Surgeon-Patient Interaction Under Consultation ’s Game Perspective
ConclusionIn our example of consultation game, most information provided by the consultant was associated with non-adherence to treatment. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

The Contribution of Petrus Camper to the Anatomy and Aetiology of Inguinal Hernias
AbstractOne of the most intriguing eras in the evolution of hernia surgery is the second half of the 18th century, when surgeons interested, also, in anatomy, started to publish studies on the abdominal wall and the inguinal canal. Petrus Camper (1722 –1789), a well-known “praelector anatomiae” of the Amsterdam Guild of Surgeons and Professor of Anatomy and Surgery at the Universities of Franeker, Amsterdam, and Groningen, performed dissections on corpses of children and adults to study the anatomy and aetiology of inguinal hernias. He reje cted the prevailing concept of that time that a hernia was caused...
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Prevalence, Diagnostic Imaging and Treatment Strategies of Intrathyroid Parathyroid Adenomas in Patients Surgically Treated for Hyperparathyroidism: A Review of the Literature
ConclusionsITPAs are a rare cause of hyperparathyroidism that should not be neglected. Preoperative imaging is useful in the localisation of ITPAs. Bilateral cervical exploration followed by tumour enucleation or thyroid lobectomy is considered the best surgical strategy. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Laparoscopic Repair of Primary and Secondary Epigastric Hernias. Technical Considerations of the IntraPeritoneal On Lay Mesh + Defect Closure (IPOM-Plus Technique)
We present our experiences with the laparoscopic repair of primary and secondary (incisional) epigastric hernias that occur in the vicinity of bony structures.Material and MethodsIn our institute, we retrospectively reviewed 51 patients with primary and secondary epigastric hernias from 2002 to 2016. The European Hernia Society guidelines were used for classifying these hernias. Laparoscopic dissection of the falciform ligament, intracorporeal suturing of the defect and intraperitoneal composite mesh onlay placement was performed in all patients.ResultsThere were 32 males and 19 females with a mean age of 40 years and a me...
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

The Minimum Length of Colonic Segment to be Removed for Adequate Lymph Node Dissection in Colorectal Cancer
AbstractAimThe present study was carried out to identify the minimum length of colonic segment that should be removed to ensure adequate lymph node dissection in colorectal cancer.MethodThe study involved a retrospective review of 332 patients with stage 1 –3 colorectal cancer, who were operated on between 2012 and 2017. Tumour localization, operation type, total length of bowel removed, number of removed lymph nodes and pathological examination results were entered into and analysed using SPSS.ResultsThe number of removed lymph nodes was 12 or lower in 150 of the 332 patients who underwent surgery. Accordingly, the ...
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

A Report of Three Cases of Cystic Adrenal Masses. Incidence, Presentation and Management. A Case Series with a Short Review of the Literature
AbstractBackgroundBenign cystic and vascular adrenal tumours comprise a group of lesions characterised by their rarity. Nevertheless, they are still conflicting with other adrenal lesions. We reviewed our experience with cystic benign adrenal tumours in adults and evaluated previous reports to determine the appropriate diagnosis and management of these tumours.MethodsWe retrospectively reviewed our records for all cases of adrenal tumours managed at our institution between 2010 and 2017. Patients aged> 18 years were included in the study. The patients ’ characteristics, presentation, diagnostic tools, laboratory m...
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Pyramidal Lobe Prevalence, Preoperative Detection and Clinical Importance: A Literature Review
ConclusionsThe pyramidal lobe is a normal component of thyroid anatomy. Intraoperative pyramidal lobe identification and resection is mandatory, in order to prevent disease recurrence. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Left Mini Thoracotomy as a Method for Epicardial Implantable Cardioverter-Defibrillator Placement in a Child. An Effective Alternative to the Transvenous Approach
This report describes the technique used at Onassis Cardiac Surgery Center for the epicardial placement of an ICD system with a transvenous ICD coil placed in the posterior pericardium via a left thoracotomy, producing a stable location and excellent coil-to-can vector for successful defibrillation. To the best of our knowledge, this is the first case in Greece. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Amyand ’s Hernia: Blending two Surgical Cases in the Same Patient
The objective of this paper is to display a case of an Amyand’s hernia in a 70-year-old man with our therap eutic approach and to highlight the main points of the literature. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Internal Hernia through a Congenital Peritoneal Defect in the Pouch of Douglas causing Small Bowel Obstruction
AbstractAn internal hernia is defined as the protrusion of visceral content, most commonly the small bowel, through a normal or abnormal peritoneal or mesenteric aperture within the abdominal cavity and the pelvis. An internal hernia may either be congenital or acquired in aetiology. These hernias can trap and/or twist small bowel, resulting in bowel obstruction. We herein describe an extremely rare case of a young female who presented with small bowel obstruction secondary to an incarcerated internal hernia caused by a peritoneal defect in the pouch of Douglas. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Skull Base Defect Associated with Spontaneous Intraventricular Pneumocephalus in a Patient with Ventriculo-peritoneal Shunt
We report the case of an 81-year-old male patient who presented severe spontaneous intraventricular pneumocephalus after two months of ventriculoperitoneal shunt placement for adult chronic hydrocephalus associated with neurologic progressive deterioration and a recent history of hypoacousia. During the process of diagnosis, on simple and fine-cut Computerized Tomography a porencephalic cyst was discovered in association with an osteodural defect in the petrous bone. A surgical revision was scheduled and an approach to the tegmen tympani was performed, covering the defect with fasciomuscular flap and fibrin glue. There wer...
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

The Importance of Resilience and Resolution in the COVID-19 Era. A Surgeon ’s View
ConclusionCovid-19 pandemic has caused a great suffering and turmoil in our society as well as major disruptions in health care delivery. The financial impact on hospitals and universities, biomedical research, and education will be felt for years to come. Despite the broad impact of the pandemic, as surgeons, we should focus on creating novel strategies to mitigate the impact of COVID-19 on our lives and our patients. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

Situs Inversus Totalis: Operating on the Mirror Image
ConclusionSafe laparoscopic cholecystectomy is feasible in patients with situs inversus provided the condition is diagnosed including the anatomical variations prior hand and the surgery is performed by an experienced laparoscopic surgeon. Moreover, every laparoscopic surgeon must be well conversant with the use of his/her left hand as well. Nowadays, robotic minimal access surgery can be a better solution to this problem. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research

What Else but Covid-19 Pandemic? Lessons Learned
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

The Treatment of Pain in Ancient Greece: Similarities with the Traditional Chinese Medicine
ConclusionsMultiple similarities seem to exist between these ancient but distinct medical schools. The likelihood of potential interaction between their hosting civilizations cannot be proven, yet it seems quite possible. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Initial Diagnosis of Colorectal Cancer through Colonoscopy or Emergent Surgery-Clinicopathological Features that Support Early Screening
ConclusionsNearly 95% of the patients were diagnosed after symptom development and had more advanced disease. The contribution of colonoscopy in prompt CRC diagnosis (asymptomatic tumours) is crucial and well-organised screening programs should be applied in the general population. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Current Concepts in Management of Postmastectomy Lymphedema
ConclusionCurrently there is no cure for lymphedema. For this reason, further research and better understanding of lymphatic anatomy and lymphedema pathophysiology are needed in order to improve further the conventional as well as the surgical methods. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

“Closing the Gap” in Rural Greece: Foot Ulcer Reconstruction in an Octogenerian. Case Presentation with Literature Review
ConclusionStrict adherence to simple but basic surgical principles is essential in dealing with minor surgical problems of daily practice in patients residing in rural areas of the country. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Can Subfascial Endoscopic Perforator Surgery (SEPS) be Standard of Care in Advanced Chronic Venous Insufficiency (CVI)?
AbstractSubfascial Endoscopic Perforator Surgery (SEPS) is a minimally invasive technique to treat incompetent perforating veins. Thirty patients with advanced chronic venous insufficiency (CVI) belonging to CEAP clinical class C4 –C6 with incompetent perforating veins in the leg and competent sapheno — femoral junction (SFJ) were subjected to SEPS. Patients with concomitant arterial disease and deep venous thrombosis (DVT) were excluded. Outcomes were evaluated after surgery up to 12 weeks. Out of 12 patients with active ulcer, complete healing was seen in 11 (92%) while one patient had partial healing at the ...
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Surgery for Hepatolithiasis: Single Center Experience of 12 Patients
ConclusionRemoval of the stones and resection of the affected liver segment is the best choice in the treatment of hepatolithiasis. However, residual stone fragments may remain in the early postoperative period or recurrence may occur later during follow up period. ERCP and/or PTC may be needed for the treatment of such conditions. For this reason, a multidisciplinary approach is required for the surgical treatment of hepatolithiasis patients, involving gastroenterology and interventional radiology. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Enhancing the Critical Role of Core Needle Biopsy in Breast Cancer
AbstractThe aim of this literature review is to derive detailed information on the significance of core needle biopsy in the diagnosis and effective treatment of breast cancer, according to current evidence, in an era of targeted therapy dependent on breast cancer stage and subtype. Preoperative diagnosis by core biopsy is rendered obligatory due to its crucial role not only in precise surgical management but also in segregating patients that often present with complete pathologic response (pCR) after neoadjuvant chemotherapy (NAC). Even in the absence of pCR, proper therapeutic management of these patients show significan...
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Pelvic Floor Reconstruction after Major Cancer Surgery, by using the Terminal Ileum
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Diagnostic Dilemma Between Todani Type II Choledochal Cyst and Duplication of Gallblader in an Adult Patient
We present a case of a young female patient who was investigated for atypical chronic symptoms. Imaging studies with u/s and MRCP confirmed the presence of a cystic lesion of 5 ×6cm next to the gallbladder which could not be differentiated from choledochal cyst type II or duplication of the gallbladder. It was excised laparoscopically, with concomitant cholecystectomy. On histology, proved to be a choledochal cyst type II. Laparoscopic approach in such cases is feasible a nd should be undertaken cautiously applying the technical tips necessary for patient’s safety. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - March 31, 2020 Category: Surgery Source Type: research

Surgical Volunteerism
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Laparoscopic Management of Prosthetic Infections Following Laparoscopic Groin Hernioplasty — Experiences from a Tertiary Care Center
ConclusionMesh infections are classified as complicated and uncomplicated, and treatment depends on the type of infection type. Complicated mesh infections following laparoscopic groin hernioplasty often dictate mesh removal, requiring large incisions and the high morbidity of the open approach. However, optimal laparoscopic techniques for such patients would drastically diminish the morbidity and physiological insult without compromising surgical principles. Although large-volume studies are not possible as the incidence of mesh infection is very low, our series supports the feasibility of a laparoscopic approach in these...
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Study of the Simplified Prognostic Scoring System in Patients with Fournier ’s Gangrene
AbstractAim and BackgroundFournier ’s gangrene is an acute necrotising fasciitis affecting the perineal, perianal regions and genitalia. Cornerstones in treatment of Fournier’s gangrene are urgent necrotic tissue debridement, broad-spectrum antibiotics and resuscitation. Despite advanced management policies, mortality from Fourni er’s gangrene is still high. Various scoring systems are in vogue nowadays to evaluate prognosis in such patients. We evaluated simplified prognostic scoring system to determine the risk of morbidity and mortality in such patients.Patients and MethodsA total of 40 patients were c...
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Characteristics, Management and Outcome of Primary Hyperparathyroidism in a Predominantly Vitamin D Deficient Population: A Single-Center Experience
ConclusionPrimary hyperparathyroidism is still a symptomatic disease in Kashmir Valley but now there is a decreasing trend of symptomatic cases and an increasing number of asymptomatic cases with time. 25-hydroxy vitamin D level has no correlation with serum calcium, iPTH and tumour size. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Gallbladder Polyps: What are the factors affecting the possibility of malignancy? A Single Center Experience
ConclusionsThe risk of malignancy of gallbladder polyp increases in patients ≥70 years (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Radical Resection of Giant Chondrosarcoma of the Lateral Chest Wall
AbstractGiant chondrosarcomas arising from the lateral chest wall are rare. Wide resection is the only treatment modality which has shown survival benefits. We are reporting a case of a 28-year-old male with a giant chondrosarcoma weighing 8.5 kgs arising from the right lateral chest wall. Radical resection was performed and chest wall was reconstructed using polypropylene mesh and latissimus dorsi flap. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Adult-Type Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Syndrome
We report the case of a 38-year-old female, presenting as cardiac arrest and being finally diagnosed as adult ALCAPA. Successful surgical repair was performed using the trap door technique. The patient had an uneventful recovery. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Obstructive Jaundice: A Rare Presentation of Amoebic Liver Abscess
AbstractJaundice is a relatively uncommon finding in amoebic liver abscess and if present, is a marker of abscess erosion into biliary tract. In these cases, other causes of jaundice are secondary infection of amoebic liver abscess (ALA), pressure of the abscess on hepatic ducts, parenchymal damage or, sometimes could be cholestatic in nature.In our case, a twenty-five year-old male student presented with jaundice and fever. There was hepatomegaly and a mass of approximately 8x6 cm protruding into right hypochondrium and epigastrium. Jaundice occurred in this case due to compression of the hepatic ducts confluence by a lar...
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Adverse Drug Events and Surgical Patients: Need for Pharmacovigilance Urgency
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Retraction Note to: The Amsterdam Guild of Surgeons and the Training of Surgeons in the Early Modern Period
The editor -in-Chief has retracted this article [1] because it significantly overlaps with a previous published article by Ijima et al in Dutch [2]1. de Bree, Schoretsanitis G. The Amsterdam Guild of Surgeons and the Training of the Surgeons in the Early Modern Period Hellenic J Surg 90, 205 –209 2018.https://doi.org/10.1007/s13126-018-0471-12. Frank F. A Ijpma, Robert Van de Graa, EGJM (Robert) Pierik en Thomas M. van Gulik, De meesterproef in de chirurginsopleiding Een historisch concept als voorbeedvoor nu? Nederlands Tijdschrift voor Genneskunde 1 (2010), on line: Ned Tijschr Geneeskd 2009; 153:A795https://www.nt...
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

A Rare Cause of Esophageal Rupture: Anter ıor Cervıcal Fıxatıon
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - December 31, 2019 Category: Surgery Source Type: research

Intraductal Papillary Neoplasia of Bile Duct: A Rare Liver Tumor
ConclusionIntrahepatic biliary papillomatosis is a rare tumor of the biliary ducts, both intrahepatic and extrahepatic. Surgical resection is considered the optimal treatment for biliary papillomatosis because of the risk of malignant transformation. Magnetic resonance cholangiopancreatography is a useful preoperative diagnostic examination that can show papillary lesions in the bile ducts. In patients without distant organ and lymph node metastasis, resection provides long-term survival. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Primary Hyperparathyroidism in a Predominantly Vitamin D Deficient Population: A Single Center Experience
ConclusionPrimary hyperparathyroidism continues to be mainly a symptomatic disease in the Kashmir Valley. There is a decreasing trend of symptomatic cases and an increasing number of asymptomatic cases with time. The level of 25(OH)D has no correlation with serum calcium, iPTH or tumor size in these patients. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Use of Complementary and Alternative Medicine by Surgical Patients in a Pakistani Teaching Hospital
This study explored the prevalence and usage pattern of CAM in patients who underwent common day-case elective operations in a general surgical department in a teaching hospital in Pakistan.MethodsA questionnaire covering socio-demographic information and CAM usage, the reasons for its use and opinions on its efficacy, was administered to participants during a 3-month study. Data analysis was conducted using SPSS (v-22.0) for descriptive statistics and chi-square testing.ResultsThe questionnaire was completed by 392 patients, 216 of whom were males (55.1%). The day-case surgery most commonly performed was laparoscopic chol...
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

The Management of Duodenal Perforation: Change Over Time. A Case Series and Literature Review
AbstractDuodenal perforation, which may occur with a variety of etiologies (i.e., peptic ulceration, trauma, iatrogenic, etc.) is a potentially life-threatening event. Contrast enhanced computed tomography (CECT) is the most useful imaging technique for identifying duodenal perforation, although some cases may require surgical exploration for diagnosis. The choice of treatment depends on the cause of perforation, the timing of presentation, its location, the extent of the injury and the clinical condition of the patient. Conservative management appears to be feasible and may be successful in stable patients with sealed per...
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Cystic Duct Duplication: Report of a Case and Short Review of the Literature
In conclusion, any surgeon operating on the biliary tree should be familiar with the wide range of anatomic variations that are frequently encountered, in order to avoid related morbidity. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

The Surgeon as a Scientist
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Duplication of the Common Bile Duct Associated with an Abnormal Pancreatico-Bile Duct Junction. Case Report and Literature Review
We present one such case in a 7-year-old girl, where the proximal CBD divided into two separate channels for a short distance and re-united distally to open as a common channel into the second part of duodenum. The main pancreatic duct opened proximally into the medial limb of the anomalous CBD, forming an abnormal pancreatico-bile duct junction (APBDJ). According to the accepted classification, this is a Type Va CBD duplication. The patient also had cholelithiasis and calculi in the medial limb and distal common channel. Endosco pic retrograde cholangiopancreatography (ERCP) was performed, with removal of the gallstones, ...
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Laparoscopic Cholecystectomy for Duplicated Gallbladder
We report a rare case of gallbladder duplication in a 50-year-old female, with cholelithiasis in one champer and a free lumen of the other. US examination was suggestive of duplicate gallbladder, and magnetic resonance cholangiopancreatography (MRCP) was indicative of duplication, with separate cystic ducts. The patient underwent laparoscopic cholecystectomy. Intraoperatively the gallbladder appeared to be a single lumen specimen, but two separate gallbladders and cystic ducts were identified post-operatively during fine dissection of the specimen.A high degree of awareness and detailed preoperative investigations are nece...
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Delayed Presentation of Traumatic Acute Limb Ischemia
ConclusionDelayed presentation of acute limb ischemia is possible in the setting of trauma, and should be kept in mind, as timely intervention is important for limb salvage with good outcome. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - September 30, 2019 Category: Surgery Source Type: research

Social Media Networking in Medicine and Surgery
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

Framing the Preoperative Assessment of the Oncogeriatric Patient. The Surgeon ’s Point of View
AbstractElderly cancer patients constitute a steadily rising population and present a challenge for their physicians, who are confronted not only with medical questions, but also with ethical and social dilemmas. Oncogeriatric patients are underrepresented or excluded from clinical trials, especially in the field of surgery, resulting in a lack of evidencebased knowledge regarding their preoperative evaluation, treatment and follow-up. We therefore outline here a framework for the decision-making process, based on recognition of the problem, clarification of the relevant terms, and delineation of the challenges that need t...
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

The Stage of Colorectal Cancer in Surgical Patients in Greece
Conclusions: The demographic and clinical characteristics of the patients in this series were in agreement with the current bibliographical evidence. Further interpretation of the results highlights the need for increased participation in screening programs, the creation of specialized cancer centers of excellence and the establishment of a national cancer database, in order to improve the early diagnosis and treatment of CRC. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

Parasitic Pelvic and Infradiaphragmatic Leiomyomatosis Following Laparoscopic Myomectomy
Discussion: Parasitic leiomyomatosis is a rare entity first described in 1909. Reports of its incidence have increased since the advent of laparoscopic surgery for the treatment of uterine fibroids and there appears to be an association with the use of power morcellators for fragmentation of large myomas, which may promote seeding. Parasitic myoma cells display increased expression of estrogen and progesterone receptors, and increased angiogenetic capacities compared with their uterine counterparts. Further studies are required to ascertain whether power morcellators play a key role in myoma dissemination, and to evaluate ...
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

Which Needle in which Trocar? A Mathematical-Theoretical Approach
Conclusions: Introduction of needles into the abdomen through laparoscopic trocars poses the risk of needle distortion or trocar dysfunction. In order to avoid these complications, the type and length of the needle to be introduced should be compatible with the diameter of the trocar. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

Neck Cannulation for Extracorporeal Membrane Oxygenation Support in a 2-Year-Old Child with Acute Myocarditis
AbstractThe first case in Greece is described of peripheral extracorporeal membrane oxygenation (ECMO) support via neck cannulation in a 2-year-old boy. The advantages and technical details of this method are explained. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research

Post Gastrectomy Phytobezoar Causing Intestinal Obstruction
We report the case of a 60-year-old male with diabetes mellitus (DM), who presented 6 months post distal gastrectomy with small bowel obstruction, due to migration of phytobezoars into the jejunum. He underwent exploratory laparotomy and enterotomy, with the removal of multiple phytobezoars. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - June 30, 2019 Category: Surgery Source Type: research