Juniper Publishers-Open Access Journal of Surgery

Journal of Surgery -  JuniperPublishers Abstract Object:  To evaluate the outcome of laparoscopic varicocelectomy in terms of perioperative and postoperative parameters with special emphasis on improvement in symptoms, semen analysis and restoration of fertility. Background:  Varicoceles demanding treatment can be managed by various options like open varicocelectomy, laparoscopic varicocelectomy or by embolisation. Laparoscopic varicocelectomy confers minimum morbidity, shorter hospital stay and early return to work with the advantage of treating bilateral varicoceles without any additional incisions hence can be considered as a preferable surgical technique in the management of symptomatic varicoceles. Material and Methods:  This prospective study was conducted in the department of General surgery, GMC, Srinagar over a period of two years spanning June 2010 to May 2012. All the patients with clinically significant varicoceles were included in this study. ...

A Rare Cause for Acute Abdomen: Gastric Volvulus- Case Report Authored by Murat Kendirci Numerous patients use to refer to emergency rooms everyday due to abdominal pain all over the world. One of the rare conditions, among the several etiologies in these patients, is gastric volvulus. This pathology, which occurs via rotation of the stomach around its own axis more than 1800, may cause acute abdomen as well as may be asympthomatic [1]. Diaphragmatic hernia, which is suggested as antecedent of volvulus, usually accompanies, however, occurrence among patients with unusually mobile stomach has been reported in the literature [2]. It is difficult to diagnose gastric volvulus because there are no specific clinical and laboratory findings. Advanced experience is required to identify the torsion and atypical replacement of stomach which is radiologically diagnostic [3]. In our case, we aimed to present a patient who developed acute abdomen due to gastric volvulus and di...

ECMO in Emergency Medicine Authored by Yan Wang ECMO is the extracorporeal membrane oxygenation in the aim to provide extracorporeal life support in both cardiac and respiratory function, it is an important therapy in Cardiacvascular Medicine and Emergency Medicine. When patients unable to keep organ basic required oxygen or blood exchange, ECMO is used to remove patient’s blood into artificial tube system on oxygenation and detoxication exchange. ECMO can apply to children and adult for a life-sustain therapy, and it is the choice to allow time for intrinsic recovery of heart and lung from varied critical diseases. ECMO is the extracorporeal membrane oxygenation in the aim to provide extracorporeal life support in both cardiac and respiratory function; it is an important therapy in Cardiovascular Medicine and Emergency Medicine. When patients unable to keep organ basic required oxygen or blood exchange, ECMO is used to remove patient’s blood into artificial tu...

Guidelines. A Word of Caution Authored by Giovanni D Tebala  A good healthcare system should produce evidences, not  guidelines. Evidences should then be judged and evaluated case- by-case and the single professional should be able to decide what  is the best treatment for that single patient on the basis of good  evidences, not following someone else’s judgment that can be  biased by many external and non-clinical factors.  To view more.. PHP in Juniper Publishers in  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...