Juniper Publishers-Open Access Journal of Surgery

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...

The Treatment of Inguinal Hernia in the Elderly: Always Local? Abstract: Inguinal hernia is one of the most common diseases in the elderly. Local anaesthesia (LA) is almost used in open inguinal hernia surgery; whereas in routine practice, regional anaesthesia (RA) or general anaesthesia (GA) is the method of choice in the elderly. Methods: A retrospective analysis of all inguinal hernia repairs performed in our hospital over a 3-year period was performed. The outcome measures were type of anaesthesia used, patient demography, co-morbidities, hernia type, hernia repair methods and hospital stay. Those who threated by local anaesthesia, recurrent and bilateral hernias and ASA (American Society of Anesthesiologists) grade IV patients were excluded from the study. Results: A total of 237 hernia repairs were performed during the study period. According to the ASA classification; 130 patients were grade I, 98 were grade II and 9 were grade III. Of these 153 (%64.5...

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...

Use of a Cheap Bag for Specimen Retrieval during Diagnostic Laparoscopy Authored by Giovanni D Tebala Diagnostic laparoscopy with biopsy is a useful tool in the diagnosis and staging of abdominal conditions, such as gastric cancer [1,2]. The biopsied tissue should be retrieved and sent to the laboratory in the best conditions, avoiding excessive crushing and lymph node biopsy should provide the whole intact node. To reduce pain and wall complications it would be preferable that the operative ports are 5mm or less. Unfortunately, retrieving a tissue specimen through a small port makes it to be crushed and often not suitable to be analyzed. Moreover, no 5mm laparoscopic bag is commercially available and there is the risk of tumour seeding if the tissue is extracted without a bag. One should use a 10mm trocar to retrieve the specimen in a bag, but this increases invasiveness and costs of the operation. Surgical gloves have been used to retrieve even huge specimens ...

Role of Physiotherapy in Pre and Post Orthopedic Surgery Authored by Md Monoarul Haque Physiotherapy is a medicine today or tomorrow. As non-communicable diseases like diabetes, stroke, arthritis increase demand of physiotherapy also in increasing trend. On the contrary popularity and urgency of orthopedic surgery is increasing day by day in our country. Physiotherapy and orthopedic surgery is thought to be the both aspect of same coin; one cannot succeed without other. To view more.. PHP in Juniper Publishers in Open Access Journal of Surgery

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