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Showing posts from September, 2022

Spontaneous Gall Bladder Perforation: A rare clinical entity, a diagnostic and surgical challenge

Introduction Gallbladder perforation requiring an emergent treatment is usually a complication of cholecystitis [1]. Acute cholecystitis develops in up to 2% of patients affected by asymptomatic cholelithiasis. Gallbladder perforation occurs in 2 to 11% of acute cholecystitis cases. Due to the high mortality that can be caused by a delay in the correct diagnosis and following adequate surgical treatment, gallbladder perforation represents a special diagnostic and surgical challenge [2]. Read more about this article: https://crimsonpublishers.com/smoaj/pdf/SMOAJ.000505.pdf Read more  Crimson Publishers Google Scholar   Articles:  https://scholar.google.com/citations?view_op=view_citation&hl=en&user=0J1mihcAAAAJ&citation_for_view=0J1mihcAAAAJ:pqnbT2bcN3wC

Postoperative Complications in Thyroidectomy Performed at Hospital Escuela Universitario and Hospital General San Felipe, Tegucigalpa MDC in 2018

Abstract Introduction: Specific complications of thyroid surgery include injury to the recurrent laryngeal nerve and the parathyroid glands, without being exempt from other complications such as infection of the surgical site, bleeding, surgical wound dehiscence, and others. Methods: The present study is retrospective observational and aims to analyze the condition of thyroid surgery in the country, specifically in state hospitals in Tegucigalpa, its rate of complications and its relationship with associated factors before the procedure. Result: A total of 92 patients undergoing thyroid surgery were studied at the Hospital Escuela and Hospital General San Felipe by reviewing the clinical record. The preoperative status, comorbidities and the surgical procedure performed were recorded and were related to the main complications mentioned above. Conclusion: A global rate of complications related to laryngeal nerve injury of 15% and late hypocalcemia of 7% was found, which are higher t

Non Tuberculous Mycobacterium as a Causative Factor in Port Site Wound Infection - A Case Report

Abstract Over the two decades there has been an increase in Non Tuberculous Mycobacterium (NTM) organisms in post laparoscopic port site skin and soft tissue infections. Presenting a patient who underwent eight successive surgical explorations of multiple skin and soft tissue sinuses and for aggressive necrosectomy and debridement of multiple sinuses caused by NTM organisms which ended up in abdominoplasty and meshplasty 2 months after the infection had been completely controlled. She finally had complete relief from the infection and had 6 months follow up from the last meshplasty surgery. The presentation and treatment of NTM skin and soft tissue infection are briefly outlined. Read more about this article:  https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000511.php Read more  Crimson Publishers Google Scholar   Articles:  https://scholar.google.com/citations?view_op=view_citation&hl=en&user=0J1mihcAAAAJ&cstart=20&pagesize=80&citation_for_view=0J1mihcAAAAJ:4OUL

Urgent Myocardial Revascularization after Previous Surgery for Gunshot Wounds to the Heart and Lungs

Abstract Due to the full-scale invasion of the Russian Federation in Ukraine, many patients with injuries of various nature and severity appeared. Damage to the heart and blood vessels is the biggest threat to human life. Patients with injuries of this nature have been treating in Amosov National Institute of Cardiovascular Surgery since the first day of the war. One of them was young man with elevation of the ST segment after surgery for gunshot wounds to the heart and lungs. After non-invasive research methods, coronary angiography was performed followed by an attempt of endovascular revascularization. Due to the impossibility of complete blood-flow restoration and dye extravasation patient was directed to urgent surgical treatment [1]. Read more about this article:  https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000601.php Read more  Crimson Publishers Google Scholar   Articles:  https://scholar.google.com/citations?view_op=view_citation&hl=en&user=0J1mihcAAAAJ&citat

Skin Grafts in Plastic Surgery: Review Article

Abstract Skin grafts within plastic surgery are highly performed and constantly updated procedures, being the second most performed procedure worldwide in this specialty and, in turn, the one with the greatest comorbidities associated with poor management. The skin is the largest organ of the human body, which is why different plastic surgery techniques have been developed. This bibliographic review provides a historical, histological, morphofunctional and procedural overview of grafts. Which have great importance within the surgical unit. Read more about this article:  https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000600.php Read more  Crimson Publishers Google Scholar   Articles:  https://scholar.google.com/citations?view_op=view_citation&hl=en&user=0J1mihcAAAAJ&citation_for_view=0J1mihcAAAAJ:u_35RYKgDlwC

Umbilical Cord True Knot and Overcoiling: A Dangerous Association

Abstract The association of true knot and overcoiling of cord is a rare and risky condition during pregnancy. Most knots are loose with no clinical significance, but when becoming tight, they may damage fetal circulation and give a sudden Intrauterine Death (IUD). Coils number/cm identifies Umbilical Coiling Index (UCI). Hypercoiled cords is defined when UCI exceeds 0.3 coils/cm. We report one case of a double rare congenital anomaly occurred at Catania S. Marco’s University-Hospital. A 37 years old, para 1: a previous Caesarean Section (CS), gravida 2, was admitted to hospital and an unexplained intrauterine fetal demise at 37th week of gestation was diagnosed. Following CS, a female stillborn of 2,300 grams with large areas maceration signs was extracted. A combination of true knot and spiralization of umbilical cord was observed and identified finally, as death trigger following fetal hyper mobility. Since the movements of the child and the onset of both knot and coiling cord with m