Abstract Purpose: To analyze the anesthetic drugs interference with wound healing when used in the surgical bed. Methods: Macro and microscopic aspects of healing of surgical wounds were evaluated after instillation of topical anesthetics without vasoconstrictor or saline solution 0.9% as control in the transsurgical period. Thirty dogs, males and females were divided into two experimental groups. In both groups, two circular punch lesions of 6 mm diameter were performed in the abdomen. In group...
Abstract Purpose: To analyze gene and protein expression of metalloproteinases 1, 2, 9, 11 and 16 and their correlation with clinicopathological variables in colorectal adenocarcinoma. Methods: A retrospective study of 114 patients with colorectal adenocarcinoma treated surgically in the period 2006 to 2008 in Hospital de Câncer de Barretos - Fundação Pio XII. The evaluation of gene expression was performed by RT-PCR, and protein by immunohistochemistry. The analysis of gene expression was classified...
Abstract Purpose: To analyze gene and protein expression of metalloproteinases 1, 2, 9, 11 and 16 and their correlation with clinicopathological variables in colorectal adenocarcinoma. Methods: A retrospective study of 114 patients with colorectal adenocarcinoma treated surgically in the period 2006 to 2008 in Hospital de Câncer de Barretos - Fundação Pio XII. The evaluation of gene expression was performed by RT-PCR, and protein by immunohistochemistry. The analysis of gene expression was classified...
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AbstractSurgery in loss of domain hernia can result in high morbidity and mortality. Chronic muscle retraction along with the reduced volume of the peritoneal cavity can lead to potential problems such as abdominal compartment syndrome, ventilatory restriction and an elevated risk of hernia recurrence. This is affected even further by obesity; a high body mass index is strongly associated with poor outcomes after ventral hernia repair. In these individuals, preoperative preparation is vital as it...
AbstractA 43 years old female with laparoscopic sleeve gastrectomy (SG) and an ‘anterior’ hiatal hernia repair 11 years ago, presented with 3 years history dysphagia and heartburn. Upper gastrointestinal barium showed an almost complete intrathoracic migration of the SG with a partial organoaxial volvulus. Upper endoscopy revealed a 10 cm hiatal hernia with grade B esophagitis. Laparoscopic revision surgery with reduction of the gastric sleeve, standard posterior hiatal hernia repair, resection of...
AbstractCompression syndromes affecting the common fibular nerve are common and frequently caused by direct pressure upon the fibular tip region. Here, we describe a case of a 50-year-old male presenting with sudden foot drop, which had developed spontaneously. He was on oral anticoagulants due to hereditary thrombophilia (factor-V-Leiden). Neurophysiology examination revealed a common peroneal nerve lesion at the fibular tip. T1-weighted magnetic resonance imaging (MRI) showed a not further classifiable...
AbstractA case of anal fistula communication to anterior abdominal wall treated using ‘Medicated Seton’ called ‘Ksharasutra’ is reported here. Sushruta mentioned about Ksharasutra in his text book Sushruta Samhita in 500 BC. A 54-year-old male came with recurrent abscess in the lower abdominal wall and underwent incision and drainage three times earlier. Scar on lower abdomen and active sinuses on right and left ischiorectal fossa were noted. Internal opening was felt at anal mucosa posteriorly....
AbstractOmental infarction is a rare phenomenon that can be idiopathic or secondary to a surgical intervention. Greater omentum division has been advocated to decrease tension at the gastro-jejunal anastomosis during laparoscopic Roux-en-Y gastric bypass (RYGB). We report a case of omental infraction complicated by liquefied infected necrosis presenting 3 weeks after antecolic antegastric RYGB. The patient underwent laparotomy and subtotal omentectomy with a protracted hospital course due to intra-abdominal...
An unexpected intraoperative finding of cystic adventitial degeneration of the common femoral artery
AbstractHerein we present a rare case of cystic adventitial degeneration involving the common femoral artery (CFA) of a 71-year-old patient, an unusual site of presentation of the disease. The most commonly affected district is the popliteal artery, and only a few cases of CFA involvement are described in literature. The history and comorbidities of the patient oriented us initially towards the diagnosis of an atherosclerotic obstructive disease. It was only intraoperatively indeed that a diagnosis...
AbstractThis report presents the case of a 57-year-old male patient who underwent a total knee arthroplasty (TKA) using an uncemented Triathlon system and subsequently went on to develop a prosthetic joint infection (PJI) with eventual polyethylene insert dislocation. This report presents the clinical, radiological and surgical findings of the insert dislocation on the background of PJI and explores this rare complication of TKA by providing a summary of the literature on this topic.
AbstractSmall bowel obstruction (SBO) following intraperitoneal renal transplantation, either solitary or due to simultaneous pancreas-kidney transplantation, is a known complication. While SBO is most commonly due to adhesions, there have been documented cases of internal herniation following simultaneous pancreas-kidney transplantation with enteric drainage due to the formation of a mesenteric defect. We present a unique complication in which the transplant ureter has caused strangulation and necrosis...
AbstractUndifferentiated abdominal pain accounts for a significant proportion of emergency presentations and often presents as a diagnostic dilemma. Renal vein thrombosis (RVT) has many aetiologies including nephrotic syndrome, malignancy, trauma, infection and hypercoagulable states. RVT should be considered in cases of persistent abdominal pain where other, more common, pathologies have been excluded. We present the case of a 42-year-old male with a delayed diagnosis of bilateral RVT after presenting...
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Publication date: Available online 14 August 2020Source: Journal of Surgical EducationAuthor(s): Christine Nicholas, Alexandra Hatchell, Carmen Webb, Claire Temple-Oberle
Publication date: Available online 14 August 2020Source: Journal of Surgical EducationAuthor(s): David Eugenio Hinojosa-Gonzalez, Juan S. Farias, Valeria Cecilia Tellez-Giron, David Aguirre-Villarreal, David Brenes-Castro, Eduardo Flores-Villalba
Publication date: Available online 13 August 2020Source: Journal of Surgical EducationAuthor(s): Jason C. Pradarelli, Emily George, Jane Kavanagh, Yves Sonnay, Tan Hiang Khoon, Joaquim M. Havens
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Publication date: Available online 15 August 2020Source: Journal of the American College of SurgeonsAuthor(s): Chad G. Ball, David V. Feliciano
Publication date: Available online 14 August 2020Source: Journal of the American College of SurgeonsAuthor(s): Naruhiko Ikoma, Michael P. Kim, Ching-Wei D.T. zeng, Hop S. Tran Cao, Jeffrey E. Lee, Matthew HG. Katz
Publication date: Available online 14 August 2020Source: Journal of the American College of SurgeonsAuthor(s): Q Lina Hu, Jill Q. Dworsky, Anna C. Beck, Erin W. Gilbert, Barbara A. Pockaj, Thomas K. Varghese, Melinda Maggard-Gibbons, Clifford Y. Ko, Ronald J. Weigel, Christine Laronga
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