Juniper Publishers-Open Access Journal of Surgery

  Journal of Surgery -  JuniperPublishers Abstract A 40- year old female presented with spontaneous rupture of 8-year old Incisional hernia through midline abdominal scar and evisceration of small bowel. Emergency operation with polypropylene mesh hernioplasty was carried out. Outcome with a brief review of literature is discussed. Keywords:  Spontaneous rupture; Incisional hernia; Ruptured hernia; Ruptured incisional hernia; Emergency mesh repair Go to Introduction Incidence of postoperative incisional hernia has been at least 10% on long-term follow-up even in the best centers [1]. The hernia steadily increases in size with attendant heavy sickening/ dragging sensation aggravated by coughing/ straining and recurrent attacks of incomplete obstruction with colicky pain & vomiting; sometimes complicated by complete obstruction and strangulation, and often intertrigo in deep creases between large dependant hernia and abdominal wall. Late dehiscence of incisional hernia is rare [2]. A

  Journal of Surgery -  JuniperPublishers Abstract Introduction:  Multiple Sclerosis (MS) is a debilitating autoimmune disorder, characterized by damage to the white matter of the central nervous system. Studies suggest a relationship between impaired cerebral venous blood flow and progressive destruction of white matter in the CNS. Altered cerebral venous architecture is a possible mechanism that may contribute to a compromised venous blood flow pattern in MS patients. Natural variations at junction located between the great cerebral vein (GCV) and the straight sinus (Ss) located within the cerebral venous drainage system can potentially exacerbate MS progression. Recent data indicates that abnormal cerebral venous hemodynamics contributes to the pathophysiology observed in MS through an unknown mechanism that increases hydraulic resistance. Objective:  This review aims to investigate if anatomical variations at the GSV and Ss junction elicit a profound effect on the cerebral venous s

  Journal of Surgery -  JuniperPublishers Abstract Background:  Mesenteric venous thrombosis (MVT) is a rare but potentially catastrophic clinical complication, which may lead to ischemia or infarction of the intestine. Methods:  We report here a case of superior mesenteric vein (SMV) thrombosis in a 21 year old male patient with no history of Crohn’s disease or other risk factors of thrombosis. Patient was admitted to the hospital with the signs and symptoms of small bowel obstruction. He was taken to the operating room after the initial diagnostic tests and underwent partial small bowel resection followed by end to end anastomosis. İntraoperative diagnosis was acute mesenteric ischemia (AMI). Results: Final pathological evaluation of the resected specimen was confirmed as demonstrating features of Crohn’s disease. Conclusion:  Crohn’s disease should be considered as one of the underlying causes when AMI is the diagnosis. Keywords:  Crohn’s disease; Acute mesenteric ischemia, Intestin

  Journal of Surgery -  JuniperPublishers Mini Review Recently in our hospital 54-year-old Indian female patient presented with pain right hypochondrium, underwent cholecystectomy 3 years back for the same pain, now presented in emergency with with severe persistent pain right side of abdomen and fullness abdomen for 2 days. On examination there was tenderness and guarding of the right lumbar, right hypochondriumregion, post surgery scar was normal, no hepatosplenomegaly. A laparotomy was performed, during which a large amount of mucinous material seen in subhepatic region along with bulky gelatinous appendicealretrocecal tumor not infiltrating the omentum were found. All mucinous substance aspirated and appendicectomy done. Colon and cecum was inspected and palpated with no recognition of infiltration and separate appendix. Pathologist confirmed mucinous tumor of appendix progressing to of pseudomyxomaperitonei, opinion of oncologist is being taken while writing the short review Go to

  Journal of Surgery -  JuniperPublishers Abstract Gastrointestinal stromal tumors (GIST) are relatively rare and commonly involve the stomach. Surgical resection is generally recommended when feasible. Although laparoscopic resection has been used for smaller tumors, resection for larger tumors is less well described. We report a case of gastric 6.5 cm GIST treated with laparoscopic wedge resection and review the literature. Keywords:  Gastrointestinal Stromal Tumor; Laparoscopic resection; Gastric tumors Go to Introduction Gastrointestinal stromal tumors (GIST) are relatively rare tumors affecting the alimentary tract, commonly the stomach. Treatment is surgical resection and laparoscopic resection is being increasingly utilized. We report a case of gastric 6.5 cm GIST treated with laparoscopic wedge resection. Go to Case Report 53-year-old gentleman was admitted with small bowel obstruction secondary to adhesions. His past medical history was remarkable for left orchiectomy for embr