Pub Date : 2018-12-13DOI: 10.19080/OAJS.2018.10.555781
A. N. Ghanem
Hyponatraemia (HN) affects adults and children [1]. The authors concluded that: “acute hospital induced hyponatraemia is caused by electrolyte-free fluids, or ‘volumetric overload type1 (VO1)’, in the presence of elevated vasopressin. The condition affects men, women and children, particularly postoperative patients. It is responsible for far greater morbidity and mortality than generally received.” It concerns not only physicians and intensive care therapists among all clinicians who prescribe fluid therapy in the most compelling of clinical emergencies, but also primarily surgeons.
{"title":"Hyponatraemia: Nadirs and Paradoxes of the Missing Volumetric Overload","authors":"A. N. Ghanem","doi":"10.19080/OAJS.2018.10.555781","DOIUrl":"https://doi.org/10.19080/OAJS.2018.10.555781","url":null,"abstract":"Hyponatraemia (HN) affects adults and children [1]. The authors concluded that: “acute hospital induced hyponatraemia is caused by electrolyte-free fluids, or ‘volumetric overload type1 (VO1)’, in the presence of elevated vasopressin. The condition affects men, women and children, particularly postoperative patients. It is responsible for far greater morbidity and mortality than generally received.” It concerns not only physicians and intensive care therapists among all clinicians who prescribe fluid therapy in the most compelling of clinical emergencies, but also primarily surgeons.","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133812272","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 : 2018-12-11DOI: 10.19080/oajs.2018.10.555780
Mohammad Gerdvisheh
An arterio-enteric fistula (AEF) is an aberrant connection between the gastrointestinal tract and an artery. This is a rare condition that can present with massive hematochezia that carries a high degree of morbidity and mortality. Classically, AEF are categorized in primary versus secondary. Primary AEF are typically a result of trauma, radiation, tumor invasion, or an atherosclerotic aneurysm. A secondary AEF develops as a repercussion of surgical intervention [2]. This is a case of primary arterio-enteric fistula in a 65-year-old female with bladder cancer who had undergone chemoradiotherapy.
{"title":"Primary Right External Iliac Artery to Small Bowel Fistula Treated with Endovascular Graft","authors":"Mohammad Gerdvisheh","doi":"10.19080/oajs.2018.10.555780","DOIUrl":"https://doi.org/10.19080/oajs.2018.10.555780","url":null,"abstract":"An arterio-enteric fistula (AEF) is an aberrant connection between the gastrointestinal tract and an artery. This is a rare condition that can present with massive hematochezia that carries a high degree of morbidity and mortality. Classically, AEF are categorized in primary versus secondary. Primary AEF are typically a result of trauma, radiation, tumor invasion, or an atherosclerotic aneurysm. A secondary AEF develops as a repercussion of surgical intervention [2]. This is a case of primary arterio-enteric fistula in a 65-year-old female with bladder cancer who had undergone chemoradiotherapy.","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125234963","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 : 2018-11-30DOI: 10.19080/oajs.2018.10.555779
Ahmed N. Ghanem
Introduction and Objective: To report a case demonstrating the link of LPHS with SN is that is based on IVU7 sign and retrograde pyelography. Renal Sympathetic denervation and Nephropexy (RSD & N) Surgery has proved curable for the condition. Patient and Methods: The reported case in which IVU with erect film shows the IVU7 sign is measure of renal pedicle stretch. Retrograde Pyelography (RGP) showed the internal renal damage while all ancillary imaging were normal. The surgery of RSD & N was used for treatment of the condition. Results: An IVU with erect film and RGP detected the diagnosis and the renal pathology while no other imaging could. Comparing IVU supine and erect revealed the IVU7 sign which is a measure of renal pedicle stretch causing artery stenosis and ischaemia. The findings on RGP show erosion of renal papillae and leakage of contrast medium into renal veins which is the sie of hamaturia. The surgery of RSD & N cured the condition. Conclusion: An IVU with erect film and RGP clinched the diagnosis and revealed the renal pathology while no other imaging could. It should be essential diagnostic investigation in every LPHS case. The surgery of RSD & N cured the condition. Ahmed N Ghanem1*, Khalid A Ghanem2, Nisha Pindoria3 and Salma A Ghanem4 1Consultant Urologist Surgeon, Egypt 2Mansoura University Hospital, Egypt 3North Middlesex University Hospital, London 4Barts & the Royal London NHS Trust, London Ahmed N Ghanem, et al., Annals of Clinical Case Reports Urology Remedy Publications LLC., | http://anncaserep.com/ 2018 | Volume 3 | Article 1552 2 Figure 1: This shows a supine compared to IVY erect film demonstrating right nephroptosis. Figure 2: It shows renal pedicle mapped on a supine IVU film (Horizontal) and erect film (Vertical) limbs of 7 where the renal pedicle is stretched to 3 times its normal length, causing stenosis and ischemia. Figure 3: It shows retrograde pyelography showing erosion of renal papillae and contrast extravasations into renal veins of right kidney where haematuria occurs in an opposite direction. is caused by pedicle stretch causing renal ischaemia as shown on IVU7 sign (Figure 2). The internal renal damage causing pain and haematuria is best shown on RGP (Figure 3). Unfortunately no other investigation including CT and MRI is capable of revealing the pathology of LPHS complicating SN. Upright IVU is currently undone and has not been reported previously in LPHS. Retrograde pyelography findings have not previously been documented in either condition (Figure 3). The use of IVU started early in the 20th century while clinical evidence on the genuineness of SN pain dated back to the 15th century. Loin pain hematuria syndrome was reported in 1967 while Dietl’s crisis is known for centuries [5]. Organic reno-vascular complications demonstrated on conventional arteriography of SN and LPHS are of advanced cases. In view of the new evidence presented here and previously [1,2], the authorities should reconsider SN
{"title":"Loin Pain and Haematuria Syndrome (LPHS) Complicating Symptomatic Nephroptosis (SN), Cured with Renal Sympathetic Denervation and Nephropexy (RSD&N) Surgery: Case Report","authors":"Ahmed N. Ghanem","doi":"10.19080/oajs.2018.10.555779","DOIUrl":"https://doi.org/10.19080/oajs.2018.10.555779","url":null,"abstract":"Introduction and Objective: To report a case demonstrating the link of LPHS with SN is that is based on IVU7 sign and retrograde pyelography. Renal Sympathetic denervation and Nephropexy (RSD & N) Surgery has proved curable for the condition. Patient and Methods: The reported case in which IVU with erect film shows the IVU7 sign is measure of renal pedicle stretch. Retrograde Pyelography (RGP) showed the internal renal damage while all ancillary imaging were normal. The surgery of RSD & N was used for treatment of the condition. Results: An IVU with erect film and RGP detected the diagnosis and the renal pathology while no other imaging could. Comparing IVU supine and erect revealed the IVU7 sign which is a measure of renal pedicle stretch causing artery stenosis and ischaemia. The findings on RGP show erosion of renal papillae and leakage of contrast medium into renal veins which is the sie of hamaturia. The surgery of RSD & N cured the condition. Conclusion: An IVU with erect film and RGP clinched the diagnosis and revealed the renal pathology while no other imaging could. It should be essential diagnostic investigation in every LPHS case. The surgery of RSD & N cured the condition. Ahmed N Ghanem1*, Khalid A Ghanem2, Nisha Pindoria3 and Salma A Ghanem4 1Consultant Urologist Surgeon, Egypt 2Mansoura University Hospital, Egypt 3North Middlesex University Hospital, London 4Barts & the Royal London NHS Trust, London Ahmed N Ghanem, et al., Annals of Clinical Case Reports Urology Remedy Publications LLC., | http://anncaserep.com/ 2018 | Volume 3 | Article 1552 2 Figure 1: This shows a supine compared to IVY erect film demonstrating right nephroptosis. Figure 2: It shows renal pedicle mapped on a supine IVU film (Horizontal) and erect film (Vertical) limbs of 7 where the renal pedicle is stretched to 3 times its normal length, causing stenosis and ischemia. Figure 3: It shows retrograde pyelography showing erosion of renal papillae and contrast extravasations into renal veins of right kidney where haematuria occurs in an opposite direction. is caused by pedicle stretch causing renal ischaemia as shown on IVU7 sign (Figure 2). The internal renal damage causing pain and haematuria is best shown on RGP (Figure 3). Unfortunately no other investigation including CT and MRI is capable of revealing the pathology of LPHS complicating SN. Upright IVU is currently undone and has not been reported previously in LPHS. Retrograde pyelography findings have not previously been documented in either condition (Figure 3). The use of IVU started early in the 20th century while clinical evidence on the genuineness of SN pain dated back to the 15th century. Loin pain hematuria syndrome was reported in 1967 while Dietl’s crisis is known for centuries [5]. Organic reno-vascular complications demonstrated on conventional arteriography of SN and LPHS are of advanced cases. In view of the new evidence presented here and previously [1,2], the authorities should reconsider SN ","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116650245","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 : 2018-11-28DOI: 10.19080/OAJS.2018.10.555778
Jes Paul
One of the major challenges of today’s society is to call for more knowledge about how to maintain all aspects of cognitive health during the life course. Neuromodulation is an umbrella term which refers to the approach of using physical intervention to interfere with the nervous system and modify its functioning with the purpose of bringing benefits. It aims to restore the function of disrupted neural circuits and to relieve neurological and psychiatric symptoms. Their use in medical treatment, they provide unique opportunities to study brain networks underlying human cognition and emotion.
{"title":"Ingenious Practices in Neurodegenerative Diseases-Cognitive Medicine and Neuromodulation","authors":"Jes Paul","doi":"10.19080/OAJS.2018.10.555778","DOIUrl":"https://doi.org/10.19080/OAJS.2018.10.555778","url":null,"abstract":"One of the major challenges of today’s society is to call for more knowledge about how to maintain all aspects of cognitive health during the life course. Neuromodulation is an umbrella term which refers to the approach of using physical intervention to interfere with the nervous system and modify its functioning with the purpose of bringing benefits. It aims to restore the function of disrupted neural circuits and to relieve neurological and psychiatric symptoms. Their use in medical treatment, they provide unique opportunities to study brain networks underlying human cognition and emotion.","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124413116","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 : 2018-11-15DOI: 10.19080/oajs.2018.10.555776
Georgios Androutsopoulos
{"title":"Does Radical Trachelectomy Represent a Realistic Approach in Early Stage Cervical Cancer?","authors":"Georgios Androutsopoulos","doi":"10.19080/oajs.2018.10.555776","DOIUrl":"https://doi.org/10.19080/oajs.2018.10.555776","url":null,"abstract":"","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128464775","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 : 2018-11-15DOI: 10.19080/OAJS.2018.10.555777
M. G. Albir
{"title":"Cervical Subcutaneous Emphysema and Pneumomediastinum Caused by Perforated Diverticulitis","authors":"M. G. Albir","doi":"10.19080/OAJS.2018.10.555777","DOIUrl":"https://doi.org/10.19080/OAJS.2018.10.555777","url":null,"abstract":"","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121566735","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 : 2018-10-24DOI: 10.19080/oajs.2018.09.555775
María Laura Daza Fernández
{"title":"Is Spontaneous Resolution of Traumatic Tension Pneumothorax Possible? A Case Report and Brief Review of Literature","authors":"María Laura Daza Fernández","doi":"10.19080/oajs.2018.09.555775","DOIUrl":"https://doi.org/10.19080/oajs.2018.09.555775","url":null,"abstract":"","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115418557","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 : 2018-10-15DOI: 10.19080/oajs.2018.09.555773
Bhaskar Chintakayala
Aberrant anatomy of biliary structures like duplication of gallbladder is one of the rare presentations occurring in 1:38004000 births [1]. These congenital anomalies pose a definite risk of biliary injury during operative interventions like laparoscopic cholecystectomy. Precise diagnosis pre-operatively is required for precise plan of management and to make sure both the gallbladders are removed completely without complications. As these anomalies are frequently associated with stone formation due to inadequate bile drainage. Laparoscopic cholecystectomy is the treatment of choice. Abstract
{"title":"Duplication of Gallbladder","authors":"Bhaskar Chintakayala","doi":"10.19080/oajs.2018.09.555773","DOIUrl":"https://doi.org/10.19080/oajs.2018.09.555773","url":null,"abstract":"Aberrant anatomy of biliary structures like duplication of gallbladder is one of the rare presentations occurring in 1:38004000 births [1]. These congenital anomalies pose a definite risk of biliary injury during operative interventions like laparoscopic cholecystectomy. Precise diagnosis pre-operatively is required for precise plan of management and to make sure both the gallbladders are removed completely without complications. As these anomalies are frequently associated with stone formation due to inadequate bile drainage. Laparoscopic cholecystectomy is the treatment of choice. Abstract","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128492553","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 : 2018-09-21DOI: 10.19080/OAJS.2018.09.555772
Dossouvi Tamegnon
Bacterial dermo-hypodernitis are infection of the deep skin layers (dermis and hypodermis) that include non-necrotizing infections (mainly erysipelas) and necrotizing infections characterized by dermis, hypodermis and deep facia necrosis in case of necrotizing fasciitis. Although there is currently no consensus about the treatment of these infections, it is generally recognized that bacterial necrotizing dermohypodermitis and necrotizing fasciitis (BNDH-NF) are serious infections that may be life-threatening and required emergency medico-surgical treatment. Epidemiologic data about these serious infections are nearly inexistent. In occidental countries, BNDH-NF are rare with incidence of 1 case for 1,00,000. In sub-Saharan Africa, studies on BNDH are rare and focus on non-necrotizing infections in hospital medical ward in the big cities (capitals). Data are nearly inexistent in secondary cities where the people have rural activities. The objective of our study is to define epidemiology, clinical characteristics and outcome of BNDH-NF in general surgery ward of Kara-CHU (Togo).
{"title":"Bacterial Necrotizing Dermohypodermitis (BNDH) and Necrotizing Fasciitis (NF) in Surgical Area at CHU-Kara (Togo)","authors":"Dossouvi Tamegnon","doi":"10.19080/OAJS.2018.09.555772","DOIUrl":"https://doi.org/10.19080/OAJS.2018.09.555772","url":null,"abstract":"Bacterial dermo-hypodernitis are infection of the deep skin layers (dermis and hypodermis) that include non-necrotizing infections (mainly erysipelas) and necrotizing infections characterized by dermis, hypodermis and deep facia necrosis in case of necrotizing fasciitis. Although there is currently no consensus about the treatment of these infections, it is generally recognized that bacterial necrotizing dermohypodermitis and necrotizing fasciitis (BNDH-NF) are serious infections that may be life-threatening and required emergency medico-surgical treatment. Epidemiologic data about these serious infections are nearly inexistent. In occidental countries, BNDH-NF are rare with incidence of 1 case for 1,00,000. In sub-Saharan Africa, studies on BNDH are rare and focus on non-necrotizing infections in hospital medical ward in the big cities (capitals). Data are nearly inexistent in secondary cities where the people have rural activities. The objective of our study is to define epidemiology, clinical characteristics and outcome of BNDH-NF in general surgery ward of Kara-CHU (Togo).","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128786065","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 : 2018-07-20DOI: 10.19080/oajs.2018.09.555771
Walid E Abdel Rahim
Heterotaxy in Greek literally means a different arrangement in space. Heterotaxy syndrome is a rare congenital condition that occurs from failure of intra-abdominal and/or intrathoracic organs to rotate correctly during embryologic development, resulting in abnormal arrangement of the organs across the left-right axis of the body [1]. It has two broad subcategories which include polysplenia and asplenia [1]. As most of patients remain asymptomatic; the prevalence of this anomaly remains underestimated, although one study has suggested that 1 in every 2500 people may have heterotaxy syndrome with polysplenia [2]. This condition is mostly detected incidentally in the adults during multi-detector computed tomography scanning for diagnosis of other pathologically related or unrelated complaints as in this reported case [3,4]. Herein authors report unusual anatomical findings that posed many operative challenges during a laparoscopic repair of a hiatus hernia in an adult patient with heterotaxy syndrome. Preoperative radiological evaluation and intra-operative appreciation of the anomalies with considering an alternative feasible technique allowed authors to achieve a safe outcome. Case Report
{"title":"Appreciation of Unique Anatomical Variations During a Laparoscopic Repair of a Hiatus Hernia in an Adult Patient with Heterotaxy Syndrome Allows a Safe Outcome","authors":"Walid E Abdel Rahim","doi":"10.19080/oajs.2018.09.555771","DOIUrl":"https://doi.org/10.19080/oajs.2018.09.555771","url":null,"abstract":"Heterotaxy in Greek literally means a different arrangement in space. Heterotaxy syndrome is a rare congenital condition that occurs from failure of intra-abdominal and/or intrathoracic organs to rotate correctly during embryologic development, resulting in abnormal arrangement of the organs across the left-right axis of the body [1]. It has two broad subcategories which include polysplenia and asplenia [1]. As most of patients remain asymptomatic; the prevalence of this anomaly remains underestimated, although one study has suggested that 1 in every 2500 people may have heterotaxy syndrome with polysplenia [2]. This condition is mostly detected incidentally in the adults during multi-detector computed tomography scanning for diagnosis of other pathologically related or unrelated complaints as in this reported case [3,4]. Herein authors report unusual anatomical findings that posed many operative challenges during a laparoscopic repair of a hiatus hernia in an adult patient with heterotaxy syndrome. Preoperative radiological evaluation and intra-operative appreciation of the anomalies with considering an alternative feasible technique allowed authors to achieve a safe outcome. Case Report","PeriodicalId":118049,"journal":{"name":"Open Access Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114155365","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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