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Articles Related to surgery

Comparison of Outcomes Following Revisional Laparoscopic Gastric Band, Sleeve Gastrectomy and Roux-En-Y Gastric Bypass

The number of bariatric procedures being performed worldwide has increased markedly over the past two decades and this has led to revisional bariatric surgery being increasingly performed.
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Immediate Mandibular Reconstruction with Vascularized Iliac Crest Flap Following Wide Ameloblastoma Resection: Two Case Reports

Ameloblastoma is a benign odontogenic tumor, comprising 1% of all tumors and cysts of the jaws. A lot of the patients are asymptomatic and most cases are diagnosed when the swelling is already evident. It is a locally aggressive tumor with a high recurrence rate when conservative surgical treatment is applied (up to 80%). That is why current treatment consists of wide resection of the lesion with safety margins of healthy bone beyond radiographic limits.
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After Brain Tumor Surgery: Catheter-Related Bacteremia of Chryseobacterium indologenes Development in Central Nervous System of An Infancy. A Case Report

40-day male infant has admitted to the hospital by family. He has a complaint including lack of suction, vomiting, decreased of movements and continuous sleep about a week of ongoing. Brain computed tomography recognized a mass (with hyperdense hemorrhage) in the posterior fossa and right cerebellar hemisphere.
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Management of Needle Breakage Following Inferior Alveolar Nerve Block: Case Report

A needle breakage is a rare complication of an inferior alveolar nerve block, but it should represent an awkward experience both for the patient and the dentist. A broken needle in the pterygo mandibular region would be hard to remove and it may also have important medico-legal considerations. This is the case report of a 32-years old man, referred by his own dentist to the Maxillo-Facial department, after the needle broke during the routine administration of an inferior alveolar nerve block for a dental procedure. In this paper, authors present the successful removal of the fractured needle from the right pterygomandibular region under general anesthesia administration.
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Isolated In-Situ Axial Hepatic Mal-Rotations: Implication on Laparoscopic; Surgical Anatomy and Practice

Three dimensional anatomy and congenital anomalies are crucial determining the trocar positions and the optimal site view for any laparoscopic procedure. Such critical issue mandates preoperative diagnosis of topographic anatomical variations. Clinical reporting on congenital foregut anomalies does not include yet variation in liver rotation. This research is documenting such unrevealed anomaly and stressing on its implication in the field of contemporary laparoscopic surgery.
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Forearm Recurrent Pilomatrixoma

Pilomatrixoma is a rare benign skin tumor originating from the matrix of hair follicle cells. Pilomatrixoma is also known as, Malharbe’s calcific epithelium or pilotircoma [1]. Pilomatrixoma generally has benign characteristic properties.
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Recurrent Mucinous Ovarian Neoplasms: Rationale and Results of a New Treatment Plan in Four Patients

Recurrence of a mucinous ovarian neoplasm after resection is unusual but this does happen. If possible, a repeat surgical removal of recurrent disease is the treatment of choice. The results of a repeat intervention are poor. A review of our results of treatment of recurrent mucinous ovarian neoplasms was performed.
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Synchronous Papillary Carcinoma in Thyroglossal Duct Cyst and Thyroid Gland Associated to Untreated Midline Cervical Cleft: A Case Report

Thyroglossal duct cyst is the most common anomaly in thyroid development. Majority is benign, but 1% may be malignant. Papillary carcinoma is the most frequent thyroid cancer. The synchronous occurrence of thyroglossal duct cyst and thyroid carcinoma is rare and the association with another congenital malformation is extremely rarer. A 41-year-old woman was referred to our department with complaints of a midline cervical abnormality. Clinico-radiological evaluation suggested a thyroglossal duct cyst with non-palpable nodules of thyroid gland and a midline cleft with fibrous cord. Sistrunk’s procedure along with a total thyroidectomy associated to an excision and Z-plasty closure of this congenital cervical cleft were performed, followed by post-operative radioiodine ablation.
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Enteric Duplication Cyst in Infant: Case Report and Literature Review

Congenital malformations can go unnoticed and have an impact on morbidity and mortality in early stages of life being a cause of infant death in some countries [1]. Malformations of the gastrointestinal tract occupy the second place among congenital abnormalities [2]. Along with them, the enteric duplication cyst is an infrequent anomaly difficult to diagnose specially for a non-specialist physician that is not use to attend this kind of pathologies or in hospitals where patients with this entities are infrequent. We present the case of a 5-month-old patient who underwent intestinal resection due to enteric duplication cyst.
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Impact of Myocardial Revascularization on the Range of Joint Motion of the Superior and Inferior Members

The surgical procedure for myocardial revascularization (MRI) may compromise chest stability, compliance and range of motion (ROM) of the shoulder joint due to sternotomy and knee joint due to saphenectomy.To evaluate the impact of myocardial revascularization surgery on upper and lower limb ROM
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Surgery for Deep Endometriosis: Standardization of the Operating Technique

Deep endometriosis is a disease with a great negative impact on patient quality of life, requiring surgical treatment in tertiary centers and surgeons highly skilled in performing complex surgeries, and is associated with high rates of morbidity and related complications. We evaluated all cases of deep endometriosis operated by the same surgeon since 2011 to evaluate the profiles of patients, sites and organs affected, surgical indications and complications and to propose a standardization of the surgical technique used in our service.
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Management-of-Postoperative-Pain-in-Patients-Undergoing-Surgery-for-Mandibular-Fracture

The mandible is one of the most frequently fractured bones in the facial skeleton. Postoperative pain control is an important outcome in assessing overall treatment success and patient satisfaction. However, few focused studies have reviewed protocols for postoperative pain management in patients with mandibular trauma. The aim of this study is to evaluate the protocol for the management of postoperative pain in patients undergoing surgery for a mandibular fracture in our department.
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Gastric Partitioning Bypass Procedure: A Novel Technique in Bariatric Surgery

The current standard of care offers surgery as the most favored treatment modality for morbidly obese patients to achieve weight loss. The currently available surgical techniques have some limitations and introduction of novel techniques is inevitable. The aim of this study is to introduce the novel gastric partitioning bypass technique and assess its effectiveness and adverse effects.Thirty individuals were randomly recruited from a population who were eligible for bariatric surgery. The subjects had a baseline visit and were followed-up after surgery assessing weight loss and adverse effects related to the surgery.The study population included 30 patients (Mean age 41±5 and 93% female). Mean BMI and excess body weight at the baseline were 49±7 kg/m² and 79±15 Kg, respectively. Median follow-up time was 36 months and 27 (90%) patients completed the study. Excess weight loss was 54.76 ± 13.76 % and 60.43 ± 14.49% after 12 and 48 months, respectively. In post-operative period Two patients (6.6%) developed surgical site infection, other complications such as bleeding or anastomotic leakage, or any complication requiring emergent surgery were not detected.
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Primary Osteosarcoma of the Nasal Fossa: An Exceptional Presentation

Sarcomas of the head and neck are very rare accounting for approximately 1% of all head and neck neoplasms. Primary osteosarcomas of the nasal cavity are less than 0.5% of the osteosarcomas occur in this location. Because of the rarity of this presentation, we report a case of a 54 year old male with primary osteosarcoma arising de novo from the nasal cavity, presented with left epistaxis and bilateral nasal obstruction.
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Wilkie’s Syndrome in an Adolescent: A Rare Etiology of Upper Intestinal Obstruction

Wilkie’s Syndrome (WS) was described in 1927 and its physiopathology is related to the formation of an abnormal acute aortomesenteric angle measuring between 7o and 22o. It leads to digestive symptoms due to external compression of mesentery artery against the third portion of duodenum. This is a case of WS in a young, tall and slim male patient. Three months before, he began postprandial vomiting, abdominal pain, hyporexia and weight loss. The diagnostis was made by an upper gastrointestinal series with barium contrast and confirmed by Laparotomy. Duodenojejunostomy is a well-known technique and it was successfully performed in this case.
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Editorial Board Members Related to surgery

TOMAS A. SALERNO

Professor
Department of Surgery
Miller School of Medicine
University of Miami
United States

Domenico Rubello

Director
Department of Nuclear Medicine and PET/CT Centre
Santa Maria della Misericordia Hospital
Italy

Giampiero Capobianco

Professor
Department of Gynecology and Obstetrics
University of Sassari
Italy

Gregory Kouraklis

Professor of Surgery
National and Kapodistrian University
President of Athens Medical Society
Greece

Nils Ole Schmidt

Neurosurgeon
Department of Neurosurgery
University Medical Center Hamburg-Eppendorf
Germany

Hironobu Ihn

Professor & Chairman
Department of Dermatology & Plastic Surgery
Faculty Life Sciences
Kumamoto University
Japan

Mohammad Waheed El-Anwar

Assistant Professor
Department of otorhinolaryngology
Zagazig University
Egypt

MOHAMED AMIN EL GOHARY

Professor
Department of Pediatric Surgery
Burjeel hospital
UAE

Robert H. Rosenwasser

Professor
Department of Neurological Surgery
Thomas Jefferson University
United States

Mohammed A. Gomaa

Professor
Department of Otorhinolaryngology
Minia University
Egypt
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