Half-Halsted suturing technique for anastomosis on edematous bowel
ConclusionsThe half-Halsted suturing technique is safe and effective for anastomoses of edematous or hypertrophic small and large bowel. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Sigmoid colon rupture within a left inguinal hernial sac in a male, due to blunt abdominal trauma
AbstractRupture of the sigmoid colon into a hernial sac due to blunt abdominal trauma is very rare. The case is presented here of a 64-year-old Greek male with a history of left reversible inguinal hernia, who attended the hospital emergency department (ED) following a bicycle accident. The steering wheel of his bicycle had hit him in the lower abdomen, and he reported mild pain in the left groin. At that time there were no remarkable findings. Two days after the accident he re-attended the ED with severe abdominal pain and clinical findings of acute abdomen and sepsis. Abdominal computed tomography confirmed the diagnosis...
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Right lower quadrant pain as the first manifestation of appendiceal diverticulosis in a 66-year-old male
AbstractAppendiceal diverticulosis is a rare condition that can lead to diverticulitis, which imitates the clinical findings of acute appendicitis. Preoperative diagnosis is difficult, and identification is usually made postoperatively, on the basis of the histological examination of the resected appendix. The case is reported here of a 66-year-old male, who presented with the symptoms and signs of acute appendicitis, which proved on surgery to be due to rupture of an appendiceal diverticulum, with no underlying neoplasm. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Intra-cardiac extension of a Wilms ’ tumor
ConclusionIntra-cardiac extension of Wilm ’s tumor poses a surgical challenge where the favorable outcome is provided only by the combined and well-coordinated, skilled multidisciplinary care of pediatric surgeons and pediatric cardiac surgeons. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
The American College of Surgeons: Challenges and opportunities in a global environment
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Small bowel obstruction in a lateral trocar site following laparoscopic bariatric surgery
ConclusionTrocar site hernia is a rare complication of laparoscopic procedures, and one that can be minimized. Viscus entrapment in a port site hernia should be suspected during the post-operative period whenever the patient presents with abdominal distension, pain and vomiting since, particularly in the case of bariatric surgery, the findings on physical examination may be inconclusive, due to obesity. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
A rare case of male congenital urethral diverticulum
AbstractUrethral diverticulum is a rare disorder in males. It may be the reason for constant dribbling and recurrent urinary tract infections in a male child. Early diagnosis and prompt management are essential to avoid urinary tract complications. This is a case report of a urethral diverticulum in an 8-year-old boy who presented with constant dribbling of urine. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Ethical issues in surgical practice
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Complex venous pathophysiology: Think simple
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2017 Category: Surgery Source Type: research
Comments on the eighth edition of the TNM classification for lung cancer. Radical changes and limitations: Does size matter?
ConclusionsThe new staging of lung cancer is based on analysis of survival in large databases, based on tumor size and disease proliferation, and is therefore expected to assess the prognosis of the individual patient more accurately. Based on the current edition of the TNM staging system many patients will be given a different staging category,. It is evident that improved survival may reflect the expected improvements in diagnosis and treatment, the net effect being a stage-for-stage survival increase at all stages. This 8th edition of the TNM classification for lung cancer has placed additional emphasis on tumor size. (...
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
Port site Richter ’s hernia. Case report and review
AbstractThe incidence of port site hernia (PSH) after a range of laparoscopic procedures has been variously reported as between 0.14% and 22%. In addition to pain, PSH may be associated with severe complications, including bowel obstruction, strangulation, and perforation. The case is reported of Richter ’s hernia in a 45-year-old male at a 5 mm port site 6 years after laparoscopic cholecystectomy (LC).He presented with a lump in the right lumbar region associated with sudden onset pain and non-passage of stool for two days. With a diagnosis of PSH, he underwent exploratory laparotomy with a right lumbar skin incision, w...
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
Subcutaneous dirofilariasis of the groin in a male due to Dirofilaria repens
AbstractDirofilariasis is a rare human parasitic disease.Dirofilaria repens most commonly causes subcutaneous and ocular infections. The case is presented of a 24-year-old Greek male with a painless swelling in the right groin of one month ’s duration. Exploratory incision of the lesion revealed a whitish living worm of approximately 7 cm in length. The worm was removed and identified by its morphology as D. repens. This is the first case of dirofilariasis of the groin to be reported in Southwestern Greece. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
Bilateral adrenal myelolipoma: A case report
Conclusion: Bilateral myelolipoma of adrenal gland is a very rare entity and warrants careful evaluation, by abdominal CECT scan and fat suppressing magnetic resonance imaging (MRI). (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
Compression of the neurovascular bundle above and below the clavicle
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
Early postoperative anastomotic leakage due to necrotizing candidiasis after abdomino-thoracic resection for T1 esophageal cancer
We present a case of early postoperative anastomotic leakage after abdomino-thoracic esophageal resection for cancer in a female, due to a necrotizing, transmural infection withCandida species (spp). The infection was treated successfully with redo surgery and systemic antimycotic therapy with caspofungin. The patient was disease-free at 49 month follow-up, but her long-term quality of life, as assessed by the EORTC questionnaire (QLQ C-30) was reduced. Aggressive surgical and medical therapy led to successful treatment of this rare complication. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research
