Introduction: Laparoscopic minimally invasive surgery is increasingly used for various comorbidities, including chronic kidney disease (CKD) patients on peritoneal dialysis (PD). It was necessary to complete PD in CKD patients and transit them to program hemodialysis before color [....] » Read More
Introduction: Surgical methods of hernia repair are similar in HD and non-dialysis patients. Although anterior abdominal wall hernia is a contraindication to PD, it is common in CKD patients receiving PD. Materials: In our center, we divided CKD patients receiving PD and diagn [....] » Read More
Intracorporeal laparoscopic suturing (ILS) is the key skill in performing laparoscopic operations (LO). This is a difficult skill to develop because it requires developing a complex of psychomotor, visuospatial skills and stereoacuity (3D vision) at the same time. An important [....] » Read More
Introduction: Traumatic diaphragmatic hernia is characterized by the passage of part of the abdominal contents into the thoracic cavity through a diaphragmatic injury resulting from trauma at the thoracoabdominal transition. Diaphragmatic rupture occurs in 0.8% of patients involv [....] » Read More
McKrittick-Wheelock syndrome refers to a condition characterized by a large rectal mass accompanied by excessive mucoid discharge and associated electrolyte imbalances, including hyponatremia and hypochloremia. This is a benign condition that can unexpectedly lead to serious illn [....] » Read More
Colorectal cancer is the third most common malignancy globally and the second leading cause of cancer-related mortality. In India, rectal cancer is more prevalent than colon cancer and often presents at a younger age, with 35% of cases in patients under 40. The anatomical complex [....] » Read More
Introduction: Most hospitals in the United Kingdom serving a population of 300,000-400,000 people admit about 100 cases of acute pancreatitis each year. It carries a wide spectrum of disease from mild (80%) to severe (20%) with prolonged hospital stay and risk of death. The [....] » Read More
Background: Approaches that require less invasive procedures, offer heal in a shorter time and provide better cosmetic results have gained importance with the technological and modern developments in cardiac surgery. Esthetically preferred results can be achieved after heart valv [....] » Read More
Background: Immediate postoperative anesthetic morbidity and mortality of newborns refers to the medical complications and deaths that can occur in newborns in the period following surgery. It remains a major concern in developing countries where the technical platform is precari [....] » Read More
Among the specific complications of operations on the organs of the neck, the main place is occupied by a violation of the mobility of the vocal cords. Thanks to the introduction of non-invasive methods for recording a signal from the vocal folds, using intraoperative neuromonito [....] » Read More
Aims: This report explores a case of Empty Nose Syndrome (ENS) following turbinate reduction surgery, focusing on management strategies in an outpatient setting. Methods: We present a case of a young male with ENS and obstructive sleep apnea who underwent surgery using acellul [....] » Read More
Background: Recurrent ovarian cancer poses significant challenges, with most patients relapsing after initial treatment. For patients with platinum-sensitive disease, secondary cytoreductive surgery (SCS) has been suggested as a strategy to improve outcomes, including progression [....] » Read More
Aim: To compare the effect of the timing of Percutaneous Transhepatic Gallbladder Drainage (PTGBD) intervention on the difficulty of elective Laparoscopic cholecystectomy (LC) in high-risk patients with acute cholecystitis. Methods: A retrospective analysis was used to collect [....] » Read More
Introduction: Home mechanical ventilation became possible once electricity became widely available. From 1930 through 1952, it was via negative pressure body ventilators. Subsequently, it became possible via tracheostomy (TVS) or up to continuous noninvasive ventilatory supp [....] » Read More
Introduction: Gallstone disease is the leading risk factor for pancreatitis, an inflammatory condition wherein the exocrine pancreas releases its enzymes prematurely, leading to auto-digestion. The British Society of Gastroenterology (BSG) 2005 guidelines recommend definitive gal [....] » Read More
Introduction: The Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines were developed in 2016 in order to improve the reporting quality of surgical case series. Since its inception, it has been updated twice, in 2018 and 2020, and has been cited over 1000 times [....] » Read More
Introduction: First released in 2017, the STROCSS guidelines have become integral for promoting high-quality reporting of observational research in surgery. However, regular updates are essential to ensure they remain relevant and of value to surgeons. Building on the 2021 u [....] » Read More
Enhanced Recovery After Surgery (ERAS) protocols aim to optimize postoperative recovery by minimizing surgical stress, reducing complications, and promoting early mobilization and feeding. Anesthesia plays a critical role in the success of ERAS in colorectal surgery by contributi [....] » Read More
Background: Intermittent Pringle Manipulation (IPM) is one of the most common methods used for controlling blood loss during laparoscopic hepatectomy (LH). But ischemia–reperfusion injury (IRI) is associated with IPM. Ischemic injury exposes the liver cells to hypoxia, [....] » Read More
Head injury is a leading cause of morbidity and mortality worldwide. Neuroprotective agents like Cerebroprotein, a peptide-based drug with neurotrophic and neuroprotective effects, have shown potential in enhancing recovery and mitigating secondary brain injury. This study evalua [....] » Read More
Vascular malformations (VMs) are rare, complex congenital anomalies that are frequently misdiagnosed as simple birthmarks, leading to significant delays in diagnosis and treatment. In Nepal, a low- and middle-income country (LMIC), the challenges surrounding VMs extend beyond m [....] » Read More
Objective: To assess the role of laparoscopy in diagnosis and management of patients with isolated blunt abdominal trauma (IBAT). Patients and methods: This was a prospective study of 50 patients who were hemodynamically stable (systolic blood pressure ≥90 mmHg) e [....] » Read More
Introduction: The supraclavicular block is a regional anesthetic technique used as a sole type of anesthesia for upper limb surgery (mid-humerus through the hand), adjunct to general anesthesia or used for postoperative pain control. This block is an excellent alternative to gene [....] » Read More
Background: Carotid revascularization procedures, including carotid endarterectomy (CEA) and carotid artery stenting (CAS) both transvervical and transfemoral, are commonly performed to reduce stroke risk in patients with symptomatic or asymptomatic carotid stenosis. Despite thei [....] » Read More
Multimodal interventions under a single perioperative program, known as Enhanced Recovery After Surgery (ERAS), have been shown to reduce physiological stress and organ dysfunction associated with surgery. ERAS pathways aim to reduce the catabolic effects of surgery and anesthesi [....] » Read More
Background: Catheter directed thrombolysis (CDT) proved to be effective treatment in deep venous thrombosis (DVT), However, there is some concerns about the associated bleeding risk. We assessed the safety and efficacy including technical and clinical success in resolution of ili [....] » Read More
Introduction: Despite the increase in the incidence and prevalence of Crohn's disease, there are no options for a radical cure, and treatment remains quite complicated. The introduction and widespread use of biologics initially showed promising results with a decrease in the [....] » Read More
Objective: To explore the relevant risk factors for deep venous thrombosis (DVT) of lower limb occurring 3 months after joint replacement surgery. Methods: A retrospective analysis was conducted on the clinical data of 1,782 patients who underwent joint replacement surgery at Ch [....] » Read More
Hepatic artery aneurysms account for one fifth of splanchnic artery aneurysms and are usually asymptomatic until rupture, at which point, mortality reaches 40% . Appropriate identification can crucially inform intervention options such as endovascular repair or surgical resection [....] » Read More
Stoma surgery is a mutilating procedure that requires the formation of an opening between the intestine or ureters and the abdominal wall and in most cases is permanent. Patients must apply a stoma bag for the collection of urine and/or feces. The author has designed an innovativ [....] » Read More
Extensive burn care advanced over the past few decades to the point where burn victims can now often live. The goal of treating a severely burned patient nowadays is to help them return to their communities, families, and places of employment as fully participating members of soc [....] » Read More
Hernia repair is one of the most commonly performed surgical operations worldwide. Inguinal hernia is a common condition and has a high prevalence rate. Advanced age and male sex are the most important risk factors. Inguinal hernia usually presents with groin swelling with abdomi [....] » Read More
Title : Transitioning from open to minimal access surgery in resource-constrained healthcare settings: Progress, possibilities and pitfalls
Adeyeye Ademola, King’s College Hospital, London, United Kingdom
Minimally Invasive Surgery (MIS) has revolutionized surgical care globally, offering faster recovery, reduced infection risks, and shorter hospital stays. However, its adoption in Africa (&other resource-constrained settings) remains limited due to economic, infrastructural, [....] » Read More
Title : The rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites, laparoscopy turned into laparotomy
Rehman Saleem, Russells Hall Hospital, United Kingdom
This case report demonstrates the rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites. Type IV hiatal hernias, or paraesophageal hernias, are complex and rare conditions, comprising 2-5% of the 5% of all hernias [....] » Read More
Title : The effect of caudal anesthesia block on perioperative pain control and reduction of the anesthetic agent in pediatric infraumbilical surgery: A prospective randomized trial study a prospective
Zeana Amer Gawe, Ibn Al Nafees Hospital, Bahrain
Background: Caudal epidural block (CEB) is a commonly performed neuraxial block to provide effective pain relief and analgesia in pediatric patients undergoing infraumbilical surgery. Aims: This study aimed to compare the effectiveness of adding CEB to general anesth [....] » Read More
Title : The utility of intraoperative ultrasound in the localization of post-open appendectomy interstitial incisional hernia: A case report
Eunice Patricia O Santos, Manila Doctors Hospital, Philippines
Acute appendicitis is the leading abdominal emergency in the United States, affecting approximately 90 to 100 individuals per 100,000 annually, and appendectomy is among the most frequently performed surgical procedures, with more than 300,000 operations conducted each year. In o [....] » Read More
Title : Predictors of operative ischemic cerebrovascular complications in skull base tumor resections: Experience in low-resource setting
Mestet Yibeltal Shiferaw, Debre Tabor University, Ethiopia
Background: Ischemic cerebrovascular complications following skull base tumor resections remain a significant factor impacting both short-term and long-term patient outcomes. This study aims to improve risk stratification, surgical decision-making, and postoperative care pro [....] » Read More
Title : Spontaneous splenic rupture: A rare complication of concurrent malaria and dengue infections - A case report
Hassan Elmi Moumin, Amoud University, Somalia
Introduction: Spontaneous splenic rupture (SSR) is a rare, life-threatening complication, sometimes associated with infections like malaria and dengue fever. This case report details a unique presentation of SSR. Case presentation: A 28-year-old male in Somalia presented with [....] » Read More
Title : Arthroscopic assisted release of lateral pterygoid versus scarification of retrodiscal tissue in treatment of internal derangement of tmj
Ahmed Abd Ellatif Mosleh, Tanta University, Egypt
The development of temporomandibular disorders specifically emphasizes the biochemical changes occurring in the synovial fluid at different stages of temporomandibular joint disease. Research has indicated that inflammation may be a primary reason behind the pain and dysfunction [....] » Read More
Title : Disparities in postoperative recovery: An audit of baseline activity return across five surgical subspecialties
James Martin, Nottingham University Hospitals NHS Trust, United Kingdom
Introduction: When looking at prehabilitation’s impact on postoperative outcomes, understanding a patient’s recovery path is essential. This audit investigates the proportion of Nottingham University Hospital patients who returned to baseline and the speed with w [....] » Read More
Title : Global trigger tool and patient safety
Sugam Kale, National University Health System, Singapore
Anaesthesia and surgery have now become team events and not an individual pursuit anymore. Working in teams has advantages and disadvantages. The continuity of care is sometimes fragmented. Information gets missed as it gets passed around doctors, nurses and their colleagues work [....] » Read More
Title : Surgical treatment of advanced esophageal achalasia
Jose Luis Braga de Aquino, Pontifical Catholic University, Brazil
Endoscopic and/or laparoscopic myotomy has shown positive results in non-advanced esophageal achalasia due to the development of this surgical technique currently. For the most advanced stages of the disease, esophagectomy seems to be the most indicated procedure due to the invol [....] » Read More
Title : Advanced esophageal cancer palliative surgical therapy using isoperistaltic gastric tube
Jose Luis Braga de Aquino, Pontifical Catholic University, Brazil
Although malignant neoplasms of the esophagus remain a very common disease, their diagnosis might often come late. This issue combined with excessive weight loss due to dysphagia and the association with cardiopulmonary diseases resulting from excessive tobacco use, makes patient [....] » Read More
Title : A modified oblique incision in hamstring tendon graft harvesting during ACL reconstruction
Biao Zhu , Xuzhou Medical University, China
Background: During anterior cruciate ligament (ACL) reconstruction, different methods of harvesting hamstring tendon may lead to different degrees of injury to the inferior patellar branch of the saphenous nerve (IPBSN).Most of recent studies in the literature suggest that t [....] » Read More
Title : Calciphylaxis associated penile gangrene masquerading as penile Cancer: A Case Report
Gregory Lauar e Souza, Mater Dei Hospital, Brazil
60-year-old African American male with a complex medical history, including obesity, diabetes, dyslipidemia, coronary artery disease, hypertension, and end-stage renal disease on hemodialysis, presented in June 2023 with lumbar pain and dysuria. Physical examination revealed seve [....] » Read More
Title : Comparison of remimazolam and propofol for rescue treatment for acute tolerance to the EEG effect of propofol on total intravenous anesthesia
Seunghee Cho, Incheon Saint Mary’s Hospital, Korea, Republic of
Background: Propofol is the most widely used agent for total intravenous anestghesia(TIVA) by anesthesiologists.There are remained some reports that the continuous use of propofol in the total intravenous anesthesia(TIVA) induce acute tolerence to the EEG effect.Remima [....] » Read More
Title : Amniotic fluid embolism case series and literature review
Sandra Lynn Jaya Bodestyne, Singapore General Hospital, Singapore
Background: Amniotic fluid embolism (AFE) is a rare but potentially catastrophic complication of pregnancy. It is characterized by acute cardiovascular collapse, altered mental status, and disseminated intravascular coagulation (DIC) occurring during the peripartum period. Althou [....] » Read More
Title : Identifying chemotherapy benefits in high-risk stage IB gastric cancer patients based on Recurrence Prediction Value (RPV): A multicenter retrospective study in China
Qi chen He , Fujian Medical University Union Hospital, Fuzhou, China
Background: Immediate postoperative anesthetic morbidity and mortality of newborns refers to the medical complications and deaths that can occur in newborns in the period following surgery. It remains a major concern in developing countries where the technical platform is precari [....] » Read More
Title : Ultrasound-guided high-intensity focused ultrasound for the ablation of multiple uterine fibroids: Assessment of safety and efficacy
Gao Hongmei, Chongqing Dianjiang County People's Hospital, China
Background: Uterine fibroids is an extremely common benign gynecologic neoplasm with significant impact on quality of life and reproductive outcomes. Ultrasound-guided high-intensity focused ultrasound (Usg-HIFU) is a minimally invasive procedure that has been increasingly used t [....] » Read More
Title : Outcomes of short-stay laparoscopic cholecystectomy: A study of safety and efficiency at trat hospital, Thailand
Thawatchai Trimitwittayakull, Trat Hospital, Thailand
Background: Laparoscopic cholecystectomy (LC) is the standard procedure for treating symptomatic gallstones. The development of an outpatient treatment approach and a short stay model could help reduce hospital stay duration and costs while maintaining safety and efficiency compa [....] » Read More
Title : Effects of perioperative use of two doses of magnesium sulfate infusion on intraoperative blood loss in patients undergoing lumbar spinal fusion surgery
Zahra Rahimi, Isfahan University, Iran (Islamic Republic of)
Background: In general, spinal fusion surgery causes heavy bleeding. The purpose of this study was to evaluate the use of two different doses of magnesium sulfate to control the bleeding in lumbar fusion surgery. Methods: This study was carried out as a randomized double-blind [....] » Read More
Title : Comparison of intraperitoneal versus intravenous dexamethasone on postoperative pain, nausea, and vomiting after laparoscopic cholecystectomy
Behzad Nazemroaya, Isfahan University, Iran (Islamic Republic of)
Background: Despite all of the benefits provided by laparoscopic cholecystectomy, such as rapid recovery and shorter hospital stay for patients, the incidence of postoperative nausea and vomiting (PONV) and postoperative pain (POP) still remains high. Objectives: This st [....] » Read More
Title : A case report of successful necrosectomy in a case of severe glandular acute necrotizing pancreatitis
Harish Nandagopal J, Krishna Institute of Medical Sciences, India
Introduction: Acute pancreatitis is an acute inflammation of the prior normal gland parenchyma which is usually reversible with raised pancreatic enzyme levels in blood and urine. Severe acute pancreatitis is usually a result of pancreatic glandular necrosis. Necrosis when a [....] » Read More
Title : Awake fiberoptic intubation for airway management in a patient with an ulcer proliferative mass of the aryepiglottic fold obscuring glottic opening
Dielle Martins, ABVIMS Hospital, New Delhi, India
A 45-year-old female, Manju Devi, presented with a 6-month history of progressively changing voice, diculty breathing for the past month, and worsening dysphagia for the past two weeks, parcularly with solids. Direct laryngoscopy revealed an ulceroproliferave mass arising from th [....] » Read More