Transmigration and spontaneous passage of a gossypiboma documented on contrast study
We present the case of a middle aged lady who following cholecystectomy had a forgotten gauze which underwent transmural migration and was later expelled via the rectum demonstrated by radiological studies. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2018 Category: General Medicine Source Type: research

Laparoscopc treatment of obstructed internal supravesical hernia: A cases series and rewiev of the literature
ConclusionCT scan facilitates early ISH preoperative diagnosis, reducing the risk of small bowel resection and increasing the chances of minimally invasive laparoscopic treatment. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 23, 2018 Category: General Medicine Source Type: research

Does Hyoscine improve polyp detection rate during colonoscopy?Systematic Review & Meta-analysis of randomized clinical trials
Conclusion; This meta-analysis found no significant impact of Hyoscine on polyp and adenoma detection when used during colonoscopy. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 21, 2018 Category: General Medicine Source Type: research

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case
ConclusionThe transabdominal preperitoneal method has superiority over the conventional method in terms of ensuring that intestinal loop is visible during the strangulated femoral hernia repair and that the feeding of the intestine is intact. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 21, 2018 Category: General Medicine Source Type: research

Association between Entamoeba histolytica infection and human leukocyte antigen HLA DRB1
ConclusionsHLA-DRB1*03:0101 and HLA-DRB1*110101 may have a role in susceptibility to amebiasis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 19, 2018 Category: General Medicine Source Type: research

A solitary presentation of panniculitis in a patient with a history of breast cancer
ConclusionPanniculitis of the breast is a rare condition that needs to be included in the differential diagnosis of subcutaneous breast masses. In all cases, but specifically in females with history of breast cancer, panniculitis still should be thought of as a possibility, and imaging as well as other diagnostic techniques can aid in making the correct diagnosis. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 18, 2018 Category: General Medicine Source Type: research

Autologous fat grafting: latest insights
Publication date: Available online 16 October 2018Source: Annals of Medicine and SurgeryAuthor(s): Maarten Doornaert, Julien Colle, Elisabeth De Maere, Phillip BlondeelAbstractA recent rise in the use of autologous fat transfer for soft tissue augmentation has paralleled the increasing popularity of liposuction body contouring. This creates a readily available and inexpensive product for lipografting, which is the application of lipoaspirated material. Consistent scientific proof about the long-term viability of the transferred fat is not available. Clinically, there is a reabsorption rate which has been reported to range ...
Source: Annals of Medicine and Surgery - October 17, 2018 Category: General Medicine Source Type: research

Three-dimensional surgical simulation of the bile duct and vascular arrangement in pancreatoduodenectomy: A Retrospective Cohort Study
Publication date: Available online 16 October 2018Source: Annals of Medicine and SurgeryAuthor(s): Ryoichi Miyamoto, Yukio Oshiro, Naoki Sano, Satoshi Inagawa, Nobuhiro OhkohchiAbstractBackground/AimsWe evaluated the usefulness of three-dimensional (3D) images for pancreatoduodenectomy (PD), including the classification of the bile duct and vascular arrangement, i.e., hepatic artery, inferior mesenteric vein (IMV) and left gastric vein (LGV). We evaluated the extent to which this simulation affected the perioperative outcomes of PD.MethodsIn all, 117 patients who underwent PD were divided into the without-3D (n = 53) and w...
Source: Annals of Medicine and Surgery - October 17, 2018 Category: General Medicine Source Type: research

The Use of a Portable Ultrasound system in the surgical assessment of rib fractures in an elderly patient
ConclusionThis study demonstrates that the portable ultrasound system is a valuable method of imaging in the assessment of rib fractures, and which can save time, economically affordable for many patients, and allow surgeons to make a minor incision in order to avoid complications such as infection, particularly in this group of vulnerable patients. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 17, 2018 Category: General Medicine Source Type: research

The impact of intraoperative goal-directed fluid therapy on complications after pancreaticoduodenectomy
We examined the effects of decreased fluid administration on rates of postoperative pancreatic leak and delayed gastric emptying.MethodsRetrospective study of 105 patients undergoing pancreaticoduodenectomy at a single institution from January, 2015 through July, 2016. Stroke volume variation (SVV) was tracked and titrated during the procedure. A comparative analysis of postoperative complications was performed between patients with a median SVV 12.ResultsOf 64 patients who met selection criteria, 42 (65.6%) had a SVV
Source: Annals of Medicine and Surgery - October 17, 2018 Category: General Medicine Source Type: research

The First Case of Hand Infection Caused by Dermabacter jinjuensis in a Symmetrical Peripheral Gangrene Patient
ConclusionThis is the first reported case of a human D. jinjuensis infection. We were able to treat patients without any complications by operative treatment and administering appropriate antimicrobial agents according to antibiotics susceptibility test. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 16, 2018 Category: General Medicine Source Type: research

Independent predisposing factors for subcutaneous and deep wound collection after total thyroidectomy, a prospective cohort study
ConclusionsOperative duration is the only independent factor significantly related to clinically-detected postoperative seroma with its subsequent postoperative pain. Especially in elderly patients, a flapless technique would be recommended as these patients developed larger volumes of SC collections with subsequent higher pain scores, even if seroma was not clinically detected. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 15, 2018 Category: General Medicine Source Type: research

' Case Report' A Giant Cystic Echinococcosis Of The Lung In East Turkey
ConclusionsSurgery is the treatment regimen for pulmonary hydatid cysts and antihelmintic therapy is adviced to eliminate recurrences postoperatively. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 13, 2018 Category: General Medicine Source Type: research

Negative Pressure Wound Therapy with Instillation in the Septic Open Abdomen Utilizing a Modified Negative Pressure Therapy System
ConclusionOur findings suggest that this technique appears to reduce morbidity, mortality, and hospital and critical care length of stay. This communication is intended to help inform general surgeons that manage complex abdominal infections on how to optimally apply this technique. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 11, 2018 Category: General Medicine Source Type: research

Acute Acalculous Cholecystitis due to primary acute Epstein-Barr virus infection treated with laparoscopic cholecystectomy; a case report
CONCLUSIONAAC is a rare complication of acute EBV infection and it is usually managed conservatively, although our patient had laparoscopic cholecystectomy due to intolerable abdominal pain. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 11, 2018 Category: General Medicine Source Type: research

Left Sided Richter type Obturator Hernia causing intestinal obstruction: A case report
ConclusionThe clinical diagnosis of an obturator hernia is often difficult due to its nonspecific symptoms and infrequent signs. Yet early diagnosis is mandatory because its delay contributes to bowel necrosis and to the poor prognosis in these patients. Surgery remains the only effective management of this condition. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 11, 2018 Category: General Medicine Source Type: research

Developing a novel framework for non-technical skills learning strategies for undergraduates: a systematic review
ConclusionsThe existing literature describes a plethora of NTS interventions in undergraduate medical students, with varied outcomes and assessments. We hereby propose the ‘NTS Training Framework’, in an attempt to coordinate future research and catalyze the identification of an ideal NTS course structure to form tomorrow’s physicians. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2018 Category: General Medicine Source Type: research

Volar dislocation of the ulnar head after distal radial fracture: Case Report and Review of the pertinent literature
ConclusionWhen distal radius fracture is complicated by ulnar instability of DRUJ, active repair of the TFCC function may be necessary to prevent residual postoperative instability. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 10, 2018 Category: General Medicine Source Type: research

Study of Hepatitis C Virus Detection Assays
ConclusionsEarly screening of the high risk group of population by highly sensitive test is important to treat infected patients and prevent dissemination among population. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 7, 2018 Category: General Medicine Source Type: research

Variability of the F-Cell Ratio after Treatment of Traumatic Hemorrhagic Shock
This study assesses the f-cell ratio at different phases after HS to determine accuracy in calculating TBV.Methods114 injured patients requiring immediate operation for HS were studied. All patients had measurements of PV and RBCV via isotope dilution enabling measurements of TBHCT. Correlation of LVHCT and TBHCT were used to calculate the f-cell ratio in the fluid sequestration (n=81) and in the fluid mobilization period (n=108).ResultsThe f-cell ratio (mean±SD) averaged 0.89±0.15 and 0.90±0.01 in the first and second halves of the fluid sequestration period versus 0.90±0.2 and 0.80±0.07...
Source: Annals of Medicine and Surgery - October 7, 2018 Category: General Medicine Source Type: research

Prospective Evaluation of Serum Procalcitonin in Critically Ill Patients with Suspected Sepsis- Experience from a Tertiary Care Hospital in Pakistan
ConclusionElevated PCT concentration is a promising indicator of sepsis in newly admitted critically ill patients capable of complementing clinical signs and routine laboratory parameters. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 7, 2018 Category: General Medicine Source Type: research

Evaluation of the Diagnostic Potential of Trans abdominal Ultrasonography in Detecting Intra-Abdominal Adhesions: A Double-blinded Cohort Study
Publication date: Available online 6 October 2018Source: Annals of Medicine and SurgeryAuthor(s): Mohammad Mehdi Dehghani Firoozabadi, Abbas Alibakhshi, Hoorieh Alaeen, Sanaz Zand, Ryan Nazemian, Maryam Rahmani (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 7, 2018 Category: General Medicine Source Type: research

Effect of HLA on development of asthma
ConclusionsHLA alleles have an effect on development asthma in patients with HLA-DRB1*070101 while HLADRB1* 030101 may have a protective effect in Iraqi Arab Muslims individuals against development of asthma. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 7, 2018 Category: General Medicine Source Type: research

Which is the correlation between carcinoid tumor and Laparoscopic Sleeve Gastrectomy? A case series and literature review
Conclusionthere are neither certain data which evidence a correlation between obesity and GCT, nor data to support the hypothesis of a higher incidence of GCT after bariatric surgery. Based on our experience in obese patients the finding of GCT in the pre-operatory phase is not an absolute contraindication for bariatric surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Validity testing of classroom community scale in virtual environment learning: A Cross Sectional Study
ConclusionsThe 20 item Classroom Community Scale provides a valid and reliable scale to measure sense of community among postgraduate medical education students. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Outcome assessment of emergency laparotomies and associated factors in low resource setting. A case series
Conclusionand recommendation: The incidence of postoperative morbidity and mortality after emergency laparotomy were high. We recommend preoperative optimization, early surgical intervention, and involvement of senior professionals during operation in these risky surgical patients. Also, we recommend the use of WHO or equivalent Surgical Safety Checklist and establishment of perioperative patient care bundle including surgical ICU and radiology investigation modalities such as CT scan. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Thoracoscopic Lobectomy with Mediastinal Lymph Node Dissection as a Standard Surgery for T1-2N0M0 Non-Small Cell Lung Cancer (>300 surgeries experience)
ConclusionConsidering the results of our research and the literature review we made sure that VATS lobectomy with mediastinal lymph node dissection is an alternative procedure to open approaches: it is much safer, reduce the frequency of post-operative complications and the rehabilitation period. We believe that complete VATS lobectomy with mediastinal lymph node dissection must be taken as a standard in surgical treatment of patients with early stages of non-small cell lung cancer. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Acute Kidney Injury Increases the Rate of Major Morbidities in Cytoreductive Surgery and HIPEC
ConclusionAKI following CRS and HIPEC appears to be a common complication which is associated with further major morbidities. Current quality improvement programs may be under-reporting this incidence. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Gastric intramural hematoma subsequent to thoracic aortic dissection: Case report and literature review
ConclusionsGastric intramural hematoma is a rare disorder with many causes and we described a new etiology for it. The computed tomography is the diagnostic modality of choice, with the aid of other examinations. The treatment comprises conservative measures, minimally invasive approach or most commonly surgery. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Case Report and Surgical Video Presentation: Combined Laparoscopic and Cystoscopic Partial Bladder Cystectomy for Excision of Deeply Infiltrating Endometriosis
ConclusionCombined laparoscopic and cystoscopic partial cystectomy for excision of deeply infiltrating bladder endometriosis is a safe and feasible procedure in our institution. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Prevalence of helicobacter pylori in asymptomatic patients at surgical outpatient department: harare hospitals
CONCLUSIONH. pylori infection prevalence was significantly associated with increasing age, sharing of a bed with siblings during childhood and the mode of sanitation used. Clinicians and the public have to be aware of the important role of H pylori in upper gastrointestinal disease. Use of better sanitation methods, appropriate hygiene, avoidance of over-crowding amongst other measures should be encouraged as a means to reduce the acquisition and transmission of H pylori. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Factors During Training Which Predict Future Use of Minimally Invasive Thoracic Surgery
Publication date: Available online 1 October 2018Source: Annals of Medicine and SurgeryAuthor(s): Paul E. Rothenberg, Byron D. Hughes, Farshad Amirkhosravi, Bless P. Onaiwu, Ikenna C. OkerekeAbstractBackgroundWhile minimally invasive thoracic surgery (MIS) has increased nationwide over the years, most patients undergoing lung and esophageal resections still undergo an open approach. We performed a national survey to analyze factors associated with a propensity to perform MIS after completing a cardiothoracic training program.Materials and MethodsCardiothoracic surgery trainees in 2 or 3-year programs from 2010 to 2016 were...
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Editorial Board
Publication date: October 2018Source: Annals of Medicine and Surgery, Volume 34Author(s): (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Fibro-Osseous Pseudotumor Of The Digit: Case Report And Surgical Experience With Extensive Digital Lesion Abutting On Neurovascular Bundles
ConclusionFOPD although benign, a soft tissue osteosarcoma is one of the differential diagnosis. Meticulous attention to the clinical, pathological and histological features of FOPD is required. Early diagnosis and treatment of FOPD is very crucial in optimizing the overall outcome. Pre-operative planning with various radiological modalities was of great help anticipating the surgical course. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Atypical angiofibroma in a patient with compromised general health: A case report
ConclusionOur case shows that NA may reach high proportions and its involvement in older patients should be considered. In this report, we showed the limitation of the therapeutic strategy for advanced cases of NA. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

How to approach Monteggia-like lesions in adults: A review
Publication date: November 2018Source: Annals of Medicine and Surgery, Volume 35Author(s): Filippo Calderazzi, Cristina Galavotti, Alessandro Nosenzo, Margherita Menozzi, Francesco CeccarelliAbstractMonteggia-like lesions encompass a wide spectrum of fractures of the forearm and elbow associated with dislocations, subluxations and ligamentous lesions.Many attempts have been made to classify these injuries, not only to understand their pathology but also to develop optimal treatments.Unfortunately, although some of these classifications are complete, they are either complex, not immediately usable, or not exhaustive. An ort...
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Familial hepatocellular carcinoma: ‘A model for studying preventive and therapeutic measures’
This article reviewed the literature on familial hepatocellular carcinoma and suggest that familial HCC may be a good model for studying preventive and therapeutic measures. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Bilirubin, urobilinogen, pancreas elastase and bile acid in drain fluid. The GBUP-study: Analysis of biomarkers for a colorectal anastomotic leakage
ConclusionBilirubin and bile acid in the DF may function as a predictive marker for a CAL. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

A novel device in parathyroid autotransplantation for 6 patients with secondary hyperparathyroidism - Case series
ConclusionApplication of the novel squeezing device is an economic, effective and safe way in endoscopic parathyroidectomy and autotransplantation for patients with secondary hyperparathyroidism. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

A single epitope of Epstein-Barr Virus stimulate IgG production in mice
ConclusionsOur data suggest that this EBV GP350 epitope is able to induce IgG expression in vivo without causing allergic reactions, and represents a potential EBV vaccine candidate. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

A new clinical-ultrasound score to predict difficult videolaparocholecystectomies: A prospective study
ConclusionsThe variables which proved statistically significant in predicting a difficult cholecystectomy were: age, parietal thickness>3 mm, adhesions, stratifications, gallstones>2 cm and fixed gallstones. We have definitively defined a predictive score for difficult VLC for which a VLC is to be considered potentially difficult whenever it presents a pre-operative score equal or greater than 4 (and a "easy" one with a pre-operative score less than 4). These findings may prove helpful in further reducing the conversion rate and the rate of intra- and/or post-operative complications. (Source: Annals of ...
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Rare case of symmetrical peripheral gangrene due to septic shock, disseminated intravascular coagulation and inotropic use
Discussion/conclusionEven though there is no consensus regarding SPG treatment, consequences should be mitigated, particularly when vasodilators are used, in order to avoid major amputation. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Does pisiform subluxation affect the postoperative outcomes in a cohort of patients with distal radius fractures?
ConclusionsTherapeutic intervention of pisiform subluxation is unnecessary during treatment of DRF, since pisiform subluxation does not affect the postoperative clinical outcomes of distal radius fractures. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Experimental comparative study of thrombogenicity of two differently luminal heparinized ePTFE vascular prosthetics
Conclusion; Based on patency data alone, no significant difference between these grafts were found. In accordance, heparin activity analysis showed no difference between the grafts. The model itself, proved easily implementable, and provides many possibilities for future studies, though some adjustments should be made to improve survival. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Preliminary radiological result after establishment of hospital-based trauma registry in level-1 trauma hospital in developing country setting, prospective cohort study
ConclusionEstablishing a trauma registry assists in identification of the pattern of injuries presenting to the hospital which helps in priority setting, care management and planning. This continuous audit of outcomes in turn, plays a significant role in quality improvement. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Gallbladder cancer in Eastern Province of Saudi Arabia: A retrospective cohort study
ConclusionsGallbladder cancer is a rare type of cancer in Saudi Arabia, and most patients are treated surgically, despite being mostly diagnosed at the advanced stage of the disease. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Postoperative complications following tonsil and adenoid removal in Kuwaiti children: A retrospective study
ConclusionsNearly 4% of the patients developed bleeding after adenotonsillectomy and only 2% of the patients had only bleeding after adenoidectomy. Conversely, 15–25% of the patients developed minor complications, including malodor, snoring, and fever, independent of their preoperative symptoms. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Complete resection of an anterior mediastinal tumor by total arch replacement and pulmonary artery trunk plasty with a pericardial patch: A case report
ConclusionWe performed complete resection of an anterior mediastinal tumor with TAR and PA trunk plasty using a pericardial patch. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Absence of cognitive symptoms in a 6-year-old male with post-traumatic increased intracranial pressure - A case report
ConclusionWhile GCS is an important prognostic indicator in TBI, patients should still be monitored to assure resolution of all symptoms. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research

Small bowel obstruction from migrated intragastric balloon
Publication date: November 2018Source: Annals of Medicine and Surgery, Volume 35Author(s): Ayad Ahmad Mohammed, Sardar Hasan Arif, Abdulwahid M. Salih, Fahmi Hussein KakamadAbstractIntestinal obstruction resulted from balloon migration is an extremely rare but serious late complication of the intragastric balloon (IGB). The aim of this study is to report a case of small bowel obstruction occurring in a middle age corpulent female following embedding of IGB. A 47-year-old obese female presented with abdominal pain, nausea, and vomiting for two days. She had a history of an endoscopically placed IGB nine months before presen...
Source: Annals of Medicine and Surgery - October 5, 2018 Category: General Medicine Source Type: research