Crimson Publishers-Surgical Medicine Open Access Journal

I Feel Something in My Eye; A Retrospective Study on the Outcome of Patients with Corneal Foreign Bodies Presenting to Emergency Department  by POURYAHYA P*  in Crimson Publishers: Open access journal of surgery impact factor   Ocular trauma is a common presentation to emergency departments (ED) [1] and ocular foreign bodies are significant contributors to these ophthalmic emergencies, accounting for 5% of all ophthalmology consultations in the emergency department [2]. Ocular foreign bodies can result in open globe lacerations in the form of intraocular foreign bodies (IOFB) or remain superficial, causing closed globe injuries as extraocular foreign bodies (EOFB) [3]. While closed globe traumas including those caused by EOFBs are less severe than open globe traumas and usually result in better visual outcomes [4], they still represent a significant disease burden in the ED. In the assessment of ocular injuries, visual acuity (VA), despite being subjective due to its phys...

A Rare Case of Mural Thrombus in Normal Descending Thoracic Aorta with Literature Review   by  Jayesh Sagar *   in  Crimson Publishers: Open access journal of surgery impact factor Occurrence of a mural thrombus in a diseased descending thoracic aorta (atherosclerotic or aneurysmal) is a well-known and commonly encountered vascular entity. However, thrombus formation in a normal appearing descending thoracic aorta (NADTA) is rarely reported in literature so far. We present an unusual case report with a brief literature review of an aortic mural thrombus (AMT) in descending thoracic aorta in a young male. He presented at our center in the emergency department with acute onset abdominal pain and underwent a contrast enhanced CT scan that confirmed mural thrombus in NADTA. He was conservatively managed with anticoagulation therapy. He had a family history of venous thromboembolism (VTE) in his brother, who had experienced two episodes of deep vein thrombosis at the...

Chakras Energy Alterations in Patients with Hemorrhoids and How to Treat it without Surgery   by  HuangWL*   in  Crimson Publishers: Open access journal of surgery impact factor Two case reports: the first, 50-year-old male patient, A.M.B., who suffered from hemorrhoids (2003 to 2005). Moisturizers, medications and cauterization were not successful. The patient started treatment with auricular acupuncture and apex ear bloodletting. He also received measurement of the chakras 10 years later, which attested his chakras were rated at the minimum level of energy (1) of 8. The second, a 38-year-old male patient, started treatment with ancient medical tools for vitiligo. On the middle of the treatment, he reported to have symptoms of hemorrhoids. Treatment was the same done in case 1 and received measurement of the chakras. All chakras of the patient were rated in the minimum level (1) of 8. The first treatment was associated with homeopathy and crystal-based medicati...

High-risk Neuroblastoma Predisposing to Osteomyelitis: A CaseStudy   by  Vamsi Reddy  in  Crimson Publishers: Open access journal of surgery impact factor Neuroblastomas are rare extracranial tumors of the pediatric population arising from cells of the embryological sympathetic nervous system. These malignancies most commonly occur in the abdomen, but other sites include the chest, neck, and pelvis with a predisposition for lymphatic and hematogenous spread. Metastasis to the bone is a poor prognostic indicator, requiring surgical excision and other extensive medical management. Staging, location, and histopathology of neuroblastomas are therefore important criteria that help stratify risk and direct treatment. We present a case report of a pediatric male with a history of metastatic neuroblastoma in remission for 3 years who was found to have a relapse of his malignancy in the bone. Further investigation yielded concomitant osteomyelitis at the recurrence site. This...

Pilonidal Sinus: Karydakis Technique is as yet an Undemanding Compelling Alternative in Current Practice   by  Elmutaz Kanani  in  Crimson Publishers: Open access journal of surgery impact factor Pilonidal disease is a commonly encountered disease with worldwide distribution. It is generally considered to be an acquired response to local infection seeping into the subcutaneous fatty tissue which contains hair follicles. It results in the formation of sinuses (tunnels) or cysts. Further it is classified into acute or chronic infection. Pilonidal disease affects different areas of the body, namely natural clefts or folds. It is predominantly seen in sacrococcygeal region hence it will be the focus of this study. In the literature the exact etiology of the disease is not fully understood, however over the years observational theories of pathogenesis had emerged. That improved the understanding of the disease etiology and contributed to the construction of the surgical m...

Heart Risk Assessment for Mining Workers in Papua New Guinea. Summary Paper for Heart Assessment and Stratification   by  Arnold Waine  in  Crimson Publishers: Open access journal of surgery impact factor Papua New Guinea has about seven active mining and exploration activities for minerals like gold, copper, and other minor minerals. Each is managed by different company and together employs about ten thousand workers. A fifth of this would be foreign workers. Most of the Mine workers that are screened at the Employees Health and Wellness clinics tend to have similar compounding health risks. As a result, the common diseases that are prevalent are Hypertension, Diabetic Mellitus, High Cholesterol, general Obesity (BMI>25m 2 /Kg) with minimal to zero level of physical exercise. Despite advice to religiously take the medications, there is noticeable lack of medication compliance, and a handful are usually under dosages. https://crimsonpublishers.com/smoaj/fulltext/S...

Intestinal Intussusception in an Adult Affected by Vanek Tumor: A Case Report  by  Morazán AD  in  Crimson Publishers: Open access journal of surgery impact factor Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation. Radiological imaging objectified ileo-ileal invagination completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and terminalterminal anastomosis were performed. The final diagnosis of IFP was established using hi...

Candida Tropicalis Infection of the Knee Joint in an Immunocompromised Pediatric Patient: A Case Report by  Benjamin Sookhoo in  Crimson Publishers: Open access journal of surgery impact factor Candida septic arthritis is a debilitating condition affecting joint function.  Candida tropicalis , an organism found in normal human flora is noted to be the third most common pathogenic yeast in the elderly and immunosuppressed population. Infections are rare in the US, typically limited to the neonate and elderly populations. Most infections occur in the south America and southeast Asian regions. In the last 2 decades, Tropialis infection rates have risen impart due to antifungal resistance. We present a case of  Candida tropicalis  infection in the knee of a 13-year-old female with a past history of relapsed Acute Myeloid Leukemia following bone marrow transplant, pancytopenia and graft  vs . host disease. https://crimsonpublishers.com/smoaj/fulltext/SMOAJ....

The Maze that is Not Maze: It is Not Filling the Gap! by  Ovidio A Garcia Villarreal in  Crimson Publishers: Open access journal of surgery impact factor When properly performed, the true Maze procedure is highly effective to eliminate any type of atrial fibrillation or flutter. Since non-paroxysmal atrial fibrillation is sustained by macro-reentrant circuits located anywhere in both atria, a full bi-atrial lesion pattern is the best way to approach all possible causes in one single step. As we move into less invasive surgical techniques, we must more clearly maintain the scope of the Maze procedure. Difficult approaches are oftentimes the source for incomplete, unsuccessful, and frustrated forms of the Maze. The two only alternative energy sources enabling full transmural lesions in the atrial myocardium are bipolar radiofrequency as well as cryothermia. Standardization of the Maze procedure as a full bi-atrial lesion pattern as well as the proper selection in the altern...