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A Comparative Study of Split-Root and Bone Removal in the Extraction of Mandibular Impacted Third Molars
Wen-chao Li,
Ning Ruan,
Guang-hui Lv,
Yang Lin,
Min-qiang Zhao,
Bo-chen Lei,
Yi-fu Wang,
Wei Zu,
Yuan Tian
Issue:
Volume 4, Issue 2, April 2016
Pages:
8-12
Received:
6 March 2016
Published:
6 March 2016
Abstract: This paper is aimed to compare the effects of split-root procedures and bone removal procedures in the extraction of mandibular medial vertical impacted third molars. This was a prospective study conducted at the Department of Oral Surgery of the Chifeng College Affiliated Hospital on consecutive patients between January 2015 and December 2015. The study result showed that the operative time of the split-root group was shorter, and the dental root fracture was less than the bone removal group. This study suggested that the short-term outcomes of medial vertical impacted third molar operations (facial swelling, pain and mouth opening) differed depending on the surgical approach.
Abstract: This paper is aimed to compare the effects of split-root procedures and bone removal procedures in the extraction of mandibular medial vertical impacted third molars. This was a prospective study conducted at the Department of Oral Surgery of the Chifeng College Affiliated Hospital on consecutive patients between January 2015 and December 2015. The...
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Relationship Between Intracranial Calcifications in Vein of Galen Malformations and Fahr’s Syndrome: A Case Report and Review of the Literature
Obande Joseph Orinya,
Offiong Uduak Mayen,
Jimoh Abdullahi Onimisi
Issue:
Volume 4, Issue 2, April 2016
Pages:
13-19
Received:
3 February 2016
Accepted:
21 February 2016
Published:
19 March 2016
Abstract: Vein of Galen malformations and Fahr’s syndrome are rare neurological disorders. Their neurological manifestations may parallel, as is some radiological presentations in certain scenario. They may be congenital but that may be as far as their similarities go as they are pathologically distinct entities with clearly defined natural courses. The unusual parallel of their characteristic neuroradiological findings in the setting of vein of Galen malformations could becloud diagnosis, due to unfamiliarity with the manifestations as a result of their rarity. Our patient presented post-partial thrombosis of vein of Galen malformation. Neuroimaging showed typical intracranial calcifications of the basal ganglia, subcortical white matter, thalami and cerebellum. The radiological report identified the vein of Galen malformation but also noted that Fahr’s syndrome should be ruled out. The occurrence of intracranial calcifications in the setting of vein of Galen malformation is not a usual event, and normally, in the literatures, vein of Galen malformation is not listed as a cause of multiple intracranial calcifications. Therefore, in such a setting, diagnostic dilemma may occur. We described this patient and reviewed the current literature to clarify mechanism of intracranial calcification formation in vein of Galen malformation.
Abstract: Vein of Galen malformations and Fahr’s syndrome are rare neurological disorders. Their neurological manifestations may parallel, as is some radiological presentations in certain scenario. They may be congenital but that may be as far as their similarities go as they are pathologically distinct entities with clearly defined natural courses. The unus...
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Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation
Mohamed Salah Abdelhamid,
Ayman Hamdi Abouleid,
Mohamed Hasan Abdelmola,
Ahmed Mohamed Rashad,
Mahmoud Ahmed Negida,
Ahmed Zaky Gharib
Issue:
Volume 4, Issue 2, April 2016
Pages:
20-23
Received:
25 February 2016
Accepted:
5 March 2016
Published:
23 March 2016
Abstract: Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.
Abstract: Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurr...
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Double Intussusception of Ileum Through Patent Vitellointestinal Duct: Case Report
Nuru Ahmed Seid,
Endris Alkadir Seman
Issue:
Volume 4, Issue 2, April 2016
Pages:
24-26
Received:
1 March 2016
Accepted:
10 March 2016
Published:
1 April 2016
Abstract: A patent vitellointestinal duct is an uncommon condition and its persistence can result in different vitelline duct anomalies, most common of which is meckel’s diverticulum. Patent duct with prolapse of bowel through it is a very rare condition. Here we present a case of double intussusception of ileum through patent VID in a 31 day old boy. The boy had history of cough which increases the intra abdominal pressure and causes the prolapse through the patent VID. Because there was some ischemic segment of bowel and the defect was wide we do resection and end to end anastomosis. The case is a very rare condition. Its incidence, diagnosis and treatment will be discussed.
Abstract: A patent vitellointestinal duct is an uncommon condition and its persistence can result in different vitelline duct anomalies, most common of which is meckel’s diverticulum. Patent duct with prolapse of bowel through it is a very rare condition. Here we present a case of double intussusception of ileum through patent VID in a 31 day old boy. The bo...
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Laparoscopic Versus Open Surgery for Rectal Cancer in Elderly Patients
Zexian Chen,
Xiaosheng He,
Juanni Huang,
Xiaojian Wu,
Ping Lan
Issue:
Volume 4, Issue 2, April 2016
Pages:
27-30
Received:
8 April 2016
Published:
9 April 2016
Abstract: With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed this study. This retrospective study was designed to compare short-term outcomes between laparoscopic surgery and open surgery in elderly patients with rectal cancer, which may give some useful guidance in the clinical practice. Thirty-seven patients with rectal cancer aged 75 and older undergoing laparoscopic surgery were matched with 37 counterparts undergoing open surgery. Criteria of matching included general information and preoperative status. Patients in the laparoscopic surgery and open surgery groups were comparable for the matching criteria. Compared with the open surgery group, estimated blood loss (P=0.048) and intraoperative transfusion (P=0.042) were less in the laparoscopic surgery group. As to short-term postoperative outcomes, duration of postoperative hospital stay was shorter (P = 0.039) and overall complication (P = 0.032) and wound complication (P = 0.038) was less in the laparoscopic surgery group than in the open surgery group. In conclusion, considering the operative variables and short-term outcomes, laparoscopic surgery is safe and seems superior to open surgery in elderly patients with rectal cancer. However, further studies with more patients are needed to confirm the results and assess long-term results.
Abstract: With the increase of life expectancy, surgical intervention for rectal cancer is more and more frequently performed in the elderly. It is well accepted that laparoscopic surgery is of advantage, but not widely recognized in old patients with rectal cancer. In order to assess laparoscopic surgery for rectal cancer in elderly patients, we performed t...
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Cranial Impalement of a Falling Fence Spike in a Child: A Case Report
Jimoh Abdullahi Onimisi,
Guga Dung Apollos,
Mathew Mesi,
Danjuma Sale
Issue:
Volume 4, Issue 2, April 2016
Pages:
31-34
Received:
11 February 2016
Accepted:
26 February 2016
Published:
6 May 2016
Abstract: Cranial impalement injuries are rare. They occur from a variety of objects, and via different mechanisms. We describe the case of a 5-year old boy who suffered cranial impalement injury via a unique mechanism. He presented to our centre with an impacted 17.8cm long metallic rod (a fence spike) in the vertex of his cranium, just off the midline. The spike penetrated his head and broke off its supporting frame as the frame was falling off a collapsing brick fence. He was transported as soon as possible to the hospital by relatives, without any attempt to remove the impaled spike. An urgent cranial computerized tomogram was done, and the object was removed under general anaesthesia in the operating theatre. The patient had complete recovery and was subsequently discharged from the hospital, with no residual neurological deficit. This case demonstrates a rare mechanism of cranial impalement. It also highlights the importance of following basic principles in the management of such injuries.
Abstract: Cranial impalement injuries are rare. They occur from a variety of objects, and via different mechanisms. We describe the case of a 5-year old boy who suffered cranial impalement injury via a unique mechanism. He presented to our centre with an impacted 17.8cm long metallic rod (a fence spike) in the vertex of his cranium, just off the midline. The...
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Profile of Benign Breast Diseases in an African Population
Ale Alexander Femi,
Ozoilo Kenneth Nnaetio,
Misauno Michael Ayedima
Issue:
Volume 4, Issue 2, April 2016
Pages:
35-39
Received:
6 April 2016
Accepted:
16 April 2016
Published:
6 May 2016
Abstract: Benign Breast Diseases (BBD) refer to all non-malignant conditions of the breast and it received little attention in the past because most of the focus was on breast cancer, despite the fact that it constitutes majority of the presentation in breast clinics. The objective of this study was to evaluate comprehensively the profile of BBD in our environment, highlight the age group distribution of these BBDs and its different modes of presentation. This was a prospective cross-sectional study conducted between May 2009 and April 2010 at the Taimako Breast and Cervical Screening Centre on women who presented for breast screening. There were two thousand and sixty five study subjects, out of which one hundred and fifty women were diagnosed with BBD (7.3%), while one thousand nine hundred and fifteen (92.7%) had normal screening results. The mean age of those with BBD was 27.9 ± 9.6 with an age range of 15 to 60 years. Breast lumps constituted 44.7% of the presentation of BBD and was the most common mode of presentation, while 17.3% of those diagnosed with BBD had no symptoms and were discovered following triple assessment. More than half (56.8%) of the women who complained of breast lumps did not actually have lumps following triple assessment. BBD comprised a spectrum of disorders, with Fibroadenoma being the commonest and occurred most frequently in the younger 2nd and 3rd decades as opposed to older decades.
Abstract: Benign Breast Diseases (BBD) refer to all non-malignant conditions of the breast and it received little attention in the past because most of the focus was on breast cancer, despite the fact that it constitutes majority of the presentation in breast clinics. The objective of this study was to evaluate comprehensively the profile of BBD in our envir...
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Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia
Bin Pan,
Zhihai Deng,
Genlong Jiao,
Caiyong Lai,
Zexuan Su,
Junfeng Liu
Issue:
Volume 4, Issue 2, April 2016
Pages:
40-44
Received:
16 March 2016
Accepted:
11 April 2016
Published:
6 May 2016
Abstract: Transurethral enucleation resection of the prostate is safe and feasible for the treatment of symptomatic benign prostatic hyperplasia (BPH). However, long-term results of this treatment in patients with BPH have not been reported. To assess the efficacy and safety of this procedure, this study retrospectively evaluated long-term outcomes in 1400 consecutive patients who underwent transurethral enucleation resection of the prostate for BPH between 2008 and 2014. Patients were followed up at 1, 3, 6, and 12 months, and every year thereafter. At a median follow-up of 70.1 months, mean Qmax increased from 6.43 to 22.1 ml/s and mean IPSS decreased from 22.3 to 2.9. PVR decreased from 123.0 to 12.0 cc, and mean TRUS volume decreased from 65.4 to 21.4 ml (P<0.0000). QOL score improved from 4.96 to 1.0, and PSA concentrations decreased from 6.87 to 0.75 ng/ml (P<0.0000). Complications included bladder neck contracture in 1.0% of patients and urethral stricture in 1.3%. These long-term results showed that transurethral enucleation resection of the prostate is durable, safe, and effective for patients with BPH, with patients not requiring reoperation.
Abstract: Transurethral enucleation resection of the prostate is safe and feasible for the treatment of symptomatic benign prostatic hyperplasia (BPH). However, long-term results of this treatment in patients with BPH have not been reported. To assess the efficacy and safety of this procedure, this study retrospectively evaluated long-term outcomes in 1400 c...
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Application of the Technique of "Mobile Skin and Soft Tissue Window" in Single Segment Lumbar Interbody Fusion
Jing Wang,
Min Chen,
Jiang Du
Issue:
Volume 4, Issue 2, April 2016
Pages:
45-48
Received:
11 April 2016
Accepted:
22 April 2016
Published:
12 May 2016
Abstract: To investigate the surgical techniques and short-term clinical effects of minimally invasive lumbar interbody fusion in the treatment of lumbar degenerative diseases, 43 patients who underwent minimally invasive posterior lumbar interbody fusion from January 2012 to September 2014 were retrospectively reviewed. The lesion was located by C- arm fluoroscopy during the operation. The working areas for placing pedicle screw, fusion and decompression were well exposed by the technique of "mobile skin and soft tissue window". The operation time, intraoperative blood loss, length of incision, blood drainage and complication after operation were recorded. Oswestry disability index (ODI) and visual analogue scale (VAS) of pre-operation, 7 days, 1, 3 and 12 months postoperatively were evaluated. 37 patients were followed up for an average of 15.2 ± 4.7 months. Intraoperative blood loss was 175.1 ± 71.8 ml; operation time was 129.0 ± 12.0 min; length of incision was 5.4 ± 0.3 cm and postoperative blood drainage was 116.5 ± 66.0 ml. Postoperative lumbar and leg VAS and ODI scores were significantly decreased, comparing with that of pre-operation (P < 0.05). Lumbar VAS score was 6.6 ± 0.8 before operation and 0.7 ± 0.6 at 12-month follow-up. Leg VAS score was 7.0 ± 0.1 before operation and 0.6 ± 0.5 at 12-month follow-up. Average ODI percent was 68.6% ± 5.4% before operation and 6.2% ± 1.6% at 12-month follow-up. There were no internal fixation loose and fracture, and the radiographic findings were consistent with the standard of the lumbar interbody fusion at the last follow-up. In the current study, the minimally invasive treatment concept and the technology of "mobile skin and soft tissue window" are applied to the traditional posterior lumbar interbody fusion surgery. This modified method can not only obtain good vision without special instruments, but can also significantly reduce the skin incision and muscle tissue dissection, get less surgical trauma and better functional recovery, achieving a satisfactory clinical effect for single segment lumbar degenerative disease.
Abstract: To investigate the surgical techniques and short-term clinical effects of minimally invasive lumbar interbody fusion in the treatment of lumbar degenerative diseases, 43 patients who underwent minimally invasive posterior lumbar interbody fusion from January 2012 to September 2014 were retrospectively reviewed. The lesion was located by C- arm fluo...
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Neurosurgical Research – Cutting Edge: Recent Advancements and Shortcomings in Neural Growth and Regeneration
Issue:
Volume 4, Issue 2, April 2016
Pages:
49-59
Received:
22 May 2016
Published:
23 May 2016
Abstract: Advancements in neurosurgical research have been central to understanding the underlying process of neural growth and regeneration (neurogenesis) and its application in the treatment and management of neurological pathologies. Recent work has shown the adult brain and central nervous system (CNS) to contain neuronal progenitors, precursor molecules as well as stem cells which play key roles in the new generation of neurones, astrocytes and oligodendrocytes. Whilst also challenging the previous dogma that no new neurones are born into the adult mammalian CNS and brain; this paper draws upon and presents an up-to-date picture of currently used “in vitro” and “in vivo” models for the study of novel techniques concerning the integration of neurones into existing neural circuitry. Breakthrough studies in Axonal Regeneration; The Application of Growth Factors; Stem cell grafting and proliferation; Synthetic materials technology; are just a few examples of key areas which have gained extensive interest, to ensure the successful clinical application of neurogenesis in various neurological pathologies. Challenges in the field are also addressed, where a future outlook to improve these novel techniques and potential areas of expandable research is also indicated.
Abstract: Advancements in neurosurgical research have been central to understanding the underlying process of neural growth and regeneration (neurogenesis) and its application in the treatment and management of neurological pathologies. Recent work has shown the adult brain and central nervous system (CNS) to contain neuronal progenitors, precursor molecules...
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Intensive Care Units and Operating Rooms Bacterial Load and Antibiotic Susceptibility Pattern
Mengistu Hailemariam,
Mesfin Worku,
Elshadie Azerefegne
Issue:
Volume 4, Issue 2, April 2016
Pages:
60-64
Received:
17 August 2015
Accepted:
26 August 2015
Published:
30 May 2016
Abstract: Introduction. The indoor air environment can potentially place patients at a greater risk because enclosed spaces can confine aerosols and allow them to build up to infectious levels as a result, this study intended to determine the bacterial load and antibiotic susceptibility pattern in operating theater (OR) and intensive care unit (ICU) at Hawassa University Referral Hospital. Methods. A cross sectional study was conducted to measure indoor air microbial quality from Nov 2014 to February 2015 on 120 air samples collected from selected sites in 15 rounds using purposive sampling technique by Settle Plate Method (Passive Air Sampling following 1/1/1 Schedule). Sample processing and antimicrobial susceptibility testing was done using standard microbiological methods. The data was analyzed using SPSS version 16.0 and was inferred based on baseline values recommended by Fisher. Result. The mean bacterial load of ICU 454.2 CFU/dm2 was recorded. Likewise, at OR during active, 87.27 CFU/dm2 and 13.12/CFU/dm2 during passive were recorded. Compared to the standard set by Fisher, the ICU and OR while at passive were higher than the acceptable limit. Among the isolated six bacteria, S. aurous 36 (30%) was the predominant species in both OR and ICU were as p. auriginosa 16 (26.7%) was the second prevailing isolates at ICU. S. aureus was highly resistant to penicillin, tetracycline 86.1%, 72.2% respectively were as P. auriginosa showed low level resistance to Ciprofloxacin (22.2%), Cotrimoxazole (27.7%) and Ceftriaxon (16.7%). Conclusion. This finding indicates that resistant isolates for the commonly used drugs and high bacterial load of indoor air judges the risk factor for SSI as well more risking ICU patients. Hence adequate attention should be given to maintenance of proper hygiene in the ICU and OR environments since it is well known those patients are highly susceptible to microbial infection.
Abstract: Introduction. The indoor air environment can potentially place patients at a greater risk because enclosed spaces can confine aerosols and allow them to build up to infectious levels as a result, this study intended to determine the bacterial load and antibiotic susceptibility pattern in operating theater (OR) and intensive care unit (ICU) at Hawas...
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