The current trend in breast cancer surgery is towards a less invasive treatment, without compromising an accurate staging, or a radical excision. With this aim, the procedures of quadrantectomy are primarily adopted, followed by axillary lymph nodes (LNs) dissection in case of a [....] » Read More
Patient care during surgery and anaesthesia occurs in a complex environment or system. Within any system process flow describes the efficiency and reliability by which events occur and the fundamental process functions. Too often health systems have attempted to reduc [....] » Read More
Introduction: Laser tissue welding is a fantasy brought into reality by me in which tissues are held together by a glue instead of sutures which hardens after application of Laser light. It is described for the first time in medical literature by me. It has vast applications in p [....] » Read More
Subarachnoid hemorrhage (SAH) is a medical emergency that requires immediate inter- vention. The etiology varies between cases; however, rupture of an intracranial aneurysm accounts for 80% of medical emergencies. Early intervention and treatment are essential to prevent long-ter [....] » Read More
Pulmonary Hypertension is a high-risk condition and is associated with high perioperative morbidity and mortality. As modern medical treatments have helped improve overall survival rates, more patients with pulmonary hypertension present for surgery. Taking care of patie [....] » Read More
The management of anticoagulation therapy in patients with a LVAD undergoing non-cardiac surgery has been a subject of considerable apprehension and controversy in the literature. Currently, the management of anticoagulation in emergent clinical settings are often made in a [....] » Read More
Meckel’s diverticulum occurs in less than 3% of general population and is mostly asymptomatic.The most common complication due to Meckel’s diverticulum is intestinal obstruction followed by unexplained gastrointestinal bleeding, persistent abdominal pain or perforatio [....] » Read More
A direct ileo-low rectal anastomosis often involves severe sequelae due to the short rectal stump, its high internal pressure, and upstream ileal peristalsis, which abnormally stimulates the anal sphincter. An alternative would be an ileal J-anal anastomosis, itself at risk of &q [....] » Read More
Purpose: This study aimed to improve the management of ovarian metastases (OM) in colorectal cancer (CRC) by evaluating the clinicopathological characteristics, therapeutic strategies, and prognostic factors associated with OM originating from CRC. Methods: Medical r [....] » Read More
Although an abundance of research into the treatment of Charcot neuroarthropathy has led to improved standardization of surgical options, discrepancies still exist in how surgeons approach this complex condition. These differences in surgical approaches appear to be based on geog [....] » Read More
Paediatric cardiac surgery is in itself very enigmatic and recently, there has been various new developments in extracorporeal circulation technology for safer, patient-centered cardiac surgery. Myocardial preservation techniques, safe temperature with duration are still debatabl [....] » Read More
Hepatic hydatid cyst may rupture into bile ducts in 4-20% of cases leading to cholestasis in 2/3 of cases. We tried to prove that ERCP can replace surgery in treatment of intrabiliary ruptured hydatid cyst. Our patient was 42 years old male with cholestasis, abdominal ultrasonogr [....] » Read More
Background: Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to h [....] » Read More
Background: Civilian injuries account for a notable portion of casualties in austere environments. Differential access to safe surgical care is often exacerbated by the impact of armed conflict, natural disasters, and humanitarian crises on health systems. While recent efforts to [....] » Read More
Background: Comprehensive operation notes with detailed post operative instructions are key for optimising patient care and safety throughout a patient’s surgical journey. Royal college of surgeons (RCS) guidelines provide a gold standard pan-specialty framework for transcr [....] » Read More
Pilonidal disease is a very common affliction that affects mainly young, hirsute, obese males during their young adult years of life. Previous etiological theories of this ailment centred on congenital causes. The current understanding is that pilonidal disease is an acquire [....] » Read More
Testicular tumors in children are very rare. They account for 1-2% of all pediatric tumors. They have two peaks (bimodal age distribution); one peak occurs in the first 2 years of life, and the second occurs in young adulthood. Pediatric testicular tumors are classified as benign [....] » Read More
The current shift towards outcome-based training requires the trainee to achieve a level of competency before graduating from training program and performing procedures on patients. Competence is “the minimal level of skill, knowledge and/or expertise derived through traini [....] » Read More
Title : Cleft lip/Palate management- Importance of surgery/ Anesthesia
Theresa P Chiang, Canada China Child Health Foundation, Canada
Cleft lip and palate is one of the most common congenital maxillofacial deformity. The prevalence is 14.01? of total congenital anomalies ranking 2-3rd . In N. America average prevalence is 1/750-1000. There is serious tissue defects involving loss of maxillary bone segment and t [....] » Read More
Title : Did we find the missing link in the brain? The glymphatic system as an answer to unsolved questions
Ricky Rasschaert, Hospital Network Antwerp, Belgium
The removal of “waste” and dead cells is usually being done by the lymphatic system, a vessel system running alongside the blood vessels. It has always been a mystery how the brain removes waste and fights infections as there was no evidence for a lymphatic system. Th [....] » Read More
Title : Comparing the radiological versus surgical findings to improve care for emergency general surgical patients
Salonee Shah, King’s College Hospital NHS Foundation Trust, United Kingdom
Discrepancies in radiology reports when compared to surgical operative findings are common (1). Previously, scoring has been a feature of evaluating errors. Now, greater emphasis on understanding error is encouraged through discrepancy categorisation and Learning from Discrepancy [....] » Read More
Title : Human immune response to surgery: The surrogate prediction of postoperative outcomes
Husham Bayazed, University of Zakho, Iraq
Purpose of Presentation Immune responses following surgical trauma play a pivotal role in predicting postoperative outcomes from healing and recovery to postoperative complications. Postoperative complications including infections and protracted recovery occur in a significant n [....] » Read More
Title : Rare finding of Low-Grade Appendiceal Mucinous Neoplasm (LAMN) in an appendiceal torniquet causing closed loop small bowel obstruction
Nitasha Saleem, Hamad Medical Corporation, Qatar
Acute appendicitis is one of the most common presenting cases in surgical emergency, which makes appendectomy a common emergency surgery. Rarely do we find associated bowel abnormalities in these cases or suspect malignancy in younger patients/patients of a younger age group. Fur [....] » Read More
Title : Inguinal swellings with diagnostic challenge
Caroline Francis, MOSC Medical College Hospital, India
This case series explains rare cases of inguino-scrotal/labial swellings that pose diagnostic challenges. Although rare, these swellings are important considerations in the differential diagnosis in both the sexes. CASE REPORT-1 Angiomyofibroblastoma is an uncommon benign [....] » Read More
Title : Low - cost negative pressure wound therapy for gunshot traumatism in developing countries
Munguakonkwa Budema Paul, Catholic University of Bukavu, Congo, the Democratic Republic of the
Wounds from gunshots and other explosive devices are a source of loss of substances directly or secondary to a well-conducted debridement. In addition, these types of wounds are by definition contaminated. The major challenge in this context for any surgeon remains filling of the [....] » Read More
Title : The effect of remimazolam compared to sevoflurane on postoperative shivering in patients undergoing laparoscopic gynecologic surgery under general anesthesia: a prospective randomized controlled trial
Cheol Lee, Wonkwang University School of Medicine, Korea, Republic of
Background: Anesthesia maintenance agents affect the incidence of postoperative shivering (PS) after general anesthesia. This study compared the effects of remimazolam with sevoflurane on PS in patients undergoing laparoscopic gynecologic surgery under general anesthesia. Meth [....] » Read More
Title : Descriptive and correlational study of peritonitis in the surgical department of the state university hospital of Haiti (Hueh): A cross sectional study
Axler Jean Paul, State University Of Haiti, Haiti
Background: Generalized secondary peritonitis is one of the most common emergencies encountered in the surgical department. It is a major surgical condition with mortality of up to 20% and classified as the third most common cause of surgical abdomen after appendicitis and intest [....] » Read More
Title : Subclinical (Nonfunctioning ) Pheochromcytoma prepare or not: Case report &litratutr review
Ahmad Arraqap, King Hussein cancer center, Jordan
Pheochromocytoma (PHEO) is a rare tumor arising from neural crest tissue, most commonly at the site of the adrenal medulla. Catecholamine crisis (CC) associated with undiagnosed PHEO (may cause life-threatening cardiovascular conditions with very high mortality. [....] » Read More