Archives of Surgery and Clinical Research

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Volume 1 Issue 1

  • article icon
    Research Article
    Published: 10/24/2017 | Pages: 1(1): 062-071

    Thirty days post-operative complications after Sleeve Gastrectomy, Gastric Bypass and Mini Gastric Bypass/one Anastomosis Gastric Bypass. Analysis of the Italian Society for Bariatric Surgery and Metabolic Disorders (S.I.C.OB.) database of 7 years time frame

    Maurizio De Luca*, Nicola Clemente, Cristiana Visentin, Natale Pellicanò, Cesare Lunardi, Alberto Sartori, Gianni Segato, Luigi Angrisani, Marcello Lucchese and Nicola Di Lorenzo

    Background: To date, the scientific community has mainly focused on outcomes of obesity surgery such as weight loss and resolution of associated complications. Adverse post-operative events and reoperation rates have been poorly reported even if they are a marker of surgical safety and therefore of great importance in guiding patients and surgeons in the choice of the more suitable operation.

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    Commentary
    Published: 10/20/2017 | Pages: 1(1): 061-061

    Comments for the Nuremberg Code 70 Years Later

    Jie Zhang, Chao-Jun Kong and Zhong Jia*

    The story of Nuremberg code in human experiments was evolved by a 70-year old historical link, aiming to provide an alert message for scientists in case of nonprovisional disaster caused by immoral human experiment. It played a safeguard role standing on the front line [1].

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    Research Article
    Published: 10/10/2017 | Pages: 1(1): 056-060

    Laparoscopic partial nephrectomydoes tumor profi le infl uence the operative performance?

    Krishanu Das*, George P Abraham, Kishnamohan Ramaswai, Datson George P, Jisha J Abraham, Thomas Thachill and Oppukeril S Thampan

    Introduction: Laparoscopic approach is emerging as a standard of care approach for management of masses amenable to partial nephrectomy. Laparoscopic partial nephrectomy is a challenging surgery and its successful performance depends on various factors. We aim to evaluate the infl uence of tumor characterestics on the operative performance for laparoscopic partial nephrectomy.

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    Case Report
    Published: 09/15/2017 | Pages: 1(1): 051-055

    Dieulafoy’s Lesion related massive Intraoperative Gastrointestinal Bleeding during single Anastomosis Gastric Bypass necessitating total Gastrectomy: A Case Report

    Ashraf Imam, Khalayleh Harbi*, Miller Rafael, Khoury Deeb, Buyeviz Victor, Guy Pines and Sapojnikov Shimon

    Introduction: Immediate postoperative gastrointestinal bleeding following bariatric bypass surgery is a major complication, and usually results from staple line hemorrhage or conventional gastro-esophageal causes. Dieulafoy`s lesion is a rare cause of gastrointestinal bleeding and is usually managed by endoscopic means

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    Letter to the Editor
    Published: 08/28/2017 | Pages: 1(1): 049-050

    The revolution of cardiac surgery evolution Running head: Cardiac surgery evolution

    Marzia Cottini*

    From the First case of primitive cardiac surgery (CS), treatment of stab wound of the heart (Dr. Daniel Hale Williams, 1893), to recent surgical procedures and device implantations for end-stage heart failure (HF), the CS has grown and emerged in the public health more and more [1].

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    Review Article
    Published: 08/18/2017 | Pages: 1(1): 042-048

    Surgery and new Pharmacological strategy in some atherosclerotic chronic and acute conditions

    Luisetto M*, Nili-Ahmadabadi B and Ghulam Rasool Mashori

    In actual pharmacological therapy we can see that some drugs can be added to other medical instruments to improve their activity: in example we can see medicated stent for some coronary disease, or hormonal medical devices used in pregnancy prevention, but other example are known today.

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    Short Communication
    Published: 08/04/2017 | Pages: 1(1): 038-041

    Use of Orthodeoxia by pulse Oximetry in the detection of Hepatopulmonary Syndrome

    Cesar Raul Aguilar Garcia* and Guadalupe Viridiana Ontiveros Guerra

    Chronic Hepatic defi ciency due to the ingestion of alcohol remains as one of the main causes of morbidity and mortality in our country. From it a variety of complications arise, one of them is the Hepatopulmonary Syndrome, which usually goes unnoticed and undiagnosed; this syndrome is distinguished by the presence of hypoxemia and pulmonary vasodilation. The gold standard to establish a diagnostic is contrast-enhanced Echocardiogram. No pathognomonic sign is known for this syndrome, which leads the present elaboration to evaluate the use of orthodeoxia by pulse oximetry as a screening test in the detection of Hepatopulmonary Syndrome cases.

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    Research Article
    Published: 06/27/2017 | Pages: 1(1): 021-037

    Clinical significance of Urinary Amylase in Acute Pancreatitis

    Mumtaz Din Wani, Mushtaq Chalkoo*, Zaheer Ahmed, Awhad Mueed Yousuf, Yassar Arafat, Syed Shakeeb Arsalan and Jaffar Hussain

    Acute pancreatitis forms a major bulk of our inpatient admission due to gall stone disease. Diagnosis of acute pancreatitis remains a challenge even now. Serum amylase remains the most commonly used biochemical marker for its diagnosis but its sensitivity can be reduced by late presentation, hyper-triglyceridemia and chronic alcoholism. We conducted a study to determine the levels of serum and urinary amylase in patients with acute pancreatitis and compared their sensitivity and correlation with CT findings vis-à-vis the severity of the disease.

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    Case Report
    Published: 03/27/2017 | Pages: 1(1): 16-20

    Intestinal Obstruction Complicated by Large Morgagni Hernia

    Belen Martín*, Rodrigo Medrano, Ferran Caballero, Silvia Rofi n and Manuel Trias

    Morgagni hernia represents 2-4% of congenital diaphragmatic hernias. Only one-third of them are symptomatic, due to the hernia of abdominal viscera in the thoracic cavity, causing respiratory and digestive problems, some of them serious ones, such as intestinal obstruction. Acute presentation with incarceration of the contents is rare; there are only 7 cases described in the literature.

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    Case Report
    Published: 01/03/2017 | Pages: 1(1): 012-015

    Bouveret Syndrome in an Elderly Female

    Zvi H. Perry*, Udit Gibor, Shahar Atias, Solly Mizrahi, Alex Rosental and Boris Kirshtein

    Introduction: A gastric outlet obstruction secondary to a gallstone ileus is known as Bouveret syndrome. Herein we present a case of an elderly woman with an impacted gallstone in duodenum and discuss its’ management.
    Patient description: A 96-year-old woman was admitted to our department due to a gastric outlet obstruction. Initial gastroscopy revealed a gastric bezoar. An attempt for its extraction failed. She underwent a laparotomy in which a cholecystoduodenal fistula and a large impacted stone were found. Separation of the fistula, including closure of the duodenum side, cholecystectomy and removal of the obstructing gallstone were performed. Additional stones were found and retrieved during common bile duct (CBD) exploration. Surgery was finalized by duodenoplasty, closure and T-tube drainage of the CBD. Post-operative course was prolonged and uneventful.

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    Review Article
    Published: 01/02/2017 | Pages: 1(1): 001-011

    Laparoscopic Adrenalectomy; A Short Summary with Review of Literature

    Mushtaq Chalkoo*, Naseer Awan, Hilal Makhdoomi, Syed Shakeeb Arsalan and Waseem Raja

    We present a review article on adrenal glands, with a special reference to their anatomy, physiology, evaluation, laparoscopic operative techniques with a short summary of review of literature.

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