Journal of Clinical Surgery and Research
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Published By Auctores Publishing LLC

2768-2757

2022 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Umar Farooq Baba

The COVID-19 pandemic changed us individually as well as our routines, goals, and motives. Rightly so, some changes may last longer. Importantly, the pandemic has made us understand several lessons, and has tried to enhance our positive perspective regarding life and its requirements. We came to know how quickly we are capable of adapting to changes. These adjustments proved beyond doubt that there’s not much in life that is truly indispensable. We are practising self-care in a multitude of ways. We might not have thought of our power of resilience. Again, mental health took over as an epicentre of overall wellbeing, reminding us of the power of ‘mind matters’ over ‘money matters’. The health sector disparities and unpreparedness to combat any sort of pandemic situation surfaced not only in resource-limited countries like ours but the uneasiness of the developed world became exposed. The pandemic had been a harsh learning experience for all of us, irrespective of our position in the spectrum.


2022 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Phillip J Stokey ◽  
Sreeram Ravi ◽  
Nabil A Ebraheim
Keyword(s):  

The Moro reflex is an infantile primitive reflex that is normally present in all infants and newborns. The Moro reflex is normally seen at birth and it is an involuntary response to stimulation or abrupt body displacement. The reflex was first described by Austrian pediatrician Ernst Moro in 1918. It develops between the 28 and 32 weeks of gestation and disappears at 3-6 months of age. Abnormalities of the Moro reflex is highly specific for a variety of perinatal injuries and defects.


2022 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Narendra S M

Foreign Bodies (F.B) are not uncommon in hand as it is involved in Day to day activities. Prompt removal during the initial examination is the norm, but sometimes foreign bodies (F.B) may be missed and they remain within the soft tissue for a long time either revealing itself at a later date as a sinus, swelling or an abscess. We present a case of retained FB in the dorsum of hand and the technique involved in retrieval of such a long standing FB.


2022 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Chatterjee S ◽  
Prathamesh P ◽  
Raviraj C

Background: Retrosternal goitre is considered to be a rare entity. It is a slow growing enlargement of the thyroid gland which remains asymptomatic for many years. Symptoms are mainly due to compression of airways and oesophagus. Surgical management with the removal of the involved lobe is considered sufficient. Summary: Here we report a case of a 33 yrs. old lady who presented to us with complaints of neck pain, facial flushing, difficulty in breathing and vague body ache. Clinical examination was within normal limits. The patient was referred to orthopedician for further evaluation. MRI cervical spine was done which was suggestive of large swelling in left lobe of thyroid with retrosternal extension causing deviation of trachea to opposite side. FNAC was done which was inconclusive. The involved lobe was removed surgically with frozen section suggestive of Colloid goitre. Conclusion: Retrosternal goitre are slow growing enlargement of thyroid gland which may present with vague symptoms, best managed surgically often followed relief from the symptoms post-surgery.


2022 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Uday Jain

Personal Digital Health Assistants (PDHA) are applications that can run on virtually any computer or mobile device including a smart phone/ personal digital assistant (PDA). A PDHA acquires, stores, and analyzes health related information of an individual. It usually communicates with remote servers of a large organization which can connect it to various resources. PDHAs are an integral part of telehealth. Their utility has increased manyfold since the start of the pandemic. The systems are increasingly more complex and are involved in all aspects of care. The PDHA are usually utilized by patients or their caregivers with assistance from professionals. Many automated systems can be utilized free of charge. Some are available as part of a prepaid health plan.


2021 ◽  
Vol 2 (5) ◽  
pp. 01-04
Author(s):  
Sarmukh Singh ◽  
Mohd A H ◽  
Azmi H

Background: Duodenal diverticulum is the second most common location following the large bowel. Only 1–5% of patients with DD are symptomatic. Complications of duodenal diverticulum includes obstruction of duodenum, biliary pancreatic duct, pancreatitis, haemorrhage, diverticulitis with or without perforation, and other biliopancreatic manifestations including fistula formation in the bile duct, choledocholithiasis and cholangitis, bezoar formation inside the diverticulum, perforation and bleeding. Surgical or non-surgical treatment are considered in selected patient in treating perforated duodenal diverticulum. Case Presentation: We present a 69 year old gentleman presented to emergency department with complaint of passing out blackish stool for 2 days duration associated with presyncopal attack. On arrival, patient appear pale with class 3 hypovolemic shock symptoms. Abdominal examination revealed mild tenderness over epigastric region without signs of peritonism. Digital rectal examination showed fresh melena. Oesophagogastroduodenoscopy (OGDS) showed a huge diverticulum at duodenum (D3) with pooling of blood and blood clots. In view of bleeding at D3 diverticulum,adrenaline was injected and haemoclipped was applied. Hemostasis from bleeding duodenal diverticulum was successfuly secured. However, patient had iatrogenic perforated duodenal diverticulum. Conclusion: We present a case of upper gastrointestinal bleeding from a D3 diverticulum with iatrogenic perforated duodenal diverticulum due to endoscopic hemostasisinjection.We treated this patient conservatively by keep nil by mouth and started on parentral nutritional support, intravenous antibiotics and serial abdominal examination. We advocate in duodenal diverticulum bleeding the application of endoscopic clips and injection should be use juridiously. In case of iatrogenic perforation of duodenum diverticulum due to endoscopic hemostasis can still be treated conservatively in stable, elderly patients with no signs of diffuse peritonitis and no clinical evidence of sepsis


2021 ◽  
Vol 2 (4) ◽  
pp. 01-02
Author(s):  
Carlos Teixeira Brandt ◽  
Camilla Ribeiro Lima de Farias ◽  
Kalyanne Mayara Luna Alves

Sexual functioning is an important, yet often overlooked, aspect of life quality for many individuals with obesity, especially regarding to man. Fertility and sperm quality are even less explored in the scientific literature. To the best of our knowledge, there is no report of man being a father after bariatric surgery. Here, we report a four men recruited from a prospective cohort of individuals, from both gender, who underwent bariatric surgery in the past three years. The total sample was 192 (146 women – 76.0% and 46 men – 24.0%). From the 46 men, 4 (8.7%) became father of six normal offspring. The ages of the men were respectively: 34; 38; 41; and 43 years of age. These patients were married. The post bariatric surgery pregnancies, from the samespouses before surgical procedures, were without any abnormalities and the newborns presented no congenital anomalies. These individuals referred increased sexual desire after surgery and improvement of erectile function. This case seriesreported highlights the contribution of bariatric surgery in the sexuality, fertility and fatherhood of obese man.


2021 ◽  
Vol 2 (4) ◽  
pp. 01-03
Author(s):  
Chukwubuike Kevin Emeka

Background: Testicular torsion is a urological emergency in which there is a race against time to salvage the testis. The aim of this study was to evaluate our experience in the management of children who presented with acute testicular torsion. Materials and Methods: This was a retrospective study of children aged 15 years and below who had surgery for acute testicular torsion between January 2013 and December 2017 at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. Results: Sixty-four children were managed during the study period. The ages of the patients ranged from 2 months to 14 years with a median of 6 years. The right testis was mostly affected and the mean duration from the onset of symptom to presentation was 4 hours. All the patients presented with testicular pain and half of the patients had a prior history of intermittent testicular pain. Four (6.3%) patients had a history of trauma precipitating the testicular torsion and 3 (4.7%) patients had undescended testis. Detorsion and Orchidopexy was the most performed surgical procedure and wound infection was the most common post-operative complication. There was no mortality. Conclusion: Testicular torsion is not uncommon in children and may be associated with testicular loss. The right testis is mostly involved in children. Prior history of intermittent testicular pain, trauma and undescended testis are important considerations. Prompt detorsion and orchidopexy remains the cornerstone of treatment.


2021 ◽  
Vol 2 (4) ◽  
pp. 01-03
Author(s):  
Vinay H G ◽  
Ramesh Reddy G ◽  
Shwetha R Chandra ◽  
Merin Mary

Masson’s tumor is a rare, benign, vascular lesion, commonly affecting the head, neck and peripheries. It is usually asymptomatic and can be confused with malignant tumors. We report a 56-year-old male who presented with a solitary swelling in the right side of neck which was clinically diagnosed as a benign cystic lesion, hence complete excision of the lesion was done. Histopathology demonstrated the papillary proliferation of endothelial cells, in favour of Masson’s tumor.


2021 ◽  
Vol 2 (4) ◽  
pp. 01-05
Author(s):  
Georgina David Dhalwale

Introduction: Ameloblastoma is a benign neoplasm of odontogenic epithelial origin occurring more commonly in the mandibular posterior region and rarely in the maxilla. About 50-60% of ameloblastomas occur in the mandibular ramus area, while only 10% is seen in mandibular anterior region. Ameloblastomas are slow growing, locally invasive, rarely malignant tumours affecting the jaw. Mostly commonly seen in the 4th-6th decade of life affecting males more commonly than females. The resection of the mandibular segment without adequate reconstruction leads to functional as well as esthetic loss. Case Report: Here we describe two case reports of ameloblastoma with segmental resection and reconstruction using fibula graft. Discussion & Review of Literature: Avascular fibula graft with its high bone density, ease of access to harvest, and tendency to show less resorption helps to achieve satisfactory esthetic contour and function in reconstruction of segmental defects of mandible Conclusion: This article describes two case reports of ameloblastoma with segmental resection and reconstruction using fibula graft along with review of literature.


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