Juniper Publishers-Open Access Journal of Surgery

  Journal of Surgery -  JuniperPublishers Introduction Forced air warming (FAW) devices are used in the operating room to helpmaintain normothermia during anesthesia and prevent complications of hypothermia. Proper use involves connecting the hose of the warming unit to a disposable blanket with a perforation pattern that evenly distributes heat across the patient’s body. Multiple studies have shown the efficacy of FAW devices to be better than other widely used interventions such as circulating water mattresses [1]. However, as with most medical interventions there is a potential for complications with FAW devices. We present the case of a FAW device that malfunctioned after it became wet, depositing black soot on the patient. Go to Case Report A 67 year old male patient with a history of hypertension, dyslipidemia, and lung cancer presented for a robotic-assisted left upper lobectomy. The patient was taken to the operating room where standard ASA monitors were applied. Gener...

  Journal of Surgery -  JuniperPublishers Mini Review From environment to patient Pseudomonas genus is known and studied from many years and it’s currently widely to the attention in microbiological and in medical clinical area for severe infections occur in patients who are already illness or who have a weak immune system, such as long term hospitalized subject. This bacteria group, normally is isolated in the environment, such as in soil, water, plants and in nosocomial area as well as in veterinary field such as intensive no controlled farming [1]. Pseudomonas spp. represents a Gram negative opportunistic pathogens bacteria group with a great, outstanding adaptability in the different environmental conditions. In fact, recentstudies by using the comparative genomics on different strains of P. aeruginosa isolated in human and veterinary field have identified some key genes involved in the shift environment-status vs. pathogen-status of these bacteria. In particular, these st...

  Journal of Surgery -  JuniperPublishers Abstract Introduction:  During laparoscopic total extra-peritoneal pre peritoneal (TEPP) hernioplasty for inguinal hernia, posterior epimysium of rectus abdominis muscle was studied, and the novel observations hitherto unreported in literature are presented herein. Materials and methods:  A prospective study was conducted in adult patients of inguinal hernia who underwent Laparoscopic Total Extra-Peritoneal Pre-Peritoneal hernioplasty under the ethical clearance and informed consent. Standard 3-midline port technique was utilized. Initial access dissection in posterior rectus canal was performed with unhurried to-and-fro movements of the 0º 10-mm telescopic for careful observation of undersurface of rectus abdominis. Results:  A total of 68 hernioplasties (Unilateral 52, and Bilateral 8) was performed in 60 adult male patients with primary inguinal hernia. Mean age and BMI were 50.08±17.15 years (Range 18-80 years) and 2...

  Journal of Surgery -  JuniperPublishers Abstract Proximal functional kyphosis (PJK) is a common complication following multilevel instrumented fusion for spinal deformities. Although the exact cause underlying this complication has still remained elusive, multiple clinical and radiological factors have been shown to negatively influence the alignment of spinal segments immediately proximal to the fused segments. The current article comprehensively describes the various factors which may influence the development of this phenomenon. Abbrevation:  PJK: Proximal Functional Kyphosis; UIV: Upper Instrumented Vertebra; SVA: Sagittal Vertical Alignment; LL-PI: Lumbar Lordosis; TK: Thoracic Kyphosis Go to Introduction Proximal functional kyphosis (PJK) is a common complication (26-39%) following multilevel instrumented fusion for spinal deformities. It is defined as a focal segmental kyphosis of more than 10 degrees between upper instrumented vertebra (UIV) and 2 levels cranial...

  Journal of Surgery -  JuniperPublishers Abstract Transverse colon volvulus is an uncommon entity practically very few experienced in their life time. This condition presents most common as emergency with investigation not diagnostic and surgery is the treatment of choice with high mortality and morbidity. This is the first case report of transverse colon volvulus with partial rotation, the following case illustrates and signifies of this condition and outcome in acute abdomen.  Go to Introduction Transverse colon (T-Colon) volvulus is a uncommon and first reported by kallu in 1917 [1] and till now 70 paper published till now to our knowledge as per PubMed search. The incidence of colonic volvulus is 3-5 % and T-colon volvulus represents 3-4% out of it [2]. Few of the papers published were in pediatric but it is more common in adult [2-4]. The mortality rates are three time more common in T-colon volvulus when compared to sigmoid or cecal volvulus. We report one case of ...