Intestinal obstruction in appendicitis: A retrospective cohort study
ConclusionsThe incidence of intestinal obstruction in appendicitis was higher than expected. These patients have a severe inflammatory response with a WSES Sepsis Severity Score of 3 points. According to the classification of intestinal obstruction in appendicitis, most patients had a mechanical obstruction with strangulation. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Pancreas sparing duodenectomy for duodenal trauma
ConclusionPancreas-sparing duodenectomy is a valuable tool in the management of duodenal trauma, allowing the surgeon (and the patient) to avoid the complications of major surgical resections. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Gallstone obstructing the duodenum. Report of two cases of Bouveret ’s syndrome
We present two cases of Bouveret’s syndrome. The first is a 63-year-old female patient with a 4 cm ga llstone obstructing the third part of the duodenum. The patient underwent prompt surgery and the gallstone was removed through the jejunum. The other patient’s course, an 88–year-old male, was more complicated. After fluid resuscitation and an attempt at endoscopic removal, a gallstone obstructi ng the first part of the duodenum was surgically removed through a gastrotomy. Both patients recovered fully and were discharged. Both cases presented many dilemmas and challenges from the diagnosis to the final management. (...
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Current concepts on GIST
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Use of idarucizumab for dabigatran reversal in patients with non-valvular atrial fibrillation undergoing emergency surgical repair of strangulated femoral hernia
We report a case of a 61-year-old woman with history of NVAF on dabigatran, presented to the emergency department with a strangulated right femoral hernia causing small bowel obstruction, where idarucizumab was administered before surgery. The patient had received her last dose of dabigatran 4 hours before presenting to the emergency department and her activated partial thromboplastin time was over the upper limit of reference. Surgery followed about one hour after the administration of idarucizumab and surgeon reported normal perioperative haemostasis. The patient had a normal recovery, received parenteral anticoagulation...
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
The anatomy of a surgeon
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Our case reports a component of acute care surgery
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
The inaugural letter
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research
Comparative evaluation of early laparoscopic cholecystectomy for mild gallstone pancreatitis vs acute cholecystitis
ConclusionLC can be safely performed during index admission in patients with mild ABP as can be done in cases of AC. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
Is primary closure of common bile duct a rational method after choledocholithotomy, in a low resource setting?
ConclusionIn a limited resource setting, primary closure of the common bile duct is a safe and effective method that avoids the morbidity related to T-tube usage. It reduces the hospital stay and overall cost. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
Pyogenic liver abscess of a male patient with diabetes mellitus due to Escherichia coli with fever and chills as the only symptoms
AbstractPyogenic liver abscesses (PLAs) are the most frequent visceral abscesses with predominance in men. They are extremely rare and their mechanism of formation is extended to infection of an anatomically contiguous organ or hematogenous seeding. Diabetes mellitus is a major predisposing factor and if so, the mortality rate is high. The most common clinical presentation forms are fever with chills, abdominal pain and hepatomegaly. In the present report we present the case of a 65-year-old Greek male patient with history significant for diabetes mellitus, who attended the emergency department complaining of fever and chi...
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
Congenital middle mesocolic hernia – An unusual cause of small bowel obstruction
AbstractInternal herniation is a rare cause of small bowel obstruction, with an incidence of 0.2-0.9%. Obstruction due to congenital internal hernias is even rarer. The commonest type of congenital internal hernia is the paraduodenal or the mesocolic hernia. The left and right mesocolic hernias constitute 75% and 25% of the mesocolic hernias respectively. Middle mesocolic hernias are an extremely rare and unusual variant of mesocolic hernia, and literature search revealed only three reported cases. In view of its rarity, a high level of clinical suspicion, supported by radiological evidence is required to diagnose it preop...
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
The effect of thyroid gland weight on early complications in total thyroidectomy: Cerrahpasa experience
In this study we aimed to show whether thyroid gland weight has an effect on early and late complications in thyroidectomy done in an experienced center. 721 patients in Istanbul University Cerrahpa şa Medical Faculty General Surgery Department, in whom sutureless total thyroidectomy with vessel sealing devices were done, were retrospectively evaluated from January 2012 to December 2015. Reoperations, plonjan goiter, patients with capsule invasion and lymph node metastases who were operated du e to thyroid cancer were excluded in the study. Demographic data, operation indications, operation duration, incision length, post...
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
Renal cell carcinoma with contralateral synchronous adrenal and lung metastasis: A rare case report
We report a case of renal cell carcinoma with synchronous contralateral adrenal and lung metastasis. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
Comparative study of intralesional triamcinolone alone and in combination with 5-flurourouracil for the treatment of keloid and hypertrophic scars
ConclusionThe combination of triamcinolone acetonide and 5 flourouracil is superior to triamcinolone acetonide alone in treatment of keloids and hypertrophied scars. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - January 1, 2017 Category: Surgery Source Type: research
