Juniper Publishers-Open Access Journal of Surgery

Chronic Pain Following Lichtenstein Inguinal Hernia Repair: A Single Surgeon’s Experience Authored by Zaza Demetrashvili  Aim: The aim of our study was to determine the prevalence of chronic pain following Lichtenstein inguinal hernia repair and risk factors for pain development. Methods: 347 patients with primary unilateral inguinal hernia underwent Lichtenstein repair. Some preoperative, perioperative and postoperative data were studied. Patients were examined for inguinal pain after one week following hernia repair (early postoperative pain), they were as well examined 1 and 3 months, 1 and 2 years following the surgery. Inguinal pain scores were measured on a Visual Analogue Scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain). These pain scores were categorized as none (0), mild (1-3), moderate (4-7) and severe (8-10) pain. Results: Information about 26 patients was lost during the observation. Subsequently 321 patients were examined during 2

Beware of Over-Enthusiasm for CT Scans! Authored by  Biplab Mishra  The problem of over use of CT scans has become an epidemic in our present society and it is going to worsen in coming years if appropriate! steps are not taken now. This has become a complex issue with interplay of many factors like doctor factors, patient and public factors, action/inaction of monitoring bodies and company driven. The issue simply is non-judicious use of CT scans. There is no doubt about CT scans being one of the most useful tools in diagnostic radiology. Unfortunately, doctors are now advising CT scans just at the drop of hat and history and clinical examination have taken not only a back seat but not even considered wisely in many cases. The aim of this editorial is to spread awareness among doctors about the wise use of CT scans or at least to avoid over-enthusiasm about it highlighting radiation, contrast induced nephropathy (CIN), hypersensitivity to contrast mediums and cos

Symptomatic, Operable Tarlov Cysts: A Myth or a Reality? Authored by Vibhu Krishnan Viswanathan The presence of perineural cysts within the sacral spinal canal was initially described in the literature as early as 1938, when Tarlov had identified a similar lesion during one of his autopsies. While a majority of these lesions are asymptomatic and represent incidental findings observed on MRIs or CT scans, there have been described rare instances in the literature, when these lesions have resulted in symptoms which required surgical intervention. Coccygodynia, dyspareunia, perianal pain and cauda equina syndrome have been described as definitive indications for surgery. However, the role of surgery in relieving back pain or radicular symptoms following Tarlov cysts has remained controversial. The current article describes a similar lesion observed in one of our patients. The purpose of this report is to highlight the fact that tarlov cyst can definitely be a potential

Prophylactic Central Neck Dissection in the Management of Papillary Thyroid Carcinoma; is there a Meaningful Outcome? Authored by Sohail Bakkar Papillary thyroid carcinomas are favorable prognosis cancers. Most patients have an excellent long term overall survival rate. As a result, disease-free survival has replaced overall survival as the main outcome of interest when effective initial management of these tumors is considered. The role of prophylactic central neck dissection represents an area of ongoing controversy in this regards. Our groups’ opinion is that in the context of available literature, performing central neck dissection routinely fails to provide a clinically meaningful outcome and only condemns patients to its potential serious sequelae. To view more.. PHP in Juniper Publishers in Open Access Journal of Surgery

Distraction Osteogenesis of Mandible in Hemifacial Microsomia-A Case Report Authored by Simon Chummar Distraction osteogenesis is a process of generating new bone by slowly stretching the callus. Mandibular distraction osteogenesis has gained popularity as a technique for managing patients with mandibular hypoplasia. The reconstruction of severe mandibular deformities in patients with hemifacial microsomia (HFM) is difficult. We report a case of distraction using an intraoral approach for the corticotomy and an intraoral bone lengthening device. Our case was of Hemifacial Microsomia Pruzansky type 2a. To view more.. PHP in Juniper Publishers in Open Access Journal of Surgery