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Annals of Medicine and Surgery

Ahmed Alshammari, Basam Alanazi, Ismail Almogbil, Saud M Alfayez
Introduction: Traumatic hip dislocation is a severe injury with the potential for significant morbidity and mortality. Bilateral hip dislocation is rare representing 1.25% of all hip dislocations. Presentation of the case: A 19-year-old male had a high-speed motor vehicle accident. After stabilizing the patient, it was noticed that the position of the right lower limb was in adduction and internal rotation while the left was in external rotation and abduction. Pelvis x-ray showed right superior posterior and left anterior inferior hip dislocations...
August 2018: Annals of Medicine and Surgery
Zaka Ullah Jan, Muhammad Muslim, Kaleem Ullah, Azam Shoaib, Nisar Ahmed, Zainab Mahsal Khan, Mahmud Aurangzeb
Background and aim: Vanek's tumor is a rare solitary lesion that is non-neoplastic, and arises from the submucosa of the gut. The most commonly affected sites are the stomach and the ileum [1]. IFP causing intestinal obstruction is uncommon and that ileo-ileal intussusception has been reported in the literature rarely. We present a case of an ileo-ileal intessuception in a patient who presented with acute on chronic pain abdomen and anorexia. CT abdomen & pelvis revealed a 46 × 36 mm intraluminal mass in the left iliac fossa causing ileo-ileal intussusception...
August 2018: Annals of Medicine and Surgery
Yugo Hirata, Hiroaki Nozawa, Koji Murono, Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Kazuhito Sasaki, Manabu Kaneko
Introduction: Recent progressive imaging technology such as multiplanar reconstruction on computed tomography (CT) and colonoscopy has made preoperative T staging of colorectal cancer (CRC) more accurate. Nevertheless, it is still difficult to make a correct diagnosis in some cases. The aim of this case study was to investigate the accuracy of T staging diagnosis in patients with CRC who underwent curative operations and to identify the causes of preoperative over-diagnosis. Method: Medical charts of 1013 colorectal cancer patients who underwent a curative operation in the University of Tokyo Hospital between January 2011 and December 2016 were analyzed retrospectively...
August 2018: Annals of Medicine and Surgery
Ankita Jain, Manish Gupta, Trilok Chand Sadasukhi, Krishan Kumar Dangayach
Introduction: Foreign body in urinary bladder has always been a topic of interest amongst the urologists and surgeon. Foreign body in lower urinary tract is not an unusual finding. Different types of foreign bodies has been retrieved from the lower urinary tract like for example, electric wire, safety pin, hairclip, intrauterine contraceptive device (IUCD), gauze pieces, battery, leech, hairballs and so on.This article presents an unusual case report of the presence of kidney beans in the bladder, self-inflicted by the patient in the middle of the night for the purpose of sexual gratification or autoerotism...
August 2018: Annals of Medicine and Surgery
Hamza Cinar, Koray Topgul, Zafer Malazgirt, Savas Yuruker, Sercan Buyukakincak, Tugrul Kesicioglu, İsmail Alper Tarim, Zeliha Koc, Zeynep Saglam
Background: Laparoscopic cholecystectomy is the standard treatment for gallbladder diseases. In recent times, single-incision laparoscopic cholecystectomy(SILC) has developed as a less invasive alternative technique to conventional laparoscopy. In the literature, many studies have compared SILC and conventional laparoscopic cholecystectomy (CLC) procedures but a limited number of studies have compared the two techniques with regard to quality of life (QOL). The choice of surgical procedure was effected by QOL of the patients...
August 2018: Annals of Medicine and Surgery
Evangelos Blevrakis, Maria Raissaki, Sofia Xenaki, Elissavet Astyrakaki, Nelli Kholcheva, Emmanuel Chrysos
Ingested foreign bodies occur in children younger than 3 years and pass uneventfully through the gastrointestinal tract. However, multiple magnet ingestion are associated with serious complications. A 9-year old male with abdominal pain and vomiting 3 days prior to admission, underwent abdominal radiographs showing radiopaque foreign bodies. Ultrasonography (US) independently discovered one magnet floating in the jejunum. Preoperative Computed Tomography (CT) confirmed the presence of two neighbouring magnets causing obstruction and beaking of an adjacent jejunal loop...
July 2018: Annals of Medicine and Surgery
González-Urquijo Mauricio, Hinojosa-Gonzalez David Eugenio, Quevedo-Fernandez Enrique
Introduction: A cholecystocolonic fistula (CCF) is a late complication following repeated episodes of chronic inflammation of the gallbladder in contact with the hepatic flexure, and it might cause a biliary ileus in the colon, causing an intestinal obstruction, and if left untreated, a life threatening disease. Presentation of case: a 49-year-old female patient presented with abdominal pain and bowel obstruction due to a gallstone impaction on the sigmoid colon as consequence of a cholecystocolonic fistula...
July 2018: Annals of Medicine and Surgery
Veerabhadra Radhakrishna, Ashok Rijhwani, Bhushanrao Jadhav
Introduction: Cecal duplication is a rare congenital anomaly and to the best of our knowledge, only 43 cases have been reported in the literature till date. Most of them present within the first year of life. They can mimic intussusception, and the delay in diagnosis can lead to high morbidity. Case report: A five-year boy presented with pain abdomen for a week. He was found to have ileocolic intussusception. The intussusception could only be partially reduced by the hydrostatic method...
July 2018: Annals of Medicine and Surgery
Irfan Ashraf, Yasir Mohib, Obada Hasan, Amina Malik, Khabir Ahmad, Shahryar Noordin
Introduction: Surgical Site Infection (SSI) after knee arthroplasty is a major cause of morbidity and mortality that increases the hospital stay, financial burden and mental anguish of the patient. Infection Control Unit at Aga Khan University Hospital (AKUH) incorporated total knee arthroplasty in its surgical care surveillance program and started collecting data in June 2012. The purpose of this study is to review Surgical Site Infection (SSI) rates in patients undergoing primary total knee replacement (TKR) surgery...
July 2018: Annals of Medicine and Surgery
P Anoldo, M Manigrasso, F Milone, G D De Palma, M Milone
Background: perforation of the upper aerodigestive tract is a potentially life-threatening condition. The appropriate treatment of cervical esophageal perforation is still controversial. Case presentation: we report a case of cervical esophageal perforation that was effectively treated by a conservative management with acrylic glue injection. Discussion: the management of cervical esophageal perforations has been controversial and little studied...
July 2018: Annals of Medicine and Surgery
Michail Sideris, John Hanrahan, Nikolaos Staikoglou, Panteleimon Pantelidis, Connie Pidgeon, Nikolaos Psychalakis, Nikolai Andersen, Theodore Pittaras, Thanos Athanasiou, Georgios Tsoulfas, Apostolos Papalois
Background: The practice of evidence-based medicine and critical appraisal are essential for the modern doctor. Early engagement of medical students in research methodology is considered as a rising need for most medical school curricula; however, few peer-reviewed initiatives have been reported so far. We developed a Medical Education Research Group (eMERG) as part of a novel undergraduate surgical masterclass, which aimed to train undergraduate students on basic research methodology, as well as to motivate them to pursue a clinical and academic career in surgical specialties...
July 2018: Annals of Medicine and Surgery
Eman R Abd Elgwad, Eman G Behiry, Fathy M Swailem, Seham G Ameen, Dalia M Abdelhasib, Rabab O Abd Elhamid
Introduction: Paraoxonases are a group of different forms enzymes that consist of three non-similar isoforms, PON1, PON2 and PON3 , which are located near to each other on the long arm of chromosome7. This study aims to investigate the association of a Q192R polymorphism of PON1 gene and statin response in patients with ischemic heart disease with dyslipidemia. Methods: The studied population included three hundred patients with coronary artery disease with dyslipidemia who were prescribed statins...
July 2018: Annals of Medicine and Surgery
Yuichi Nakaseko, Hironori Ohdaira, Masashi Yoshida, Masaki Kitajima, Yutaka Suzuki
Introduction: We investigated the validity of the clinical pathway of early oral intake using a special type of food "iEat™" for patients after laparoscopic gastric cancer surgery. Methods: Fifty-two patients who underwent laparoscopic surgery for gastric cancer between April 2012 and October 2013 were the participants. We provided postoperative care in accordance with a clinical pathway for laparoscopic gastrectomy that begins oral intake with "iEat™ the day after surgery...
July 2018: Annals of Medicine and Surgery
A Raposo, A Marco, M E García-Solano, M J Martínez-Ortiz, F García-Purriños, J Lajara
Small cell carcinoma (SCC) of the larynx is a rare type of neuroendocrine carcinoma (NEC), few cases of which have been described in the literature. The prognosis for this type of carcinoma is poor, with a survival time typically not exceeding two years. We describe the case of a 54-year-old male patient with a primary tumor in the right ventricular band and a biopsy compatible with SCC. The patient underwent radiotherapy (RT) and concomitant chemotherapy (QT) and, after a relapse at 17 months, underwent total laryngectomy with bilateral neck dissection...
June 2018: Annals of Medicine and Surgery
Matteo Angelo Cannizzaro, Valeriya Okatyeva, Salvatore Lo Bianco, Valerio Caruso, Antonino Buffone
Background: Hypocalcemia is the most common complication of thyroid surgery. The aim of this study was to determine the early predictive factors of postoperative hypocalcemia and to analyze their efficiency. Methods: We performed a retrospective study of 345 consecutive patients who underwent total thyroidectomy at the Endocrine Surgery Department (Policlinico G. Rodolico Hospital of Catania) between January 2011 and November 2013. We measured serum intact parathormone (iPTH) levels preoperatively and 4 h after surgery...
June 2018: Annals of Medicine and Surgery
Deari Ahmed Ismaeil
Background: According to the literature, defects in para-umbilical hernias up to 2 cm in diameter could be sutured primarily. For defects larger than 2 cm in dimeters, mesh repair is recommended. The aim of this study is to evaluate the outcome of para-umbilical hernia repair with proline mesh regardless of its size. Methods: In this retrospective study, patients with para-umbilical hernia, who were managed by onlay mesh placement were presented, and followed for 1-6 years...
June 2018: Annals of Medicine and Surgery
Paulo H T Almeida, Sergio H Cacciacane, Fabiana M G França
Purpose: To make a comparative evaluation, by means of the finite element method, of the stress generated on supporting tissues and prosthetic system components, using zygomatic implants with the exteriorized and extramaxillary techniques, and different placement positions, associated either with inclined anterior implants, or those without inclination. Materials and methods: Eight (8) tridimensional models were created to represent the clinical situations being researched, using the dataset of scanned images of an edentulous model...
June 2018: Annals of Medicine and Surgery
Ashur Y Oraha, Darya A Faqe, Mahmood Kadoura, Fahmi H Kakamad, Fitoon F Yaldo, Sabah Qadir Aziz
Introduction: Hydatid cyst commonly affects liver and lung. Cardiac Hydatid cyst is an extremely rare disease. The aim of this study is to report the presentation and management of cardiac Hydatid diseases admitted to two major cardiac centers. Method: A retrospective, case series study, conducted in two centers during two years. Each case presented separately regarding presentation, diagnosis and management. Results: Four cases have been reported, age ranged from 14 to 42 years with mean age of 24...
June 2018: Annals of Medicine and Surgery
T E Platt, K Smith, S Sinha, M Nixon, G Srinivas, N Johnson, S Andrews
Background: Laparoscopic common bile duct exploration (LCBDE) has emerged as a recommended alternative to endoscopic retrograde cholangiopancreatography (ERCP) for the management of choledocholithiasis. However, its use in the elderly has been limited, and evidence of its safety and efficacy in these patients is yet to be established. This study describes our experience of LCBDE in elderly patients, analysing the safety and efficacy of this technique in comparison to younger patients...
June 2018: Annals of Medicine and Surgery
Petra Baumann, Jongwon Kim, Sang-Hoon Ahn, Hyung-Ho Kim, Hoong-Yin Chong, Moritz N Wente
Introduction: Various suture materials and suture techniques are used to perform gastrointestinal anastomosis after tumour resection, but the best combination is still a matter of debate. Methods: This multi-centre, international, single-arm, prospective observational study aimed at demonstrating the non-inferiority of a mid-term absorbable monofilament in comparison to braided sutures in gastrointestinal anastomosis. Monosyn suture was used to create the gastrointestinal anastomosis and the frequency of anastomotic leakage until day of discharge was chosen as the primary parameter...
June 2018: Annals of Medicine and Surgery
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