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Indian Journal of Surgery

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https://www.readbyqxmd.com/read/29217917/surgical-checklists-prevention-is-better-than-cure
#1
Manu Kaushik, Gabriel Bakula, Vijay Mittal
No abstract text is available yet for this article.
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217916/hemorrhoid-treatment-needs-a-relook-more-room-for-conservative-management-even-in-advanced-grades-of-hemorrhoids
#2
Pankaj Garg
No abstract text is available yet for this article.
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217915/innovative-economical-surgical-suture-board
#3
Shalabh Gupta, Apoorv Goel, Ayush Agarwal, Atul Kumar Gupta, Tripta S Bhagat
The aim of this study is to develop an economical suture board for practising suturing skills and techniques. Suture boards were made by using local electric boards, small leather patch, four suction buttons, six screws and a hook. These suture boards are multipurpose boards which are economical and available all the time in department for practicing. This board can also be placed in endotrainer for laparoscopic suturing skills. This economical suture board is cheap, easily available and helps in practicing various suturing and knot tying techniques...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217914/skin-incision-for-port-placement-in-laparoscopic-surgery-an-often-forgotten-critical-step
#4
Rajinder Parshad, ᅟ Suhani
Port placement is the first and one of the most important step in laparoscopic surgeries. However, these incisions for port placement are often placed casually leading to larger or smaller incisions than those required. Larger incisions may lead to problems like oozing from skin incisions, egress of gas used to create pneuomoperitoneum, while smaller incisions lead to difficulty in port introduction and incision site skin necrosis. We describe a simple and novel technique of giving proper sized skin incision to avoid such problems...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217913/aggressive-angiomyxoma-of-inguinoscrotal-region-mimicking-inguinal-hernia-a-case-report
#5
Nivedita Sharma, Than Singh Tomar, Arun Peter Mathew, K Chandramohan, R Preethi, Rari P Mony
Aggressive angiomyxoma (AAM) is a rare mesenchymal tumour of pelvis and perineum, almost exclusively occurring in females. We are reporting a case of a 53-year-old gentleman who presented with a long standing inguinoscrotal swelling misdiagnosed as inguinal hernia, for which he underwent incomplete excision at local hospital and then was referred to our centre for completion surgery.
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217912/laparoscopic-transperitoneal-ureterouretrostomy-for-retrocaval-ureter-a-case-report
#6
J S Rajkumar, P V Dhanapal, Ilamparuthi Chennakrishnan, S Akbar, Anirudh Rajkumar, Prabakaran R, G Venkatesan, Deepa Ganesh
Retrocaval ureter is a rare developmental anomaly with an incidence of 1 in 1500 births. The inferior vena cava compresses the ureter posteriorly, causing upstream dilatation of the proximal ureter and the kidney. We report a 16-year-old girl who presented with right flank pain, diagnosed as retrocaval ureter with ultrasound, intravenous urogram and CECT, and was treated with laparoscopic transperitoneal ureteroureterostomy. Embryological aspects and laparoscopic technical considerations are highlighted in this case report...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217911/familial-occurrence-of-thyroglossal-duct-cyst
#7
Radhakrishna Ramchandani, Sunil Chumber
Thyroglossal duct cysts are one of the commonest benign midline neck swellings. These are the remnants of the embryologic duct that fails to regress by the 10th week of fetal development. Generally, these are sporadic, slowly enlarging midline neck lumps, with half of them presenting before the age of 30. However, despite their relative frequency, reports of familial inheritance are rare. A review of literature reveals a total of 25 patients from 8 families showing a familial inheritance pattern worldwide. We describe here a 9th family with 5 affected patients taking the total number of cases to 30...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217910/primary-tubercular-abscess-of-the-axilla-a-rare-case
#8
Ameet Kumar, T S Ramakrishnan, Samaresh Sahu
Tuberculosis can be broadly classified as pulmonary and extrapulmonary. Though pulmonary tuberculosis is the most common presentation, extrapulmonary tuberculosis is also an important entity. A tubercular cold abscess secondary to involvement of an adjacent bone or suppuration of lymph nodes is a well-known entity; however, a primary cold abscess is rare. We report a case of a young girl who presented with an axillary swelling which turned out to be a primary tubercular abscess of the axilla. To the best of our knowledge, this is the first reported case of a primary tubercular abscess presenting in the axilla...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217909/predictive-factors-for-small-intestinal-and-colonic-anastomotic-leak-a-multivariate-analysis
#9
Ahmad Sakr, Sameh Hany Emile, Emad Abdallah, Waleed Thabet, Wael Khafagy
Anastomotic leak (AL) is a serious complication of intestinal surgery with various predisposing factors. This study aims to assess several risk factors associated with AL after small intestinal and colonic anastomoses through a multivariate analysis. Two hundred twenty-four patients (126 males) with intestinal anastomosis of a median age of 44 years were reviewed. Independent factors associated with AL were male gender (OR = 2.59, P = 0.02), chronic liver disease (CLD) (OR = 8.03, P < 0.0001), more than one associated comorbidity (OR = 5...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217908/a-novel-method-for-pain-relief-in-chronic-pancreatitis-an-old-drug-in-a-new-pack-a-controlled-study
#10
Aswini Kumar Pujahari
Most of pain-relieving agents in chronic pancreatitis are nonspecific and unpredictable. Omeprazole induces hypergastrinemia due to reduced gastric acidity. Raised serum gastrin, in turn, modulates to reduce secretin level. Secretin is responsible for secretion of almost 80 % bicarbonate-rich pancreatic juice from the ductular epithelium without affecting enzyme output. It is a prospective randomized study in patients with CT-confirmed chronic pancreatitis. The control group got the standard care and 60 mg of omeprazole twice daily was added to the test group...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217907/synchronous-breast-cancer-and-gallbladder-diseases-a-chromosomal-analysis-a-pilot-study-at-a-tertiary-care-centre
#11
Devendra Chaudhary, Rahul Ahluwalia, Arvind Rai
Out of a total of 50 study-eligible patients, 15 patients were found to have synchronous breast cancer and gallbladder diseases. Fourteen such patients had breast cancer and cholelithiasis while 1 patient had breast cancer with gallbladder cancer. Amongst these 15 patients, 7 patients tested positive for chromosomal aberrations on karyotyping. Aberrations in these patients were seen on chromosomes 13 and 17 with 2 patients having deletion 13q, 2 having deletion 17q, and 2 having deletions on 17p while one patient had multiple deletions on chromosomes 13q and 17p...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217906/liquid-paraffin-vs-hyaluronic-acid-in-preventing-intraperitoneal-adhesions
#12
Hanish Kataria, Vinod Prem Singh
Adhesion formation after abdominal and pelvic operations remains a challenging problem. Role of adjuvant barriers have been studied but there is no comparative study between liquid paraffin and hyaluronic acid as a barrier method. Hence, we planned to compare the effectiveness of 0.4 % hyaluronic acid and liquid paraffin in the prevention of postoperative intraperitoneal adhesions in rats. This prospective, randomized and controlled study was conducted in 60 adult Wistar albino rats. Surgical trauma by caecal abrasion and 1 g talcum powder was used in the rat model to induce adhesion formation...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217905/osce-as-a-summative-assessment-tool-for-undergraduate-students-of-surgery-our-experience
#13
M K Joshi, A K Srivastava, P Ranjan, M Singhal, A Dhar, S Chumber, R Parshad, V Seenu
Traditional examination has inherent deficiencies. Objective Structured Clinical Examination (OSCE) is considered as a method of assessment that may overcome many such deficits. OSCE is being increasingly used worldwide in various medical specialities for formative and summative assessment. Although it is being used in various disciplines in our country as well, its use in the stream of general surgery is scarce. We report our experience of assessment of undergraduate students appearing in their pre-professional examination in the subject of general surgery by conducting OSCE...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217904/comparison-of-the-short-term-outcomes-of-laparoscopic-and-open-resections-for-colorectal-cancer-in-patients-with-a-history-of-prior-median-laparotomy
#14
Young Wan Kim, Ik Yong Kim
This study aimed to investigate the short-term outcomes of laparoscopic resection in comparison with those of open resection for colorectal cancer in patients with a history of prior median laparotomy (PML). Eighty-seven consecutive patients (87/1121, 7.8 %) with a history of PML who underwent major colorectal cancer resection were enrolled (laparoscopy, n = 40; open, n = 47). The conversion rate to open surgery was 25 % (n = 10). The laparoscopy group had a higher proportion of female patients (57...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217903/regression-of-ophthalmopathic-exophthalmos-in-graves-disease-after-total-thyroidectomy-a-prospective-study-of-a-surgical-series
#15
P R K Bhargav, M Sabaretnam, S Chandra Kumar, S Zwalitha, N Vimala Devi
Autoimmune ophthalmopathy is one of the salient clinical features associated with Graves' disease. Exophthalmos is one of the commonest manifestations of Graves' associated ophthalmopathy. It is reported to regress after thyroidectomy favourably compared to radioiodine or antithyroid drug therapy. In this context, we present our experience based on a surgical series of Graves' disease. This is a prospective study of 15 patients of Graves' disease associated with ophthalmopathic exophthalmos. Preoperative and monthly postoperative evaluation of exophthalmos was done with Hertel's exophthalmometer, apart from documenting lid, extra-ocular muscle and orbital involvement...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217902/magnitude-severity-and-outcome-of-traumatic-pancreatic-injury-at-a-level-i-trauma-center-in-india
#16
Amit Gupta, Subodh Kumar, Sanjay Kumar Yadav, Biplab Mishra, Maneesh Singhal, Atin Kumar, Pramod Garg
Pancreatic injury is an uncommon and frequently missed injury in abdominal trauma patients. However, missed pancreatic injury is associated with significant morbidity and mortality. This study was conducted to know the burden of pancreatic injury and its outcome in our setup. A retrospective analysis of 53 patients with pancreatic injury from January 2008 through March 2012 at the Jai Prakash Narayan Apex Trauma Center (JPNATC), All India Institute of Medical Sciences (AIIMS), New Delhi. Pancreatic injuries were present in 1...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217901/xanthogranulomatous-cholecystitis-analysis-of-108-patients
#17
Osman Yucel, Mehmet Ali Uzun, Metin Tilki, Sevcan Alkan, Zeynep Gamze Kilicoglu, Ceren Canbey Goret
The aim of this study was to evaluate the clinical and radiological features of xanthogranulomatous cholecystitis (XGC) and the results of surgical treatment. This retrospective study concerns clinical, radiological, and surgical data as well as histopathological findings and postoperative results of 108 patients with XGC who were identified after evaluating 7916 cholecystectomy specimens between 2004 and 2014 in a single institute. One hundred eight patients with XGC were evaluated (56 males and 52 females, mean age 62...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217900/pulmonary-function-after-lobectomy-video-assisted-thoracoscopic-surgery-versus-muscle-sparing-mini-thoracotomy
#18
Katsuo Usuda, Sumiko Maeda, Nozomu Motomo, Makoto Tanaka, Masakatsu Ueno, Yuichiro Machida, Motoyasu Sagawa, Hidetaka Uramoto
Although pulmonary function was better after video-assisted thoracoscopic surgery (VATS) lobectomy than after open thoracotomy lobectomy, it is unclear whether postoperative pulmonary function after VATS lobectomy is better than that after mini-thoracotomy lobectomy. The aim of this study is to determine whether the former is better than the latter. VATS lobectomies were performed using endoscopic techniques through a 3-4-cm skin incision spread by a silicon rubber retractor and two or three trocars. Mini-thoracotomy lobectomies were performed through a 7-12-cm skin incision spread by rib retractors made of metal and one or two trocars...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217899/technical-feasibility-and-short-term-outcome-of-intracorporeal-hand-sewn-esophagojejunostomy-after-laparoscopic-total-gastrectomy-our-experience
#19
Shailesh Puntambekar, Reda Badran, Hirav Parikh, Arpit Bansal, Vikrant Sharma, Mihir Chitale, Saptesh Jadhav
The purpose of this study was to demonstrate the safety and technical feasibility of intracorporeal hand-sewn esophagojejunostomy after laparoscopic total gastrectomy. Laparoscopic total gastrectomy (LTG) is a technically challenging procedure, especially for esophagojejunal anastomosis (EJA). Various techniques have been described to overcome these difficulties using staplers with variable results. We report successfully performed complete intracorporeal hand-sewn EJA after LTG. The perioperative clinical data and short-term outcomes for 30 patients who underwent LTG using hand-sewn EJA for gastric cancer between 2013 and 2015 have been retrospectively reviewed...
December 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29217898/using-of-ileucecal-interposition-as-a-neo-stomach-in-dogs-with-total-gastrectomy-presentation-of-a-novel-technique
#20
Ehsan Soltani, Ahmad Reza Mohamadnia, Faezeh Alipour, Monavar Afzal Aghaei, Samaneh Ghasemi, Ali Sadrizadeh
Total gastrectomy and R&Y reconstruction is the standard treatment of gastric cancer except distal form one. Malnutrition is a common adverse effect of this technique, and in this study, we preset a novel technique in order to help to reduce the rate of it. We use seven dogs as participants and after total gastrectomy; we used the 10 cm of the ileum and its concomitant cecum as a neo-stomach in them. For 3 months, the dogs were evaluated in nutrition status. Three of the dogs died-one due to endocarditis and two due to internal hernia...
December 2017: Indian Journal of Surgery
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