Introduction: Recently a potentially fatal syndrome associated with COVID-19 infection termed multisystem inflammatory syndrome (MIS) has been described in adults (MIS-A). The syndrome presents weeks after recovery from the acute phase of the illness and is thought to be due to a [....] » Read More
Background: Early detection of polyposis syndrome based on clinical features and radiological investigations is important to rule out early malignancy risk. Here we discuss four (4) polyposis cases and their varied presentation and management as follows. Case 1 was a 10year old [....] » Read More
High altitude illness in its most severe form can lead to high altitude cerebral edema (HACE). Current strategies have focused on prevention with graduated ascents, pharmacologic prophylaxis, and descent at first signs of symptoms. Little is understood regarding treatment with st [....] » Read More
Background: Despite the low rates of complications of bariatric surgery, gastrointestinal leaks are major adverse events that increase postoperative morbidity and mortality. Endoscopic treatment using self-expanding stents has been used in the therapeutic management of these comp [....] » Read More
Angiolipoma is a benign tumor clinically similar to lipoma, but its degree of vascularization is much higher when examined microscopically. It is formed by fatty acids and vascular elements. It mainly occurs in the trunk and extremities and is uncommon in the head and neck area. [....] » Read More
In some aneurysmal patients with SAH, IAs with surgical indications will be found on the contralateral side of the primary lesion, especially for aneurysms in the M1 segment of the contralateral MCA. If patients have obvious contraindications of interventional therapy, psychologi [....] » Read More
Introduction: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a disease characterized by a variety of inflammatory mechanisms. Extensive genetic analyses have shown that among the molecules that are involved in its genetic base, interleukins (ILs) play a critical role in dev [....] » Read More
Background and Aim: Cardiopulmonary bypass is an integral and essential part of cardiac surgery. Over the years, there has been an increasing debate over the cardiopulmonary temperatures and its effects on post-operative patient outcome. While some studies have shown beneficial [....] » Read More
Introduction Urethral stricture in females is a rare entity presenting with voiding lower urinary tract symptoms caused by urethral trauma or infection. It is diagnosed by urethral calibration as less than 14 F along with features of bladder outlet obstruction on urodynamics&n [....] » Read More
In this weird and wonderful world of the human body, ectopic breast tissue is found in 2–6% of women and most commonly in axilla (72%) and least commonly in vulva (4%). They bear similar physiological and pathological variations affecting the normal breast tissue. Ectopic b [....] » Read More
Limb ischemia is a major complication associated with peripheral veno-arterial extracorporeal membrane oxygenation (VA ECMO). The high velocity jet from arterial cannulae can cause “sandblasting” injuries to the arterial endothelium, with the potential risk of d [....] » Read More
Background: Necrotizing Fasciitis is a rapidly progressive soft tissue infection that is almost fatal without prompt treatment. This review highlights about the basic approach to the diagnosis and treatment of NF. Description: Various nomenclatures have been used to describe n [....] » Read More
Constipation is a frequent symptom in the general population. The prevalence depends on the utilized definition. We usually divide constipation in two types: obstructed defecation or prolonged bowel transit time. Obstructive defecation syndrome (ODS) has become a well-known syndr [....] » Read More
Acute peritonitis is a relatively common intra-abdominal infection that a general surgeon will have to manage many times in his surgical carrier. Usually it is a secondary peritonitis caused either by direct peritoneal invasion from an inflamed infected viscera or by gastro [....] » Read More
The problem of preserving the viability of donor organs is relevant for experimental and clinical transplantation. The need for further development is associated with a global shortage of donor organs of ideal quality, with the need to prolong the terms of their guaranteed conser [....] » Read More
Title : Histological features of kidney observed through conventional microscope and paper microscope.
Sushanta Paudel, Nepalese Army Institute of Health Sciences, Nepal
Introduction: The Paper microscope (Foldscope), one of the latest inventions in the field of science is an ultra-low-cost, portable, versatile, and the waterproof microscope that does not require electricity. The aim of this research was to compare histological features of k [....] » Read More
Title : Postoperative management of liver transplantation recipients in the intensive care unit
Konstantinos Kontzoglou, Laiko Hospital, Greece
Background/Aim: Orthotopic liver transplantation (OLT) remains the gold standard for patients with acute liver failure, end-stage liver disease, hepatocellular carcinoma, and metabolic diseases. As a result of made strides in the domains of surgical and anesthesia techniques, kno [....] » Read More
Title : Resection of metatypical type basocellular carcinoma with self-grafting reconstruction
Anna Luiza Konig Hunka, Faculdade Tiradentes , Brazil
The face is characterized as a potential area for the development of malignant pathologies, whose manifestation is directly related to the amount of sun exposure. Basal cell carcinoma constitutes most of the so-called non-melanoma skin cancer and can be classified into several fo [....] » Read More
Title : Clinical and radiographic features and treatment of dentigerous cyst associated with unerupted molars: Case report
Edith Maria Feitosa El Deir , Federal University of Pernambuco, Brazil
The dentigerous cyst is the most common developmental odontogenic cyst involved in this classification. It believes that originates at the separation of the fluid that is around the crown of an impacted tooth. This cyst is characterized by envolving the crown of an impacted tooth [....] » Read More
Title : Excisions of 4 unerupted canines in the mentonian region of the mandible: kisses teeth
Evellyn Maria Silva de Almeida, Federal University of Pernambuco , Brazil
The impacted tooth is a dental organ that, even fully developed, did not erupt at the normal time, being inside of the bone tissue and totally surrounded by bone tissue or by bone and mucous tissue. Objective: The aim of this paper is to present a clinical case, wich deals with [....] » Read More
Title : Surgical excision of polymorphous adenocarcinoma in the left maxilla with mucous flap reconstruction
Lohana Maylane Aquino Correia de Lima, Federal University of Pernambuco, Brazil
Introduction: Low-grade polymorphous adenocarcinoma is a malignant neoplasm of salivary glands with uncommon occurrence in the head and neck region. The lesions occur more frequently among elderly females between the sixth and eighth decades of life, with a higher prevalence [....] » Read More
Title : Fibrous Hyperplasia Caused by Maxillary Sinus Decompression Device
Thayna Lacerda Almeida, Federal University of Pernambuco, Brazil
Fibrous hyperplasia is a lesion characterized by the formation of epithelial tissue and fibrous connective tissue in response to chronic trauma or local irritation. It is often located in regions close to the alveolar ridge, cheek mucosa, tongue and lower lip, and may present aty [....] » Read More
Title : Traumatic Neuroma In Impacted Third Molar And The Use Of Computed Tomography For Evaluation Of Lower Alveolar Nerve: Analysis Of The Literature And Case Report
Julia de Souza Beck, Mauricio de Nassau University, Brazil
Introduction: It is known that traumatic neuroma is caused due to the proliferation of a nerve, consequent by a rupture of its ligaments after surgery and/or injury to the head and neck region. It is diagnosed, above all, in middle age and shows a predilection for the female sex. [....] » Read More
Title : A systematic review of management of trochanteric neck of femur fractures and the impact of emerging research and guidelines on considerations for surgery
Abdus Samee Wasim, Birmingham Orthopaedic Training Programme, United Kingdom
Background: Previous studies have demonstrated that debridement of meniscal tears in the paediatric population leads to poorer long-term outcomes than primary arthroscopic repair, which has led to a shift in the management of these injuries. This study aims to evaluate the curren [....] » Read More
Title : Chest Wall Reconstruction: Key to Improving Survival of Major Thoracic Trauma
Christopher M R Satur, University Hospital of North Midlands, United Kingdom
Patients with lung cancer commonly possess poor health profiles; lower socioeconomic status, significant comorbidity, advanced age and frailty, all factors that may preclude receipt of curative surgical treatment. Clinical attention has been focussed on introduction of modified s [....] » Read More
Title : Versatility of Midface Degloving Approach in Oral and Maxillofacial Surgery
Balamurugan R, RYA COSMO Foundation, India
Introduction: Traditional approaches to the midface include the Weber-Fergusson incision and the lateral rhinotomy approach which leave a visible scar on the face. The midfacial degloving approach is used to expose tumors of the maxilla, nasopha [....] » Read More
Title : Driving Clinical and Quality Projects with Inclusion of Equity Principles
Vanita Ahuja, Yale School of Medicine, United States
Objective: To propose a new framework to design and implement quality improvement within research projects. Backgrounds: The design and implementation of resident-driven clinical research quality improvement projects has become increasingly complex. There needs to be a paradig [....] » Read More
Title : Sugammadex and Postoperative Pulmonary Complications
Yaacov Gozal, Shaare Zedek Medical Center, Jerusalem, Israel, Israel
Major postoperative pulmonary complications after surgery are common. Five percent of adults experience these complications which result in increased mortality. Residual neuromuscular blockade is a known risk factor for this kind of complications. The most common drugs administer [....] » Read More
Title : Eponyms in hernia surgery
Shreya Sengupta, Frimley Park hospital, United Kingdom
The saying goes “The history of hernia repair is the history of surgery”. The history of open surgery for groin hernia has gone through many stages of development starting from the Romans, Greeks and the Egyptians. Starting from the use of trusses, taxis for strangula [....] » Read More
Title : A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction
Amr Kassem , Gastrointestinal surgery center-mansoura university, Egypt
We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. The patient sought medical advice to extract the foreign body, and it was successfully extracted through ab [....] » Read More
Title : The Really Bad Flatfoot
Harry John Visser , SSM DePaul Health Center, United States
Although an abundance of research into the treatment of adult-acquired flatfoot deformity (AAFD) has led to improved standardization of surgical options, discrepancies still exist in how surgeons approach this common musculoskeletal condition. These differences in surgical approa [....] » Read More
Title : Heart mate 3 left ventricular assist device as a bridge for transplant or destination therapy
Gustavo L Knop, Mayo Clinic, United States
HeartMate 3 (HM3) left ventricular assist device (LVAD), a fully magnetically levitated centrifugal-flow pump has been evaluated in MOMENTUM 3, the largest LVAD trial ever conducted demonstrating excellent survival and safety outcomes with HeartMate 3™ LVAD. It has bee [....] » Read More
Title : Complication Avoidance and Management in Spine Surgery
Ricky Rasschaert, Hospital Network Antwerp, Belgium
Spinal Surgery is like any other form of surgery at risk for unwanted or unexpected results. Even with MISS, which has its own risks for complications our patients need to be instructed very well to avoid unhappy patients or even worse litigation. In this presentation I wil [....] » Read More
Title : Stem cell therapy for Type 1 diabetes
Sagar Jawale, Jawale Institute of Pediatric Surgery, India
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