Evaluation of Intra-Operative Ultrasound in Assessing Clear Margin in Breast Conservative Surgery
Ahmed Shalaby, Matei Dordea, Marwa Badawi, Ashwin Rajenderia, Alyaa Shamardel and Khaled Noureldin
Article Type: Systematic Review Article | First Published: May 20, 2020
Breast conservative surgery (BCS) and oncoplastic procedures are becoming more and more popular, providing better aesthetic outcome but one of the main draw-back of these procedures is involvement of the margin and return to theatre, causing undesired economic and cosmetic outcome in addition to psychological burden on the patients. Frozen section can decrease incidence of involved margin however, it is not always available in addition to increasing the cost. Using Intra-operative ultrasound (IO...
A Successful Surgical Treatment of Postoperative Hepato-Venous Fistula
Toshimitsu Iwasaki, Masataka Matsumoto, Shumpei Satoi, Yuta Yoshida, Kohei Kawaguchi, Keiko Kamei, Atsushi Takebe, Ippei Matsumoto, Takuya Nakai and Yoshifumi Takeyama
Article Type: Case Report | First Published: April 03, 2020
A 72-year-old man, who had been received hemodialysis for chronic kidney disease, underwent resection of hepatic bed and hepatocholedochus with satellite lymphadenectomy for incidentally identified gallbladder carcinoma after laparoscopic cholecystectomy. He developed spike fever on postoperative day (POD) 10. Computed tomography (CT) showed small fluid collection around the resection surface of liver (Figure 1). Percutaneous drainage was performed and a little fluid with serous appearance was g...
In Vivo Small Bowel Length is Longer than in Formalin-Fixed Cadavers
Randal Zhou, MD, Bruce A Orkin, MD, FACS, FASCRS, James M Williams, PhD, Anthony Serici, BS, Jennifer Poirier, PhD, Walid El-Bermani, MBChB, PhD, Ronald Bohn, PhD and Areta Kowal-Vern, MD, FCAP, FASCP
Article Type: Research Article | First Published: February 03, 2020
Surgeons require accurate ranges of normal small bowel length (SBL) to benefit patients. The relationship between cadaveric SBL and in vivo human SBL is not known. We hypothesized that cadaveric SBL is significantly different compared to human SBL. SBL was measured prospectively in 167 formalin- fixed cadavers; and studied in 118 without intestinal surgery. A standardized and reproducible method of small bowel measurement was utilized in both in vivo and cadaveric subjects. Small bowel was measu...
Laparoscopic Peritoneal Lavage versus Sigmoidectomy for Management of Perforated Diverticulitis: Meta-Analysis of Randomized Controlled Trials
Arslan Pannu, Ghulam Murtaza Dar, Shahzad Ahmed, Shahab Hajibandeh, Shahin Hajibaneh, Eloise Lawrence, Salman Jabber, Khurram Khan, Rishabha Sharma and Ahmad Mirza
Article Type: Review Article | First Published: January 04, 2020
Controversy exists regarding the role of laparoscopic peritoneal lavage in patients with perforated diverticulitis. Our objective was to conduct the first meta-analysis of Randomized Controlled Trials (RCTs) to compare the outcomes of patient undergoing laparoscopic peritoneal lavage with sigmoidectomy in patients with perforated diverticulitis. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards, we conducted a systematic search of ...
Improved Alvarado Score (MANTRELS) for the Early Diagnosis of Acute Appendicitis
Alfredo Alvarado, MD
Article Type: REVIEW ARTICLE | First Published: February 27, 2019
After a careful analysis of various diagnostic scores on acute appendicitis I am introducing here an Improved Alvarado score (MANTRELS) that includes several substitute predictive factors aimed to obtain better clinical results. A correct and timely diagnosis of acute appendicitis is very important in the medical practice since it could avoid complications such as perforation, abscess formation and peritonitis, and at the same time could reduce the negative appendectomy rate. It is for this reas...
Treatment of Combined Palmar, Axillary and Plantar Hyperhidrosis with T2-T3 Sympathicotomy
Reza Ershadi, MD and Ahmad Shirinzadeh, MD
Article Type: ORIGINAL ARTICLE | First Published: February 27, 2019
Video-assisted thoracoscopic sympathetic surgery is currently a worldwide accepted treatment of primary upper extremity hyperhidrosis. Compensatory hyperhidrosis is the most common late complication and appeared to correlate with the extent and number of levels of sympathicotomy performed. In patients with combined severe palmar and axillary symptoms, the surgeon must decide whether to divide the chain at multiple levels by combining what is done for palmar and axillary symptoms alone (T2-T3-T4)...
Duodenal and Jejunal Intussusception from Malignant Melanoma
Niroshini Rajaretnam and Somaiah Aroori
Article Type: CASE REPORT | First Published: February 20, 2019
Intussusception is the leading cause of intestinal obstruction and the second most common cause of an acute abdomen in children behind acute appendicitis but is considered a rare condition in adults with an incidence of only 1-5%. First reported by Barbette of Amsterdam in 1674, intussusception can be defined as the telescoping of a proximal segment of the gastrointestinal tract (intussusceptum) into the adjacent distal segment of the gastrointestinal tract (intussuscipiens). However, it wasn't ...
Early Removal of Foley Catheter after Sigmoid Colectomy for Diverticular Colovesical Fistula without Intraoperative Bladder Repair or Postoperative Cystography: Feasibility of a Quality Improvement Pilot Program
Anthony Carden, MD, Riley K Kitamura, MD, John Leppert, MD and Dan Eisenberg, MD
Article Type: Review Article | First Published: February 20, 2019
The treatment of colovesical fistula (CVF) due to diverticular disease is complex and imposes significant risk to the patient. Specifically, management of the bladder defect after fistula takedown is inconstant. In this quality improvement study, we report on the safety of early (< 7 days) urethral catheter removal without intraoperative or postoperative bladder imaging. Between 2008 and 2018, patients who were operated on for CVF due to diverticular disease were identified retrospectively. Medi...
Assessment of Breast Cancer Incidence in Patients with Mastalgia and Routine Screening
Altıntas Yasemin and Bayrak Mehmet
Article Type: Original Article | First Published: January 31, 2019
A total of 1884 women were included in the research. Following exclusion criteria: The 'mastalgia group' comprised 646 patients who had a mean age of 43.4 and the control group 647 patients who had a mean age of 44.2. There was no statistically significant difference in age between control with breast pain groups. Mammography was performed in 45.9% of the control group and 39.1% of the mastalgia group, and US was performed in 90.7% of patients with the control group and 93.1% in the mastalgia gr...
Gastrointestinal Stromal Tumor: Diagnosis and Management
Yasemin Altıntas and Mehmet Bayrak
Article Type: Original Article | First Published: January 18, 2019
To investigate the frequency, management, and consequences of gastrointestinal stromal tumors in thirty patients treated and followed up at a single site. All gastrointestinal stromal tumor patients admitted to our institution from 2008 to 2018 were retrospectively reviewed. Demographics, clinical findings, and tumor features, pathological, radiological, and immunohistochemical observations, surgical technique, recurrence, and mortality were documented. Thirty patients were selected for this stu...