Juniper Publishers-Open Access Journal of Surgery

  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 orchie...

  Journal of Surgery -  JuniperPublishers Abstract Background:  Severe acute pancreatitis is an acute abdominal disease that possesses a powerful systemic inflammatory response, and can progress quickly, going from the stage of local pancreatic damages to the dysfunction of several organs, with the development of multiple local and systemic complications. Aim:  In this article, a case of splenic perforation by abdominal drain will be described, as a late complication of pancreatic necrosectomy, in a patient with severe acute pancreatitis. Methods:  The information was obtained through data from medical records and photographic registers of the diagnosed methods to which the patient has been submitted, andrevision of medical literature. Results:  F.L.S, female, 54 years old, hospitalized at Health House São Lucas Hospital presenting intense abdominal pain and elevation of pancreatic enzymes. During the hospitalization, the patient developed a sepsis and a ne...

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 b...

Journal of Surgery -  JuniperPublishers Introduction In March 1940 Dr. Whipple performed the first one-stage pancreaticoduodenectomy (PD) [1]. This has been adopted as the standard procedure for treating resectable pancreatic head tumors. Although the 90-day mortality post-PD has improved over the last 20 years [2], recent reports from the United State and Germany confirmed that 90-day mortality still higher than 7% [3,4]. In Japan nationwide in-hospital mortality of 2.8% post-PD has been reported [5]. Authors reported a limited series of mortality free PD in the literature [6-8]. However, it’s proved hard to replicate this result even at centers of excellence [9]. Many risk factors have been linked to both 30-day and 90-day mortality following major pancreatic resections [3-5]. Modifying some of these factors led to the reduction in post-PD mortality, for instance the evidence-based hospital referral recommendations in the United State [2]. Further understanding of the ...

Journal of Surgery -  JuniperPublishers Abstract Background:  Achieving full range of motion (ROM) is one of the most important goals in total knee replacement (TKA). The aim of this study was to identify surgical-dependent factors that are correlated to a full ROM. Methods:  Between August 2013 and July 2014, on 227 total knee replacements (132 patients), who were assessed for range of motion at least one month postoperatively, x-ray measurements were performed. We have included patient demographics (sex, age, body mass index and preoperative range of motion), type of TKA, as well as radiographic measurements including patella length, patellar height, Insall-Salvati Ratio, joint line to patella distance, joint line to tibial tubercle distance, joint line to fibula distance, joint line to medial epicondyle distance and other ratios. The total knee replacements were divided into two groups, an excellent ROM group (more than 130 degrees) and a good ROM group (betwe...