April, 2017


Editorial

Laparoscopic Nerve-Sparing Radical Hysterectomy based on Precise Anatomy

Type III hysterectomy is performed in most patients with early stage cervical cancer currently. Though the technique allows for the optimal effect, it may give rise to severe bladder dysfunction and colorectal motility disorders.

Published 29 Apr, 2017


Mini Review

Insights into the Venous Hemodynamics of the Lower Extremity

Purpose: This review study pays attention to motive forces that influence the return of venous blood and venous hemodynamics in the lower extremity, deals with the occurrence and hemodynamic consequences of saphenous reflux, assesses the pathogenic significance of calf perforators and femoral and popliteal vein incompetence, and explains the term hemodynamic paradox.

Published 29 Apr, 2017


Case Report

Bilateral Inguinal Hernia Recurrence after 24 Years

Inguinal hernia repair is one of the commonest operations performed in the world over. The success of the hernia repair is judged mainly by the recurrence rate after following the operation.

Published 29 Apr, 2017


Case Report

Recurrent Primary Hyperparathyroidism after Autotransplantation of an Excised Parathyroid Adenoma

Introduction: We present a patient with recurrent primary hyperparathyroidism after reimplantation of a portion of an excised parathyroid adenoma.

Published 29 Apr, 2017


Review Article

Use of Omega-3s in Traumatic Brain Injury

Clinical studies thus far have failed to identify an effective treatment strategy for Traumatic brain injury (TBI), when a combination of targets controlling aspects of neuroprotection, neuroinflammation, and neuroregeneration is needed.

Published 28 Apr, 2017


Review Article

Pediatric Hydrocele: A Comprehensive Review

Pediatric hydrocele is a benign common condition seen by surgeons. It is almost always occur in males although a female equivalent is described.

Published 28 Apr, 2017


Research Article

Transcervical Approach for Thoracic Operations

Aim: The aim of this study is to summarize our experience regarding thoracic operations performed through the use of the extended transcervical approach.

Published 28 Apr, 2017


Research Article

Strategies for Submandibular Gland Management in Rhytidectomy

Submandibular gland excision is a described, yet less commonly used technique in operative neck rejuvenation, because of the misconception that this technique carries too high a risk for its potential benefit.

Published 28 Apr, 2017


Research Article

Volume Change after Primary Breast Augmentation: Predicting and Defining a Significant Cause for Re-Operation

Introduction: Accepted re-operation rates after primary breast augmentation range between 20% to 30% with requests for volume change as a leading cause.

Published 27 Apr, 2017


Case Report

Combination Aesthetic Therapies for Whole-Body Rejuvenation

Increasing numbers of people around the globe are embracing whole body rejuvenation with noninvasive or minimally invasive treatments to address a variety of cosmetic concerns.

Published 27 Apr, 2017


Research Article

Acute Diverticulitis with and without Microperforation: Should they be Treated the Same?

Background: The use of Computed Tomography imaging has enabled clinicians to visualize a subset of uncomplicated diverticulitis known as microperforation.

Published 27 Apr, 2017


Case Report

Pheomochromoblastoma: Case of 19-Year Follow-Up Study

Catecholamine-secreting tumors are one of the most complex and, at the same time, interesting problems of endocrinology.

Published 27 Apr, 2017


Research Article

Hypothyroidism after Hemithyroidectomy

Introduction: Thyroid lobectomy has the advantage of sparing many patients from the need of thyroxine definitive replacement therapy.

Published 27 Apr, 2017


Research Article

Medial Cuneiform Osteotomy with Allograft Implant without Internal Fixation in Pediatric Patients: A Retrospective Study

The Cotton medial cuneiform osteotomy is a common procedure for treatment of planal deformities in the pes planus foot.

Published 26 Apr, 2017


Case Report

Chronic Contained Rupture of an Abdominal Aortic Aneurysm Causing Vertebral Erosion: Two Case Reports

We report here two cases of a chronic contained rupture of an infrarenal abdominal aortic aneurysm (CCR-AAA) which eroded a lumbar vertebra.

Published 27 Apr, 2017


Research Article

Choices of Food after Total Laryngectomy

Background: Management of laryngeal cancer by total laryngectomy resulted in alteration of pharyngeal anatomy and physiology and with combined radiation makes it more difficult for food bolus to pass through pharynx and upper esophagus.

Published 26 Apr, 2017


Review Article

Necrotizing Pancreatitis: Advances in Management

Acute pancreatitis is a common disease process that results in significant morbidity and mortality. While the disease course may be mild and self-limited, 15%-25% of patients develop necrotizing pancreatitis, which may become secondarily infected.

Published 26 Apr, 2017


Case Report

Strangulated Intestinal Obstruction due to Appendiceal Tourniquet: A Case Report

Background: Intestinal obstruction is regarded as one of the most common surgical emergencies with well known varied causes.

Published 26 Apr, 2017


Review Article

Enterocutaneous Fistula: Evidence-based Management

The management of Enterocutaneous fistula (ECF) is a clinical skill that should be in the armamentarium of every general surgeon.

Published 26 Apr, 2017


Research Article

Identical Geometrical Profile for both Craters and Arbitrary Long Incisions Produced by CO2 Laser Beams onto Irradiated Biological and Non-Biological Samples: The Acceleration of the Lesion’s Horizon is a Fundamental Growth Indicator for any CO2 Laser Ablation and it is Confirmed by Two Independent Analytical Approaches used Across Both Samples Families

In order to forecast with sufficient precision the geometrical profile of a cut obtained via a moving surgical CO2 laser beam emitting in continuous wave (CW), it is recommendable to produce a single crater with the same desired safety depth and acceptable superficial damage first.

Published 26 Apr, 2017


Surgical Technique

Novel Surgical Approach to Reducible Hammertoe Repair: Plantar Incisional PIPJ Arthroplasty

The surgical correction of hammertoe deformities has been conventionally approached through a longitudinal or elliptical incision located just proximal to the affected proximal interphalangeal joint (PIPJ) on the dorsal aspect of the affected digit.

Published 25 Apr, 2017


Research Article

Direct Inflicting Causes of Diabetic Foot Ulcer & the Initial Action of Patient & Health Provider

Background: The role of neuropathy and angiopathy in the causation of the diabetic foot are well established.

Published 25 Apr, 2017


Research Article

Group a Streptococcus Necrotizing Soft Tissue Infection Secondary to Corticosteroid Injection: A Case Report and Literature Review

The use of corticosteroid injections is a common practice for foot and ankle pathology. The incidence of infection or necrotizing fasciitis following injection therapy is rare.

Published 25 Apr, 2017


Case Series

Midfoot and Hindfoot Charcot Joint Deformity Correction with Hexapod-assisted Circular External Fixation

Charcot Neuroarthropathy (CN) is a debilitating condition that results in complex foot and ankle deformity.

Published 25 Apr, 2017


Research Article

Does Time Till Surgery Affect the Outcome of Uncomplicated Acute Appendecitis: A Retrospective Cohort Study

Background: Laparoscopic appendectomy is the most frequent on-call surgery done as an emergency.

Published 24 Apr, 2017


Clinical Image

Gnarly Esophagus

A 78-year-old woman with diastolic heart failure, hypertension, abdominal aortic aneurysm, severe spinal stenosis and cervical and thoracic myelopathy presented with a 4-years history of dysphagia to both solids and liquids.

Published 24 Apr, 2017


Editorial

Multimodal Treatment for Soft Tissue Sarcoma of the Extremity

Soft tissue sarcomas (STS) are a heterogeneous group of rare tumors; every year, in fact, only about 12,000 new cases are diagnosed in the United States [1].

Published 24 Apr, 2017


Research Article

Laparoscopic Reproducibility of Complete Mesocolon Excision: A Retrospective Analysis

Radical surgery for colorectal cancer is undoubtedly necessary for stages I, II and III and must consider the removal of the intestinal segment and the relative afferent lymph node stations affected by the tumor.

Published 24 Apr, 2017


Research Article

Early Extubation Protocol Following Valve and Coronary Artery Bypass Surgery

Background: Early extubation protocols can be safely implemented in most patients undergoing coronary artery bypass surgery.

Published 24 Apr, 2017


Case Report

Case Report: A Nodule on the Scalp with Exogenous Pigment

Background: Modifying hair colour is a common fashion statement in the modern society.

Published 24 Apr, 2017


Review Article

Zenker’s Diverticulum: Endoscopic Surgical Management Options

Zenker diverticulum (ZD) is an uncommon pharyngo-esophageal outpouching that occurs in an area of muscular weakness at the junction of the inferior aspect of the inferior constrictor muscle and the cricophayngeus muscle (Killian dehiscence).

Published 24 Apr, 2017


Research Article

Study of the Effect of Ankaferd Blood Stopper on Outcome of Total Thyroidectomy

Introduction: During thyroidectomy, bleeding may obscure the operative field making safe dissection of recurrent laryngeal nerve and parathyroid gland difficult and prolonging the operation time.

Published 24 Apr, 2017


Research Article

Isolated Sphenoid Sinus Pathology: Retrospective Analysis of 7 Cases

Objectives: To investigatethe patients who underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease.

Published 24 Apr, 2017


Research Article

Isolated Sphenoid Sinus Pathology: Retrospective Analysis of 7 Cases

Objectives: To investigatethe patients who underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease.

Published 24 Apr, 2017


Research Article

Difficulties in the Choice of Surgical Approach in Cervicothoracic Goiters

Introduction: Indications for thoracotomy or sternotomy are very rare or exceptional in surgery plunging goiter.

Published 20 Apr, 2017


Research Article

Removal of Polypropylene Mesh by Chronic Inguinodinya after Inguinal Laparoscopic Hernioplasty: A Case Report

>Background: Chronic pain in the inguinal region after hernia repair (inguinodynia) is an uncommon complication that results in pain and paresthesia at the operated site.

Published 20 Apr, 2017


Case Report

Intussusception in Patients with Crohn’s Disease: Is Resection Always Mandated?

Objective: The objective is to present an interesting case of intussusception in an adult with Crohn’s Disease and do a subsequent review of the literature for the management of this difficult patient population.

Published 20 Apr, 2017


Case Report

Oncoplastic Surgery for Centrally Located Breast Cancer

In breast carcinomas, especially in multifocal and large tumors, the best way to operate a patient in a safe and aesthetically pleasing way is an oncoplastic operation.

Published 20 Apr, 2017


Case Report

Osteochondral Cylinder Transplantation of First Metatarsal Head Secondary to Behçet's Disease (Delayed Radiographic Changes): A Case Report

Behçet's disease (BD) is a multisystem disease with typically non deforming articular manifestations. Erosive arthropathy is an uncommon condition in patients with BD.

Published 20 Apr, 2017


Research Article

Decreasing Postoperative Pain Following Endometrial Ablation

Objective: We sought to determine if paracervical injection of local anesthesia decreases postoperative pain in women undergoing endometrial ablation under general anesthesia.

Published 24 Apr, 2017


Case Report

Guillain-Barre Syndrome Following PCV Vaccine

Guillain-Barre syndrome (GBS) is a rapid-onset muscle weakness caused by the immune system attacking the peripheral nervous system.

Published 20 Apr, 2017


Case Report

Lately Recognized Left Main Bronchial Rupture and Fail Chest

Blunt bronchial rupture and flail chest are usually early detected and managed. However, in multiple trauma patients, bronchial rupture and flail chest could be lately diagnosed.

Published 24 Apr, 2017


Case Report

Penetrating Facial Injury with Retained Knife Blade: A Case Report

Retained foreign bodies in the maxillofacial region are uncommon and rarely reported. In this case, a report of a penetrating facial injury with a retained knife blade is presented.

Published 24 Apr, 2017


Case Report

Idiopathic Incidence of MRONJ in Patients on Denosumab

Background and Objectives: Osteonecrosis of the jaw (ONJ) has been reported in patients taking bisphosphonates (BPs) for conditions such as osteoporosis, Paget disease, and hypercalcemia of malignancy.

Published 20 Apr, 2017


Case Report

A Minimally Invasive Technique Using Tubular Retractors for Percutaneous Transpedicular Fixation of Traumatic Spondylolisthesis of Axis: A Case Report and Technical Note

Hangman’s type fractures are notoriously difficult to manage. Conservative management often fails in the more severe fracture types resulting in a significant source of burden particularly in the setting of unstable fractures.

Published 20 Apr, 2017


Review Article

Delineation of Inflammatory Bowel Disease by Molecular Biometrics: Verification versus Validation

Dysregulated immune responses to the gut microbiota are believed to be the driving force in the development of inflammatory bowel diseases.

Published 20 Apr, 2017


Research Article

Fast Track Pathways: Early Ambulation after Open Aortic Surgery in Elderly Patients Is Not Only Safe but Recommendable

Introduction: Bed rest has always been an integral part of traditional perioperative care, but there is no evidence that it has any significant beneficial effect, especially in elderly patients. Conversely, the immediate recovery of ambulation improves outcomes after complex surgical procedures.

Published 20 Apr, 2017


Research Article

Autologous Breast Reconstruction Implant Augmentation (A.B.R.I.A.): Indications and Outcomes

Background: Increasing numbers of young women with normal body mass index (BMI) are receiving autologous tissue breast reconstruction, often requiring a prosthetic implant to achieve their desired volume and symmetry.

Published 17 Apr, 2017


Case Report

Disseminated Thrombi in a Patient with Suspected Patent Foramen Ovale Post Left Lower Lobectomy

A 73-year-old man presented with a T2a N0 M0 adenocarcinoma of lung confirmed via CT guided biopsy.

Published 14 Apr, 2017


Review Article

Lung Transplantation from Donation after Circulatory Determination of Death: A Contemporary Review

During the last decade many strategies are developed in order to expand the donor pool. One of the strategies that bring more attention is the use of grafts from donors after circulatory death (DCD), also frequently referred to as nonheart-beating donors (NHBD).

Published 14 Apr, 2017


Research Article

Obesity in Patients after Liver Transplantation

The aim of the present study was to evaluate the nutritional status of post-liver transplant patients. The sample consisted of a group of patients submitted to liver transplantation and a control group of patients without liver disease.

Published 14 Apr, 2017


Case Report

Dealing with the Unexpected but Chasing the Inevitable: Atrio-Ventricular Disruption Following Aortic Valve Replacement in an Elderly Patient

Atrioventricular groove ruptures is almost always lethal. We report the successful repair of a rupture of the atrioventricular groove in an elderly patient who underwent an aortic valve replacement and the sequel of complications preceding this.

Published 14 Apr, 2017


Research Article

360° of Freedom in Chimeric Pedicled Vastus Lateralis-ALT Perforator Flap for Reconstruction in Patients with Advanced or Recurrent Malignancies

Introduction: Defects following resections of advanced malignancies and particularly sarcomas are often challenging from functional and reconstructive point of view. In recent years, a chimeric vastus-lateralis-fascio-cutanoues ALT was described, allowing greater versatility and more sophisticated reconstructions.

Published 14 Apr, 2017


Mini Review

Chemotherapy Sensitivity of Gastric Cancer

Gastric cancer is one of the most common and fatal malignancies in East Asia despite decreased incidence in the West [1].

Published 14 Apr, 2017






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