Juniper Publishers-Open Access Journal of Surgery

Role of Physiotherapy in Burn and Plastic Surgery Authored by  Monoarul Haque Objective:  Physiotherapy is a branch of medical science which has widespread applicability, affectivity and impact. Physiotherapist can practice independently or act as a member of multidisciplinary team. In emergency situation as like sports physiotherapy is the first contact treatment which has immediate effect and recovery. Not only that it has long term effect also i.e. rehabilitation. After orthopedic surgery and stroke patients must go rehabilitative protocol. As like other branch of medical sciences physiotherapy has immense role in burn and plastic surgery. Burn affected patients are increasing due to various reason day by day. Besides cleft palate, cleft lip is also seen frequently. In the past there was no individual burn hospital in our country but now there is a Government burn and plastic surgery hospital in Dhaka. High dependency unit, indoor and outdoor facility-all are ther...

Authored by  Çağrı Akçay, Odontogenic cysts are the most common form of cystic lesions that affect the maxillofacial region. After removal of cysts, large defects can occur in the cyst region. Due to occurence of large defects before dental implantation different grafting methods should be used to make the bone adequate for implant operation. The purpose of this study is to show the healing of bone defects in young patients without grafting is unexpectedly as well as grafted defects. Odontogenic cysts are the most common form of cystic lesions that affect the maxillofacial region. 60% of all jaw cysts are radicular or residual cysts [1-3]. Patients in their second and third decades of life are affected most commonly. Radicular cysts can occur in the periapical area of any teeth, at any age but are seldom seen associated with the primary dentition [4]. The most frequent cyst of the teeth bearing areas is the radicular, also called periapical or apical cyst. R...

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 ...