Congenital adult transmesenteric hernia as small bowel obstruction
ConclusionTransmesenteric hernia is a rare cause of small bowel obstruction as it constitutes only 8% of internal hernias. A congenital mesenteric defect should be considered as one of the differential diagnoses in a relatively young patient with bowel obstruction without an external hernia, previous abdominal surgery or trauma. Surgical decision-making is made on the basis of clinical findings of intestinal strangulation or ischaemia, and emergency laparotomy should be performed without preoperative diagnosis of such a rare disease. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Evaluation of the role of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers: a prospective comparative study
ConclusionThis study further supports and recommends HBOT for the management of diabetic foot ulcers as there is marked increase in the rate of wound healing as compared to standard wound care and dressings alone. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Primary cutaneous melanoma of the breast region
ConclusionDespite its rareness, primary cutaneous melanoma of the breast region can be managed using the same techniques as for other skin parts. Wide three-dimensional local excision and sentinel lymph node biopsy is the selected treatment. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Gastrointestinal weight loss surgery for the management of type 2 diabetes: A view from Greece
AbstractSeveral gastrointestinal operations of bariatric surgery, originally designed to achieve and maintain weight loss, can also induce long-term remission of type 2 diabetes mellitus as well as improve other metabolic conditions including hypertension and dyslipidaemia. Moreover, bariatric surgery is increasingly being explored for the treatment of diabetes in moderately obese and non-obese diabetic patients, with positive results. The differences observed amongst the types of bariatric surgery in better control (i.e. sleeve gastrectomy) versus full remission (i.e. Roux-en-Y gastric bypass) of diabetes postoperatively ...
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Role of diagnostic laparoscopy in patients with non-specific abdominal pain and its correlation with clinical and radiographic findings
ConclusionLaparoscopy, apart from being a gold standard in diagnosis of non-specific abdominal pain, also extends the benefit of addressing the pathology at the same time. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Pelvic actinomycosis: A rare presentation
We present the case of a 37-year-old female patient who presented with tubo-ovarian actinomycosis without a history of IUD use. She presented with abdominal pain and bilateral tubo-ovarian masses. Postoperative histopathology revealed actinomycosis. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
An unusual foreign body in the urinary bladder: The art of management
ConclusionA wide multitude of foreign bodies can be inserted into the urinary bladder. Such patients usually suffer from psychiatric problems, hence a thorough psychiatric assessment is needed. Endoscopic removal is the treatment of choice with open surgical removal reserved for endoscopic failure cases. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Comparison of primary resection and anastomosis with Hartmann ’s procedure in management of acute sigmoid volvulus
ConclusionThis study demonstrated that the outcome of two procedures are the same. Resection and anastomosis should be performed safely in uncomplicated acute sigmoid; in complicated cases, Hartmann ’s procedure is the surgery of choice. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Isolated common bile duct injury after abdominal trauma
We report the rare case of a self-inflicted stab injury involving the isolated common bile duct without any other vascular or visceral injury. A 35-year-old male with a history of self-inflicted stab injuries to the abdomen presented with features of localized peritonitis. Laparotomy revealed an isolated rent in the common bile duct which was repaired over a T-tube. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2016 Category: Surgery Source Type: research
Incidental thyroid carcinoma after thyroidectomy in patients with Graves ’ disease
Conclusions < /h3 > < p class= " a-plus-plus " > The rates of ITC have been seen to range from 1% to 42% in recent studies. Patients with nodular parenchyma show a greater risk of carcinogenesis, particularly when nodules are palpable. Papillary carcinoma and microcarcinoma constitute most of the cases of ITC. In our department, the rate of ITC was 19%, malignancy had developed only in female patients and 50% of the tumours were within a nodule. Regarding the treatment options of GD, total thyroidectomy represents a prompt and valuable choice. Furthermore, total thyroidectomy emerges as the optimal treatment option when th...
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
Predisposing and aetiologic factors for haemorrhoidal recurrence after procedure for prolapse and haemorrhoids (PPH)
Conclusions
To minimize post PPH recurrence, strict inclusion criteria and well-performed primary surgery, calibrated on the sufficient amount of prolapse resected, and occasionally combined with excision of residual haemorrhoids, should be demanded. If the condition is symptomatic, recurrent or persisting prolapse is treated with repeat PPH when it is mobile and uniform, and with conventional haemorrhoidectomy when it is irreducible. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
RECIST criteria and doppler score in the evaluation of neoadjuvant chemotherapy in locally advanced breast carcinoma
Conclusion
Partial response to NACT was achieved in 76.5% of cases according to RECIST, and the doppler score for tumour vascularity decreased. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
HELP: Hip Extension Lithotomy Position: A simple and productive technical modification at abdominal laparoscopy
Abstract
Dorsal lithotomy is a commonly used position in many gastrointestinal and gynaecological laparoscopic surgeries, either in the classical or modified way. However, the available data seems to have fallen short of detailing the precise mode of its usage. In order to gain maximum advantage with minimum annoying sequel, we describe certain simple revisions of a modified lithotomy position. Over the last decade of our surgical practice, we have found these adaptations to be both technically and physiologically beneficial in many ways. Accordingly, it has been utilized in over 2000 cases without faci...
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
Adult Langerhans cell histiocytosis with caecal and regional lymph node involvement
Conclusions
LCH is rare in adults, and gastrointestinal tract involvement even rarer. Our case presented as a mass lesion located in the mucosa of the caecum and terminal ileum. With the increasing number of colonoscopies being performed, gastroenterologists and pathologists should be aware of this rare cause of colon polyps. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
Prospective study of limberg flap for treatment of recurrent pilonidal sinus under local anaesthesia
Conclusions
Our study favours the rhomboid flap for recurrent sacrococcygeal pilonidal sinus, especially for complex sinuses, and found it suitable for cases where simpler operations have failed. It allows early return to full activity and has very low recurrence and complication rates which may outweigh the disadvantage of an unfavourable cosmetic appearance. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - April 30, 2016 Category: Surgery Source Type: research
