International Journal of Surgery Science

Journal Information
ISSN / EISSN : 2616-3462 / 2616-3470
Published by: Comprehensive Publications (10.33545)
Total articles ≅ 810
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Thamilkkovan A, Sabarigirieasen M, Kannan R, Vijayalakshmi V
International Journal of Surgery Science, Volume 6, pp 01-03; https://doi.org/10.33545/surgery.2022.v6.i1d.872

Abstract:
Incisional hernias are a common complication of abdominal surgeries. About one third of all abdominal surgeries are prone to develop incisional hernias. An incisional hernia occurs at / or in close proximity to the surgical incision through which the contents of the abdomen may protrude. The incidence further increases in emergency procedures. This is one such case of a large incisional hernia in a patient who underwent emergency laparotomy for ileal perforation and presented with a large incisional hernia 3 months later. Transverse Abdominis Release with Posterior Component Separation was done and the patient was discharged on 11th postoperative day. Transverse abdominis release is a durable and reliable surgical repair for large incisional hernias.
Sourabh Raghuwanshi, Sp Ilango, Williams Wilson, S Madhivanan
International Journal of Surgery Science, Volume 6, pp 80-82; https://doi.org/10.33545/surgery.2022.v6.i2b.889

Abstract:
Introduction: Para Umbilical hernia is the commonest of all the abdominal hernias. It constitutes about 6% of all abdominal hernias in adults. Mesh onlay repair by open surgery can be applied to all sizes of para umbilical hernias, it has low recurrence rate and the rates of morbidity and recurrence are comparable with international standards. Aim and Objectives: To compare the surgical outcome of anatomical repair versus meshplasty in the treatment of uncomplicated para umbilical hernias in context of post-operative pain, wound infection, hospital stay, post-operative complications, cost of treatment and recurrence rate. Material and Methods: A total of 50 patients attending the general surgery department for para-umbilical hernia with defect of less than 3cms were included in the study. The surgical outcome of anatomical repair versus meshplasty in the treatment of uncomplicated para umbilical hernias with respect to post-operative pain, wound infection, hospital stay, postoperative complications (seroma, hematoma), and cost of treatment and recurrence rate was compared. Results: The mean age of the patients was 44.4±9.67 yrs of age. There was equal distribution of gender with 48% male and 52% female patients with male to female ratio of approximately 1:1. Significant lower mean pain score was seen among the patients who underwent meshplasty. Incidence of SSI, seroma and hematoma was present in 8% among the anatomical repair. Significant higher duration of hospital stay was seen among the patients who underwent anatomical repair (6.24±0.72 days) as compared to meshplasty (5.64±0.7 days). The cost of treatment was higher among the patients of meshplasty, whereas the rate of recurrence was higher among the patients with anatomical repair (12%) as compared to meshplasty. Conclusion: We found significant better outcome in patients who underwent meshplasty as compared to anatomical repair.
Sasi Kanth Uddagiri, Thatha Rao V
International Journal of Surgery Science, Volume 6, pp 06-09; https://doi.org/10.33545/surgery.2022.v6.i2a.874

Abstract:
Introduction: The presentation of cervical lymphadenopathy is common, but its diagnosis is sometimes difficult. Fine Needle Aspiration Cytology (FNAC) is a simple, inexpensive, rapid investigative procedure to confirm clinical diagnosis with minimal trauma and low complication rate.Aim: To determine the diagnostic accuracy of FNAC and to correlate diagnosis with FNAC and subsequent histopathological examination of excised biopsy specimens.Materials and Methods: The study was done from data collected from 2013 to 2015. Total 100 Patients with cervical lymphadenopathy were clinically evaluated and FNAC, excision biopsy were done and analysed.Results: FNAC is most sensitive in diagnosing secondary deposits in neck nodes with sensitivity of 88.9%. FNAC is least sensitive in diagnosing lymphomas with sensitivity of 78.6%.FNAC is 100% specific in diagnosing Tubercular lymphadenitis, Lymphomas and secondary deposits in neck nodes. FNAC is 96% specific in diagnosing chronic nonspecific lymphadenitis and 94% specific in diagnosing Reactive changes in cervical lymph node. Overall average sensitivity and specificity of FNAC of cervical lymphadenitis is 65% and 98% respectively.Conclusion: FNAC is a very useful diagnostic tool in patients having significant lymphadenopathy. The metastatic carcinomas, especially squamous cell carcinoma and tuberculous lymphadenopathy can be diagnosed by FNAC with a high degree of accuracy. There is significant limitation in the diagnosis of low grade Non-Hodgkin’s lymphoma from reactive hyperplasia.
Ritvik Jaykar, Sachin Jadhav, Praveen Kumar Surpur
International Journal of Surgery Science, Volume 6, pp 70-75; https://doi.org/10.33545/surgery.2022.v6.i2b.885

Abstract:
Introduction: Abdominal wall hernias are a familiar surgical problem. Millions of patients are affected each year, presenting most commonly with primary ventral, incisional, and inguinal hernias. A ventral hernia is defined by a protrusion of an organ or tissue through a defect in the anterior abdominal wall fascia. Ventral hernia constitute 4% of total hernia patient admitted in ward. The aim is to study the varied presentations, etiology, distribution according to age /sex, predisposing factors, anatomical distribution of ventral hernias. Materials and Methods: This is a prospective descriptive study. Present study was conducted over a period from August 2019 to August 2021. During the study period, 50 patients of ventral hernias were included. Results: Incisional hernias constituted 46% of all ventral hernias. Female preponderance was seen in incisional hernias with Female to male ratio is 1. 9:1, where as in epigastric and umbilical / para umbilical hernias male predominance was seen. Most of the ventral hernias presented in 4th to 6th decades. 78% of ventral hernias were uncomplicated at the time of presentation. Swelling was the most common complaint followed by pain.
Trésor Kibangula Kasanga, Manix Ilunga Banza, Augustin Kibonge Mukakala, Emmy Manda Kisimba, Charles Kabongo Beya, Patrick Ciza Zihalirwa, Serges Ngoy Yumba, Jean Gauthier Kibabu Wanga, Erick Wakunga Unen, Nday Guy
International Journal of Surgery Science, Volume 6, pp 04-05; https://doi.org/10.33545/surgery.2022.v6.i2a.873

Abstract:
Our work’s aim is to talk about a case of subungual exostosis of the great toe, benign tumor which is rare among patients above 50 years associated with bearing of tight shoes and to bring our therapeutic experience through observation of a 51 years old patient. It surgical management has consisted in completing the excision of the lesion and histopathology are mandatory for the diagnosis. The post-surgical follow up have been simple. The clinical and para clinical controls that have been done within 6 to 12 months didn t show any relapse.
Pradip Kasabe, Abhishek Shetty
International Journal of Surgery Science, Volume 6, pp 24-29; https://doi.org/10.33545/surgery.2022.v6.i2a.879

Abstract:
Introduction: Breast abscess is a major cause of morbidity in developing countries especially among lactating mothers. It is the most common benign breast problem in pregnancy and puerperium. The aim of this study is to evaluate the efficacy of USG guided aspiration and compare its outcomes with the traditional incision and drainage.Materials and Methods: The study involved 60 consenting female patients with a diagnosis of breast abscess who were divided randomly into two groups of aspiration and incision and drainage.Results: USG guided aspiration is a minimally invasive technique for the management of breast abscess and has better outcomes in terms of post operative complications, hospital stay and healing time and resumption of lactation. It is the preferred modality in the management of breast abscess.
Trésor Kibangula Kasanga, Manix Ilunga Banza, Augustin Kibonge Mukakala, Emmy Manda Kisimba, Charles Kabongo Beya, Patrick Ciza Zihalirwa, Serges Ngoy Yumba, Jean Gauthier Kibabu Wanga, Erick Wakunga Unen, Nday Guy
International Journal of Surgery Science, Volume 6, pp 33-37; https://doi.org/10.33545/surgery.2022.v6.i2a.882

Abstract:
Idiopathic Perforation of the transverse colon in neonate is a rare finding in clinical practice. We reported a case of Idiopathic neonatal colonic perforation, colic perforation is an extremely rare condition and very few cases have been reported in a full term new-born. We reported the first case of a new born at 39 weeks of gestation, who, twelve days after birth, had pneumoperitoneum without any demonstrable cause. Surgical exploration showed a transverse colonic perforation, the perforation was closed primarily. The postoperative course was simple, the following up was made every two weeks during six months. The second case Spontaneous neonatal gastric perforation is rare. We report the case of a full term 4-day old newborn who required resuscitation at birth. On the second day of life he had extensive abdominal distension. Abdominal x-ray without preparation showed pneumoperitoneum. Laparotomy showed a perforation at the level of the antrepyloric, measuring 1,5 cm in diameter, treated by simple surgical suture. The patient dead on the first post-operative day.
Munyantwari Ae, Swedi Me, Kasali Mf, Tshilombo Kf, Banza Lc, Bakari As, Odimba Be, ArunG Kw
International Journal of Surgery Science, Volume 6, pp 15-23; https://doi.org/10.33545/surgery.2022.v6.i2a.876

Abstract:
Phytotherapy can be integrated in medical treatment for benign prostatic hyperplasia at the same level as alpha blockers, and 5-alpha-reductase inhibitors.The objective of this study was to investigate the toxicity of local plants used by traditional medicine, namely Plantago major and Solanum aculeastrum in comparison with an alpha Blocker (Alfuzosin 10 mg).Male patients aged 60 and above were randomly assigned to two groups. Each group contained of 68 patients who had been diagnosed with prostate cancer based on pathology. One group was given the phytotherapy and the other Alfuzosin. The study was conducted over a period of 27 months from 1st January 2019 to 31st March 2021. The phyto-medication was given for 3 months followed by 6 months break, with a total of 3 episodes. Alfuzosin was administered at dosage of 10 mg tablet per day.Haematological, biochemical and urinary bacteriological tests were done at the beginning of the study, after each episode and at the end. The initial results were compared with the final results after treatment. Results were entered by the SPSS statistcs software version 23 and the χ2 test was used for significance. The haematological and urinary bacteriological tests did not undergo any modification in the two groups whereas a significant improvement occurred in the biochemical tests on the kidney, the liver and the metabolism in favor of herbal medicine. The conclusion was that phytotherapy of benign prostatic hyperplasia is not harmful. It is appropriate, and acceptable to patients who adhere to the treatment. Further studies could assess the pharmacokinetic aspects to establish the relationship between the pharmacochemical compounds of these plants with the prostate tissue. This also raises the possibility of developing a phyto-drug.
Anil Kumar Ms, S Vipul Jain
International Journal of Surgery Science, Volume 6, pp 76-79; https://doi.org/10.33545/surgery.2022.v6.i2b.887

Abstract:
Acute pancreatitis is serious disorder in any kind of severity with a mortality up to 20-40% and with a high magnitude of morbidity due to other kinds of systemic complications and despite of the various aetiologies, the final outcome is premature activation and retention of proteolytic enzymes. The main triggering factor and the etiological factor in development of Severe Acute Pancreatitis leading to multiple organ failure is the disturbance in microcirculation of the pancreas. The standard treatment for pancreatitis that is given is fluid management, nutritional care, gastrointestinal decompression, antibiotics (when indicated) The need for introducing Low molecular weight heparin (LMWH) in the treatment line of acute pancreatitis is that LMWH can reduce the release of cytokines and inflammatory mediators, resulting in an improvement of the microcirculation of pancreas thereby minimising the severity of pancreatic necrosis.
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