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Indian Journal of Surgery

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https://www.readbyqxmd.com/read/28442851/acceptance-of-fibrin-glue-fixation-in-lichtenstein-hernia-repair-a-faraway-dream
#1
Debajyoti Mohanty, Nitinkumar Borkar
No abstract text is available yet for this article.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442850/the-misconceptions-about-surgeons
#2
Rachita Chopra
No abstract text is available yet for this article.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442849/operative-management-of-enteroatmospheric-fistula-in-bj%C3%A3-rck-4-open-abdomen-patients-by-the-help-of-laparoscopic-lateral-approach
#3
Fahri Yetişir, A Ebru Sarer
As the open abdomen (OA) management increases, the number of fistula formation has also been increasing during the last two decades. These fistulas in OA have been defined as enteroatmospheric fistula (EAF). EAF occurring in a frozen OA is classified as Björck 4 OA. Management of Björck 4 OA patient is not easy and mortality of these patients is very high in spite of the presence of modern treatment modalities. There are a few surgical approaches for treatment of Björck 4 OA patients. One of them is excising the hostile segment by lateral abdominal approach from the healthy side or entering from lateral border of OA wound after enough time intervals for subsiding of the edematous intestine in acute inflammatory reaction in the hostile environment...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442848/dermatofibrosarcoma-protuberance-of-the-breast-a-diagnostic-challenge
#4
Ismail A S Burud, Ng Sze How, Gan CheeWei, Suboh Roslina
Dermatofibrosarcoma protuberans (DFSP) is an uncommon slow growing neoplasm of the dermis with tendency to invade the subcutaneous tissues. It presents during the third to fourth decade of life and is commonly seen over the trunk, extremities and head and neck. DFSP presenting as a breast lump is rare but few cases have been reported in the literature. Pre-operative diagnosis with mammography, ultrasonography and FNAC is challenging. We report a case of a DFSP of the right breast in a middle aged lady with history of recurrent breast lumps excised and diagnosed in the past as benign...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442847/gastrointestinal-neuroectodermal-tumor-a-diagnostic-dilemma
#5
Keduovinuo K Keditsu, Shraddha Patkar, Munita Bal, Shailesh V Shrikhande, Mahesh Goel
Malignant gastrointestinal neuroectodermal tumor (GNET), a rare soft tissue sarcoma, is a recently described distinct clinicopathological entity. With only a few cases reported in literature till date, there is limited knowledge about the behavior as well as diagnosis of this tumor. GNET mimics several other tumors and hence presents as a diagnostic challenge to clinicians and pathologists alike. We report a case of gastrointestinal neuroectodermal tumors with liver metastasis.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442846/gunshot-pellet-migration-to-the-right-ventricle-a-case-report-and-literature-review
#6
Wu Jiachang, Zhao Haien, Luo Yuanguo, Wang Lei, Lin Zhoudan, Yang Hua
The diagnosis and management of injuries of the heart or the great vessels continues to be a major surgical challenge in the past and now. This case study introduces the conservative management of a patient who developed a venous bullet embolus after being shot in the lower extremities. In this case report, we aim to review some of the literature on bullet emboli and to raise awareness of its existence. It was concluded that for bullets left in the limbs, bullet position in relation with peripheral vessels should be evaluated carefully to treat and avoid the bullets moving along with the bloodstream...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442845/perforative-peritonitis-gastrointestinal-tract-may-not-always-be-the-source
#7
Abhay Y Desai, Bhakti Palande, Sangram Dhabolkar, Vishwas D Pai
Perforative peritonitis is the most common surgical emergency in general surgical practice. Gastrointestinal perforation is the etiology in the vast majority of the patients. However, occasionally, other rare causes may be encountered. One such cause of peritonitis is spontaneous perforation of non-gravid uterus. Uterine perforation is a potential complication of any intrauterine procedure and may be associated with injury to surrounding blood vessels or viscera such as the urinary bladder or intestine. Spontaneous uterine perforation is rare and less than 50 cases have been reported in the English literature...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442844/a-rare-case-of-bilateral-morgagni-s-hernia-with-intestinal-obstruction-and-malrotation-of-the-gut-in-an-adult-patient-with-severe-osteogenesis-imperfecta-presenting-as-severe-respiratory-distress
#8
S Y Kulgod, Amit Shivashankar Ammanagi, Pradeep Vagarali, Ravi Patil
Osteogenesis imperfecta (OI) is associated with congenital inguinal hernia that can occur due to genetic mutation. Morgagni's hernia is a rare congenital diaphragmatic herniation and is usually diagnosed in childhood. We present a case of an 18-year-old male presenting with bilateral Morgagni's hernia with intestinal obstruction with osteogenesis imperfecta with malrotation of the gut.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442843/cognitive-and-technical-skill-assessment-in-surgical-education-a-changing-horizon
#9
REVIEW
Ashley Vergis, Krista Hardy
Assessment is an integral component of training and credentialing surgeons for practice. Traditional methods of cognitive and technical appraisal are well established but have clear shortcomings. This review outlines the components of the surgical care assessment model, identifies the deficits of current evaluation techniques, and discusses novel and emerging technologies that attempt to ameliorate this educational void.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442842/aberrant-intrathyroid-tissue-a-report-of-intrathyroid-lymph-node-metastasis-and-a-review-of-literature
#10
Michael S Shawky, Win Meyer-Rochow
Aberrant histological elements have been infrequently reported to exist within the intact thyroid gland. In addition to distant metastases to the thyroid, a number of ectopic tissue rests and unusual cysts have been described within the thyroid gland. In this article, we report the presence of a true intrathyroid lymph node and describe the first reported case of intrathyroid lymph node metastasis of papillary thyroid cancer. Other reported aberrant intrathyroid tissues, possible pathophysiology, diagnostic features and surgical implications are also discussed...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442841/physics-for-surgeons-part-3-why-cyst-is-spherical-in-shape
#11
REVIEW
Darakhshan Qaiser, Anurag Srivastava, Piyush Ranjan, Kamal Kataria
Physical examination of any swelling is the first step in making a diagnosis. Many a times we see a patient with a spherical swelling, which is usually a cyst. The interpretation of physical signs should be based on sound principles of physics. In the present paper, we explain physical characteristics of a swelling (cyst) using principles of fluid mechanics.
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442840/assessment-of-intracorporeal-suturing-in-single-port-surgery-using-an-experimental-suturing-model
#12
Yasuhiro Ishiyama, Noriyuki Inaki, Hiroyuki Bando, Tetsuji Yamada
The aim of this study is to assess the difficulty of intracorporeal suturing in single-port surgery, using experimental suturing model in dry box. Subjects were divided for three groups: seven experienced laparoscopic surgeons, seven surgical residents, and seven interns. An experimental suturing model is developed, and working angle was set from 0° to 90°. The completion rate in 0° was significantly lower than that in the other angles. Completion rate of group A was higher than that of the other groups...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442839/the-place-of-calprotectin-lactoferrin-and-high-mobility-group-box-1-protein-on-diagnosis-of-acute-appendicitis-with-children
#13
Sevgi Buyukbese Sarsu, Ayse Binnur Erbagci, Hasan Ulusal, Suleyman Cuneyt Karakus, Özlem Gümüstekin Bulbul
The purpose of this study is to investigate the role of serum calprotectin (CP), lactoferrin (LF), and high-mobility group protein B1 (HMGB-1) levels and fecal CP and LF levels in differential diagnosis of acute uncomplicated appendicitis from other causes of abdominal pain and further from complicated appendicitis. Totally, 120 children were included grouped into 4 as: healthy controls, patients with right lower quadrant pain with other than surgical causes, patients with uncomplicated appendicitis, and patients with complicated appendicitis...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442838/wound-outcome-following-primary-and-delayed-primary-skin-closure-techniques-after-laparotomy-for-non-traumatic-ileal-perforation-a-randomized-clinical-trial
#14
Vivek Agrawal, Mohit Kumar Joshi, Ashish Kumar Gupta, Bhupendra Kumar Jain
To study the effect of primary and delayed primary closure of skin incision on wound outcome in patients with non-traumatic ileal perforation, 68 patients of ileal perforation were studied in a prospective randomized clinical trial. Patients fulfilling inclusion criteria were divided into ileostomy and non-ileostomy groups, both of which were then randomized into two subgroups each depending on whether skin was closed primarily or in a delayed primary manner. Wound infection and dehiscence were the main outcome parameters studied...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442837/emergent-laparoscopic-colectomy-is-an-effective-alternative-to-open-resection-for-benign-and-malignant-diseases-a-meta-analysis
#15
Sun-Bing Xu, Zhong Jia, Yi-Ping Zhu, Ren-Chao Zhang, Ping Wang
The aim of this study is to compare the perioperative outcomes between laparoscopic and open resections performed for colonic emergencies. A systematic search of the literature identified previously published comparative studies regarding emergent laparoscopic colectomy (ELC) and emergent open colectomy (EOC). Meta-analysis was performed utilizing a pooled odds ratio (OR) for dichotomous variables and a weighted mean difference (WMD) for continuous variables with 95 % confidence intervals (CIs). Eleven studies involving 752 patients were identified...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442836/single-port-laparoscopic-liver-resection-largest-turkish-experience
#16
Ilhan Karabicak, Kagan Karabulut, Savas Yuruker, Tugrul Kesicioglu, Necati Ozen
Single-port laparoscopic surgery has the advantage of a hidden scar and reduced abdominal wall trauma. Although single-port laparoscopic surgery is widely performed for other organs, its application is very limited for liver resection. Here, we report our experience with nine patients who underwent single-port laparoscopic liver resection. Nine patients underwent single-port laparoscopic liver resection for the indications of hydatid cyst, hepatocellular carcinoma, and colorectal cancer liver metastasis. Nine patients were successfully treated with single-port laparoscopic surgery...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442835/how-much-reliable-is-alvarado-scoring-system-in-reducing-negative-appendectomy
#17
Mehmet Tahsin Tekeli, Enver Ilhan, Orhan Ureyen, Abdullah Senlikci, Eyup Yeldan, Mucteba Ozturk, Mehmet Akif Ustuner, Ugur Gokcelli, Emrah Dadali, Fevzi Cengiz, Savas Yakan
There is still an ongoing debate, especially regarding early diagnosis of acute appendicitis. Early surgery leads to inadequate evaluation of acute abdominal pain and negative appendectomy, whereas delayed surgery leads to appendicitis perforation complications. The diagnosis of this condition is considerably difficult, especially due to subtle early symptoms and clinical condition. The aim of the present study was to identify whether the Alvarado scoring system could reduce the incidence of negative appendectomy in patients who will undergo surgery for acute appendicitis...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442834/parathyroidectomy-decreases-insulin-resistance-index-in-patients-with-primary-hyperparathyroidism
#18
Cevdet Duran, Barıs Sevinc, Orkide Kutlu, Omer Karahan
Primary hyperparathyroidism (PHPT) has been considered a cause of insulin resistance (IR) and impaired glucose metabolism. However, there are conflicting results related with the recovery of insulin resistance in patients with PHPT following curative parathyroidectomy. Our aim is to evaluate the effects of curative parathyroidectomy on IR in patients with PHPT. This is a prospective interventional study. Twenty-one consecutive patients with symptomatic PHPT were included into the study. All patients underwent parathyroidectomy...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442833/a-randomised-prospective-study-to-evaluate-preperitoneal-mesh-repair-versus-onlay-mesh-repair-and-laparoscopic-ipom-in-incisional-hernia-surgery
#19
S Natarajan, S Meenaa, K A Thimmaiah
Incisional hernia remains a very common postoperative complication. These are encountered with an incidence of up to 20 % following laparotomy. These hernias enlarge over time, making the repair difficult, and serious complications like bowel obstruction, strangulation and enterocutaneous fistula can occur. Hence, elective repair is indicated to avoid these complications. Implantation of a prosthetic mesh is nowadays considered as the standard treatment due to low hernia recurrence. The most common mesh repair techniques used are the onlay repair, sublay repair and laparoscopic intraperitoneal onlay mesh (IPOM)...
April 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28442832/risk-factors-for-conversion-and-morbidity-during-initial-experience-in-laparoscopic-proctectomies-a-retrospective-study
#20
Abdelmalek Hrora, Anass Mohammed Majbar, Mouna Elalaoui, Mohamed Raiss, Farid Sabbah, Mohamed Ahallat
The aim of this study was to determine the predictable factors for conversion during laparoscopic proctectomies, and for postoperative morbidity, in order to assist in defining the best candidates of patients for initial experience in laparoscopic proctectomies for rectal adenocarcinoma. A retrospective analysis of consecutive patients who underwent laparoscopic rectal resection for rectal adenocarcinoma operated by a single surgeon, between 2005 and 2012, were performed. Predictive factors for conversion and for postoperative morbidity were analyzed using univariate and multivariate analysis...
April 2017: Indian Journal of Surgery
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