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Annals of Medicine and Surgery

Saeed Koaban, Raheef Alatassi, Salman Alharbi, Mansour Alshehri, Khalid Alghamdi
Background: One of the most serious sequelae of femoral neck fractures (FNFs) is avascular necrosis (AVN), and this complication translates to significant morbidity and mortality. This study was conducted to determine the relationship between the etiologies and management of FNFs at our institution and the development of AVN or nonunion. Materials and methods: This study was a retrospective medical chart review of all adult patients admitted and managed for FNF...
March 2019: Annals of Medicine and Surgery
Leo R Brown, Jamie Anderson, Vish Bhattacharya
Background: Surgical training is an increasingly controversial topic. Concerns have been raised about both training opportunities becoming scarcer and poorer outcomes in operations led by surgical trainees; despite the evidence base for this being mixed. This retrospective cohort study aims to compare outcomes following carotid endarterectomy in patients who were operated on by a surgical trainee to those operated on by consultants. Materials and methods: Consecutive patients, who underwent carotid endarterectomy between 01/06/2012 and 1/12/2016, were entered into a prospectively maintained database...
March 2019: Annals of Medicine and Surgery
Mohammed Yousef Aldossary, Ali A Alzahir, Liqa A Almulla, Zahrah H Alhajji, Osama H Alsaif
Brunner's gland hamartoma is a rare benign duodenal tumor. It occurs in Brunner's glands, which are found in the duodenum and produce secretions that protect the duodenum from pancreatic enzymes, gastric acid, and other agents. Endoscopic or surgical resection is required for these hamartomas. Duodenal intussusception is a relatively rare condition, usually caused by the presence of benign tumors, such as fibroadenomas, lipomas, papillomas, or sometimes with malignant neoplasms. We report a case of giant Brunner's gland hamartoma in the duodenum causing antiperistaltic intussusception in a 45-year-old female patient...
February 2019: Annals of Medicine and Surgery
Usman Ismat Butt, Abu Baker Shafiq, Muhammad Umar, Maryam Ashfaq, Mahmood Ayyaz
Gossypiboma or textiloma is a rare but very unfortunate complication of surgery. It refers to a retained foreign body usually forgotten within the abdominal cavity at the end of an operation. It may be a surgical sponge, gauze pad or other form of textile. We present the case of a middle aged lady who following cholecystectomy had a forgotten gauze which underwent transmural migration and was later expelled via the rectum demonstrated by radiological studies.
February 2019: Annals of Medicine and Surgery
Sonia Chhabra, Namita Bhutani, Promil Jain, Meenu Gill, Nilay Nishisth, Rajeev Sen
The salivary gland tumors comprise of 3% of head and neck tumors. Pleomorphic adenoma, also known as mixed tumor, is the most common benign neoplasm of the major and minor salivary glands. The occurrence of pleomorphic adenoma of the tongue is very rare, and very few cases have been reported in the literature. A 41-year-old male presented with swelling on tongue. Cytological and histological examination revealed pleomorphic adenoma. Complete excision of the mass was done transorally under general anaesthesia...
February 2019: Annals of Medicine and Surgery
Muhammad Imran Aslam, Naseer Baloch, Christopher Mann, Per J Nilsson, Pierre Maina, Sanjay Chaudhri, Baljit Singh
Introduction: The optimal method for perineal reconstruction after extralevator abdominoperineal excision (elAPE) for low rectal cancer remains controversial. This study aimed to assess whether simultaneous perineal reconstruction and parastomal reinforcement with Strattice™ Reconstructive Tissue Matrix after elAPE could prevent hernia formation. Methods: In this prospective, multicentre, observational, non-comparative study of consecutive patients undergoing elAPE for low rectal cancer underwent simultaneous perineal reconstruction and colostomy site reinforcement with Strattice™ mesh...
February 2019: Annals of Medicine and Surgery
Ubaidullah Khan, Murad Kitar, Imed Krichen, Kais Maazoun, Rasha Ali Althobaiti, Mostafa Khalif, Mohammad Adwani
Background: To determined the accuracy of ultrasound in diagnosis of acute appendicitis in children keeping histopathology as gold standard. Methods: A prospective evaluations of all ultrasound for appendicitis from January 1, 2014, to June 15, 2017, was conducted at our hospital. A diagnostic protocol was implemented to reduce radiation exposure employing US as the initial imaging modality followed by CT for non-diagnostic US studies in patients with an equivocal clinical presentation...
February 2019: Annals of Medicine and Surgery
James J Wu, Joshua A H Way, Leonard Kritharides, David Brieger
Background: Polymer-free drug-eluting stents (PF-DES) were introduced with the aim of reducing the risk of stent thrombosis associated with durable polymer drug-eluting stents (DP-DES). The comparison of safety and efficacy profiles between these two stent platforms remains unclear. Materials and methods: We conducted electronic database searches for randomized controlled trials (RCTs) comparing patients treated with either PF-DES or DP-DES. Outcomes included definite or probable stent thrombosis (ST), myocardial infarction (MI), cardiac death, all-cause death, target lesion revascularization (TLR), and target vessel revascularization (TVR)...
February 2019: Annals of Medicine and Surgery
Tomoyuki Abe, Hironobu Amano, Keiji Hanada, Tomoaki Bekki, Tomoyuki Minami, Shuji Yonehara, Toshio Noriyuki, Masahiro Nakahara
Background: This study investigated the optimal timing and usefulness of early cholecystectomy for acute cholecystitis in patients with comorbid acute cholangitis. Materials and methods: In 2011-2016, 252 patients who underwent early cholecystectomy for acute cholecystitis and 7 who underwent delayed cholecystectomy were enrolled and compared. Patients with comorbid acute cholangitis were then divided into those who underwent urgent cholecystectomy (within 72 h after symptom onset), semi-urgent cholecystectomy (3-14 days after symptom onset), or delayed cholecystectomy (3 months after symptom onset)...
February 2019: Annals of Medicine and Surgery
Alessandro Carrara, Enrico Lauro, Luca Fabris, Marco Frisini, Salvatore Rizzo
Background: Midline primary hernias represent one of the most frequent abdominal wall defects in the adult population and in almost half of the cases they are associated with a rectus abdominis diastasis (RAD). Despite the high incidence of these defects there is currently no consensus in the literature on what is the preferred surgical technique for treatment. In this paper we present the first case series treated with an innovative technique that aims to repair the defects of the midline and RAD, while combining the advantages of the sublay Rives-Stoppa technique with those of the minimally-invasive surgery...
February 2019: Annals of Medicine and Surgery
Maarten Doornaert, Julien Colle, Elisabeth De Maere, Heidi Declercq, Phillip Blondeel
A recent rise in the use of autologous fat transfer for soft tissue augmentation has paralleled the increasing popularity of liposuction body contouring. This creates a readily available and inexpensive product for lipografting, which is the application of lipoaspirated material. Consistent scientific proof about the long-term viability of the transferred fat is not available. Clinically, there is a reabsorption rate which has been reported to range from 20 to 90%. Results can be unpredictable with overcorrection and regular need for additional interventions...
January 2019: Annals of Medicine and Surgery
Hiwa Omer Ahmed, Rajan Fuad Ezzat
Background: Health-related quality of life of obese patients, before and after weight loss by insertion of BioEnterics Intra-gastric Balloon is studied widely. But the quality of life not related to comorbidity of the obese patients like mood, satisfaction with relationships, achieved goals, self-concepts, and self-perceived ability to cope with one's daily life is not studied on a wide scale. Aim: To evaluates the effect of the obesity on different aspects of life, and to evaluate the influence of weight loss after BIB insertion or Atkins diet on the quality of life regarding mood, satisfaction with relationships, achieved goals, self-concepts, and self-perceived ability to cope with one's daily life...
January 2019: Annals of Medicine and Surgery
Deepthi Mani
A 49-year-old lady with history of polysubstance use disorder, recurrent cutaneous abscesses, spinal diskitis and septic thrombophlebitis presented to the emergency room with complaints of intermittent fevers, worsening right hip pain and bilateral lower extremity edema. A month before the presentation, she had left another hospital against medical advice after being diagnosed with Methicillin-resistant Staphylococcus aureus bacteremia and right hip septic arthritis. Post discharge, she was off antibiotics, but continued heroin and methamphetamine use...
January 2019: Annals of Medicine and Surgery
Barham Jalal Abdullah, Nazmi Atasoy, Abdullah Khalid Omer
In this study efficiency of platelet rich plasma (PRP) and zinc oxide on full thickness wounds created on rabbits was researched. This study conducted on 24 New Zealand rabbits divided 2 groups. A circular of 1.5 × 1.5 cm (2.5 cm2 ) full thickness skin wound was created under the general anesthesia. 1 ml PRP (5.503106/mm3 ) was applied to the one of the wounds subcutaneously. To the other wound 1 mm3 zinc oxide ointment was applied once a day during the study. Wound contraction rates were measured, biopsy materials were collected and evaluated macroscopically and histopathologically postoperatively 3rd, 7th and 15th days...
January 2019: Annals of Medicine and Surgery
Hussain Wahab, Obada Hasan, Ahmed Habib, Naveed Baloch
Introduction: Synovial chondromatosis is a benign mono-articular arthropathy affecting synovial joints. It mostly affects knee joint, followed by hip, elbow and wrist and is rarely reported for shoulder joint. The exact pathogenesis is not known. Usual symptoms are pain, difficulty in movement due to mechanical obstruction. The classic treatment is arthrotomy, removal of chondromatoid loose bodies and synovectomy. With recent advances arthroscopic removal of the chondromatoid loose bodies is a good option with relatively better post op rehabilitation and faster recovery...
January 2019: Annals of Medicine and Surgery
Mahtab Rahbar, Maryam Rahbar, Gholamreza Bahoush
Introduction: Primitive neuroectodermal tumors (PNET) form a group of tumors defined by their appearance that are thought to develop from primitive (undifferentiated) nerve cells in the brain. They are rare tumors and their incidence is not well defined. Case presentation: An 18-month-old male presenting with typical Cushingoid appearance (moon face, central obesity, hirsutism and growth arrest) was admitted for evaluation of endocrine problems. Subsequent laboratory studies revealed markedly elevated adrenocorticotropic (ACTH) and cortisol levels, as well as a hypokalemic metabolic alkalosis, these data are consistent with the diagnosis of Cushing's disease...
January 2019: Annals of Medicine and Surgery
James G Glasser, James M Nottingham, Michael E Haney, Elizabeth A Manci
•This report consists of five pediatric tumors of ovarian cell lineage.•These unusual, interesting tumors challenge both surgeon and oncologist.•Some appear malignant, seemingly require chemotherapy, but behave with benignity. Some are easily resected; others demand the utmost skill.•Complexity perplexes; elucidation is by selection - ignoring some things, attending to others.•Case studies illustrate - for good or ill - the process whereby clinical conundrums are resolved.
January 2019: Annals of Medicine and Surgery
Sheikha M Alkhudher, Hussein Al Zamel, Imtiyaz Nawaz Bhat
Introduction: We report a case of sino-nasal sarcoma (SNS) which is a rare malignant tumor that forms in the nasal structure and only a few cases that were reported in the literature. Case report: The patient was a 35 years old woman. She presented with a history of right nasal obstruction from a couple of months at the time of presentation and recent attacks of epistaxis. Diagnosis of SNS was made after careful history taking, Computed tomography (CT) scan and confirmed by a secondary biopsy histology report that was done in Harvard Medical school...
January 2019: Annals of Medicine and Surgery
Mugahid A Salih
Introduction: Intestinal Schistosomiasis is a parasitic disease caused by Schistosoma mansoni or Schistosoma japonica. Sudan is considered one of the endemic areas of schistosomiasis and many studies were done as regard to the prevalence and impact of the disease. Schistosomal appendicitis is rare, particularly in developed countries compared to endemic areas. Case report: This is a case of 36 -year- old man with past history of schistosomiasis presented with features of intestinal obstruction to Ibrahim Malik teaching hospital in Khartoum-Sudan...
January 2019: Annals of Medicine and Surgery
Basim Rassam Ghadhban, Firas Najim Abid
Background: Gall stones are the most common biliary pathology. Subclinical hypothyroidism is not a common problem in the population with thyroid disease, several explanations for a possible relation between hypothyroidism and lipid metabolism, gall stone formation proved that prevalence of gall stones is increased in patients with hypothyroidism disease. Objective: To find the prevalence and correlation between the subclinical hypothyroidism and gall stone disease...
January 2019: Annals of Medicine and Surgery
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