Juniper Publishers-Open Access Journal of Surgery

  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 ...

  Journal of Surgery -  JuniperPublishers Introduction:  Gastrointestinal Stromal Tumor (GIST) is considered the most common mesenchymal tumor of the gastrointestinal tract. Approximately 85% of GISTs have mutations in proto-oncogene KIT encoding, a tyrosine kinase receptor. About 8% of GISTs are associated to mutations in the growth factor receptor alpha (PDGFRA) gene. The standard treatment of GIST is the surgical resection of the tumor. In cases of metastasis and tumor recurrence specific drugs as tyrosine kinase inhibitors are used. The first line treatment is Imatinib. Although the treatment with imatinib failed in some patients for the metastatic and relapsed treatment of GIST, the patients can to use other drugs, called second generation. Discussion:  One of the great advances in the diagnosis of GIST was the recognition through the immunohistochemistry of the c-Kit marker. The tyrosine kinase inhibitor, imatinib, has become the standard treatment for those, w...

  Editorial Endoscopy is a nonsurgical procedure used to examine a person’s digestive tract. The primary aim of endoscopy in the management of patients with UGI symptoms is to detect organic disease. Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor. During an upper endoscopy, an endoscope is easily passed through the mouth and throat and into the esophagus, allowing the doctor to view the esophagus, stomach, and upper part of the small intestine. Endoscopy is a team activity, requiring the collaborative talents of many people of different backgrounds and training. It is difficult to overstate the importance of an appropriate environment and professional support staff, in order to maintain patient comfort and safety, and to optimize clinical outcomes. Procedures are performed by many different types of doctor, including gastroenterologists, surgeons, and some radiologists. Speciall...