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Articles Related to surgery

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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Case Report: Are We Prepared to Manage Acute Abdomen in the Super-Obese Patient?

A 55 year-old man with signs and symptoms of severe sepsis was admitted to the emergency department. He is severely obese with a BMI of 80 Kg/ m2 and a medical history of hypertension and arrhythmia. The abdominal pain was non-specific and the physical examination was impaired by obesity. Ultrasonography (US) was ineffective and no computed tomography (CT) scan was available for a patient of his weight. The acute abdomen presented an inflammatory etiology. The patient underwent laparoscopy and severe cholecystitis was diagnosed and treated. The patient recovered well, and remained for 36h in the intensive care unit and 5 days in the surgical ward.
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Iatrogenic Pneumomediastinum and Facial Emphysema after Tooth Extraction

Subcutaneous emphysema and pneumomediastinum following extraction of mandibular third molars are rare. These complications are caused by forceful injection of air into the connective tissue. The symptoms may vary depending on the quantity of air, its location and the presence or absence of infection. In most cases, the subcutaneous emphysema will begin to disappear in 3-5 days. This report presents a case of subcutaneous emphysema and pneumomediastinum after wisdom extraction.
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Sjögren’s Syndrome - Oral Changes, Advanced Diagnosis, and Management - A Case Report

Sjögren syndrome (SS) is chronic, systemic autoimmune disease characterized by lymphocytic infiltration of the exocrine glands. It is an elaborate involvement of the lacrimal and salivary glands, which eventually lead to keratoconjunctivitis sicca and xerostomia.
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A Rare Case of Small Cell Neuroendocrine Carcinoma of the Nasal Cavity and Paranasal Sinuses

Neuroendocrine neoplasms are defined as epithelial neoplasms with predominant neuroendocrine differentiation. They are most commonly found in the gastrointestinal tract and respiratory system.
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Inguinal Lymph Node Squamous Cell Carcinoma of Unknown Primary Site: A Case Report

Carcinoma of unknown primary site (CUP) is a heterogeneous group of malignancies associated with dismal prognosis. Although majority of the patients present with disseminated disease, some of them do present with disease limited to the lymph nodes.
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Predictors of Stress Fracture Susceptibility in Arab Female Military Recruits during Combat Training: A Preliminary Study

Military recruits and athletes regularly engaging in vigorous physical activities are at increased risk for sustaining lower limb overuse injuries.
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Effect of Neoadjuvant Chemoradiotherapy on Pathologic Stage and Survival in Patients with Locally Advanced Esophageal Cancer

The treatment of resectable stages of esophageal cancer often involves pre-operative concurrent chemoradiotherapy. This study aims to evaluate the effect of cisplatin/5-fluorouracil (5-FU)-based neoadjuvant chemoradiotherapy on pathologic stage and survival in patients with locally advanced esophageal cancer.
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Gastroesophageal Cancer: Prognostic Factors and Treatment Results

The study presents the remote results of surgical treatment of 329 patients with cancer of gastroesophageal localization. Three 3-year survival rate is 37.1%, the 5-year survival rate is 26.2%. Prognosis after the surgery depends primarily on the extent of the tumour spread.
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Association between Delay in Surgical Treatment and Perforation in Acute Appendicitis

Acute appendicitis is a prevalent emergency surgical pathology and without prompt intervention may lead to gangrene, perforation and death. Increased mortality and morbidity will increase the hospital stay and the costs. We aimed to see the association between surgical treatment and perforation.
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Editorial Board Members Related to surgery

Gregory Kouraklis

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

Guirong Wang

Associate Professor
Department of Surgery
SUNY Upstate Medical University
United States

J. Philip Boudreaux

Professor
Department of Surgery
Louisiana State University Health Sciences Center
United States

Gianluca Vadala

Orthopaedic Surgeon
Department of Orthopaedic and Trauma Surgery
Campus Bio-Medico University of Rome
Italy

TOMAS A. SALERNO

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

Chong-Chi Chiu

Department of General Surgery
Southern Taiwan University of Science and Technology
Taiwan

Gregory K. Spackman

Professor
Department of Oral & Maxillofacial Surgery
University of Texas Health Science Center
United States

SEBASTIANO MERCADANTE

Director of Anesthesia & Intensive Care and Pain Relief & Supportive Care Unit
La Maddalena Cancer Center, Palermo
Italy

Zubair M Ahmed

Associate Professor
Department of Otorhinolaryngology Head & Neck Surgery
School of Medicine
University of Maryland
United States

Jonathan Todd Carter

Associate Professor
Department of Surgery
University of California
United States
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