Pub Date : 2020-01-01DOI: 10.29011/2575-9760.001339
Rimini Edoardo, Atzori Giulia, R. Santoni, Viotti Alessandro
Background: The mechanisms of excretion of SARS-CoV-2 are actually mostly unknown. We report a case of detection of SARS-CoV-2 in peritoneal fluid in Covid-19 patient. Case presentation: A 73-year-old woman had emergency surgery for bowel obstruction. An oropharyngeal and peritoneal swab for SARS-CoV-2 virus was performed during admission. Both swabs were positive. Discussion: In the literature, in addition to ours, there is only one case of peritonal swab positive for SARS-CoV-2 in patient Covid-19. Conclusion: The presence of SARS-CoV-2 virus at peritoneal level suggests that Covid-19 infection is a systemic disease and that it is necessary to increase the level of consciousness and protection of surgical personnel, especially in emergency surgery situations.
{"title":"Detection of SARS-CoV-2 in Peritoneal Fluid in Covid-19 Patient","authors":"Rimini Edoardo, Atzori Giulia, R. Santoni, Viotti Alessandro","doi":"10.29011/2575-9760.001339","DOIUrl":"https://doi.org/10.29011/2575-9760.001339","url":null,"abstract":"Background: The mechanisms of excretion of SARS-CoV-2 are actually mostly unknown. We report a case of detection of SARS-CoV-2 in peritoneal fluid in Covid-19 patient. Case presentation: A 73-year-old woman had emergency surgery for bowel obstruction. An oropharyngeal and peritoneal swab for SARS-CoV-2 virus was performed during admission. Both swabs were positive. Discussion: In the literature, in addition to ours, there is only one case of peritonal swab positive for SARS-CoV-2 in patient Covid-19. Conclusion: The presence of SARS-CoV-2 virus at peritoneal level suggests that Covid-19 infection is a systemic disease and that it is necessary to increase the level of consciousness and protection of surgical personnel, especially in emergency surgery situations.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72688142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.7438/1584-9341-15-1-3
Hadi Nural
Surgery Conference Committee is intended to honor prestigious awards for talented young researchers, scientists, Young Investigators, Post-Graduate students, Post-doctoral fellows, Trainees, Junior faculty in recognition of their outstanding contribution towards the conference theme. The Young Scientist Awards make every effort in providing a strong professional development opportunity for early career academicians by meeting experts to exchange and share their experiences on all aspects of Surgery.
{"title":"Young Researchers Forum - Young Scientist Awards ENT Surgery-2020","authors":"Hadi Nural","doi":"10.7438/1584-9341-15-1-3","DOIUrl":"https://doi.org/10.7438/1584-9341-15-1-3","url":null,"abstract":"Surgery Conference Committee is intended to honor prestigious awards for talented young researchers, scientists, Young Investigators, Post-Graduate students, Post-doctoral fellows, Trainees, Junior faculty in recognition of their outstanding contribution towards the conference theme. The Young Scientist Awards make every effort in providing a strong professional development opportunity for early career academicians by meeting experts to exchange and share their experiences on all aspects of Surgery.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89425561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The conference acknowledges those participants and organizations that have remarkably added to the value to scientific community. Awards provide an opportunity to the participants like outstanding researchers, exceptional graduates or early academicians and organizations to showcase their best research and projects to the world related to the conference theme. It also recognizes who have collectively made unique and significant contributions to the scientific community related to the conference theme. It also provide platform to professional networking with researchers of similar interest from others part of the world and also encourage the participants in taking active part in the International Science platform to sharpen their skills and knowledgebase.
{"title":"Scientific Service Achievement Award","authors":"Ashraf EL-Molla","doi":"10.37421/JOS.2020.16.11","DOIUrl":"https://doi.org/10.37421/JOS.2020.16.11","url":null,"abstract":"The conference acknowledges those participants and organizations that have remarkably added to the value to scientific community. Awards provide an opportunity to the participants like outstanding researchers, exceptional graduates or early academicians and organizations to showcase their best research and projects to the world related to the conference theme. It also recognizes who have collectively made unique and significant contributions to the scientific community related to the conference theme. It also provide platform to professional networking with researchers of similar interest from others part of the world and also encourage the participants in taking active part in the International Science platform to sharpen their skills and knowledgebase.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86428249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.29011/2575-9760.001287
H. Mahajan, D. Horadagoda, S. Chou, Run-Dong Wang, C. Bura, J. Armes
{"title":"To Level or Not: Histological Examination of Sentinel Lymph Nodes in Patients with Breast Carcinoma","authors":"H. Mahajan, D. Horadagoda, S. Chou, Run-Dong Wang, C. Bura, J. Armes","doi":"10.29011/2575-9760.001287","DOIUrl":"https://doi.org/10.29011/2575-9760.001287","url":null,"abstract":"","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89294036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Falciform ligament cysts are very rare, with only 12 cases being reported so far. Patients may be asymptomatic or may present with symptoms such as abdominal pain and abdominal mass. In this report, we introduce a symptomatic case with abdominal pain. She was diagnosed with falciform ligament cyst using ultrasound imaging confirmed during laparotomy.
{"title":"A Symptomatic Cyst of the Falciform Ligament of the Liver: A Case Report and Review of the Literature","authors":"S. Shiryazdi, H. Soltani, Ariana Abadyan","doi":"10.37421/JOS.2020.16.9","DOIUrl":"https://doi.org/10.37421/JOS.2020.16.9","url":null,"abstract":"Falciform ligament cysts are very rare, with only 12 cases being reported so far. Patients may be asymptomatic or may present with symptoms such as abdominal pain and abdominal mass. In this report, we introduce a symptomatic case with abdominal pain. She was diagnosed with falciform ligament cyst using ultrasound imaging confirmed during laparotomy.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88153629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.29011/2575-9760.001293
A. Rekha, S. Zareena, R. Harshavardhini
A 35-year-old male presented to the outpatient department with dull aching right hypochondrial pain for 10 days, which was associated with fever & chills. On examination, the patient was febrile, icteric with tender hepatomegaly. Total leukocyte count and liver function test were raised. Serum bilirubin was elevated. USG abdomen showed 5x6x6cm, heterogenous, hypoechoiec lesion with internal cystic areas with peripheral calcification in right lobe. Cect abdomen (Figure 1a) showed daughter vesicles and MRI was suggestive of hydatid cyst. Patient underwent laparotomy wherein calcified hard cyst in the 5th & 6th segment of right lobe was found. Cyst fluid and daughter cysts were evacuated (Figure 1b) and 5% povidone iodine was instilled into cyst cavity for about 10min. Cpapitonnage was done by obliterating cyst space with vascularised omentum. Post op was uneventful. Patient was followed up for six months and it was uneventful.
{"title":"Challenges in Management of Hydatid Cyst","authors":"A. Rekha, S. Zareena, R. Harshavardhini","doi":"10.29011/2575-9760.001293","DOIUrl":"https://doi.org/10.29011/2575-9760.001293","url":null,"abstract":"A 35-year-old male presented to the outpatient department with dull aching right hypochondrial pain for 10 days, which was associated with fever & chills. On examination, the patient was febrile, icteric with tender hepatomegaly. Total leukocyte count and liver function test were raised. Serum bilirubin was elevated. USG abdomen showed 5x6x6cm, heterogenous, hypoechoiec lesion with internal cystic areas with peripheral calcification in right lobe. Cect abdomen (Figure 1a) showed daughter vesicles and MRI was suggestive of hydatid cyst. Patient underwent laparotomy wherein calcified hard cyst in the 5th & 6th segment of right lobe was found. Cyst fluid and daughter cysts were evacuated (Figure 1b) and 5% povidone iodine was instilled into cyst cavity for about 10min. Cpapitonnage was done by obliterating cyst space with vascularised omentum. Post op was uneventful. Patient was followed up for six months and it was uneventful.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78791983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Travis J. Menge, Å. Nord, Kendall Hamilton, Monica LaPointe, P. Jebson
Background: Obtaining an orthopedic sports medicine fellowship position is becoming more difficult, as the number of residents seeking post-graduate training continues to increase. Objective: To identify factors that orthopedic surgery sports medicine fellowship program directors deem valuable in selecting applicants. Methods: A web-based questionnaire was sent to all ACGME accredited sports medicine fellowship program directors in the United States in 2016. The questionnaire was designed to identify the most important criteria in selecting applicants for an interview, and ranking candidates to match into their program. Results: Thirty-five of ninety-one program directors responded. The criteria for offering an applicant an interview were quality of recommendation letter, technical competence, and residency program reputation. Letters of recommendation that held the highest value were from the chief of sports medicine and another sports medicine surgeon in the department. The most important features of the interview were the applicant’s ability to articulate thoughts, the maturity of the applicant, and the ability of the applicant to listen well. The attributes deemed most important in high ranking a candidate included the applicant’s commitment to hard work, quality of the interview, and quality of letters of recommendation. Conclusion: There are identifiable factors considered important by sports medicine fellowship directors when selecting candidates for an interview and ranking them in the match process. With increasing costs of the application process and competition among applicants, this information can be valuable to medical students and residents considering a career in orthopedic sports medicine.
{"title":"Factors Used by Program Directors in the Orthopedic Sports Medicine Fellowship Match","authors":"Travis J. Menge, Å. Nord, Kendall Hamilton, Monica LaPointe, P. Jebson","doi":"10.37421/JOS.2020.16.3","DOIUrl":"https://doi.org/10.37421/JOS.2020.16.3","url":null,"abstract":"Background: Obtaining an orthopedic sports medicine fellowship position is becoming more difficult, as the number of residents seeking post-graduate training continues to increase. Objective: To identify factors that orthopedic surgery sports medicine fellowship program directors deem valuable in selecting applicants. Methods: A web-based questionnaire was sent to all ACGME accredited sports medicine fellowship program directors in the United States in 2016. The questionnaire was designed to identify the most important criteria in selecting applicants for an interview, and ranking candidates to match into their program. Results: Thirty-five of ninety-one program directors responded. The criteria for offering an applicant an interview were quality of recommendation letter, technical competence, and residency program reputation. Letters of recommendation that held the highest value were from the chief of sports medicine and another sports medicine surgeon in the department. The most important features of the interview were the applicant’s ability to articulate thoughts, the maturity of the applicant, and the ability of the applicant to listen well. The attributes deemed most important in high ranking a candidate included the applicant’s commitment to hard work, quality of the interview, and quality of letters of recommendation. Conclusion: There are identifiable factors considered important by sports medicine fellowship directors when selecting candidates for an interview and ranking them in the match process. With increasing costs of the application process and competition among applicants, this information can be valuable to medical students and residents considering a career in orthopedic sports medicine.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77845548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.29011/2575-9760.001327
Dossouvi Tamegnon, Kanassoua Kokou, Amavi Ayi, Kassegne Iroukora, Amouzou Efoé-Ga, Adabra Komlan, Tchangaï Boyodi, A. Fousseni, D. David
The authors report two cases of acute intestinal obstruction by an ileosigmoid node. Both patients were young, male, one 24 years old and the other 31 years old. They were admitted in emergency for an acute intestinal obstruction. Abdominal x-ray showed hydroaeric levels in favor of hail and colonic occlusion in the 24-year-old patient while it showed right colonic distension associated with central hailic hydroaeric levels in the denier. A biological examen noted hyperleukocytosis in both cases. Because of the intensity of the pain and the hyperleukocytosis, a laparotomy was performed urgently, allowing an ileosigmoid knot to be found in both cases. In the first case, the imprisoned ileum was necrotic. As defection of the knot was impossible, resection of the ileum and sigmoid was performed followed by an ileo-ileal and colorectal anastomosis. In the second case, a defection of the knot had been performed allowing re-coloring of the ischemic ileum. A dolichomegasigmoid was also noted. Consequently colectomy had been performed. The postoperative period was marked by death in the first patient due to ionic disorders likely due to delayed treatment.
{"title":"Intestinal Obstruction by Ileosigmoid Knot: Report of Two Cases at Kara Teaching Hospital (Togo)","authors":"Dossouvi Tamegnon, Kanassoua Kokou, Amavi Ayi, Kassegne Iroukora, Amouzou Efoé-Ga, Adabra Komlan, Tchangaï Boyodi, A. Fousseni, D. David","doi":"10.29011/2575-9760.001327","DOIUrl":"https://doi.org/10.29011/2575-9760.001327","url":null,"abstract":"The authors report two cases of acute intestinal obstruction by an ileosigmoid node. Both patients were young, male, one 24 years old and the other 31 years old. They were admitted in emergency for an acute intestinal obstruction. Abdominal x-ray showed hydroaeric levels in favor of hail and colonic occlusion in the 24-year-old patient while it showed right colonic distension associated with central hailic hydroaeric levels in the denier. A biological examen noted hyperleukocytosis in both cases. Because of the intensity of the pain and the hyperleukocytosis, a laparotomy was performed urgently, allowing an ileosigmoid knot to be found in both cases. In the first case, the imprisoned ileum was necrotic. As defection of the knot was impossible, resection of the ileum and sigmoid was performed followed by an ileo-ileal and colorectal anastomosis. In the second case, a defection of the knot had been performed allowing re-coloring of the ischemic ileum. A dolichomegasigmoid was also noted. Consequently colectomy had been performed. The postoperative period was marked by death in the first patient due to ionic disorders likely due to delayed treatment.","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75514949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.29011/2575-9760.001331
T. Shah
{"title":"Fundamentals in Laparoscopic Surgery","authors":"T. Shah","doi":"10.29011/2575-9760.001331","DOIUrl":"https://doi.org/10.29011/2575-9760.001331","url":null,"abstract":"","PeriodicalId":101237,"journal":{"name":"The Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75245200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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