American Journal of Surgical Research and Reviews


MODIFIED PUTTI PROCEDURE FOR THE SURGICAL MANAGEMENT OF PATIENTS WITH ADULT ACQUIRED CAVO-VARUS RESULTING FROM PERONEAL TENDON RUPTURE

Research Article of American Journal of Surgical Research and Reviews Modified Putti Procedure for the Surgical Management of Patients with Adult Acquired Cavo-Varus Resulting from Peroneal Tendon Rupture Joseph Anderson1*, DPM, FACFAS; G. Parker Peresko2, DPM; Sara Grzywa3, DPM; Emily Keeter3, DPM; Brooke Lynn Anderson4, BS 1Partner at New Mexico Bone and Joint Institute Alamogordo, New Mexico. Fellowship Director at American Foundation of Lower Extremity Surgery and Research. 2Resident at Western Pennsylvania Hospital, Pittsburgh, PA. 3Fellow at the American Foundation of Lower Extremity Surgery and Research Alamogordo, NM. 4First Year Medical Student  Midwestern University School of Podiatric Medicine Glendale, AZ. Background: Peroneal pathology, including trauma, can result in Cavovarus-Drop Foot type deformity, precluding patients from functioning in or attempting bracing. Lateral ankle stabilization and other associated procedures sometimes are not enough to address the resultant deformity, thus many CavoVarus-Dropfoot patients still have gait abnormalities, function minimally in a brace and still have secondary ambulatory pain and loss of function even when braced. We review the results of 9 patients meeting this criteria and electing for a Modified Putti Procedure and lower extremity reconstruction. Materials and Methods: The charts of 9 patients with adult-acquired CavoVarus deformity foot type after peroneal rupture were reviewed, all but 1 had failed previous AFO/bracing. These patients underwent surgical correction all consisting of the Modified Putti procedure, along with other ancillary procedures and the results and outcomes were collected. Additionally, surgical technique was documented. Results: The mean VAS score improved from 9.1 to 2.4 pre- and post-operatively, respectively. The average time to weight bearing was 7.2 weeks. Four of 9 (44.44%) patients experienced some form of complication. Eight of 9 (88.88%) patients relayed the surgery was a success and would opt to undergo it again, given the choice. Conclusion: The Modified Putti Procedure showed promising results, great ...

A NOVEL TECHNIQUE TO PREVENT THE BREAST IMPLANT FROM EXPOSURE AFTER MASTECTOMIES

Short Communication of American Journal of Surgical Research and Reviews A novel technique to prevent the breast implant from exposure after mastectomies Atif Rafique, (MBBS, FCPS plastic Surgery, EBPRAS); Ambreen Arshad (MBBS, MCPS); Fuad Hashem (MD, FRCSc) Department of Surgery, King Faisal Specialist Hospital and Research Centre, Saudi Arabia Introduction After mastectomies, we do our reconstruction, either immediately or delayed. In both ways of reconstruction for post mastectomies defect, the most commonly performed reconstruction is by using breast prosthesis [1]. For many years, surgeons have been trying to find out any solution to reduce the rate of implant exposure and develop some new techniques and modifications. However, once the infection develops or implant expose the only permanent solution is to remove the implant [2-3]. Although there is less evidence found in the literature regarding the salvage of implant once the infection occurs and when implant becomes expose in implant-based reconstruction [4]. Radiation also plays additional role in post-operative complication rates following implant-based breast reconstruction, as it is well documented that the incidence of complications is to be higher in radiated breasts compare to similar non-radiated breasts [5]. With the new advancement in radiation therapy the number of patients have been increasing who are receiving radiation therapy after immediate breast reconstruction [5]. Description of the Technique For more than 15 years we have been reconstructing the breasts deformities after different types of mastectomies, ranging from skin sparing, nipple areola sparing to different types of lumpectomies, by immediate insertion of breast implants. The main problem which we face during post-reconstruction, is the exposure of implant in addition to infection. With the advent of ADM (Artificial Dermal Matrix) [6], serratus anterior muscle [7], rectus fascial flap [7] and inferior dermal flaps [8] although they do an addition to thickness of skin envelop over ...

EFFICACY OF CHOLECYSTECTOMY IN PATIENTS WITH POSITIVE HIDA SCANS WITH TYPICAL OR ATYPICAL BILIARY PAIN: A RETROSPECTIVE STUDY

Research Article of American Journal of Surgical Research and Reviews Efficacy of cholecystectomy in patients with positive HIDA Scans with typical or atypical biliary pain: A retrospective study Dr Amin Tanveer MD, MSc1*(Sydney), Dr David Soon MBBS, MSc1(Edinburgh), Dr Rajavel Senthikumar Sundaramurthy MBBS, FRACS2, Dr Charles Pilgrim MBBS FRACS, PhD3, Dr Peter Evans MBBS, FRACS3  1,2,3Department of General Surgery, Peninsula Health, PO Box 52, Frankston, 3199, Victoria, Australia Introduction: Our investigation aimed to discover the benefits of performing cholecystectomy in patients who had a positive or negative HIDA scan result, presented with either typical or atypical biliary pain. Methods: We performed a retrospective analysis of medical records of patients who had a HIDA scan at Peninsula Health between 2012 and 2017, those who had a HIDA scan and cholecystectomy for biliary pain were selected for this study, and prospective analysis of patient reported outcome post cholecystectomy included. Results: In the past five years, 190 patients had had a HIDA scan to investigate biliary pain without a structural cause. Of those 190, 65 had a positive HIDA result and 20 of these patients went on to have a cholecystectomy. Of the latter, 17 who reported typical biliary pain had their pain resolved post-surgery but 2 out of 3 patients with atypical biliary pain had ongoing pain despite surgery (1 did not respond). Of the 125 patients with a negative HIDA scan, 14 proceeded with a cholecystectomy. Twelve patients had pre-operative typical biliary pain and 5 of these continued to have pain post-operatively. Finally, 1 of the 2 patients with atypical pain continued to have ongoing pain post-surgery. Conclusion: In summary, in patients without a structural cause for biliary pain HIDA scans and patient’s symptoms greatly aid in the decision-making process whether to proceed with a cholecystectomy, as a negative scan should ...

CLINICAL MANIFESTATIONS OF CHOLELITHIASIS IN QUITO, ECUADOR. A COHORT STUDY

Research Article of American Journal of Surgical Research and Reviews Clinical Manifestations of Cholelithiasis in Quito, Ecuador. A Cohort Study Montalvo-Burbano Mario MD1, Cabrera-Villa Mayra MD2, Pacheco-Ojeda Luis MD3 1General Surgery Services. Hospital de Especialidades Eugenio Espejo; Batan Medical Center; Hospital Metropolitano. Quito, Ecuador. 2Internal Medicine Service. Hospital de Especialidades Carlos Andrade Marin. Social Security Ecuadorian Institute. Quito, Ecuador. 3Surgery Service,  Hospital Metropolitano, Quito, Ecuador. Introduction: A prospective study was carried out, with the aim of establishing the clinical manifestations of cholelithiasis in the population of Quito, Ecuador. Methods: During the period from January 2012 to October 2017, 534 patients were referred from different outpatient clinics of the Ecuadorian Institute of Social Security to the Batan Medical Center with the diagnosis of cholelithiasis after a clinical assessment and abdominal ultrasound, to be treated surgically. Results: Sixty-nine percent of patients were female with a male-female ratio of 1:2.21. Mean age was 44.9 years. Pain was the most common symptom in our study: 95.7%. Among these patients, pain was located in the epigastrium in 49.8%, in the right hypochondrium in 45.1% and only 0.8% had low back pain. Pain ranged from moderate and even severe. The remaining 4.3% of patients had dyspepsia or were asymptomatic. Conclusions: This finding highlights the fact that epigastric pain must be always considered as a clinical manifestation on cholelithiasis. Keywords: Cholelithiasis; Clinical Symptoms; Pain epigastric; Pain hypochondrium right ...

Dr. Karol Szyluk
District Hospital of Orthopedics and Trauma Surgery. b41-940 Piekary Śląskie, Bytomska 62 str. POLAND

Dr. Can SARICA
Consultant (Neurosurgery), Adiyaman University School Of Medicine, Department Of Neurosurgery, Adiyaman

Dr. Pallavi Kamra
Pediatrician, Clinicas del Camino Real, Camarillo, CA

Dr. RAÚL GONZÁLEZ-GARCÍA
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Avenida de Elvas s/n, 06080, Badajoz (Spain)

Dr Amanjot Kaur Riar
Brigham and Women’s Hospital- Harvard Medical School, Department of Medicine, Harvard New Research Building USA

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1.Lima L.F.A., Santos G.A.S., Santana J.F, França L.C, Ramos L.V.S, Maia C.S.A Dentist Surgeon Conduct With Diabetic Patients.American Journal of Surgical Research and Reviews, 2018, 1:3 
2.Albuquerque, S.S.A, Santos, L.C.V, Souza, M.C.C, Carvalho, M.E.P.S, Accioly, C.C, Albuquerque, E.N.Perception and Expression of Emotions: Psychological Intervention With Hospitalized Patients With Diabetis in a Surgical Clinic.American Journal of Surgical Research and Reviews, 2018, 1:5 

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American Journal of Surgical Research and Reviews (ISSN:2637-5087; DOI:10.28933/AJSRR) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Surgical Research and Reviews (Indexing information).

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American Journal of Surgical Research and Reviews

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