D. Aziz, Ramamoorthy Velayutham, Marjmin Osman, Z. Latiff, Felicia Lim, Mahmud Mohd Nor
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 33–44 Open Access Surgery Dovepress
{"title":"Anorectal anomaly with rectovestibular fistula: a historical comparison of neonatal anterior sagittal anorectoplasty without covering colostomy and postoperative anal dilatation to the classical three-stage posterior sagittal anorectoplasty","authors":"D. Aziz, Ramamoorthy Velayutham, Marjmin Osman, Z. Latiff, Felicia Lim, Mahmud Mohd Nor","doi":"10.2147/OAS.S137904","DOIUrl":"https://doi.org/10.2147/OAS.S137904","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 33–44 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"10 1","pages":"33-44"},"PeriodicalIF":1.0,"publicationDate":"2017-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S137904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46425428","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}
T. Ayele, B. M. Zeleke, G. Tessema, Melkitu Fentie Melak
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 25–31 Open Access Surgery Dovepress
并纳入知识共享署名-非商业(未移植，v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品，您在此接受这些条款。允许非商业用途的工作，没有任何进一步的许可，从多芬医学出版社有限公司，只要工作适当署名。关于本作品的商业使用许可，请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。Open Access Surgery 2017:10 25-31
{"title":"Magnitude and patterns of injuries among patients in Gondar University Hospital, northwest Ethiopia: an institutional-based study","authors":"T. Ayele, B. M. Zeleke, G. Tessema, Melkitu Fentie Melak","doi":"10.2147/OAS.S126043","DOIUrl":"https://doi.org/10.2147/OAS.S126043","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 25–31 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"10 1","pages":"25-31"},"PeriodicalIF":1.0,"publicationDate":"2017-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S126043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42697492","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}
: Gastric volvulus is the abnormal torsion of the stomach along its short or long axis. Most patients who experience gastric volvulus present with mild or intermittent gastric obstructive symptoms. However, severe acute gastric volvulus can result in complete gastric outlet obstruction and ischemia. Consequently, acute gastric volvulus warrants immediate evaluation and management. The goals of management are to relieve the obstruction and prevent recurrent volvulus. Techniques to manage gastric volvulus depend on patient characteristics and the presence of gastric ischemia. In the absence of gastric ischemia, gastric volvulus can be managed with anterior abdominal wall gastropexy or paraesophageal hernia repair. If gastric ischemia is present, operative resection of the affected portion of the stomach is indicated. When operative management is indicated, many patients with gastric volvulus can be managed with minimally invasive (laparoscopic, endoscopic, or laparoendoscopic) techniques. around the peri-operative period and patient outcomes are key for the journal. All grades of from minor interventions to major surgical procedures covered. Novel techniques the utilization of new instruments and materials, including and that optimize interest.
{"title":"Managing obstructive gastric volvulus: challenges and solutions","authors":"H. A. Rodríguez-García, A. Wright, R. Yates","doi":"10.2147/OAS.S91357","DOIUrl":"https://doi.org/10.2147/OAS.S91357","url":null,"abstract":": Gastric volvulus is the abnormal torsion of the stomach along its short or long axis. Most patients who experience gastric volvulus present with mild or intermittent gastric obstructive symptoms. However, severe acute gastric volvulus can result in complete gastric outlet obstruction and ischemia. Consequently, acute gastric volvulus warrants immediate evaluation and management. The goals of management are to relieve the obstruction and prevent recurrent volvulus. Techniques to manage gastric volvulus depend on patient characteristics and the presence of gastric ischemia. In the absence of gastric ischemia, gastric volvulus can be managed with anterior abdominal wall gastropexy or paraesophageal hernia repair. If gastric ischemia is present, operative resection of the affected portion of the stomach is indicated. When operative management is indicated, many patients with gastric volvulus can be managed with minimally invasive (laparoscopic, endoscopic, or laparoendoscopic) techniques. around the peri-operative period and patient outcomes are key for the journal. All grades of from minor interventions to major surgical procedures covered. Novel techniques the utilization of new instruments and materials, including and that optimize interest.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"10 1","pages":"15-24"},"PeriodicalIF":1.0,"publicationDate":"2017-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S91357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47156024","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}
A. Borgognone, G. Gherardini, Luigi Gliosci, D. D'Andria
Several incisions have been proposed for the insertion of breast implants, but it is still debated which is the most conservative for the integrity of the prosthesis. There are no reports comparing periareolar and inframammary incisions on a mathematical basis. This study analyzed the efficacy of the two incisions through a detailed comparison based on increasing incision lengths to enable a more directed clinical choice. Materials and methods: An 8-cm scale was plotted, representing either the linear section of an inframammary incision or the diameter of an ideal circumference; the corresponding hemi-circumference was calculated, and the advantage in length of the curvilinear section was determined. The data analysis confirmed a statistically significant increase of 36% in length when a curvilinear section was compared to an inframammary fold incision of the same length as the diameter of the related curvilinear section. A periareolar incision may be a more effective technique to reduce the mechanical stress over cohesive gel breast implants during its insertion. periareolar incision, inframammary incision, comparison of mammary incisions, breast implant incisions
{"title":"Is periareolar incision a suitable option for breast surgery? A mathematical comparison between periareolar and inframammary fold approaches","authors":"A. Borgognone, G. Gherardini, Luigi Gliosci, D. D'Andria","doi":"10.2147/OAS.S126714","DOIUrl":"https://doi.org/10.2147/OAS.S126714","url":null,"abstract":"Several incisions have been proposed for the insertion of breast implants, but it is still debated which is the most conservative for the integrity of the prosthesis. There are no reports comparing periareolar and inframammary incisions on a mathematical basis. This study analyzed the efficacy of the two incisions through a detailed comparison based on increasing incision lengths to enable a more directed clinical choice. Materials and methods: An 8-cm scale was plotted, representing either the linear section of an inframammary incision or the diameter of an ideal circumference; the corresponding hemi-circumference was calculated, and the advantage in length of the curvilinear section was determined. The data analysis confirmed a statistically significant increase of 36% in length when a curvilinear section was compared to an inframammary fold incision of the same length as the diameter of the related curvilinear section. A periareolar incision may be a more effective technique to reduce the mechanical stress over cohesive gel breast implants during its insertion. periareolar incision, inframammary incision, comparison of mammary incisions, breast implant incisions","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"10 1","pages":"9-14"},"PeriodicalIF":1.0,"publicationDate":"2017-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S126714","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45128672","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}
Ankur S. Narain, Fady Y. Hijji, D. Bohl, Kelly H. Yom, Krishna T. Kudaravalli, Kern Singh
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 1–8 Open Access Surgery Dovepress
{"title":"Two-level cervical disc replacement: perspectives and patient selection","authors":"Ankur S. Narain, Fady Y. Hijji, D. Bohl, Kelly H. Yom, Krishna T. Kudaravalli, Kern Singh","doi":"10.2147/OAS.S110908","DOIUrl":"https://doi.org/10.2147/OAS.S110908","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2017:10 1–8 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"10 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2017-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S110908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47586779","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}
and prophylactic on admission was noted for each patient. The patient was then subsequently re-evaluated during the hospitalization using the same criteria. Additional information obtained included demographic data, prior surgery, hospital-length of stay, prior history of DVT, and whether or not prophylaxis was appropriate initially and on reassessment. A one-way analysis of variance was then performed. Results: Among the 96 enrolled patients, 76 progressed in their VTE risk resulting in change of risk category. Change by one category of risk occurred in 33 patients, two categories occurred in 19 patients, and three categories occurred in 24 patients. In addition to change in risk category, the need for change in prophylaxis was also evaluated in these patients by comparing percentage of patients given appropriate prophylaxis initially and again on re-evaluation. Discussion: We feel that repeated reassessment of VTE risk throughout a hospital stay is indi-cated. Prophylactic measures based on risk should also be adjusted accordingly.
{"title":"Evolution of venous thromboembolism risk assessment in trauma and surgical patients","authors":"Krishna Akella, A. Chendrasekhar","doi":"10.2147/OAS.S106272","DOIUrl":"https://doi.org/10.2147/OAS.S106272","url":null,"abstract":"and prophylactic on admission was noted for each patient. The patient was then subsequently re-evaluated during the hospitalization using the same criteria. Additional information obtained included demographic data, prior surgery, hospital-length of stay, prior history of DVT, and whether or not prophylaxis was appropriate initially and on reassessment. A one-way analysis of variance was then performed. Results: Among the 96 enrolled patients, 76 progressed in their VTE risk resulting in change of risk category. Change by one category of risk occurred in 33 patients, two categories occurred in 19 patients, and three categories occurred in 24 patients. In addition to change in risk category, the need for change in prophylaxis was also evaluated in these patients by comparing percentage of patients given appropriate prophylaxis initially and again on re-evaluation. Discussion: We feel that repeated reassessment of VTE risk throughout a hospital stay is indi-cated. Prophylactic measures based on risk should also be adjusted accordingly.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"9 1","pages":"85-88"},"PeriodicalIF":1.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S106272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68422819","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}
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2016:9 71–83 Open Access Surgery Dovepress
并纳入知识共享署名-非商业(未移植，v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品，您在此接受这些条款。允许非商业用途的工作，没有任何进一步的许可，从多芬医学出版社有限公司，只要工作适当署名。关于本作品的商业使用许可，请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。Open Access Surgery 2016:9 71-83
{"title":"Transanal endoscopic surgery: patient selection and perspectives","authors":"A. Petrucci, D. Sands","doi":"10.2147/OAS.S113072","DOIUrl":"https://doi.org/10.2147/OAS.S113072","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery 2016:9 71–83 Open Access Surgery Dovepress","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"9 1","pages":"71-83"},"PeriodicalIF":1.0,"publicationDate":"2016-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S113072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68422659","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}
: Hirschsprung disease is a complex congenital condition of the intestine, which is recognized as being of genetic origin and results from a disturbance of the normal development of the enteric nervous system. As a result, aganglionosis of the distal bowel occurs. It is the most common cause of a low intestinal obstruction in the neonate as well as older children. Occurring as an isolated condition in 70% of cases, it may be associated with other associated congenital abnormalities as well as a number of syndromic phenotypes. A number of distinct genetic sites have been identified in these syndromic phenotypes, which identify potential underlying genetic associations of the disease and indicate the probable gene–gene interaction in its pathogenesis. This review
{"title":"Hirschsprung disease: current perspectives","authors":"S. Moore","doi":"10.2147/OAS.S81552","DOIUrl":"https://doi.org/10.2147/OAS.S81552","url":null,"abstract":": Hirschsprung disease is a complex congenital condition of the intestine, which is recognized as being of genetic origin and results from a disturbance of the normal development of the enteric nervous system. As a result, aganglionosis of the distal bowel occurs. It is the most common cause of a low intestinal obstruction in the neonate as well as older children. Occurring as an isolated condition in 70% of cases, it may be associated with other associated congenital abnormalities as well as a number of syndromic phenotypes. A number of distinct genetic sites have been identified in these syndromic phenotypes, which identify potential underlying genetic associations of the disease and indicate the probable gene–gene interaction in its pathogenesis. This review","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"9 1","pages":"39-50"},"PeriodicalIF":1.0,"publicationDate":"2016-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S81552","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68425735","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}
incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery
{"title":"Epidural block and neostigmine cause anastomosis leak","authors":"Getu Ataro","doi":"10.2147/OAS.S105594","DOIUrl":"https://doi.org/10.2147/OAS.S105594","url":null,"abstract":"incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Open Access Surgery","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"13 1","pages":"37-38"},"PeriodicalIF":1.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S105594","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68422762","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}
Orbital defect, arising from tumor-related resections, trauma, and congenital anoma- lies, can lead to negative functional and psychological effects in the patients. Rehabilitation with an orbital prosthesis can provide satisfactory aesthetic outlook and can be combined with surgical reconstruction to improve the retention. Despite less than ideal properties, silicone elastomer is the most commonly used material to fabricate orbital prosthesis. Several studies have been conducted on developing newer materials and improving the properties of silicone elastomer. Craniofacial implants offer greater retention compared to adhesives, but they have been observed to have a higher risk of implant failure and related side effects when placed in irradiated bone. This review gives a scope on understanding the current challenges faced during fabrication of orbital prosthesis and the future directions of this field.
{"title":"Orbital prosthesis fabrication: current challenges and future aspects","authors":"Binit Shrestha, Sita Thaworanunta","doi":"10.2147/OAS.S81435","DOIUrl":"https://doi.org/10.2147/OAS.S81435","url":null,"abstract":"Orbital defect, arising from tumor-related resections, trauma, and congenital anoma- lies, can lead to negative functional and psychological effects in the patients. Rehabilitation with an orbital prosthesis can provide satisfactory aesthetic outlook and can be combined with surgical reconstruction to improve the retention. Despite less than ideal properties, silicone elastomer is the most commonly used material to fabricate orbital prosthesis. Several studies have been conducted on developing newer materials and improving the properties of silicone elastomer. Craniofacial implants offer greater retention compared to adhesives, but they have been observed to have a higher risk of implant failure and related side effects when placed in irradiated bone. This review gives a scope on understanding the current challenges faced during fabrication of orbital prosthesis and the future directions of this field.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"9 1","pages":"21-28"},"PeriodicalIF":1.0,"publicationDate":"2016-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/OAS.S81435","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68425533","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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