Crimson Publishers-Surgical Medicine Open Access Journal

Sacral Neuromodulation in Children with Neurogenic Bladder Dysfunction by Edgard Morya in crimson Publishers: Surgical Medicine Open Access Journal Sacral Neuromodulation (SN) is a therapy consisting of electrical stimulation of sacral nerves at S3 level delivered by a cylindrical electrode connected to a full-implantable neurostimulation device. SN in adult patients for urinary tract dysfunctions other than neurogenic modulates cortical and subcortical structures involved in urination, beside modulating structures with an important role in awareness of the rate of urination and filling of the bladder. A possible explanation for SN’s therapeutic effect is due to the activation and inhibition of supraspinal brain areas by the spinal cord, which normalizes urinating functions. An important benefit of SN is that it is a minimally invasive and reversible treatment option, which includes a test phase before permanent implantation. https://crimsonpublishers.com/smoaj/fulltext/SMOAJ

Current Role of Surgery in Endometriosis; Indications and Progress by Kulvinder Kochar Kaur in Crimson Publishers: Crimson Publishers Journals Abstract Endometriosis is a chronic debilitating disease , which affects women of reproductive age group, although medical therapy may be helpful in managing pain associated with Endometriosis or infertility, surgery becomes an integral part of managing this disease .Although initially surgery was limited to l aporotomy associated with ovarian cystectomy and/or TAH with BSO. Laporoscopy gradually replaced that. Though diagnostic laparoscopy is used for confirmation of endometriosis by histological examination, it is not acceptable that Laporoscopy be done in multiple steps, initially to diagnose and later for treatment. Recently a lot of advancement has come in the imaging techniques by which one can combine planning of surgery based on the imaging classification. Deep endometriosis involving bowel, genitourinar

Fifteen Years Experience of Managing Penetrating Extra-Peritoneal Rectal Injuries by Noman Shahzad in Crimson Publishers: Open Access Journal of Surgery Impact Factor . Background: Although civilian injuries are generally less severe, they nevertheless remain a challenging problem for the surgeons. In isolated rectal injury patients, though proximal diversion, pre-sacral drainage, distal rectal wash-out and wound debridement are the various surgical options employed in various combinations, the optimum strategy especially for civilian injuries remains unknown. We reviewed our experience of managing penetrating extra peritoneal rectal injuries. Methods: We conducted a Retrospective review of Adult patients with penetrating extra-peritoneal rectal injuries. Follow-up information of at least one month was needed for early post-operative complications. Results: A total number of fifteen patients met inclusion criteria. Median age of our patients was 46 years with rang

Rapid Cutaneous Metastases from a Rectal Primary: A Case Report by Adnan Qureshi in Crimson Publishers: Anatomy research open access journals Crimson Publishers:  Anatomy research open access journals The development of cutaneous metastases from gastrointestinal malignancies are rare, but they have been previously reported secondary to primary colorectal adenocarcinoma in relation to advanced disease. This case report describes a phenomenon of rapidly developing cutaneous and liver metastases within weeks, from a stage 3 rectal adeno carcinoma operated with curative intent. A literature review of similar cases was made and contrasted to the rapidity and stage of this aggressive tumour. The current guidelines are also reflected on, as well as the rate of recurrence with different modalities of treatment. https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000519.php For more Open access journals in Crimson Publishers  Please click on link:  https://crimsonpubli

Comparison of Modified Kessler Technique versus Four Strand Cruciate Technique for Repair of Long Flexor Tendons of Fingers: A Randomized Controlled Trial by Noman Shahzad in Crimson Publishers: Open Access  Peer Reviewed High Impact Factor journals Crimson Publishers: Open Access  Peer Reviewed High Impact Factor journals Introduction: Hand Tendon injuries are not uncommon. Achieving a satisfactory range of motion and preventing tendon rupture after repair of flexor tendon injuries remains a challenge to hand surgeons. Objectives: To compare functional outcome of tendon repair with Modified Kessler and four strand cruciate techniques. Material and Methods: Randomized control trial was conducted from July 2013 to June 2015. Both male and female patients of age 18 to 60 years who had clean lacerated injury proximal to wrist crease (Zone V) were eligible for inclusion in the study. Patients with dirty or infected wounds, or those having multiple injuries other than te