H. Bizueto-Rosas, N. A. Hernández-Pérez, Bizueto-Blancas Nn, Perez-Gonzalez Ha, Lopez La, Buendia-Garcia Al, A. Jimenez-Canet, Gutierrez-Olivares Om, A. Mijangos-Montano, Gonzalez-Lopez Al, Caltenco-Solís Rb, M. Radilla-Flores, Magana-Salcedo, C. Echeverry-Fernandez, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J. Ramírez-Landeros, F. Gamboa-Ramírez
Objective: We present a case report of an 89 years old male with a diagnosis of incarcerated left inguinal hernia, with surgical findings of a complicated sigmoid diverticulum and a tubular structure of 0.5 mm attached to the sigmoid colon, fixed to the inguinal ligament with a true lumen that could correspond to a duplicated appendix B4 type. Introduction: Colon diverticular disease is more frequent in western countries, present in 30% of 60 years old patients and in more than 50% in 80 years old patients, with 95% of the times located at sigmoid colon. The most frequent complication is the acute diverticulitis (25%) and in 30% of these patients, surgery is required. Discussion: Acute, complicated, diverticular disease is an infrequent pathology, even more, a colonic diverticulum included within the hernia sac. Of the appendix congenital malformations, a duplicated appendix is the rarest; usually found in asymptomatic adults as an incidental find during abdominal surgery or during contrasted abdominal scans. Conclusion: Awareness must be raised within first-contact health care professionals about diagnosing surgical entities with high mortality rates, in asymptomatic patients with unclear clinical findings, especially with the occurring of a demographic transition in most countries. In this specific patient, Hartman surgical procedure and a second time inguinal plasty were the best surgical options for this patient; even considering the mortality rates (25%) of a perforated diverticulum, considering added surgical site infection.
{"title":"Left Inguinal Hernia, Sigmoid Diverticulum and a Probable B4 Type Duplicated Appendix","authors":"H. Bizueto-Rosas, N. A. Hernández-Pérez, Bizueto-Blancas Nn, Perez-Gonzalez Ha, Lopez La, Buendia-Garcia Al, A. Jimenez-Canet, Gutierrez-Olivares Om, A. Mijangos-Montano, Gonzalez-Lopez Al, Caltenco-Solís Rb, M. Radilla-Flores, Magana-Salcedo, C. Echeverry-Fernandez, Torrejón-Hernández Ca, Hidalgo-Delgado Jn, J. Ramírez-Landeros, F. Gamboa-Ramírez","doi":"10.16966/2470-0991.178","DOIUrl":"https://doi.org/10.16966/2470-0991.178","url":null,"abstract":"Objective: We present a case report of an 89 years old male with a diagnosis of incarcerated left inguinal hernia, with surgical findings of a complicated sigmoid diverticulum and a tubular structure of 0.5 mm attached to the sigmoid colon, fixed to the inguinal ligament with a true lumen that could correspond to a duplicated appendix B4 type. Introduction: Colon diverticular disease is more frequent in western countries, present in 30% of 60 years old patients and in more than 50% in 80 years old patients, with 95% of the times located at sigmoid colon. The most frequent complication is the acute diverticulitis (25%) and in 30% of these patients, surgery is required. Discussion: Acute, complicated, diverticular disease is an infrequent pathology, even more, a colonic diverticulum included within the hernia sac. Of the appendix congenital malformations, a duplicated appendix is the rarest; usually found in asymptomatic adults as an incidental find during abdominal surgery or during contrasted abdominal scans. Conclusion: Awareness must be raised within first-contact health care professionals about diagnosing surgical entities with high mortality rates, in asymptomatic patients with unclear clinical findings, especially with the occurring of a demographic transition in most countries. In this specific patient, Hartman surgical procedure and a second time inguinal plasty were the best surgical options for this patient; even considering the mortality rates (25%) of a perforated diverticulum, considering added surgical site infection.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123106715","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}
Gallbladder volvulus is a rare cause of acute cholecystitis and is due to the torsion of the gallbladder along its pedicle. The diagnosis of gallbladder volvulus is often made intra-operatively and therefore failure to recognize the condition pre-operatively may lead to delay in definitive management. This case report presents a 95-year-old female patient admitted to a regional hospital with acute right upper quadrant pain. The patient was taken to theatre and on laparoscopy was found to have a gangrenous gallbladder twisted along its pedicle. A laparoscopic cholecystectomy was performed and the patient was successfully treated. Awareness of this rare entity and prompt surgical intervention is required to limit the potential morbidity and mortality.
{"title":"Gallbadder Volvulus: A Rare Cause of Acute Cholecystitis","authors":"Aumeerally Mi, Asomah F","doi":"10.16966/2470-0991.192","DOIUrl":"https://doi.org/10.16966/2470-0991.192","url":null,"abstract":"Gallbladder volvulus is a rare cause of acute cholecystitis and is due to the torsion of the gallbladder along its pedicle. The diagnosis of gallbladder volvulus is often made intra-operatively and therefore failure to recognize the condition pre-operatively may lead to delay in definitive management. This case report presents a 95-year-old female patient admitted to a regional hospital with acute right upper quadrant pain. The patient was taken to theatre and on laparoscopy was found to have a gangrenous gallbladder twisted along its pedicle. A laparoscopic cholecystectomy was performed and the patient was successfully treated. Awareness of this rare entity and prompt surgical intervention is required to limit the potential morbidity and mortality.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132623538","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}
Reyes Jfr, R. Jas, Gonzalez Ocl, Varea Jah, Rodríguez Prl
The condylomata acuminatum or genital warts are produced by the human papillomavirus. Infection typically occurs when host, basal cells are exposed to viral infection through a damaged epithelial barrier, such as during sexual intercourse or as a product of other minor skin abrasions. In a few occasions, they can evolve with a marked growth and cause the well-known Buschke-Löwenstein syndrome or Giant condyloma acuminatum. We present a patient with Giant condylomata acuminata in the inguinal and anal regions that were surgically treated with exeresis of the inguinal lesions and electro fulguration of the annals with satisfactory evolution, without tumor recurrence at three months.
{"title":"Giant Cumulated Condyloma (Tumor of Buschke-Lõwenstein)- A Case Report","authors":"Reyes Jfr, R. Jas, Gonzalez Ocl, Varea Jah, Rodríguez Prl","doi":"10.16966/2470-0991.188","DOIUrl":"https://doi.org/10.16966/2470-0991.188","url":null,"abstract":"The condylomata acuminatum or genital warts are produced by the human papillomavirus. Infection typically occurs when host, basal cells are exposed to viral infection through a damaged epithelial barrier, such as during sexual intercourse or as a product of other minor skin abrasions. In a few occasions, they can evolve with a marked growth and cause the well-known Buschke-Löwenstein syndrome or Giant condyloma acuminatum. We present a patient with Giant condylomata acuminata in the inguinal and anal regions that were surgically treated with exeresis of the inguinal lesions and electro fulguration of the annals with satisfactory evolution, without tumor recurrence at three months.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115740475","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}
da Silva Lemos Lrl, de Macedo Silva A, Dale Gg, Paiva Dff, Pinheiro Jc, Leite Rb
Key Techniques Involved in Recovering Gingival Recessions: Abstract Introduction: Gingival recession can be defined as the apical dislocation of the gingival margin in relation to the amelio-cementary junction, or in relation to its original site, which provides a progressive exposure of the root surface. Its etiology is multifactorial, being more related to mechanical trauma, periodontal diseases and predisposing factors. Objective: To analyze the main techniques involved in root coverage of gingival recessions as well as to evaluate tissue response, according to different prognoses. Methodology: A bibliographic survey was conducted from 2006 to 2019 in the databases Lilacs, PubMed and Scielo. The search strategy used was “recession” and “gingival” and “gingival” and “recession” and “treatment”. Articles that did not elucidately portray root coverage methods or evaded the study objective were excluded. Results: The most frequently used techniques were “coronary repositioning flap” and “subepithelial connective tissue graft” because they had more satisfactory results. Conclusion: The literature points to the subepithelial connective tissue graft as the “gold standard”, which, being removed from the patient’s own organism, expresses better results in root coverage and also shows positive results in the Acellular Dermal Matrix (MDA), as it is a Allogeneic graft taken from tissue bank donors, minimizing patient discomfort.
{"title":"Key Techniques Involved in Recovering Gingival Recessions: Literature Review","authors":"da Silva Lemos Lrl, de Macedo Silva A, Dale Gg, Paiva Dff, Pinheiro Jc, Leite Rb","doi":"10.16966/2470-0991.199","DOIUrl":"https://doi.org/10.16966/2470-0991.199","url":null,"abstract":"Key Techniques Involved in Recovering Gingival Recessions: Abstract Introduction: Gingival recession can be defined as the apical dislocation of the gingival margin in relation to the amelio-cementary junction, or in relation to its original site, which provides a progressive exposure of the root surface. Its etiology is multifactorial, being more related to mechanical trauma, periodontal diseases and predisposing factors. Objective: To analyze the main techniques involved in root coverage of gingival recessions as well as to evaluate tissue response, according to different prognoses. Methodology: A bibliographic survey was conducted from 2006 to 2019 in the databases Lilacs, PubMed and Scielo. The search strategy used was “recession” and “gingival” and “gingival” and “recession” and “treatment”. Articles that did not elucidately portray root coverage methods or evaded the study objective were excluded. Results: The most frequently used techniques were “coronary repositioning flap” and “subepithelial connective tissue graft” because they had more satisfactory results. Conclusion: The literature points to the subepithelial connective tissue graft as the “gold standard”, which, being removed from the patient’s own organism, expresses better results in root coverage and also shows positive results in the Acellular Dermal Matrix (MDA), as it is a Allogeneic graft taken from tissue bank donors, minimizing patient discomfort.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124014011","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}
Torrejón-Hernández Ca, Bizueto-Rosas H, Galvan Map, Trujillo-Araujo Ak, Carrillo Fjc, Cossío-Zazueta A, Caltenco-Solís Rb, Echeverry-Fernandez Ca, Magaña-Salcedo Jr, Hidalgo-Delgado Jn, Prior-Rosas Je, Calvache-Muñoz M, Bizueto-Blancas Nn, García-Chávez J, Valdés-Serafín Ja, Hernandez Na
Objective: To identify the causes related to a rise in morbidity and mortality due to COVID in the most frequent events of acute abdomen and vascular disease.
目的:探讨在急腹症和血管病最常见的病例中，新冠肺炎发病率和死亡率上升的相关原因。
{"title":"COVID-19 and its Repercussions on Vascular and Abdominal Medical Emergency Scenario. Interinstitutional, Multidisciplinary Approach","authors":"Torrejón-Hernández Ca, Bizueto-Rosas H, Galvan Map, Trujillo-Araujo Ak, Carrillo Fjc, Cossío-Zazueta A, Caltenco-Solís Rb, Echeverry-Fernandez Ca, Magaña-Salcedo Jr, Hidalgo-Delgado Jn, Prior-Rosas Je, Calvache-Muñoz M, Bizueto-Blancas Nn, García-Chávez J, Valdés-Serafín Ja, Hernandez Na","doi":"10.16966/2470-0991.243","DOIUrl":"https://doi.org/10.16966/2470-0991.243","url":null,"abstract":"Objective: To identify the causes related to a rise in morbidity and mortality due to COVID in the most frequent events of acute abdomen and vascular disease.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122021122","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}
Bizueto-Rosas H, Valdéz-Serafín Ja, García-Chávez J, Pérez-Reyna Jdd, Bizueto-Blancas Nn, Méndez-Alarcón Dg, Perez-Gonzalez Ha, Magaña-Salcedo Jr, Echeverry-Fernandez Ca, Hidalgo-Delgado Jn, Torrejón-Hernández Ca, Radilla-Flores M, Mijangos-Montaño A, Ramírez-Landeros J, Gómez-Calvo Cd, Hernandez Na, Hernández-Altamirano I
Drug-associated adverse hepatic reactions could be severe, mostly idiosyncratic, that is; they rarely occur, even if administered in the therapeutic dose and are not detected during developmental phase; any substance could be hepatotoxic, however, some drugs could have a higher potential as non-steroidal anti-inflammatory drugs and among them, diclofenac.
{"title":"Diclofenac Hepatotoxicity: Case Report","authors":"Bizueto-Rosas H, Valdéz-Serafín Ja, García-Chávez J, Pérez-Reyna Jdd, Bizueto-Blancas Nn, Méndez-Alarcón Dg, Perez-Gonzalez Ha, Magaña-Salcedo Jr, Echeverry-Fernandez Ca, Hidalgo-Delgado Jn, Torrejón-Hernández Ca, Radilla-Flores M, Mijangos-Montaño A, Ramírez-Landeros J, Gómez-Calvo Cd, Hernandez Na, Hernández-Altamirano I","doi":"10.16966/2470-0991.237","DOIUrl":"https://doi.org/10.16966/2470-0991.237","url":null,"abstract":"Drug-associated adverse hepatic reactions could be severe, mostly idiosyncratic, that is; they rarely occur, even if administered in the therapeutic dose and are not detected during developmental phase; any substance could be hepatotoxic, however, some drugs could have a higher potential as non-steroidal anti-inflammatory drugs and among them, diclofenac.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"491 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123194831","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}
Until few decades back, the surgery of Sapheno-femoral or Saphenopopliteal obliteration with or without stripping of the vein was a standard operation. But this operation required general or regional anaesthesia. The complications associated with this procedure were bleeding, hematoma, and ecchymosis. Further there may be injury to sephanous and sural nerve when working in the lower part of leg.
{"title":"Varicose Veins: Have We Reached the Heights","authors":"Khan Ak","doi":"10.16966/2470-0991.189","DOIUrl":"https://doi.org/10.16966/2470-0991.189","url":null,"abstract":"Until few decades back, the surgery of Sapheno-femoral or Saphenopopliteal obliteration with or without stripping of the vein was a standard operation. But this operation required general or regional anaesthesia. The complications associated with this procedure were bleeding, hematoma, and ecchymosis. Further there may be injury to sephanous and sural nerve when working in the lower part of leg.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130494358","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}
Cammarota Mc, Barcelos Ldp, D. Rcs, Deutsch Tm, Neto Ab, Mendonça Ft, Daher Jc
Introduction: Nipple-Sparing Mastectomy (NSM) is a consolidated technique that has been used for years with good aesthetic results. Its indication is usually limited by breast size, due to difficulty repositioning the Nipple-Areola Complex (NAC) and treating excess skin in large breasts. The challenge in these cases is to maximize the aesthetic result without increasing the risk of necrosis and other complications.
{"title":"Systematization of the Incisions in Nipple-Sparing Mastectomy","authors":"Cammarota Mc, Barcelos Ldp, D. Rcs, Deutsch Tm, Neto Ab, Mendonça Ft, Daher Jc","doi":"10.16966/2470-0991.245","DOIUrl":"https://doi.org/10.16966/2470-0991.245","url":null,"abstract":"Introduction: Nipple-Sparing Mastectomy (NSM) is a consolidated technique that has been used for years with good aesthetic results. Its indication is usually limited by breast size, due to difficulty repositioning the Nipple-Areola Complex (NAC) and treating excess skin in large breasts. The challenge in these cases is to maximize the aesthetic result without increasing the risk of necrosis and other complications.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127251532","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}
Background: Selection of optimal types of breast implants is an essential factor that determines the degree of patients’ satisfaction with outcomes of augmentation mammaplasty, for which an evidence-based approach to it is mandatory. Several studies have supported the safety of the BellaGel® SmoothFine (HansBiomed Co. Ltd., Seoul, Korea), a silicone gel-filled breast implant from a Korean manufacturer. But such studies have been conducted in a manufacturer-sponsored setting. We therefore conducted this non-manufacturer-sponsored, retrospective study to assess its 3-year safety outcomes in Korean women.
{"title":"An Ultrasound-Assisted Approach to an Early Detection of Complications of an Implant-Based Augmentation Mammaplasty using the BellaGel® SmoothFine: Preliminary 3-year Clinical Experience","authors":"Song Ky, Sun Jy, Choi Ws, Lim Hg, Kim Jh","doi":"10.16966/2470-0991.232","DOIUrl":"https://doi.org/10.16966/2470-0991.232","url":null,"abstract":"Background: Selection of optimal types of breast implants is an essential factor that determines the degree of patients’ satisfaction with outcomes of augmentation mammaplasty, for which an evidence-based approach to it is mandatory. Several studies have supported the safety of the BellaGel® SmoothFine (HansBiomed Co. Ltd., Seoul, Korea), a silicone gel-filled breast implant from a Korean manufacturer. But such studies have been conducted in a manufacturer-sponsored setting. We therefore conducted this non-manufacturer-sponsored, retrospective study to assess its 3-year safety outcomes in Korean women.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126228082","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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