Congenital Cyst Eye, One Clinical Case
Souhail H.,
Ifrkhas S.,
Laktaoui A.
Issue:
Volume 3, Issue 3, June 2015
Pages:
18-20
Received:
31 March 2015
Accepted:
29 April 2015
Published:
12 May 2015
Abstract: Background: Congenital cyst eye is developmental abnormal arrangement of tissues .It is an extremely rare ocular malformation and is the rare cystic orbital lesion, usually evident at birth and has a varied presentation. A partial or complete failure in the involution of the primary optic vesicle resulting in the formation of a cyst. Case presentation: We report a case of unilateral congenital cystic eye, it was excised completely, and histopathology was confirmed the cystic nature of lesion. Conclusion: congenital cystic eye should be suspected in infants with an unrecognizable ocular globe. It is an extremely rare condition and with only 40 previous cases reported in the literature.
Abstract: Background: Congenital cyst eye is developmental abnormal arrangement of tissues .It is an extremely rare ocular malformation and is the rare cystic orbital lesion, usually evident at birth and has a varied presentation. A partial or complete failure in the involution of the primary optic vesicle resulting in the formation of a cyst. Case presentat...
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Minimally Invasive Hemithyroidectomy Using a Mini Incision over the Upper Pole of Thyroid Swelling
M. Subrahmanyam,
R. Sirisha,
A. Deepthi,
R. N. Mishra
Issue:
Volume 3, Issue 3, June 2015
Pages:
21-25
Received:
23 April 2015
Accepted:
4 May 2015
Published:
13 May 2015
Abstract: Minimally invasive thyroid surgery, using various techniques including endoscopic and video-assisted have been reported. Thyroid surgery using a mini-incision over the upper pole of the thyroid, as a new technique is presented here. Methods: The study group comprised of 52 patients undergoing minimally invasive thyroid surgery (MITS) by open method during the period May 2005-May 2013. Data regarding patient demographics, indication for surgery, operation performed, nodule size, final pathology, and complications were recorded. The operation was carried out through a 1.5-2-cm incision placed directly over the upper pole of the swelling, and deepening the incision to visualize the superior pedicle. After ligating the superior pedicle, the finger is passed over the gland and separated from all sides. Then the thyroid is pulled up and the inferior pedicle accessed and ligated. Any bleeding points were taken care of and the wound was closed without drain. Results: Fifty two patients underwent MITS, 38 women and fourteen men. All the patients underwent hemi -thyroidectomy. The average measured incision size was 2. cm at the end of the procedure. The average nodule size was 3.2 cm, and the average thyroid lobe resected measured 4.5 cm in maximal length. Final pathology revealed follicular adenoma in51 patients and one thyroid cancer (follicular). There was one wound infection and one patient had temporary recurrent laryngeal nerve neurapraxia. Conclusion: Minimally invasive thyroid surgery with a minimal incision over the upper pole of thyroid swelling as an alternative to open thyroid surgery, using a standard cervical collar incision, is safe and feasible.
Abstract: Minimally invasive thyroid surgery, using various techniques including endoscopic and video-assisted have been reported. Thyroid surgery using a mini-incision over the upper pole of the thyroid, as a new technique is presented here. Methods: The study group comprised of 52 patients undergoing minimally invasive thyroid surgery (MITS) by open method...
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Fibrin-based Biological Adhesives Prevent Anastomotic Leakage in Rectal Anastomoses: Prospective Multicentre Randomised Clinical Trial
Jesús Lago Oliver,
Salvador Argudo Garijo,
Mauricio Burneo Esteves,
Irene Arjona Medina,
Mercedes Sanz Sánchez,
Jorge Martín Gil,
Fernando Turégano Fuentes,
Antonio Torres García
Issue:
Volume 3, Issue 3, June 2015
Pages:
26-31
Received:
30 April 2015
Accepted:
9 May 2015
Published:
21 May 2015
Abstract: Background: Fibrin-based biological adhesives are used for tissue adhesion improving the outcome of gastrointestinal sutures. The objective was to assess the effectiveness of fibrin-based biological adhesives for prevention of anastomotic leakage in high-risk gastrointestinal anastomoses. Methods: A randomized clinical trial was designed to recruit patients underwent a rectal resection surgery. A subgroup of patients with rectal anastomosis were recruited from 2 different hospital centres. Patients in which a biological fibrin-based biological adhesive was applied to the suture line (study group) were compared versus a control group under standard practice. The main outcome measures was presence or absence of leakage and need for reoperation. Results: Thirty seven patients underwent a rectal resection and anastomosis. In 21 standard practice was applied and a fibrin-based adhesive was used in 16. Fourteen patients (37.8%) had a clinical or subclinical anastomotic leak, 11 belonging to control group versus 3 patients in the study group (p-value of 0.04). Statistically significant difference (p-value of 0.048) in the need for reoperation. We found no association between the use of drains and anastomotic leakage. There were only 3 leaks in the group in which a drain was placed, as compared to 11 leaks in the group in which no drain was placed, but these findings were probably due to chance (p = 0.54). Conclusions: The use of these adhesives could not only reduce serious postoperative complications related to dehiscence but also improve the prognosis and oncological outcome of rectal and sigmoid cancer treatment.
Abstract: Background: Fibrin-based biological adhesives are used for tissue adhesion improving the outcome of gastrointestinal sutures. The objective was to assess the effectiveness of fibrin-based biological adhesives for prevention of anastomotic leakage in high-risk gastrointestinal anastomoses. Methods: A randomized clinical trial was designed to recruit...
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