Juniper Publishers-Open Access Journal of Surgery

Journal of Surgery -  JuniperPublishers Introduction Curative surgical resection for selected primary chest wall neoplasms, and chest wall resection for metastatic neoplastic lesions with no other distant metastases, have long-term survival benefits [1]. Various synthetic mesh materials combined with metal plates and bone cement have been widely used in chest wall reconstruction [2,3]. However, reconstruction remains challenging, and novel techniques designed for different cases have been repeatedly reported. Here, we describe a novel technique using a double-layer mesh and inner surgical membrane placed around the ribs on either side of the chest wall defect and secured using a linear stapler after resection of a metastatic rib tumor. Go to Case Presentation A 50-year-old man received right radical nephrectomy for renal cell carcinoma, and follow-up image studies of chest computed tomography (CT) and positron emission tomography revealed a progressive metastatic bone

Journal of Surgery -  JuniperPublishers Introduction Altemeir first described hepatic hilar cholangiocarcinoma in 1957 [1]. In 1965, a series of 13 cases of hepatic hilar cholangiocarcinoma was reported by Klatskin [2]. This tumor makes up about 60% of all cholangiocarcinoma. Anatomically, this tumor situates at special site, i.e. hilar biliary bifurcation within a limited small space, close to vessels (portal vein, hepatic artery) and liver (especially caudate lobe). Biologically, it usually grows slowly and locally, with submucosal infiltration (up to 1.6 cm from gross margin of the tumor), neurovascular infiltration and lymphnode metastasis, but less often with distance metastasis. Therapeutically, its resection usually is difficult, especially to obtain R0 resection, while it does not respond well with chemo-and/or radiational therapy. Local recurrence is high (>50%), leading treatment failure and poor outcome [3]. When humans ingest the eggs of the tapeworm, embryos em

Juniper Publishers: A Correlative Study of Individualization from Hier... : Journal of Forensic Sciences & Criminal Investigation - Juniper Publishers Abstract Questioned documents which consists handwri...

Juniper Publishers: The Effect of Low-Level Electrical Stimulation of ... : Journal of Cardiology & Cardiovascular Therapy - Juniper Publishers Opinion Congenital heart failure (HF) is one of the most po...

Journal of Surgery -  JuniperPublishers The History of Platelet Rich Fibrin (hemocomponents) started in 1970, when Matras described a fibrin glue, formed by polymerizing fibrinogen with thrombin and calcium, which was used to improve skin wound healing in a rat model in 1970 [1]. Because of the low concentration of fibrinogen in plasma, the stability and quality of fibrin glue were low. A few years later several research works proposed an upgraded concept for the use of blood extracts, termed “platelet-fibrinogen-thrombin mixtures” or “gelatin platelet - gel foam” [2,3]. In this new concept, the fibrin glues were presenting a significant concentration of platelets within the final preparation. The idea was first to reinforce naturally the fibrin gel, and also to combine the healing properties of the platelets with those of the fibrin. This improvement allowed to prepare more natural products, integrating more natural blood constituents as it should. These products were the fir

Juniper Publishers: Classification System of Drugs Risk during Pregnan... : Journal of Gynecology and Women’s Health-Juniper Publishers Abstract The exposure to medicines during pregnancy have a potential ri...

Journal of Surgery -  JuniperPublishers Introduction Appendicitis is one of the commonest causes of abdominal pain in both genders, occurring more often younger people [1], with the gender predominance varying across regions [1,2]. The causes of this disease are not clear, with several pathophysiological hypotheses having been proposed. The dietary fiber hypothesis suggests that the disease may be caused by the consumption of a low fiber diet. The hygiene theory suggests that improvements in water supply and sewerage disposal lead to an increase in appendicitis cases in Britain in the late 19th century by reducing children’s exposure to enteric organisms, leading to an altered immune response to viral infections [1,3,4]. The presentation of a temporal progression of acute central abdominal pain shifting to the right lower quadrant, associated with vomiting, subsequent mild fever and signs of peritoneal irritation, is diagnostic of appendicitis [3]. Laboratory inflammation make

Juniper Publishers: On Application of Markov Chain in Reducing the Gen... : Biostatistics and Biometrics Open Access Journal                                                   Abstract A three state Markov Cha...