Pub Date : 2017-01-01DOI: 10.5455/aces.20130411010429
E. Weledji
{"title":"SURGICAL MEASURES TO REDUCE SURGICAL SITE INFECTION IN OPEN COLORECTAL SURGERY","authors":"E. Weledji","doi":"10.5455/aces.20130411010429","DOIUrl":"https://doi.org/10.5455/aces.20130411010429","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70763461","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 : 2017-01-01DOI: 10.5455/aces.20160407095740
A. Nayman, Z. Fazlıoğulları, A. Karabulut, Cihat Gun, G. Nabi
In a 74-year old male patient, brachiocephalic trunk and left common carotid artery are sharing a common root (bovine arch) and right vertebral artery (VA) variation was detected incidentally during computed tomography angiography for occlusion of common carotid artery. Right VA branches from the aortic arch (aberrant VA) and forwards retroesophageally and retrotracheally during its course and then entered cervical 7th transverse foramen whereas left VA branches from the subclavian artery and entered cervical 6th transverse foramen. The patient has not any symptom such as dyspnea and dysphagia. The most common anatomic variation of aortic arch is the bovine aortic arch. Incidence of the bovine aortic arch varies between 0.9% 27.4% in the literature. Like in the present case, branching of the right vertebral artery from aortic arch is very rare.
{"title":"An unusual right vertebral artery variation accompanying to bovine arch: A case report","authors":"A. Nayman, Z. Fazlıoğulları, A. Karabulut, Cihat Gun, G. Nabi","doi":"10.5455/aces.20160407095740","DOIUrl":"https://doi.org/10.5455/aces.20160407095740","url":null,"abstract":"In a 74-year old male patient, brachiocephalic trunk and left common carotid artery are sharing a common root (bovine arch) and right vertebral artery (VA) variation was detected incidentally during computed tomography angiography for occlusion of common carotid artery. Right VA branches from the aortic arch (aberrant VA) and forwards retroesophageally and retrotracheally during its course and then entered cervical 7th transverse foramen whereas left VA branches from the subclavian artery and entered cervical 6th transverse foramen. The patient has not any symptom such as dyspnea and dysphagia. The most common anatomic variation of aortic arch is the bovine aortic arch. Incidence of the bovine aortic arch varies between 0.9% 27.4% in the literature. Like in the present case, branching of the right vertebral artery from aortic arch is very rare.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765466","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 : 2017-01-01DOI: 10.5455/aces.20160305075524
P. Bipin, Jose Binu
{"title":"Clinico-pathological features of incidentally detected and symptomatic renal cell carcinomas","authors":"P. Bipin, Jose Binu","doi":"10.5455/aces.20160305075524","DOIUrl":"https://doi.org/10.5455/aces.20160305075524","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765615","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 : 2017-01-01DOI: 10.5455/aces.20161017105619
A.N.C. John, T. Ajith
{"title":"Prevalence and etiology for mandibular and mid-face bone fractures in a tertiary care hospital","authors":"A.N.C. John, T. Ajith","doi":"10.5455/aces.20161017105619","DOIUrl":"https://doi.org/10.5455/aces.20161017105619","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765702","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 : 2017-01-01DOI: 10.5455/aces.20160402123906
A. Karn, B. Mandal, Amshu Pradhan, Shivendra Jha, B. Yadav, P. Shrestha
{"title":"Profile of autopsied homicidal victims of eastern Nepal: An observational study","authors":"A. Karn, B. Mandal, Amshu Pradhan, Shivendra Jha, B. Yadav, P. Shrestha","doi":"10.5455/aces.20160402123906","DOIUrl":"https://doi.org/10.5455/aces.20160402123906","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765842","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 : 2017-01-01DOI: 10.5455/aces.20170115061337
K. Dominic, Davis Dijoe, R. Aravind
Background: The giant cell tumor (GCT) affecting lateral femoral condyle poses problems in reconstruction after the ex tended curettage of the lesion. This study was aimed to analyze the results of cases in which the upper end of fibula was placed upside down to reconstruct the lateral femoral condyle. Methods: Patients with GCT affecting lateral femoral condyle, who underwent treatment at our institution from January 2008 to June 2013, were selected. Imaging and biopsy were done to confirm the diagnosis as well as to plan the surgery. After extended curettage of the lesion, the void was reconstructed with proximal fibula and allograft. The outcome was measured using Musculoskeletal Tumor Society-87 (MSTS) score and subjected to statistical analysis. Results: In this prospective study, twelve cases (mean age 39) were selected. Among the 12 cases, 7 had sustained the pathological fracture. After a minimum of 2 years of follow-up, the mean MSTS scores in cases with or without pathological fracture were 25.85 ± 2.47 and 27.60 ± 0.54, respectively, which was found statistically non-significant (p = 0.155). The recurrence rate was 16.7%, which underwent repeated curettage, and 8.3% had the infection. Conclusion: Treatment of GCT of lateral femoral condyle by extended curettage and reconstruction with proximal fibula seems to be a viable option with a good functional outcome, even in cases with pathological fractures. The biological form of reconstruction has the long term advantage of remodeling and can incorporate with the reconstruction as permanent.
{"title":"Extended curettage and reconstruction with proximal fibula for treating giant cell tumor of lateral femoral condyle: A prospective study","authors":"K. Dominic, Davis Dijoe, R. Aravind","doi":"10.5455/aces.20170115061337","DOIUrl":"https://doi.org/10.5455/aces.20170115061337","url":null,"abstract":"Background: The giant cell tumor (GCT) affecting lateral femoral condyle poses problems in reconstruction after the ex tended curettage of the lesion. This study was aimed to analyze the results of cases in which the upper end of fibula was placed upside down to reconstruct the lateral femoral condyle. Methods: Patients with GCT affecting lateral femoral condyle, who underwent treatment at our institution from January 2008 to June 2013, were selected. Imaging and biopsy were done to confirm the diagnosis as well as to plan the surgery. After extended curettage of the lesion, the void was reconstructed with proximal fibula and allograft. The outcome was measured using Musculoskeletal Tumor Society-87 (MSTS) score and subjected to statistical analysis. Results: In this prospective study, twelve cases (mean age 39) were selected. Among the 12 cases, 7 had sustained the pathological fracture. After a minimum of 2 years of follow-up, the mean MSTS scores in cases with or without pathological fracture were 25.85 ± 2.47 and 27.60 ± 0.54, respectively, which was found statistically non-significant (p = 0.155). The recurrence rate was 16.7%, which underwent repeated curettage, and 8.3% had the infection. Conclusion: Treatment of GCT of lateral femoral condyle by extended curettage and reconstruction with proximal fibula seems to be a viable option with a good functional outcome, even in cases with pathological fractures. The biological form of reconstruction has the long term advantage of remodeling and can incorporate with the reconstruction as permanent.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765943","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 : 2017-01-01DOI: 10.5455/aces.20170825113026
A. Gokyar, C. Çokluk
Aims: Detection of the lesion location seated deep in the brain parenchyma and major neuroanatomical sites is an extremely important issue in the practice of neurosurgery. Some type of neurosurgical clinical cranial navigation systems is available in the market. Before using this navigation system in an operation, it needs some preparation period including obtaining of some specific neuro-radiological images and software installation with complex computer programs. In this experimental study, it was evaluated that usage of projecting augmented reality technique simply produced from external image projector in the localization and finding of the frontal horn of the lateral ventricle in the fresh cadaveric uncovered cattle brain. Methods: Fresh cadaveric cattle brains equally selected in terms of size and weight were used for this experimental study. Eleven brains were axially sliced from a superior to inferior direction to obtain of master JPEG image of each section. The original magnification was kept by using a ruler placed on the right lateral of the images. All images were transferred into the computer. The axially sectioned speci men demo images’ including the lateral ventricle section was projected over the integrated specimens over the superior face. A puncturing needle was inserted from surface to the frontal horn of the lateral ventricle of the fresh cadaveric cattle brain according to the guidance of augmented reality images. Coronal sectioning was performed at the level of puncturing needle-inserting site in order to check the correct location of the needle tip. Results: Twenty-two fresh cadaveric cow brains were used in this experimental study. The brains were grouped into two categories as image generation (n=11) (Group I) and intervention (n=11) (Group II). In two (18. 18%) of the experimental model, the location of the needle was found bad. Average results were achieved in six (54. 54%) of the fresh cadaveric cow brains. In the remaining three (27. 28%) of the cow brains, the location of the needle tip was found in good location. The successful results were obtained in nine (81. 82%) of the experimental materials using image projecting augmented reality technique in fresh cadaveric cow brains. Conclusion: In conclusion, the augmented reality procedure may enhance the ability of locating lesion and the detection of neuroanatomi cal sites. There are different types of augmented reality procedures which can be used for neurosurgical procedures. Some of augmented reality procedures are complicated, difficult and time requiring procedure before ready to be uses in the operating room. The usage of sim ple and fast augmented reality procedure created with projecting of the images over the brain surface was evaluated in this experimental study. The results of this study revealed that the image projecting augmented reality procedure is a safe, fast, and simple procedure. It also shows that the procedure provides the accurate location of the
{"title":"Evaluation of the usability of image projecting augmented reality technique: An experimental study on fresh cadaveric cattle brain","authors":"A. Gokyar, C. Çokluk","doi":"10.5455/aces.20170825113026","DOIUrl":"https://doi.org/10.5455/aces.20170825113026","url":null,"abstract":"Aims: Detection of the lesion location seated deep in the brain parenchyma and major neuroanatomical sites is an extremely important issue in the practice of neurosurgery. Some type of neurosurgical clinical cranial navigation systems is available in the market. Before using this navigation system in an operation, it needs some preparation period including obtaining of some specific neuro-radiological images and software installation with complex computer programs. In this experimental study, it was evaluated that usage of projecting augmented reality technique simply produced from external image projector in the localization and finding of the frontal horn of the lateral ventricle in the fresh cadaveric uncovered cattle brain. Methods: Fresh cadaveric cattle brains equally selected in terms of size and weight were used for this experimental study. Eleven brains were axially sliced from a superior to inferior direction to obtain of master JPEG image of each section. The original magnification was kept by using a ruler placed on the right lateral of the images. All images were transferred into the computer. The axially sectioned speci men demo images’ including the lateral ventricle section was projected over the integrated specimens over the superior face. A puncturing needle was inserted from surface to the frontal horn of the lateral ventricle of the fresh cadaveric cattle brain according to the guidance of augmented reality images. Coronal sectioning was performed at the level of puncturing needle-inserting site in order to check the correct location of the needle tip. Results: Twenty-two fresh cadaveric cow brains were used in this experimental study. The brains were grouped into two categories as image generation (n=11) (Group I) and intervention (n=11) (Group II). In two (18. 18%) of the experimental model, the location of the needle was found bad. Average results were achieved in six (54. 54%) of the fresh cadaveric cow brains. In the remaining three (27. 28%) of the cow brains, the location of the needle tip was found in good location. The successful results were obtained in nine (81. 82%) of the experimental materials using image projecting augmented reality technique in fresh cadaveric cow brains. Conclusion: In conclusion, the augmented reality procedure may enhance the ability of locating lesion and the detection of neuroanatomi cal sites. There are different types of augmented reality procedures which can be used for neurosurgical procedures. Some of augmented reality procedures are complicated, difficult and time requiring procedure before ready to be uses in the operating room. The usage of sim ple and fast augmented reality procedure created with projecting of the images over the brain surface was evaluated in this experimental study. The results of this study revealed that the image projecting augmented reality procedure is a safe, fast, and simple procedure. It also shows that the procedure provides the accurate location of the ","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766753","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 : 2017-01-01DOI: 10.5455/aces.20151012124332
A. Tamura, H. Nakata, T. Yoshizaki, Sho Kusadokoro
{"title":"A case of neuroleptic malignant syndrome following cardiac surgery","authors":"A. Tamura, H. Nakata, T. Yoshizaki, Sho Kusadokoro","doi":"10.5455/aces.20151012124332","DOIUrl":"https://doi.org/10.5455/aces.20151012124332","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765215","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 : 2017-01-01DOI: 10.5455/ACES.20151020060526
Ankit Shukla, Ramesh Bharti, Satish Kumar, R. Chaudhary
Internal hernia, as the cause of acute intestinal obstruction, is rare and sigmoid hernia is not one of the most common internal hernias. Moreover, intramesosigmod hernias are of the rarest variety. Establishing precise preoperative clinical diagnosis is a challenge for a surgeon. Strangulated sigmoid hernia has high morbidity and mortality. Prompt exploration has to be undertaken based on clinical signs and symptoms rather than searching for the exact cause of obstruction. Here, an extremely rare case of intramesosigmoid hernia is presented with a defect in the medial leaf of the mesentery leading to small bowel obstruction.
{"title":"Dealing with intramesosigmoid hernia: A rare variety of internal hernia","authors":"Ankit Shukla, Ramesh Bharti, Satish Kumar, R. Chaudhary","doi":"10.5455/ACES.20151020060526","DOIUrl":"https://doi.org/10.5455/ACES.20151020060526","url":null,"abstract":"Internal hernia, as the cause of acute intestinal obstruction, is rare and sigmoid hernia is not one of the most common internal hernias. Moreover, intramesosigmod hernias are of the rarest variety. Establishing precise preoperative clinical diagnosis is a challenge for a surgeon. Strangulated sigmoid hernia has high morbidity and mortality. Prompt exploration has to be undertaken based on clinical signs and symptoms rather than searching for the exact cause of obstruction. Here, an extremely rare case of intramesosigmoid hernia is presented with a defect in the medial leaf of the mesentery leading to small bowel obstruction.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"104-107"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765410","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 : 2017-01-01DOI: 10.5455/aces.20160201043026
B. Alkan, M. Cosar, M. Güven, A. Aras, T. Akman
Objective: The aim of this study was to radiologically and clinically compare the polyetheretherketone (PEEK) cage and cervical disc prostheses used in anterior cervical microdiscectomy operations during the postoperative period. Methods: The study evaluated 25 cervical disc hernia patients. The cervical disc prosthesis group (Group A) comprised 10 patients while the PEEK cage group (Group B) comprised 15 patients. Before and after the operation, the cervical graphics from radiological monitoring and VAS, NDI and Odom scores from clinical monitoring were used. The patients’ preoperative and postoperative cervical graphics disc height, cervical axis and segmental angles were evaluated to determine statistical relationships with neurological situation and quality of life. Results: In the cervical disc prosthesis group (Group A) in the early postoperative period (3rd week), 3rd month and late period (18-36 months), the intervertebral disc height measurements were significantly higher than the cervical PEEK cage group (Group B) (early p
{"title":"Comparison of polyetheretherketone (PEEK) cage and cervical disc prostheses used in anterior cervical microscopic discectomy operations","authors":"B. Alkan, M. Cosar, M. Güven, A. Aras, T. Akman","doi":"10.5455/aces.20160201043026","DOIUrl":"https://doi.org/10.5455/aces.20160201043026","url":null,"abstract":"Objective: The aim of this study was to radiologically and clinically compare the polyetheretherketone (PEEK) cage and cervical disc prostheses used in anterior cervical microdiscectomy operations during the postoperative period. Methods: The study evaluated 25 cervical disc hernia patients. The cervical disc prosthesis group (Group A) comprised 10 patients while the PEEK cage group (Group B) comprised 15 patients. Before and after the operation, the cervical graphics from radiological monitoring and VAS, NDI and Odom scores from clinical monitoring were used. The patients’ preoperative and postoperative cervical graphics disc height, cervical axis and segmental angles were evaluated to determine statistical relationships with neurological situation and quality of life. Results: In the cervical disc prosthesis group (Group A) in the early postoperative period (3rd week), 3rd month and late period (18-36 months), the intervertebral disc height measurements were significantly higher than the cervical PEEK cage group (Group B) (early p","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765605","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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