November, 2017


Research Article

Management of Malignant Phyllodes Tumours of the Breast

Background: Malignant phyllodes tumours are rare cancers of the breast. Surgery is the primary mode of treatment and current adjuvant treatments appear ineffective.

Published 30 Nov, 2017


Clinical Image

A “Breast” Within the Breast

A 31-year-old female presented with unilateral slowly progressing gigantomastia (Figure 1), without any further medical history.

Published 30 Nov, 2017


Short Communication

Long Standing Pancreatic Fistula

Post Operative Pancreatic Fistula (POPF) remains the most common major complication after partial pancreatic resection and is the principal matter of concern among pancreatic surgeons.

Published 30 Nov, 2017


Clinical Image

Melanoma of the Esophagus: Endoscopic Findings of Superficial and Advanced Tumors

We present two cases of representative endoscopic findings of melanoma of the esophagus (Figure 1) shows a superficial type of esophageal melanoma.

Published 30 Nov, 2017


Short Communication

Non-invasive Monitoring for the Postoperative Heart

The problem with invasive monitoring is evident in the name. In spite of that, Pulmonary Artery Catheter (PAC) remains the gold standard for hemodynamic monitoring in postoperative cardiac surgical patients and is used routinely in many centers.

Published 30 Nov, 2017


Clinical Video

Thoracic Pleomorphic Liposarcoma: Resection and Reconstruction

A 21-year-old woman presented with abdominal pain and weight loss and was found to have a left thoracic mass with displacement of the heart, lung, and esophagus.

Published 30 Nov, 2017


Clinical Image

Endolymphatic Hydrops Detected by HYDROPS Image of MRI

Newly developed radiological image technique could enhance our understanding of various disease entity.

Published 30 Nov, 2017


Case Report

Broom Stick Injury Left Forearm: Unforgettable Saga

We report here in a case of foreign body in left forearm in which symptoms appeared 2 months after the apparent trauma, which had been forgotten.

Published 30 Nov, 2017


Case Report

Unsuccessfull Perineal Reconstruction with Myocutaneous V-Y Advancement Flap after Extralevator Abdominoperineal Excision for Low Rectal Cancer

Extralevator abdominoperineal excision of the rectum was introduced with the aim of improving the oncological outcome of low rectal cancer.

Published 30 Nov, 2017


Editorial

Critical Strategies for Safe Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy (LC) is one of the most commonly performed operation world wide.

Published 30 Nov, 2017


Editorial

Reasons for the Preservation of the Facial Artery in Submandibular Gland Resection

In the elective and curative neck dissection, particularly in the oral cavity and perioral region cancer, submandibular gland is resected with the content of the cervical level 1.

Published 29 Nov, 2017


Mini Review

Trans Cervical and Transoral-Trans Cervical Dual Approaches to the Para Pharyngeal Benign Tumors

The tumors of parapharyngeal space constitute only 0.5% of all head and neck tumors.

Published 29 Nov, 2017


Clinical Image

A Screw Nut Removed by Colotomy

A 22-year-old man was admitted to the emergency clinic with complaints of abdominal pain for last three days.

Published 29 Nov, 2017


Clinical Image

A Rare but Unforgotten Complete Tracheal Rings: Radiologic and Bronchoscopic Images in Adult Patient with Lung Cancer

A 67 year – old man underwent a right upper lobectomy for lung cancer.

Published 29 Nov, 2017


Clinical Image

Trans-Scrotal Complex Fistula-in-Ano: Tricks for Safe Single Stage Surgery

Complex fistula-in-ano with tract extending trans-scrotally to the root of penis and secondary opening at base of scrotum is very rare.

Published 23 Nov, 2017


Editorial

Recurrent Adnexal Gland Carcinoma of the Orbit

Primary orbital adenocarcinoma is a rare disease with few reported cases. Symptom onset is typically late, often resulting in diagnosis at advanced stages.

Published 29 Nov, 2017


Case Report

Extracorporeal Membrane Oxygenation: A Case for Salvage Treatment in Influenza Induced Acute Respiratory Distress Syndrome Complicated by Heart Failure

The influenza virus accounts for thousands of hospitalizations and deaths annually.

Published 29 Nov, 2017


Clinical Video

Intratendinous Ganglion of the Extensor Digitorum Communis Tendon of the Hand

32 year-old woman complied of a small swelling in the dorsum of her right hand and restriction of hand extension, without any tenderness or trauma. She carried a heavy box 2 week earlier.

Published 29 Nov, 2017


Case Report

A Case of Ectopic Liver Tissue Adherent to the Gallbladder

We report a case of a 30 year old lady who presented to the emergency department with a one day history of severe epigastric pain which radiated to the back.

Published 29 Nov, 2017


Research Article

Correlation between the Properties of Excised Axillary Lymph Nodes and the Drain Output after a Modified Radical Mastectomy: a Retrospective Study

Introduction: Adjuvant chemotherapy and radiotherapy can only commence at the end of postoperative drainage.

Published 29 Nov, 2017


Editorial

Reconsideration of Gerstmann’s Syndrome in the Lights of Current Knowledge Sand Spaces of Irrational Numbers

The disorder was first described by Dr. Josef Gerstmann, a Viennese neurologist, in 1924.

Published 29 Nov, 2017


Clinical Image

Bifid Ureter Obstructed with Single Ureteric Stone

A 33 year-old female patient admitted to our emergency department with left flank pain. Physical examination showed costovertebral angle tenderness

Published 29 Nov, 2017


Letter to Editor

The Pathology of Breast Cancer

When reporting on a breast carcinoma specimen, it is required that reporting be done giving information about several different aspects [1].

Published 29 Nov, 2017


Case Report

An Unusual Case of Bull Gore Injury to the Palate - Case Report

Bull gore injury is one of the commonest presentations of traumatic injuries especially in the rural population.

Published 29 Nov, 2017


Short Communication

Laparoscopic Treatment for Gastroesophageal Reflux in Children: Open Spects

Introduction: Gastroesophageal Reflux (GER) is a common problem in infants and children.

Published 23 Nov, 2017


Case Report

Hypoglossia with Severe Mandibular Transversal Discrepancy: A Case Report

Objective: To describe the etiology of hypoglossia, the consequences for oral function and our experience from treating a young boy with severe mandibular transversal discrepancy.

Published 23 Nov, 2017


Case Report

Giant Coronary Sinus Associated with Early Prosthetic Valve Failure of the Right Heart

A 71-year-old woman was admitted to our hospital presenting right heart failure.

Published 23 Nov, 2017


Case Report

The Paradoxical Cerebral Herniation and Pseudohipoxic Brain Swelling: Two Lethal Forms of Severe Intracranial Hypotension

Paradoxical Cerebral Herniation (PCH) is a life-threatening condition in patients with large craniectomies precipitated by a gradient between the atmospheric and intracranial pressure resulting in brain compression.

Published 23 Nov, 2017


Mini Review

Ultrasound Assisted Mini Abdominoplasty – Mini Review

High definition techniques added to the limited abdominoplasty technique allows achieving natural fit and aesthetically pleasant outcomes to the post-delivery woman with a reduced morbidity and faster recovery.

Published 16 Nov, 2017


Case Report

A New Treatment for Primitive Neuroectodermal Tumor (PNET) of Prostate: Total Pelvic Exenteration (TPE) and Double Diversion

Introduction: To report a rare case of Primitive Neuroectodermal Tumor (PNET) of prostate and to present a new surgical method for PNET of prostate.

Published 23 Nov, 2017


Research Article

Management for Ruptured Liver Hydatid Cysts in the Chest: Experience of a Moroccan Center

Introduction: Hepatic hydatidosis is still a sanitary scourge in Morocco.

Published 23 Nov, 2017


Review Article

Ultrasound Assisted Abdominoplasty

The Vaser addition to the abdominoplasty techniques safely allows achieving natural and aesthetically pleasant outcomes, by means of diminishing trauma of the abdominal wall.

Published 23 Nov, 2017


Editorial

Telemedicine in the Management of Head Trauma

The term "Telemedicine" encompasses the entire spectrum of technology, armamentarium and processes that are required to enable history taking, conduct a clinical examination, perform investigations and manage a patient, with the consultant and the patient physically at different locations.

Published 22 Nov, 2017


Case Report

Undifferentiated Embryonal Liver Sarcoma Diagnosed after Blunt Abdomen Trauma: A Case Report

Undifferentiated Embryonal Liver Sarcoma (UELS) accounts about 13% of all malignant liver tumors in children.

Published 22 Nov, 2017


Letter to the Editor

For Single Dosing, Levofloxacin is Superior to Ciprofloxacin when Combined with an Aminoglycoside in Preventing Severe Infections after Prostate Biopsy

We have read the article by Unnikrishnan et al. [1] reporting the comparison of levofloxacin and ciprofloxacin for preventing severe infections after prostate biopsy.

Published 22 Nov, 2017


Review Article

Plantar Fasciitis and Current Treatment Approaches

Plantar fasciitis is the most common pathology of the musculoskeletal system, especially affecting the plantar fascia.

Published 22 Nov, 2017


Editorial

Editorial: Repair of Urethrovaginal Fistula Secondary to Pelvic Fracture with a Labiaminora Skin Flap in Young Girls

I have read a papers entitled “Repair of urethrovaginal fistula secondary to pelvic fracture with a labiaminora skin flap in young girls” published in 2017 [1].

Published 22 Nov, 2017


Letter to Editor

Letter to Editor: Clinics in Surgery

Have read two papers related to urethral mobilization and advancement procedure for distal hypospadias repair published in 2017 [1,2].

Published 22 Nov, 2017


Case Report

Ectopic Localization of the Gallblader at Posterior Caecum and Ascending Colon

Ectopic localization of the gallbladder is a rare condition with an incidence of 0.1% to 0.7%.

Published 22 Nov, 2017


Clinical Image

Abdominal Hydatidosis

A 35 Year female presented to us with the diagnosis of Abdominal Hydatidosis.

Published 22 Nov, 2017


Research Article

Otomycosis Treatment: Topical Drops vs. Cream – A Prospective Randomized Study

Introduction: Otomycosis is one of the most common conditions encountered in an ENT practice. Difference of opinion does exist regarding ideal treatment modality.

Published 20 Nov, 2017


Clinical Image

I have Good News! You don’t have Cancer Cervical Rib Mimicking Supraclavicular Neoplasia

Introduction: Supraclavicular triangle is the neck region where benign/malignant neoplasms, inflammatory and congenital masses are frequently located.

Published 20 Nov, 2017


Case Series

Pediatric Nodular Fasciitis: Case Series Report

We like to report on two paediatric cases presenting with Nodular Fasciitis. Both were rapid growing soft tissue masses excised between Jan 2016 to Dec 201.

Published 20 Nov, 2017


Mini Review

Ducts of Luschka: A Review

The ducts of Luschka are small bile ducts that originate in the gallbladder fossa and drain in the majority of cases in ducts located at the right hepatic lobe.

Published 20 Nov, 2017


Research Article

Management of Postoperative Bile Leak: Tertiary Centers Experience

Background: Bile duct leak is an infrequent but serious disorder. The great majority occurs after hepatobiliary surgery.

Published 20 Nov, 2017


Clinical Image

Anything can Happen in the Surgery

Introduction: Fiberoptic Bronchoscopy (FOB) is a safe procedure with a major complication rate of <1%. In this case, it was aimed to present a rare complication during FOB.

Published 20 Nov, 2017


Clinical Image

Fungal Infection of the Brain: A Diagnostic Dilemma Resolved

A 35 year old male presented with burning and tingling on left side of face (in the distribution of trigeminal nerve) and headache off and on

Published 20 Nov, 2017


Mini Review

Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections

Surgical Site Infections (SSI) represents one of the most common hospital-associated infections worldwide, and many cases of SSI are due to multidrug-resistant bacteria with the propensity to attach to tissues and form biofilm on post-surgical sites.

Published 16 Nov, 2017


Letter to Editor

Computational Models of Pancreatic Cancer

There have been significant efforts recently to bring the knowledge and methods used in physical sciences into oncology, in an effort to improve the outcomes for patients with malignancies.

Published 16 Nov, 2017


Editorial

Local Ablative Treatment in Oligometastatic Prostate Carcinoma

Aggressive local treatment approaches in oligometastatic prostate carcinoma is one of today’s most important topic in prostate cancer treatment algorithm.

Published 16 Nov, 2017


Mini Review

Bertolotti’s Syndrome and Its Management; Pain Physician Perspective -A Brief Review

Low Back Pain (LBP) is multifactorial and often challenging for definitive diagnosis and successful treatment.

Published 16 Nov, 2017


Editorial

Retinal Examınatıon for Plaque Burden

A recent article authored by an experienced team of authors suggests that retinal amyloid burden is correlated with brain amyloid burden in Alzheimer’s Disease (AD).

Published 16 Nov, 2017


Clinical Image

Lingual Thyroid

Lingual thyroid is an ectopic thyroid tissue seen in base of tongue arising due to failure of descends of medial anlage of thyroid gland from base of tongue to its normal position in front of trachea during embryonic development [1].

Published 16 Nov, 2017


Mini Review

Use of Laparoscopic Hysterectomy in the Treatment of Benign and Malignant Gynecological Disease

The history of laparoscopic surgery in gynaecological diseases progressed with the advances of Semm, as well as with the development of tools, equipment, and energy that led to its development in all surgical areas, including oncology.

Published 16 Nov, 2017


Mini Review

Nanotechnology in Urology- Is Small the New Big?

Nanotechnology, implying the engineering of miniscule molecules, of the sizes of 1 nm – 1000 nm, to effect macromolecular changes in various fields of human life, so as to bring about betterment in the quality of human lives, has garnered tremendous interest worldwide.

Published 16 Nov, 2017


Clinical Image

Nonrecurrent Laryngeal Nerve with Bulky Central and Lateral Compartment Lymph Nodes: Too Much to Handle

A nonrecurrent laryngeal nerve is an embryological error that has to be always kept in mind to prevent accidental injury to it during surgery.

Published 16 Nov, 2017


Clinical Image

What next for Minimally Invasive Glaucoma Surgery (MIGS)?

In their quest for safer surgery and better outcomes for their patients, glaucoma surgeons in many parts of the world have increasingly embraced Minimally Invasive Glaucoma Surgery (MIGS) procedures.

Published 16 Nov, 2017


Clinical Image

Ventriculoperitoneal Shunt in the Scrotum? Rare but Possible!

A 2-year-old male child with right Ventriculoperitoneal (VP) shunt insertion for obstructive hydrocephalous at 3 months age presented with left scrotal swelling since 2 months.

Published 16 Nov, 2017


Case Report

Inferior Vana Cava Occlusion Revascularization: Case Report

This case illustrates management of a patient with disabling symptoms from Inferior Vena Cava (IVC) filter occlusion.

Published 16 Nov, 2017


Research Article

Minimally Invasive Treatment of Penetrating Thoracic Injuries at a National Trauma Centre - Introduction of an Algorithm and Conduct of a Proof-of-concept Study

Introduction: The minimally invasive approach of video-assisted thoracoscopic surgery (VATS) has become standard practice in thoracic surgery.

Published 15 Nov, 2017


Short Communication

Endovascular Treatment of Chronic Type B Aortic Dissection; Current Updates and Perspectives

Currently, emergent thoracic endovascular aortic repair (TEVAR) is considered the treatment of choice for complicated acute type B aortic dissection, while there is growing support for its use in treating uncomplicated acute and chronic type B aortic dissection [1].

Published 15 Nov, 2017


Research Article

Changes in Patient Reported Nipple Sensation after Superomedial Pedicle Reduction Mammaplasty in the Early Postoperative Period

Background: The sensitivity of the nipple-areola complex (NAC) is important to patients undergoing reduction mammaplasty and is frequently altered postoperatively.

Published 15 Nov, 2017


Research Article

Variable Presentations of Mesenteric and Omental Cysts in Infancy and Childhood: Long-Term Follow-Up

Background/Purpose: Mesenteric and omental cysts are rare intra-abdominal pathology.

Published 15 Nov, 2017


Research Article

Career Choices of Residents Leaving General Surgery: What Do the Residents Say?

Background: General surgery has the highest rate of attrition of all residency programs.

Published 09 Nov, 2017


Short Communication

Long Term Survival after Surgery for Ampullary Carcinoma: Case Report and Short Review of Literature

Ampullary Carcinoma is a distinct type amongst the four subsites of Periampullary Carcinoma due to its good biological behaviour.

Published 09 Nov, 2017


Research Article

How Can We Attract More Medical Students to General Surgery Residencies? A Study of Medical Student Evaluations of a General Surgery Clerkship for 10 Years: 2005-2015

Background: Medical student interest in general surgery has been declining for over three decades leading to projections of future surgeon shortages and decreased quality of surgical applicants.

Published 09 Nov, 2017


Research Article

Oncologic Considerations for Timing of Breast Reconstruction and Prophylactic Mastectomy in Breast Cancer Patients

Background: In an era of more conservative breast cancer treatment, a recent trend has led to an increased rate of mastectomy as risk-reduction surgery or as a component of achieving symmetry in reconstruction.

Published 09 Nov, 2017


Research Article

Why Do Residents Quit General Surgery Residencies? A Study of 789 Graduates from 3 Campuses Who Matched into General Surgery over 40 Years: 1974 to 2015

Background: General Surgery has the highest rate of attrition of all medical and surgical residencies.

Published 09 Nov, 2017


Short Communication

Malignant Esophagorespiratory Fistula: A Challenge…

The malignant esophagorespiratory fistula is a communication between the upper digestive tract and the respiratory system, secondary to tumor invasion through the wall of the esophagus and trachea or bronchus.

Published 06 Nov, 2017


Short Communication

Pneumopathy during Pregnancy

A 31-years old female, with thrombogenic Leyden Factor V, who smoked 5 cigarettes/day from 15 to 25 years.

Published 06 Nov, 2017


Short Communication

Hybrid Revascularization in the Treatment of Aorto Iliac and Femoral Occlusive Disease

Endovascular procedures have been widely growing in recent years and, in spite of the actual indications of the international society guidelines, have become the first choice also for aortoiliac TASC II C/D lesions because of excellent results in terms of low perioperative mortality and morbidity rates and of good long-term primary and secondary patency [1,2].

Published 03 Nov, 2017


Short Communication

Prevention and Management of Inferior Alveolar Nerve Injury Caused by Mandibular Third Molar Removal

Tooth extraction, as the ultimate dental treatment mostly, is a commonest surgical procedure carried out by the oral surgeon. Reasons for tooth extraction vary with the dental treatment and dental habit, education condition, economic level and so on [1,2].

Published 03 Nov, 2017


Short Communication

How to Learn Gynecological Surgery?

During the last decade surgical education using the classical learning-by doing apprenticeship model in real patients came under criticism for ethical and practical factors.

Published 03 Nov, 2017


Short Communication

Resolution of a Large Cysteine Stone with Medical Therapy

Recently an 8-month-old baby presented with irritability, an ultrasonography (US) of abdomen revealed a large Size renal stone (19 mm) located in lower pole of left kidney.

Published 03 Nov, 2017


Case Report

Lateral Forehead Flap: A Reliable Flap in Difficult Conditions

Introduction: Complex orofacial defects pose a difficult problem for reconstructive surgeon.

Published 02 Nov, 2017


Clinical Image

Prosthetic Graft Occlusion Caused by Anastomotic Pseudoaneurysm

A 61-year-old man who had undergone total arch replacement with frozen elephant trunk (FET) for acute type A aortic dissection (Figure 1A: 3D-image) was transferred complaining of severe abdominal and leg pain.

Published 02 Nov, 2017


Short Communication

Eversion Carotid Endarterectomy with Absorbable Suture

Major problem of the late results in arterial repair is the problem of remote restenosis.

Published 02 Nov, 2017


Case Report

Diagnosis and Management of an Isolated Tracheal Gunshot Wound

Penetrating trauma to the intrathoracic tracheobronchial tree continues to present a unique and challenging emergency.

Published 02 Nov, 2017


Short Communication

Partial Nephrectomy for Clinical T2 Renal Tumors: Current Evidence in Perspective

Renal tumor is one of the most important urological malignancies with a rising worldwide incidence.

Published 02 Nov, 2017


Short Communication

Marijuana and Sexual Function: The Great Unknown Editorial for Sexual Medicine Reviews

Marijuana is the plant that produces cannabis and its active ingredient tetrahydrocannabinol (THC).

Published 02 Nov, 2017


Case Report

An Unusual Case of Circumferential Peyronie's Disease

Peyronie’s disease is a rare connective tissue disorder. We report the case of a 60 year old male, who came to us with circumferential peyronie’s disease plaque involving both the corpora cavernosum.

Published 02 Nov, 2017


Research Article

Incidental Ingestion of Rare-Earth Magnet Toys: A Disappearing Complication

Purpose: Newly released toys made of small but powerful magnets, made of Rare-Earth Magnets (REM), could easily be obtained in South Africa.

Published 02 Nov, 2017


Case Report

Keloid on the Penis after Circumcision: A Rare Complication

Keloids are defined as scars that extend beyond the borders of the original wound, do not regress spontaneously and tend to recur following excision.

Published 02 Nov, 2017


Case Report

Primitive Squamous-Cell Carcinoma of the Pleura in a Patient Exposed to Asbestos

This report describes an unusual case of primary carcinoma of the pleura in a patient occupationally exposed to asbestos.

Published 02 Nov, 2017


Research Article

Clinical Implication of Non-Complement-Binding Donor-Specific Anti-HLA Antibodies in Heart Transplant Recipients -Risk Stratification by C1q-Binding Capacity

Background: The development of de novo human leukocyte antigen (HLA) donor specific antibodies (DSA), detected by either cytotoxic or solid phase assays, was considered the major risk factor for cardiac graft failure in heart transplantation.

Published 02 Nov, 2017


Short Communication

Scarless Breast Reduction with Laser Assisted Liposuction

Traditional breast reduction and accompanying ptosis correction procedures use various incisions, and pedicles to form a smaller and lifted breast.

Published 02 Nov, 2017


Review Article

Laparoscopic Hysterectomy and Tissue Morcellation

In order to avoid larger abdominal incisions or colpotomy uterine power morcellation has been a challenging field of discussions also at hysterectomies with many contradictory issues.

Published 02 Nov, 2017






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