COVID-19 was first described in Wuhan-China and soon after delaring a pandemic according to WHO. In Brazil, it truly became a health problem, with more than 2 million cases. Clinically, the disease manifests as pneumonia, but abdominal surgeons have been called since the beginning to face acute abdominal syndromes associated with this disease. The most were related to mesenteric lymphadenitis and managed without surgery. But as the disease worsened a more critical presentation presented are rel...
- Issue: 4, Volume: 1
Telemedicine plays an important role in imparting healthcare facilities worldwide in special situations like the COVID-19 Crisis. Use of technology in healthcare has come a long way. Special cameras for surveillance and interaction have been used in fields of industries, offices, home based and national security systems etc. Here we describe our experience regarding the use of Pan-Tilt camera in Tele-interaction for imparting healthcare services during the time of corona pandemic.
- Issue: 3, Volume: 1
Breast Tumor Volume to Breast Volume Ratio Analysis to Predict Breast Cancer Axillary Node Positivity Rates
Background: Prognostic scoring systems such as TNM  and NPI (Nottingham prognostic index)  use maximal tumour diameter for staging. Breast cancer is three-dimensional therefore tumour volume and weight could be more accurate biological predictors. Nodal spread may also be different for tumors occupying a greater or lesser proportion of the breast. This study aims to measure breast cancer weights as a proportion of the mastectomy specimen weight and to compare node positivity rates in high...
Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Prolotherapy is a technique that involves injecting some irritant locally in the wound that is claimed to hasten the healing. This article highlights the role of prolotherapy in wound bed preparation.
Background: Patients with chronic portal venous obstruction can develop portal cavernoma and obstruction in the biliary system, which is termed as portal biliopathy. Symptomatic portal biliopathy requires intervention. It is a complex problem and therapeutic strategy has not been optimized. Materials and methods: Retrospectively, details of 23 patients who were admitted between June 2015 and November 2018 with symptomatic portal biliopathy were analysed. Endoscopic stenting was the preferred i...
Management of Congenital lung malformations in Neonates-Northern Area Armed Forces Hospital Experience
Objectives: Congenital Lung Malformations (CLM) are rare and vary in their clinical presentations depending on the extent of lung involvement. Congenital Cystic Adenomatoid Malformation (CCAM), Congenital Lobar Emphysema (CLE) and Bronchogenic Cyst (BC) are all congenital lung malformations that present in imaging studies as abnormal air, fluid or fluid filled cysts. Neonates with CLM can present with respiratory distress at birth or may remain asymptomatic for a long period and are diagnosed i...
Quality of Life and Productivity of Transplant Professionals is Improved Using a Mobile Application for Communication during Organ Procurement and Transplantation
A limitation on the efficiency of procurement and utility of donated organs is the simultaneous coordination and communication among Organ Procurement Organizations (OPO) and transplant support teams. This applies to each organ which may be utilized for any given donor. Results of this study, currently “In Production” in the journal Progress in Transplantation, showed an improvement in communication and coordination using a real time effective, HIPAA compliant tool among procurement and transpl...
- Issue: 2, Volume: 1
Comparison of Peritoneal Closure vs. Non-Closure after Non-Infected Elective Laparotomies with Midline Incision
Introduction: There is no consensus data regarding closure or non-closure of peritoneum in laparotomy and this topic remains a controversy among surgeons. Material and method: In this prospective interventional study 124 patients undergoing laparotomy with midline incision have been assessed from March 2019 till September 2019 in Imam Hossein Medical Center. Sixty-two of these patients had peritoneal closure with continuous absorbable suture, while 62 other assigned to the non-closure group.
Bouveret’s syndrome is a rare form of gallstone ileus caused by the passage and impaction of a large gallstone through a cholecystoduodenal fistula into the duodenum, resulting in gastric outlet obstruction. It is a rare form of gall stone ileus (1-3% of cases of gall stone ileus; gall stone ileus itself is extremely rare occurring in only 0.3-0.5% of patient with cholelithiasis) and causes significant morbidity and mortality1. It is common in elderly female patients with multiple comorbidities...
Conversions and Complications – A Retrospective Analysis of 834 Laparoscopic Cholecystectomy in a Teaching Hospital
Background: Laparoscopic Cholecystectomy (LC) is the ‘gold standard’ operation for cholelithiasis, but still carries significant morbidity and occasional mortality. Patient and methods: A retrospective analysis of 834 LC over a period of 4 years in a single surgical unit in a tertiary care medical college was performed and various factors affecting conversion and complications reviewed.
Post burn contractures of the hand are very common. The most important aspect of release of these contractures is to provide a functional hand. There are various methods of release of these contractures depending on if they are on the dorsal or volar aspect of the hand. We have used distraction assisted management of post burn contracture of the little finger.
Arthroscopic Treatment of Osteoid Osteoma: A Brief Review of Literature from Years 1935 to Years 2007
Osteoid osteoma is a benign tumour in adolescents and young adults. The clinical manifestations are generally typical nocturnal pain that prevents sleep and that is alleviated with aspirin. When the typical clinical and radiological features are present, diagnosis may arrive in connection with an unusual location. The lesion is removed arthroscopically, and histopathologic findings confirm the preoperative diagnosis of osteoid osteoma. Here, we document a brief review of literature. In this rev...
- Issue: 1, Volume: 1
Burnout is a psychological state of mind which arises from distress and disfavor with a work-related course of life. Burnout has been linked in recent years to life in the medical world, during schooling, training, and subsequent professional practice. In fact, burnout has become an in-word for any topic of medical exasperation today. For those of us older folks in medicine, the question seems to be “did we face burnout at some earlier time and not perceive it?”. And so the definition seems to ...
Addressing the Surgical Shortage: Revisiting Residency Training Requirements for International Medical Graduates
The American Association of Medical Colleges projects a shortage of between 19,800 and 29,000 physicians in the surgical specialties by 2030. General surgery projects the greatest shortfall among surgical specialties, in part because of high rates of graduating residents pursuing fellowships. International medical graduates, many of whom trained in the US, have become a major part of the physician workforce in other specialties, but represent a small part of general surgeons in practice and tra...
Thermography for Functional Mapping during Waking-State Craniotomy Localization of Cortical Area Response to Voluntary Movement
We performed thermal images of the brain during tumor surgery. Temperature increases corresponded temporally and spatially to directed movements. Good correlation with conventional methods of intraoperative brain mapping also was obtained. Focal temperature decreases provided accurate localization of underlying tumors. Thus, thermal imaging represents potentially valuable input for neuronavigation system.
The Complete Evidence that Starling’s Law is Wrong: The Correct Replacement is the Hydrodynamic Phenomenon of the Porous Orifice (G) Tube
Introduction and objective: To report the hydrodynamic of a porous orifice (G) tube as replacement for the wrong Starling’s law. Material and methods: Hydrodynamics of the G tube, based on capillary ultra-structure, were studied. The effect of changing G tube orifice diameter, proximal pressure and distal pressure on the side pressure and chamber (C) pressure were evaluated. The physiological proof that the capillary works as G tube not Poiseuille’s tube is provided.
Early Results of Video-Assisted Thoracoscopic Surgery in Left-to-Right Nuss Procedure for Pectus Excavatum
Objective: This study aimed at evaluating the efficacy and safety of Video-Assisted Thoracoscopic Surgery (VATS) in left-to-right Nuss procedure for the treatment of pectus excavatum. Subjects and methods: Our study included 111 patients diagnosed with pectus excavatum who underwent VATS in left-to-right Nuss procedure. Patient’s age ranged from 3–23 years old (mean: 15.65 ± 3.25); male/female ratio: 6,4/1. This is a prospective study which was conducted from February to August 2018.
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