A transanal drainage tube reduces the rate and severity of anastomotic leakage in patients with colorectal anastomosis
Conclusions Placement of a transanal drainage tube in patients with colorectal anastomoses is a safe and simple technique to perform and reduces anastomotic leakage, the severity of the complication and hospital stay. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 13, 2016 Category: Journals (General) Source Type: research

Stapled vesus hand-sewn cervical esophagogastric anastomosis in patients undergoing esophagectomy: A Retrospective Cohort Study
Conclusion Both hand sewn and stapled anastomotic techniques are equally effective way of performing a cervical esophagogastric anastomosis. However, patients having anastomotic leak develop anastomotic stricture more often in those having hand-sewn anastomosis compared to stapled anastomosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

A prospective analysis of sleep deprivation and disturbance in surgical patients
Conclusions Apart from highlighting the need for effective pain management postoperatively, we believe that our study supports the drive towards single bed bays, where steps can be taken to minimize the impact of environmental factors on sleep. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Corrigendum to ‘A rare case of fibrostenotic endobronchial tuberculosis of trachea’ [Ann. Med. Surg. 4 (2015) 479–482]
Publication date: Available online 7 January 2016 Source:Annals of Medicine and Surgery Author(s): Cassiopia Cary, Manjit Jhajj, John Cinicola, Richard Evans, Pramil Cheriyath, Venkata Subhash Gorrepati (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Traumatic partial amputation of the tongue. Case report and literature review
Conclusion Amputation of the tongue can put the patient's life at risk and its management needs to be mastered by the surgeons treating polytraumatized patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Peritoneal mesothelioma metastasis to the tongue – Comparison with 8 pleural mesothelioma reports with tongue metastases
Conclusions Metastasis of MM to the tongue is rare and usually in the uncommon context of MM with multiple sites of extra-thoracic or extra-abdominal spread. We have described a unique clinical manifestation of a rare subtype of mesothelioma. Moreover, we have tabulated and summarised details (including responses to surgery or/and radiotherapy) regarding all reported cases of mesotheliomas with tongue metastasis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Surgical approach and technique in retrosternal goiter: Case report and review of the literature
Conclusions Patients with retrosternal goiter can be safely treated surgically through a single neck incision, which is less trauma and recovery quickly. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

The surgery for blue rubber bleb nevus syndrome
Publication date: February 2016 Source:Annals of Medicine and Surgery, Volume 5 Author(s): Zhi Li, Hongyao Yuan, Donghai Yu, Ngotta Victor, Yongjun Chen, Jiexiong Feng, Daniel Teitelbaum, Xiaoyi Sun Blue rubber bleb nevus syndrome (BRBNS) is a rare vascular anomaly syndrome consisting of multifocal venous malformations (VM). The malformations are most. prominent in the skin, soft tissues and gastrointestinal (GI) tract. Chronic bleeding induced by the vascular malformation (VM) lesions in gastrointestinal (GI) tract was the main clinical problem which should be treated. In this paper, two patients with BRBNS were...
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Impact of surgeon factor on radiocephalic fistula patency rates
Conclusion Operating surgeon is not a major factor of secondary patency in radiocephalic arteriovenous fistulas. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - January 12, 2016 Category: Journals (General) Source Type: research

Comparison of Open Gastrostomy Tube to Percutaneous Endoscopic Gastrostomy Tube in Lung Transplant Patients
Conclusions In lung transplant recipients, OGT results in decreased morbidity and mortality when compared to PEG. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 25, 2015 Category: Journals (General) Source Type: research

Treatment of choledochal cyst in a pediatric population. A Single Institution Experience of 15-years. Case Series
Conclusion: In our series HD anastomosis represents a safe procedure with fewer complications than HY. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

Avascular necrosis of the femoral head at 2 years after pertrochanteric fracture surgery: Case report
Conclusion The avascular necrosis of the femoral head is a complication of pertrochanteric fractures that can not be foreseen or avoided. The optimal treatment in these cases is uncemented total hip arthroplasty. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

Observed outcomes on the use of oxidized and regenerated cellulose polymer for breast conserving surgery – A case series
Conclusion During 36 months after BCS with ORCP, a significant correlation between positive diagnostic and aesthetic outcomes and low age, dense breasts, and low BMI of patient was observed. Despite of the few number of cases, either low BMI, or high breast density improved the aesthetic outcomes and reduced the entity of complications even in the elderly patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

A cohort Investigation of anaemia, treatment and the use of allogeneic blood transfusion in colorectal cancer surgery
Conclusion Haemoglobin levels should be routinely checked at diagnosis of colorectal cancer, particularly those with large or right sided lesions. Early identification of anaemia allows initiation of treatment which may reduce transfusion risk even with modest haemoglobin rises. The correct treatment of this anaemia needs to be established. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

Small cell neuroendocrine carcinoma of the endometrium with pulmonary metastasis: a clinicopathologic study of a case and a brief review of the literature
We presented a case of a73 year-old postmenopausal woman with vaginal bleeding and abdominal pain. A subsequent computerized tomography (CT) scan of pelvis showed an enlarged uterus (20,0 x 12,0 cm) with para-aortic and pelvic lymph node metastases. She underwent surgical debulking and staging of an endometrial tumor with omental metastasis and positive lymph nodes. The pathological diagnosis was primary small cell carcinoma (SCC) combined with endometrioid carcinoma of uterine corpus. Her final FIGO stage was IVB. Three months after surgery CT-total body showed a metastasis to left lung of SCC. Because the small-cell comp...
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

Peri-colonic haematoma following routine colonoscopy
Conclusion This case highlights an unusual but potentially life threatening complication following colonoscopy. Endoscopists and clinicians should be aware of the diagnosis to allow for early recognition and appropriate management. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 23, 2015 Category: Journals (General) Source Type: research

A cause of severe thigh injury: Battery explosion
Discussion Battery explosion causing lower extremity tissue defect is a type of injury that is rarely seen in the literature. Regardless of battery size and energy level, they should be considered as potential explosive material and protector masks, clothing should be worn during contact with this type of material. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 21, 2015 Category: Journals (General) Source Type: research

Corneal oedema after phacoemulsification in the early postoperative period: a qualitative comparative case-control study between diabetics and non-diabetics
Conclusions The existence of diabetes mellitus type 2 appears to be a significant risk factor for the development of persistent corneal oedema. The results of our study led to the modification of the algorithm for postoperative follow-up of patients of this remote area of Greece. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 20, 2015 Category: Journals (General) Source Type: research

Are we following an algorithm for managing chronic anal fissure? A completed audit cycle
Conclusions Topical creams were the most successful treatments (50%; n = 9/18) in ACPGBI-compliant strategies. Importantly, these data suggests that compliance with the ACPGBI algorithm leads to healing without surgery in 83.3% (n = 15/18) of patients, compared to 26.1% (n = 6/23) with non-compliant methods (P = 0.0004). This highlights the benefit of early conservative and medical management of CAF, before attempting surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 18, 2015 Category: Journals (General) Source Type: research

Surgical Quality in Colorectal Cancer
Conclusions This review demonstrates measurable differences in the surgery and histopathological reports for CRC patients treated across the island. Given adjuvant treatment and prognostic implications there is room for improvement. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 15, 2015 Category: Journals (General) Source Type: research

A quality improvement project using a problem based post take ward round proforma based on the SOAP acronym to improve documentation in acute surgical receiving
Conclusions Standardised proformas improve the documentation of post-take ward round notes. This helps to clarify the onward management plan for all aspects of a patient’s care and will help avoid adverse events and litigation. This should improve the quality and safety of Patient Care. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 12, 2015 Category: Journals (General) Source Type: research

Acknowledgement to reviewers 2015
Publication date: December 2015 Source:Annals of Medicine and Surgery, Volume 4, Issue 4 (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 10, 2015 Category: Journals (General) Source Type: research

Bochdalek Hernia: A rare case report of adult age
Conclusion Adult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 8, 2015 Category: Journals (General) Source Type: research

Central odontogenic fibroma of the mandible: A case report with diagnostic considerations
Discussion and conclusion Benign odontogenic tumors may be distinguished from other odontogenic/non-odontogenic neoplasias and from malignant tumours through a cytologic differential diagnosis as treatment differs accordingly. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - December 1, 2015 Category: Journals (General) Source Type: research

Total Thyroidectomy: Conventional Suture Ligation Technique versus Sutureless Techniques using Harmonic Scalpel or Maxium
Conclusions HS and MAX are safe, effective, and time-saving techniques. They are also associated with low blood loss and low complication rates. HS and MAX are good alternative techniques to CSL for thyroid surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 27, 2015 Category: Journals (General) Source Type: research

Case report of two patients having successful surgery for lung cancer after treatment for Grade 2 radiation pneumonitis
Conclusion Surgery for lung cancer on patients with Grade 2 radiation pneumonitis should be deferred until the patients complete steroid therapy, and the clinical pneumonitis is cured. Moreover, it is believed that it is important to remove the resolved radiation pneumonitis without leaving any residual areas and not to cut into any areas of active radiation pneumonitis as much as possible. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 27, 2015 Category: Journals (General) Source Type: research

An isolated vaginal metastasis from rectal cancer
Conclusion We should keep the vagina within the field of view of pelvic MRI, which is one of the preoperative diagnostic tools for colorectal cancer. If female patients show gynecological symptoms, gynecological examination should be recommended. Isolated vaginal metastases are an indication for surgical resection, and adjuvant chemotherapy is also recommended. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 25, 2015 Category: Journals (General) Source Type: research

A rare presentation of Multiple Endocrine Neoplasia (MEN) type 2A syndrome
Publication date: Available online 25 November 2015 Source:Annals of Medicine and Surgery Author(s): Elroy Patrick Weledji Peptic ulcer disease may be a manifestation of symptomatic primary hyperparathyroidism (1° HPT). A case of an intractable complicated peptic ulcer disease secondary to hypercalcaemia from multiple endocrine neoplasia type 2A (MEN2A) is presented. Hypercalcaemia should always be excluded as a cause of recurrent, or complicated peptic ulcer disease. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 25, 2015 Category: Journals (General) Source Type: research

An Audit into the Management of Chronic Anal Fissure
Conclusions Topical creams were the most successful treatments (50%; n=9/18) in ACPGBI-compliant strategies. Importantly, these data suggests that compliance with the ACPGBI algorithm leads to healing without surgery in 83.3% (n=15/18) of patients, compared to 26.1% (n=6/23) with non-compliant methods (P=0.0004). This highlights the benefit of early conservative and medical management of CAF, before attempting surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 25, 2015 Category: Journals (General) Source Type: research

A cost-minimization analysis of first intention laparoscopic compared to open right hemicolectomy for colon cancer
Conclusion Laparoscopic right hemicolectomy is oncologically equivalent but less costly and should be considered the procedure of choice for right-sided colon cancer unless contraindicated. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 21, 2015 Category: Journals (General) Source Type: research

Laparoscopic excision of a ciliated hepatic foregut cyst in a child: A case report and review of the literature
Conclusion This case report suggests that laparoscopy may be safe and effective for resection of CHFCs with favorable anatomy such as peripheral location and noninvolvement of key vascular and biliary structures. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 14, 2015 Category: Journals (General) Source Type: research

Anti-inflammatory liposomes have no impact on liver regeneration in rats
Conclusion Low dose dexamethasone targeted to Kupffer cells does not affect histological liver cell regeneration after 70% hepatectomy in rats, but reduces the inflammatory response judged by circulating markers of inflammation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 14, 2015 Category: Journals (General) Source Type: research

Is Cold Therapy Really Efficient After Knee Arthroplasty?
Conclusion After knee arthroplasty, the preoperative and postoperative use of cryotherapy is effective in terms of the pain control and functional knee scores without a significant change in surgical blood loss. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 12, 2015 Category: Journals (General) Source Type: research

Laparo- and thoracoscopic aortic aneurysm neck optimization and treatment of potential endoleaks type IA and II in a porcine model
Conclusion Using these minimal invasive endoscopic approaches, it seems feasible to externally band aneurysm necks and ligate aortic side branches in a pig model. These procedures could potentially be considered as alternatives to OCs in controlling endoleaks and in improving the safety of endovascular interventions. As endoscopic aortic surgery is challenging a learning curve is expected. Practicing the described procedures using this model, can be used as a learning tool prior to similar interventions on humans. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 12, 2015 Category: Journals (General) Source Type: research

Pharmacogenetics and anaesthetic drugs: implications for perioperative practice
Publication date: Available online 10 November 2015 Source:Annals of Medicine and Surgery Author(s): Behrooz Arash Pharmacogenetics seeks to elucidate the variations in individual’s genetic sequences in order to better understand the differences seen in pharmacokinetics, drug metabolism, and efficacy between patients. This area of research is rapidly accelerating, aided by the use of novel and more economical molecular technologies. A substantial evidence base is being generated with the hopes that in the future it may be used to generate personalised treatment regimens in order to improve patient comfort and safe...
Source: Annals of Medicine and Surgery - November 10, 2015 Category: Journals (General) Source Type: research

First report of Co-morbidity of Pantothenate kinase-associated neurodegeneration and three types of chronic hemolytic anemias
Conclusion Although extremely rare, β-thalassemia-major, sickle cell and G6PD anemias can be associated with PKAN. It is unknown whether this association is random or due to an unknown factor may have caused several mutations. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 10, 2015 Category: Journals (General) Source Type: research

Gastrojejunocolic Fistula after Gastrojejunostomy in Ayder referral hospital Northern Ethiopia: a report of two cases
Conclusion As it is rare phenomenon, high clinical suspicion is very important in the diagnosis of GJCF on patients who manifest with chronic diarrhea, vomiting of fecal matter, abdominal pain and features of malnutrition. Careful preoperative preparation is mandatory before any type of surgical procedure is carried out. Pre-operative nutritional status should be evaluated in patients undergoing corrective surgery. Adequate resection of the stomach after Gastrojejunostomy and complete vagotomy is important to prevention development of GJCF. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 10, 2015 Category: Journals (General) Source Type: research

Dysphagia due to oesophageal obstruction: A case report of unusual occupational aetiology
Conclusion A structured and thorough history and examination in dysphagia is emphasized. It is important to enquire about ‘red-flag’ symptoms, suggestive of head and neck or upper gastrointestinal malignancy. Barium swallow is a critical investigation in dysphagia-it can also demonstrate large bony abnormalities, which is a rare causative factor. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 8, 2015 Category: Journals (General) Source Type: research

Laparoscopic Excision of a Ciliated Hepatic Foregut Cyst in a Child: a Case Report and Review of the Literature
Conclusion This case report suggests that laparoscopy may be safe and effective for resection of CHFCs with favorable anatomy such as peripheral location and noninvolvement of key vascular and biliary structures. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Anti-inflammatory liposomes has no impact on liver regeneration in rats
Conclusion Low dose dexamethasone targeted to Kupffer cells does not affect histological liver cell regeneration after 70% hepatectomy in rats, but reduces the inflammatory response judged by circulating markers of inflammation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Hormonal Contraceptives And Venous Thromboembolism: Are Inflammatory Bowel Disease Patients At Increased Risk? A retrospective study on a prospective database
Publication date: Available online 3 November 2015 Source:Annals of Medicine and Surgery Author(s): Gianluca Pellino, Guido Sciaudone, Francesca Caprio, Giuseppe Candilio, G Serena De Fatico, Alfonso Reginelli, Silvestro Canonico, Francesco Selvaggi Recent studies showed an increased the risk of venous thromboembolism (VTE) in patients receiving oral hormonal contraceptives. Inflammatory bowel disease (IBD) often affect young patients and represents a pro-coagulant condition. This could result from active inflammation, but a potential role for genetic and molecular factors has been suggested. Hormonal contracepti...
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Bilateral posterior shoulder dislocation after electrical shock: A case report
Conclusion Physical examination and radiographic evaluation are important for quick and accurate diagnosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Large cell neuroendocrine – Adenocarcinona mixed tumour of colon: Collision tumour with peculiar behaviour. What do we know about these tumours?
Conclusion We conclude that not all collision tumours follow the biclonal theory and more studies are needed to clarify the origin of these neoplasms, and consequently, to reach an adequate treatment. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Mazabraud's syndrome: Report of its first incidence in the Middle East and a literature review
Conclusion Patients with such presentation need to be investigated thoroughly to rule out associated diseases and to evaluate the extent of such pathology. The improvement of radiological modalities can help in narrowing the differential diagnosis and following the patient to early detect the recurrence or any malignant transformation of the condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Quality of life after subtotal gastrectomy for gastric cancer: Does restoration method matter? – A retrospective cohort study
Conclusions The best QoL scores were obtained from the patients who underwent the Billroth I surgery. The Roux-en-Y method was better than the Balfour method 6–12 months after surgery. However, the Balfour method was better than the Roux-en-Y after one year. Further prospective randomized controlled trials are needed. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Hybrid external fixation via a minimally invasive method for tibial pilon fractures ​– Technical note
Conclusion Permanent hybrid external fixator applied using Schanz screws via a mini open technique is a fast, easily applied alternative with low morbidity and satisfying results. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - November 5, 2015 Category: Journals (General) Source Type: research

Total gastrectomy for rare refractory gastroparesis in patient with syringomyelia: A good impact on quality of life
We report a case of a 67-year-old woman with a history of pain in the back-lumbar spine and lower limbs, paresthesia and urinary incontinence. MRI revealed syringomyelia, extended from T3 to the medullary cone. Neurological picture was worsened by progressive and increasingly debilitating gastrointestinal symptoms refractory to dietary changes and medical treatment. Blood tests, gastrointestinal investigations and imaging were all normal apart from scintigraphy which confirmed delayed gastric emptying. The neurological symptoms disappeared after removal of an hemangioblastoma of the medullary cone. The persistent gastropar...
Source: Annals of Medicine and Surgery - October 31, 2015 Category: Journals (General) Source Type: research

Merkel cell carcinoma of unknown primary site; case presentation and review of the literature
We present the case of a 60 year-old male patient who was referred to our department for surgical management of lymph node disease for UPMCC. The patient had undergone excisional biopsy of an inguinal lump, which was found to be an infiltrated lymph node by MCC. The patient underwent full imaging staging including a PET/CT, which failed to identify a primary site, and revealed only intra-abdominal lymph node disease. The patient underwent extended retroperitoneal and inguinal lymph node dissection and remains free of recurrence 16 months postoperatively. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 27, 2015 Category: Journals (General) Source Type: research

A Rare Case of Fibrostenotic Endobronchial Tuberculosis of Trachea
Publication date: Available online 22 October 2015 Source:Annals of Medicine and Surgery Author(s): Cassiopia Cary, Manjit Jhajj, John Cinicola, Richard Evans, Venaka Gorepatti Endobronchial tuberculosis (EBTB) is a sequelae of pulmonary tuberculosis (TB) that extends to the endobronchial or endotracheal wall causing inflammation, edema, ulceration, granulation or fibrosis of mucosa and submucosa. This case depicts a 20 year old foreign-born woman with a history of active pulmonary TB on anti-TB chemotherapy, who presented with worsening stridor, dyspnea, cough and weight loss. The disease state was diagnosed with m...
Source: Annals of Medicine and Surgery - October 23, 2015 Category: Journals (General) Source Type: research

An 8-year analysis of bone tumours in a Caribbean island
Conclusion Bone tumours are rare with a low incidence of 1.125 per 100,000 population annually and malignant tumours being even rarer at an incidence of 0.18 per 100,000 population annually. There is need for better documentation and data registries in Trinidad and Tobago. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2015 Category: Journals (General) Source Type: research