K. Murray, J. L. Francois, Saamia Shaikh, Ahmad Hlayhel, Toghrul Talishinskiy
{"title":"Surgical Management of Duodenal Perforation in a Patient With Gardner Syndrome and Abdominal Wall Reconstruction","authors":"K. Murray, J. L. Francois, Saamia Shaikh, Ahmad Hlayhel, Toghrul Talishinskiy","doi":"10.14740/jcs443","DOIUrl":"https://doi.org/10.14740/jcs443","url":null,"abstract":"","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84373447","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}
{"title":"Validation Study of a Novel Chest Tube Placement Device: Comparison of Procedure Time and Lung Injury Risk Between the JD Hook® Device and Conventional Chest Tube Placement Devices","authors":"J. Durrani","doi":"10.14740/jcs447","DOIUrl":"https://doi.org/10.14740/jcs447","url":null,"abstract":"","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90922472","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}
Hanzhang Dong, Xi Liu, Mingjian Luo, Shaobiao Ke, Jiulin Zhan, Zhiwei Li
{"title":"Laparoscopic Treatment of Liver Abscess by a Fishbone Impaction: A Case Report","authors":"Hanzhang Dong, Xi Liu, Mingjian Luo, Shaobiao Ke, Jiulin Zhan, Zhiwei Li","doi":"10.14740/jcs444","DOIUrl":"https://doi.org/10.14740/jcs444","url":null,"abstract":"","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78692584","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}
Mohammed Elassa, J. Gómez, Michael Grinn, D. Christian
Laparoscopic entry into the abdomen with subsequent insufflation can be achieved via an open or closed approach. A risk that is often overlooked as a result of its rarity is a venous air embolism (VAE) from carbon dioxide (CO 2 ) insufflation. Although both closed and open techniques of entry into the abdomen contribute to an extremely low risk for VAE, when the effects are clinically significant the mortality rate has been reported to be as high as 28%. In this report we present a case of a 64-year-old female who underwent a closed approach for entry into the abdomen for elective hepatic cystectomy, who subsequently went into cardiopulmonary arrest and was found to have imaging findings suggestive of VAE localized to the portal vein. Successful management decisions presented in this case report will serve as possible options for physicians to employ when encountering a similar intraoperative complication. J Curr Surg. 2021;11(2):42-45 doi: https://doi.org/10.14740/jcs436
{"title":"Compressions for Portal Vein Air Embolism Evacuation","authors":"Mohammed Elassa, J. Gómez, Michael Grinn, D. Christian","doi":"10.14740/jcs436","DOIUrl":"https://doi.org/10.14740/jcs436","url":null,"abstract":"Laparoscopic entry into the abdomen with subsequent insufflation can be achieved via an open or closed approach. A risk that is often overlooked as a result of its rarity is a venous air embolism (VAE) from carbon dioxide (CO 2 ) insufflation. Although both closed and open techniques of entry into the abdomen contribute to an extremely low risk for VAE, when the effects are clinically significant the mortality rate has been reported to be as high as 28%. In this report we present a case of a 64-year-old female who underwent a closed approach for entry into the abdomen for elective hepatic cystectomy, who subsequently went into cardiopulmonary arrest and was found to have imaging findings suggestive of VAE localized to the portal vein. Successful management decisions presented in this case report will serve as possible options for physicians to employ when encountering a similar intraoperative complication. J Curr Surg. 2021;11(2):42-45 doi: https://doi.org/10.14740/jcs436","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75834526","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}
N. Machado, T. Jackson, A. Arumugham, D. Jeyarajah
Post-pancreatectomy hemorrhage (PPH) is known to be a significant cause of post-operative morbidity. In this article we discuss the utility of intra-arterial vasopressin infusion in controlling PPH that is not amenable to more traditional methods of endoscopic or interventional radiology (IR) interventions. While not considered one of the first-line modalities, intra-arterial vasopressin finds a role in specific cases; and our aim is to familiarize current surgical trainees with this treatment modality, which can prove invaluable in challenging clinical situations. J Curr Surg. 2021;11(2):39-41 doi: https://doi.org/10.14740/jcs420
{"title":"Intra-Arterial Vasopressin in Post-Pancreatectomy Hemorrhage: Re-Familiarizing Current Surgical Trainees With a Once Novel Technique","authors":"N. Machado, T. Jackson, A. Arumugham, D. Jeyarajah","doi":"10.14740/jcs420","DOIUrl":"https://doi.org/10.14740/jcs420","url":null,"abstract":"Post-pancreatectomy hemorrhage (PPH) is known to be a significant cause of post-operative morbidity. In this article we discuss the utility of intra-arterial vasopressin infusion in controlling PPH that is not amenable to more traditional methods of endoscopic or interventional radiology (IR) interventions. While not considered one of the first-line modalities, intra-arterial vasopressin finds a role in specific cases; and our aim is to familiarize current surgical trainees with this treatment modality, which can prove invaluable in challenging clinical situations. J Curr Surg. 2021;11(2):39-41 doi: https://doi.org/10.14740/jcs420","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75404778","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}
Traumatic brain injury (TBI) and its consequences on cognitive function has been a long debated topic. In this article, we try to review available literature that tries to explain the consequences of head injury, the change in cerebral flow dynamics and other neurochemical changes that play a role in the development of neurocognitive deficits and other symptoms as a consequence of TBI. J Curr Surg. 2021;11(2):29-34 doi: https://doi.org/10.14740/jcs441
创伤性脑损伤及其对认知功能的影响是一个长期争论的话题。在这篇文章中，我们试图回顾现有的文献，试图解释脑损伤的后果，脑血流动力学的变化和其他神经化学变化，这些变化在脑外伤引起的神经认知缺陷和其他症状的发展中起作用。contemporary surgery . 2021;11(2):29-34 doi: https://doi.org/10.14740/jcs441
{"title":"Risk of Dementia in Head Injuries and the Role of Altered Cerebral Blood Flow","authors":"Satish Gaddam","doi":"10.14740/jcs441","DOIUrl":"https://doi.org/10.14740/jcs441","url":null,"abstract":"Traumatic brain injury (TBI) and its consequences on cognitive function has been a long debated topic. In this article, we try to review available literature that tries to explain the consequences of head injury, the change in cerebral flow dynamics and other neurochemical changes that play a role in the development of neurocognitive deficits and other symptoms as a consequence of TBI. J Curr Surg. 2021;11(2):29-34 doi: https://doi.org/10.14740/jcs441","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76990874","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}
M. Darwish, H. Osman, E. Cho, Wareef Kabbani, T. Jackson, K. Nagatomo, D. Jeyarajah
The World Health Organization (WHO) defines intracholecystic papillary neoplasms (ICPNs) as gallbladder lesions of intraductal papillary neoplasms of the bile duct (IPNB). We present a case of ICPN that was incidentally diagnosed following a cholecystectomy for cholecystitis and cholelithiasis. Abdominal ultrasonography and computed tomography showed thickening of the gallbladder wall and cholelithiasis but were not specific for a gallbladder tumor. Histopathological examination revealed an intracholecystic papillary-tubular neoplasm associated with a moderately differentiated adenocarcinoma. J Curr Surg. 2021;11(2):35-38 doi: https://doi.org/10.14740/jcs408
{"title":"A Case of Intracholecystic Papillary-Tubular Neoplasm","authors":"M. Darwish, H. Osman, E. Cho, Wareef Kabbani, T. Jackson, K. Nagatomo, D. Jeyarajah","doi":"10.14740/jcs408","DOIUrl":"https://doi.org/10.14740/jcs408","url":null,"abstract":"The World Health Organization (WHO) defines intracholecystic papillary neoplasms (ICPNs) as gallbladder lesions of intraductal papillary neoplasms of the bile duct (IPNB). We present a case of ICPN that was incidentally diagnosed following a cholecystectomy for cholecystitis and cholelithiasis. Abdominal ultrasonography and computed tomography showed thickening of the gallbladder wall and cholelithiasis but were not specific for a gallbladder tumor. Histopathological examination revealed an intracholecystic papillary-tubular neoplasm associated with a moderately differentiated adenocarcinoma. J Curr Surg. 2021;11(2):35-38 doi: https://doi.org/10.14740/jcs408","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73173497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The formation of an abdominal stoma is a commonly performed procedure in gastrointestinal surgery. Common complications include parastomal hernia, stomal necrosis, stomal prolapse, stenosis and secondary effects to surrounding skin. Transstomal evisceration is an extremely rare complication with only two previous reported cases. We present a unique case of transstomal evisceration of small bowel secondary to blunt force trauma. In addition, parastomal evisceration is also uncommon with only 15 reported cases. These conditions require emergent operative intervention due to the risk of ischemic injury to eviscerated contents. J Curr Surg. 2021;11(2):46-50 doi: https://doi.org/10.14740/jcs438
{"title":"Colonic Perforation and Transstomal Evisceration of Small Bowel","authors":"J. Cecire, Amita Sarkar, W. Ross, A. Sutherland","doi":"10.14740/jcs438","DOIUrl":"https://doi.org/10.14740/jcs438","url":null,"abstract":"The formation of an abdominal stoma is a commonly performed procedure in gastrointestinal surgery. Common complications include parastomal hernia, stomal necrosis, stomal prolapse, stenosis and secondary effects to surrounding skin. Transstomal evisceration is an extremely rare complication with only two previous reported cases. We present a unique case of transstomal evisceration of small bowel secondary to blunt force trauma. In addition, parastomal evisceration is also uncommon with only 15 reported cases. These conditions require emergent operative intervention due to the risk of ischemic injury to eviscerated contents. J Curr Surg. 2021;11(2):46-50 doi: https://doi.org/10.14740/jcs438","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89472995","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}
S. Ojha, M. Darwish, P. McLaren, A. Benzie, E. Cho, H. Osman, D. Jeyarajah
Lymphangiomas are rare, benign tumors of the lymphatic system. They are formed through congenital malformation leading to lymphangiectasias. Thus, lymphangiomas are mostly seen in children and infants. Lymphangiomas are a benign lesion, therefore, if the patient is asymptomatic and the lesion is stable, complete surgical resection is not required and imaging surveillance is the preferred method of follow-up. This study reports a rare presentation of lymphangioma in the pancreas. J Curr Surg. 2021;11(1):24-27 doi: https://doi.org/10.14740/jcs432
{"title":"Pancreatic Cystic Lymphangioma: Case Report and Literature Review","authors":"S. Ojha, M. Darwish, P. McLaren, A. Benzie, E. Cho, H. Osman, D. Jeyarajah","doi":"10.14740/JCS432","DOIUrl":"https://doi.org/10.14740/JCS432","url":null,"abstract":"Lymphangiomas are rare, benign tumors of the lymphatic system. They are formed through congenital malformation leading to lymphangiectasias. Thus, lymphangiomas are mostly seen in children and infants. Lymphangiomas are a benign lesion, therefore, if the patient is asymptomatic and the lesion is stable, complete surgical resection is not required and imaging surveillance is the preferred method of follow-up. This study reports a rare presentation of lymphangioma in the pancreas. J Curr Surg. 2021;11(1):24-27 doi: https://doi.org/10.14740/jcs432","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"46 1","pages":"24-27"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74500976","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}
E. Interlandi, Francesco Pellegrini, Paul Nderitu, Lorenzo Motta, E. Mandarà, D. Cirone
Pneumatic retinopexy is a surgical option for the treatment of retinal detachment. Although it is a generally safe procedure, it can be associated with a number of complications. We report a case of a 52-year-old man with a history of penetrating keratoplasty for keratoconus who underwent sulfur hexafluoride pneumatic retinopexy for a left acute rhegmatogenous macula-on retinal detachment. During the procedure, the patient suffered from a rare complication, a gas bubble that completely filled the anterior chamber during a pressure releasing paracentesis. The complication was successfully managed by extracting the gas with a cannula technique. In this case report, we discuss the current literature, possible etiologies and an approach to successful management for this rare complication. J Curr Surg. 2021;11(1):21-23 doi: https://doi.org/10.14740/jcs434
{"title":"A Rare Case of Anterior Chamber SF6 Gas as a Complication of Pneumatic Retinopexy","authors":"E. Interlandi, Francesco Pellegrini, Paul Nderitu, Lorenzo Motta, E. Mandarà, D. Cirone","doi":"10.14740/JCS434","DOIUrl":"https://doi.org/10.14740/JCS434","url":null,"abstract":"Pneumatic retinopexy is a surgical option for the treatment of retinal detachment. Although it is a generally safe procedure, it can be associated with a number of complications. We report a case of a 52-year-old man with a history of penetrating keratoplasty for keratoconus who underwent sulfur hexafluoride pneumatic retinopexy for a left acute rhegmatogenous macula-on retinal detachment. During the procedure, the patient suffered from a rare complication, a gas bubble that completely filled the anterior chamber during a pressure releasing paracentesis. The complication was successfully managed by extracting the gas with a cannula technique. In this case report, we discuss the current literature, possible etiologies and an approach to successful management for this rare complication. J Curr Surg. 2021;11(1):21-23 doi: https://doi.org/10.14740/jcs434","PeriodicalId":93115,"journal":{"name":"Journal of current surgery","volume":"2 1","pages":"21-23"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87460009","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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