Comparision of preoperative and postoperative histopathology findings in patients undergoing thyroidectomy
ConclusionsThis study identified a high negative predictive value of FNA biopsy, and an increased rate of “nondiagnostic” and “microcarcinoma” outcomes, but the sensitivity of FNA in the preoperative diagnosis of thyroid malignancy was low. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Splenic abscess in an immunocompetent adult
AbstractAbscess of the spleen is, a rare clinical entity with about 600 cases documented to date, and an incidence of 0.2 to 0.7% in autopsy-based studies [1,2]. Because of its nonspecific clinical picture, splenic abscess constitutes a diagnostic challenge, but it should be suspected in febrile patients with left upper quadrant tenderness and leucocytosis. The diagnosis is based mainly on imaging studies, microbiological and/or histopathological evidence, or by response to antibiotic or antifungal treatment.A case of splenic abscess is reported here, which occurred in an immunocompetent male and was treated in a tertiary ...
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Safety and quality: Two basic components of contemporary surgical care
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Laparoscopic cholecystectomy in patients with ventriculoperitoneal shunts: A case series
DiscussionThis small case series presents a rare condition that can be the cause of complications during laparoscopic surgery. Septic complications, including VPS infection and cerebrospinal fluid (CSF) infection, pneumocephalus, CSF pseudocyst, and adhesions due to the presence of the VPS, are all possible occurrences. These are discussed, with a short literature review. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Pectoralis minor syndrome: Report of two cases and review
AbstractPectoralis minor syndrome (PMS) is an infrequent entity that mimics thoracic outlet syndrome. PMS is characterized by axillary vein stenosis/obstruction below the clavicle, due to compression by the pectoralis minor muscle. The typical clinical symptoms are pain, weakness, numbness, paresthesia, cyanosis and swelling of the upper extremity, aggravated by exercise. Two cases are presented here of right-sided PMS of symptomatic stenosis of the axillary vein. The importance is emphasized of diagnosis by dynamic venography imaging and treatment by surgery. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Endocrine surgery: Diagnostic tools with doubtful findings, and rare tumors of the adrenal gland
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Ruptured liver abscess presenting as pneumoperitoneum
Conclusion: Although pneumoperitoneum resulting from a ruptured liver abscess is rare, it must be kept in mind as a possible source, especially when the hollow organs are normal. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

In memoriam
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Size matters: Better staging of lung cancer, better outcomes!
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

The TNM staging system: A stable value in the battle against cancer. A brief historical overview
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2017 Category: Surgery Source Type: research

Coexistence of Hashimoto ’s thyroiditis and papillary thyroid carcinoma
ConclusionsThe close relationship between HT and PTC lends credence to the hypothesis that autoimmune thyroiditis is a predisposing factor to the development of thyroid carcinoma but patients tend to have favorable clinicopathological characteristics and long recurrence-free survival. A careful surveillance of these patients is required for an early detection of malignant lesions, which should constitute indication for radical surgical treatment. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research

Acute surgical abdomen as presentation of undiagnosed midgut malrotation in adults
ConclusionsAdult bowel malrotation complicated with right colon volvulus and/or ileocolonic intussusception requires emergent surgery. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research

Exophytic gastrointestinal stromal tumor of the stomach. Report of two cases
We present two cases of exophytic gastric GIST which were recently treated successfully in our Clinic with “wedge” gastric resection. The margins were negative and there was neither rupture of the tumor, nor spillage. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research

Pathological findings in 377 patients with differentiated thyroid cancer in a single centre
Conclusions16/79 of patients (20%) operated for DTC had a subcetrimetric, unifocal papillary DTC. According to the 2106 American Thyroid Association (ATA) Management Guidelines, these patients could potentially have been treated with a lobectomy alone. Patients in T1b category present more aggressive histologic features and should undergo multi-disciplinary team discussion to decide optimal surgical treatment. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research

Gastric outlet obstruction with perforation. A rare presentation of left-sided adult Morgagni hernia
We present a case of adult left-sided Morgagni hernia with features of gastric outlet obstruction complicated with perforation. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research