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Indian Journal of Surgery

Alexander Zargaran, Javier Ash, Georgina Kerry, Dara Rasasingam, Shyam Gokani, Aaina Mittal, David Zargaran
Technology advances in medicine have led to increased usage of smartphones and applications in facilitating provision of care. As the increased power of technology paves the way for advances, it is fundamental that ethical considerations are comprehensively explored. This paper explores the importance of consent, confidentiality, and data security in use of smartphone applications for transferring medical information.
June 2018: Indian Journal of Surgery
Clement Shirodkar Rajan
No abstract text is available yet for this article.
June 2018: Indian Journal of Surgery
Naaz Jahan Shaikh
We are all stressed out to read and understand our medical practice which is so vast and seems monotonous. Amidst so much tension, we can still enjoy our profession if we can narrate the sequence in a different style. Poetry is one way of such expression. Poetry is a combination of knowledge and feeling. Just as we have all read Zachary Cope's Surgery in Verse which correlates the disease with its signs in a different way that is poetry, I have tried to use poetry in my medical practice, too. We can understand as well as express better...
June 2018: Indian Journal of Surgery
Ashish Gupta, Sheerin Shah
No abstract text is available yet for this article.
June 2018: Indian Journal of Surgery
Sadananda Meher, Wani Hamza Bruno, Mohammad Ibrarullah
We report a large, asymptomatic, intraperitoneal loose body in a 72-year-old male, presented with bilateral inguinal hernia.
June 2018: Indian Journal of Surgery
Mahendra Pratap Singh, Tanweerul Huda, Kunal Vikram Singh
An elderly male presented to our emergency room with acute abdomen. Clinical and imaging evaluations suggested small bowel obstruction due to primary jejunal enterolith with associated stricture. We performed surgical exploration when initial nonoperative therapeutic management failed to resolve the symptoms. Primary jejunal enterolith obstruction is a rare disease presentation reported in literature.
June 2018: Indian Journal of Surgery
Yogesh Boddepalli, Rajesh Muppana
A case of road traffic accident with incidental finding of multiple opacities in the pelvis radiography was evaluated and diagnosed as chalk eating was the cause and managed conservatively. We report here the details of the case.
June 2018: Indian Journal of Surgery
Nagarajan Muthialu, Kieran McHugh, Olga Slater
Thymomas are exceedingly rare tumours of the anterior mediastinum in children. An early awareness helps timely surgical intervention. Thymomas can occasionally be extremely aggressive. The loss of contour on chest X-Ray, to be confirmed as a large anterior mediastinal mass at computerised tomography, serves identification of a typical bilobed thymic tumour.
June 2018: Indian Journal of Surgery
Abhimanyu Kar, Sumit Gulati, Sudheer Mohammed, Mithun Valiya Valappil, Bhaviya Bhargavan Sarala, Supriyo Ghatak, Avik Bhattacharyya
Retained calculi in the cystic duct or gall bladder remnant can present as a post-cholecystectomy problem. Increased suspicion is necessary to diagnose this condition in a symptomatic post-cholecystectomy patient. Ultrasonography usually detects this condition, but magnetic resonance cholangiopancreatography is the test of choice for diagnosis as well as for surgical planning. Laparoscopic re-excision of the stump in most cases is feasible and safe. It is increasingly becoming the treatment of choice.
June 2018: Indian Journal of Surgery
Rohit Bhattar, S P Aggarwal, S S Yadav, V Tomar
Renal LGFMS is an extremely rare tumor. So far, only four cases have been reported in literature. LGFMS are indolent tumor with distinctive histopathological features with potential for late recurrences and metastasis. The diagnosis is made on histopathological examination and supported by immunohistochemical analysis. A 35-year-old young male was presented with flank pain and lump and diagnosed as low-grade fibromyxoid sarcoma after surgery on immunohistochemical analysis. This is the fifth case of renal LGFMS and we presented the review of literature...
June 2018: Indian Journal of Surgery
Hirotaka Kitamura, Masaru Kurokawa, Noriyuki Inaki, Hiroyuki Bando
We experienced a rare case of gallbladder metastasis from renal cell carcinoma. A 68-year-old man was admitted for further evaluation of a gallbladder tumor, which had been identified on follow-up computed tomography after partial nephrectomy for renal cell carcinoma. Enhanced computed tomography and magnetic resonance imaging showed an enhancing polypoid mass in the gallbladder lumen. Endoscopic ultrasonography demonstrated a homogenous hypo-echoic polypoid lesion, and the outer hyper-echoic layer of the adjacent wall was intact...
June 2018: Indian Journal of Surgery
Rigved Gupta, Manoj Andley, Nikhil Talwar, Ajay Kumar
Desmoid-type fibromatosis (DF) or desmoid tumours are rare benign soft tissue tumours of musculo-aponeurotic origin, which have no malignant potential but are locally aggressive and can result in significant morbidity. They may be hereditary (in association with FAP, i.e. familial adenomatous polyposis syndrome resulting from APC gene mutation) or sporadic, with hereditary cases having a much higher risk of developing DF compared to sporadic ones. Desmoids are known to occur in previous surgical scars. However, previous laparoscopic port site/trocar site is an extremely uncommon site for sporadic desmoids, with only two cases of sporadic laparoscopic trocar site desmoids (occurring in absence of FAP) reported in world literature...
June 2018: Indian Journal of Surgery
U Aravindan, R Ganesan, M Thamarai Kannan
Blue rubber bleb nevus syndrome (BRBNS) is a rare disease characterised by multiple venous malformations and haemangioma in the skin and visceral organs. The lesion often involves the cutaneous and gastrointestinal tract. Most common visceral organ affected is the GIT. Most predominant region involved in the GIT is small bowel. However, vascular lesions can occur anywhere from oral mucosa to anal canal. GIT bleed is relatively slow, resulting in minor, chronic and occult blood loss. The syndrome in the GIT may also present with severe complications such as rupture, volvulus, intussusceptions and even death...
June 2018: Indian Journal of Surgery
Jagadeesh Krishnamurthy, Adithya V Naragund, Basant Mahadevappa
Twenty five percent of total liver volume (TLV) is considered as the ideal functional liver remnant (FLR) in major liver resections. In patients with macro-vesicular steatosis, early cirrhosis, and post-neoadjuvant chemotherapy (NACT), hepatocellular injury is common. In such instances, up to 40% of FLR may be required. So in cases of marginal FLR, pre-operative portal vein (PV) embolization or two-stage hepatectomy with PV occlusion is used. Both of which take up to 14 weeks between stages and 30% of patients fail to reach the second resection either due to inadequate FLR growth or disease progression...
June 2018: Indian Journal of Surgery
Medhat Mohamed Anwar, Alice Edward Reizian, Aneesa Mohammad El Kholy, Iman El Sayed, Marwa Khalil Hafez
Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected...
June 2018: Indian Journal of Surgery
Yu Xia, Gong-Xian Wang, Bin Fu, Wei-Peng Liu, Cheng Zhang, Xiao-Chen Zhou
The present study aims to compare the operative outcomes following the use of robot-assisted retroperitoneal partial nephrectomy (RARPN) with radius, exophytic/endophytic, nearness to sinus, anterior/posterior, and location (RENAL) scoring or laparoscopic retroperitoneal partial nephrectomy (LRPN) for the treatment of renal tumors. Eighty-three nephron-sparing surgery (NSS) procedures performed between January 2013 and December 2015 were reviewed. The study set consisted of 26 robot-assisted retroperitoneal laparoscopes, of which 3 were high risk (RENAL score ≥10), 11 were medium risk (RENAL score ≥7 < 9), and 12 were low risk (RENAL score <7) and 57 laparoscopic retroperitoneal partial nephrectomy procedures (7 high, 22 medium, and 28 low risk)...
June 2018: Indian Journal of Surgery
Sjaak Pouwels, Pieter S Stepaniak, Marc P Buise, R Arthur Bouwman, Simon W Nienhuijs
Quality of recovery could be influenced positively if there is less postoperative sore throat (POST). Eating a popsicle might attenuate this sore throat. Especially for bariatric surgery, early recovery is important. Adding popsicles to the postoperative protocol could be beneficial. Our hypothesis is that offering a popsicle in the recovery room to patients after bariatric surgery will decrease POST and will increase quality of postoperative recovery. Patients undergoing elective bariatric surgery, between the 23 February 2015 and 3 April, were randomised to either the popsicle group or control group...
June 2018: Indian Journal of Surgery
Soykan Arikan, Mehmet Baki Dogan, Ahmet Kocakusak, Feyzullah Ersoz, Serkan Sari, Yigit Duzkoylu, Ali Emre Nayci, Emre Ozoran, Emine Tozan, Turkan Dubus
A Morgagni's hernia is a congenital defect found in the anterior aspect of the diaphragm between the costal and the sternal portions of this muscle. This defect is also referred to as the space of Larrey. It has been reported that 70% of patients with Morgagni's hernia are female, 90% of the hernias are right-sided, and 92% of the hernias have hernia sacs. This type of hernia is a rare clinical entity and accounts for 3% of all surgically treated diaphragmatic hernias. There are no large retrospective or prospective studies on this topic...
June 2018: Indian Journal of Surgery
Daxue Tian, Wei Huang, Huilei Yan, Huantao Zong, Yong Zhang
Varicocelectomy can improve the function of testicular Leydig cell for patients with varicocele. We carried out a systematic review and meta-analysis to assess effect of varicocelectomy on serum FSH and LH levels for patients with varicocele. A literature review was performed to identify all published randomized preoperation-postoperation clinical trials of assessing serum FSH and LH levels before and after varicocelectomy. The search included the following databases: PUBMED and EMBASE. The reference lists of retrieved studies were also investigated...
June 2018: Indian Journal of Surgery
Xiaojuan Niu, Jinghai Song, Xiuwen He, Jian Chen, Jingyong Xu, Zhe Li, Haikong Long, Junmin Wei
Common bile duct (CBD) stones are common in elderly patients. The laparoscopic transcystic approach with micro-incision of the cystic duct confluence in common bile duct exploration (LTM-CBDE) is a modified laparoscopic transcystic approach. Its safety and efficacy have not been studied in elderly patients with secondary choledocholithiasis. This study evaluates the safety and efficacy of LTM-CBDE in elderly (≥65 years) patients with secondary choledocholithiasis and compares the results with those in younger patients...
June 2018: Indian Journal of Surgery
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