floor. This composite structure (anterior rectal wall and posterior vaginal wall), sits astride the perineal body. Intussusception and subsequent prolapse of the sutured rectum and vaginal wall is prevented. Vaginal vault prolapse was prevented by the suture of each round ligament of the uterus to the corresponding lateral vaginal fornix. No mesh was used.</p><p><strong>Results: </strong>Nine multiparous women aged between 52 and 70 years had the procedure. The mean operative time was 135 minutes (range 110-220). The follow-up period was between 29 months and 7 years. Full continence was restored in all patients within eight weeks of the operation. Bowel habit returned to once daily in four patients and once every other day in the remaining five patients, within thirteen weeks of surgery. One patient had intermittent mucus discharge per rectum for six months. This stopped without a specific treatment. There has been no known recurrence in these nine patients. One patient developed wound infection as a complication. There was no mortality. All the patients are now asymptomatic.</p><p><strong>Conclusion: </strong>Ventral suture rectopexy is a safe and effective treatment for complete rectal prolapse in a selected group of patients.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"89-91"},"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/99/11/JSTCR-4-89.PMC3673367.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486686","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":"Triorchidism: a rare genitourinary abnormality.","authors":"Trupti Tonape,&nbsp;Gurjit Singh,&nbsp;P Koushik,&nbsp;Trinath Tumepalli","doi":"10.4103/2006-8808.110262","DOIUrl":"https://doi.org/10.4103/2006-8808.110262","url":null,"abstract":"<p><p>Polyorchidism is an extremely rare congenital anomaly which refers to the presence of more than two testicles. There are very few reports of triorchidism in a 2 year old child. Polyorchidism is usually discovered incidentally. The most common anomalies associated with polyorchidism are inguinal hernia (30%), maldescended testis (15% to 30%), testicular torsion (13%) and hydrocele (9%). A 2-year-old child was brought with bilateral undescended testis with normal milestones. Ultrasonography of scrotum and abdomen showed both the testes to be in inguinal canal. Intra-operatively, on left side - there were two testes, which belonged to Leung III class and one testis on right side. Management of polyorchidism is still controversial. The management of polyorchidism will depend upon the location, size and anatomical organisation of the testicular drainage system and the age of the patient.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"126-8"},"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/e4/d7/JSTCR-4-126.PMC3673357.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486614","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 Incision Laparoscopic Cholecystectomy in situs Inversus Totalis.","authors":"Suleyman Bozkurt,&nbsp;Halil Coskun,&nbsp;Tuba Atak,&nbsp;Huseyin Kadioglu","doi":"10.4103/2006-8808.110264","DOIUrl":"https://doi.org/10.4103/2006-8808.110264","url":null,"abstract":"<p><p>Situs inversus totalis (SIT) is a rare genetic anomaly characterized by arrangement of the abdominal and thoracic organs in a perfect mirror image reversal of the normal positioning. Transposition of the organs causes difficulty in diagnosis and treatment of the diseases related to abdomen and thorax. Single incision laparoscopic surgery (SILS) is a new technique and it is increasingly used with better cosmetic results. In this paper, a single incision laparoscopic cholecystectomy (SILC) performed in a patient with SIT is presented. SILC can be performed safely in the patients with SIT with better cosmetic results.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"129-31"},"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/9b/c6/JSTCR-4-129.PMC3673358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486615","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":"Management of chronic subdural haematoma in a case of idiopathic thrombocytopenic purpura.","authors":"Ashis Patnaik,&nbsp;Sudhansu S Mishra,&nbsp;Satya B Senapati,&nbsp;Acharya S Pattajoshi","doi":"10.4103/2006-8808.110265","DOIUrl":"https://doi.org/10.4103/2006-8808.110265","url":null,"abstract":"<p><p>Intracranial hemorrhage is a rare devastating complication of idiopathic thrombocytopenic purpura (ITP), mostly presenting as intraparenchymal or subarachnoid haemorrhage. Isolated chronic subdural haematoma (SDH) is still very rare and the optimal management is unsettled. Spontaneous resolution of chronic SDH in patients with idiopathic thrombocytopenic purpura is possible. We report a case of spontaneous chronic SDH in a patient with ITP with hemiparesis where the haematoma significantly decreased in size with complete resolution of hemiparesis as a result of platelet transfusions and continuing therapy with steroids. Surgical treatment of subdural haematoma with consequent bleeding complications can be avoided in this scenario.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"132-4"},"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/83/22/JSTCR-4-132.PMC3673359.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486616","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":"Spontaneous epidural haematoma in sickle cell anaemia: case report and literature review.","authors":"Bankole O Babatola,&nbsp;Yusuf A Salman,&nbsp;Asha M Abiola,&nbsp;Kanu O Okezie,&nbsp;Arigbabu S Oladele","doi":"10.4103/2006-8808.110271","DOIUrl":"https://doi.org/10.4103/2006-8808.110271","url":null,"abstract":"<p><p>Non traumatic spontaneous epidural Haematoma is a rare and often unmentioned complication of sickle cell disease. It is often associated with skull bone infarction. We report an eighteen year old boy with sickle cell anaemia who developed persistence headache during a vaso-occlusive crisis. Brain computed tomography (CT) revealed a right frontal epidural Haematoma (EDH) compressing on the brain. No other etiologic factor was identified. A right frontal craniotomy and evacuation of the Haematoma was performed and he made good recovery. The possible pathogeneses of this rare condition are discussed.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"135-7"},"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/d0/96/JSTCR-4-135.PMC3673360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486617","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":"Early Weight-bearing Using Percutaneous External Fixator for Calcaneal Fracture.","authors":"Vetrivel Chezian Sengodan,&nbsp;Mugundhan Moongilpatti Sengodan","doi":"10.4103/2006-8808.110263","DOIUrl":"https://doi.org/10.4103/2006-8808.110263","url":null,"abstract":"<p><p>Calcaneal fracture, the most common tarsal bone fracture, occurs predominantly in manual labors and subsequently has got considerable socioeconomic implications. Treatment modality which can offer early weight bearing and early return to work is therefore needed for those patients. We have used a biplanar percutaneous external fixator for treating calcaneal fractures without operative and per operative visualization of the fractures. We have treated 17 calcaneal fractures in 16 patients, 12 intra articular and five extra articular, with our percutaneous external fixator system without preoperative X-ray control or reduction. Functional outcome was measured using the American Orthopaedic Foot and ankle society Hind foot score. All fractures united with a mean of 55 days. Partial weight bearing was possible in a mean of 1.8 days and full bearing was possible in a mean of 11.6 days. All the patients were returned to their original work within six weeks. Minor infectious complications occurred in 17.6 percent of cases. The average AOFAS score at six months follow up was 83.8. We conclude that our percutaneous external fixator technique for fracture calcaneum is an effective alternative to the currently available - surgical and conservative treatment modalities especially in lower socio economic labor population who need to return to their job as early as possible. Level of Evidence - IV Case series.</p>","PeriodicalId":89430,"journal":{"name":"Journal of surgical technique and case report","volume":"4 2","pages":"98-102"},"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/f1/fb/JSTCR-4-98.PMC3673370.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31486689","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}