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  • ISSN: 2373-9819
    Body Stalk Anomaly in One of the Dichorionic Diamniotic Twins Following In vitro Fertilization and Embryo Transfer
    Authors: Krishna GR, Abdul Haium Abdul Alim, Kenneth Chang TE, Edwin Thia WH and Bhavani Sriram
    Abstract: Body stalk anomaly/Limb body wall complex (BSA/LBWC) is a sporadic, rare and severe congenital anomaly with a poor prognosis.
    A Rare Cause of Hip Pain: Primary Tuberculous Psoas Abscess. Case Report
    Authors: Carlos Cano, Roberto G. Alconada, German Borobio, Diego A. Rendon, Laura Alonso, David Pescador and Juan F. Blanco
    Abstract: Tuberculous abscesses in the iliopsoas muscle are usually secondary to Potts disease or spinal tuberculosis. Another possibility is direct extension from nearby structures or hematogenous spread from a distant focus.
    Latest Articles
    Case Report
    Mirian Paola Toniazzo* and Fernando Antonio Rangel Lopes Daudt
    Periodontal diseases have as their main etiology the bacterial biofilm. The continuous deposition of the biofilm in the gingival tooth region without adequate periodic removal initiates the inflammatory response of the host, causing gingivitis, depending on the hosts susceptibility, gingivitis progresses to a more severe form of periodontal disease, periodontitis, which manifests itself two different ways, with different diagnosis and treatment: chronic or aggressive periodontitis. Aggressive periodontitis is characterized as a disease of low prevalence and rapid progression, mainly affecting young and adults systemically healthy. It is observed the occurrence of severe insertion loss, with formation of deep periodontal pockets and bone destruction. It is also related to local factors such as plaque and calculus, and their presence is not compatible with the periodontal destruction found in many cases. The radiographic features are angular bone loss in the region of incisors and first molars being denominated localized and it can also affect all teeth of the buccal cavity and called generalized. Besides the susceptibility of the host and the most virulent microbiological aspects, aggressive periodontitis has an important factor in the diagnosis of familial aggregation.
    Pawel Legosz*, Roman Srubarski, Sylwia Sarzynska, and Pawel Maldyk
    Progress in oncology diagnostics and treatment results in systematic increase of survival rates in cancer. In women, the most common primary site of a neoplasm that metastasizes to bones is breast cancer and most commonly affected bone is proximal femur. This results in local weakening of the bone structure and, as a consequence, to pathological fractures that impairs the quality of life and may shorten the patient survival. However, if they are detected at an appropriately early stage, they can be treated much more successfully than other metastases. Well planned intervention of an orthopedic surgeon can prevent such fracture if the risk is diagnosed at an appropriately early stage. Surgical treatment of metastatic lesions is considered as palliative treatment and life expectancy is one of the criteria considered while selecting the treatment method. The selection of an implant and type of intervention will have their effects for many years, just as in patients receiving radical treatment. In summary, treatment of metastases limited to the femur/hip after a radical treatment of the breast cancer with good prognostic factors should be radical with curative intent. Resection of the metastatic tumor with a margin of healthy tissues and using an implant that provides an optimal perspective of long-term preservation of the extremity function and comfortable life should be a goal.
    Paul Dhinakaran, Krishna Prasad, Dinesh Kumar Sathanantham*, Sreeramulu PN, and Amal Abraham
    Incisional hernia represents a breakdown or loss of continuity of a fascial closure. It is one of the most frequent long term complications of abdominal surgeries. These hernias are of particular concern not only for the high recurrence rates among them but also for the challenges that follow their repair. It is known to occur in 11-23% of laparotomies. This paper presents one of the unusual complications of incisional hernia managed by the authors. One ruptured incisional hernia with evisceration of omentum. The patient with ruptured hernia and eviscerated gut presented immediately and was resuscitated and the hernia repaired with on lay pre-peritoneal polypropylene mesh. Incisional hernia can present with unusual complications. The management is very challenging. Good knowledge and skills are required to deal with this condition.
    Case Report
    Emilia Krol*, Michael W. McCormick, Daniel M. Chase, Dorothy A. Sparks, Gregg L. Bogen, and Gregory G. Smaroff
    Morgagni hernias are rare, comprising approximately three percent of all congenital diaphragmatic hernias. They are usually found incidentally but may present with symptoms of bowel obstruction due to viscera entering the hernia sac. Here we present a case series of two Morgagni hernias. The first case is an elderly woman who presented with strangulated transverse colon in the hernia sac, and the other is a young man who complained of vague chest discomfort. These cases exemplify the varied clinical presentation of Morgagni hernias, the importance of being cognizant of their pathology, and their treatment.
    Noman Shahzad* and Abdul Rehman
    Laparoscopic Cholecystectomy was performed in a morbidly obese patient (BMI 44.35) who presented with recurrent attacks of biliary colic.
    Carolina Fonseca* and Aziz Mohamad
    Collision tumor consisting of medullary thyroid carcinoma and papillary thyroid carcinoma is an extremely rare occurrence 3. We report a case of an 89 year old female diagnosed with uncommon collision tumor of the thyroid based on cytological evaluation of a fine needle aspiration specimen.
    Stella Cortes Verdasca*, Domingas Pereira, and Jose Vaz
    Buerger's disease or thromboangiitis obliterans is an inflammatory, non-atherosclerotic process that affects small and medium-sized vessels and nerves at the extremities. It is manifested by pain and claudication of the fingers, evolving into necrosis and ulceration. Amputation is a reality for many patients.
    Buerger's disease is rare, and the pathophysiological mechanisms that trigger it are not clear. However, there has been good progress in understanding the pathogenesis of the disease and there is a strong association with smoking, immunity, disorders of coagulation and heredity. This is a clear example that exposure to tobacco contributes to the onset and worsening of the disease. Smoking cessation and vasodilator therapy appear to be the best therapeutic strategy.
    Krishna Prasad K, Rahul Singh R*, Amal Abraham, Padmalakshmi, Rami Reddy, Vijay Kumar, and Sreeramulu PN
    Background: Pilonidal sinus is a cavity in the subcutaneous tissue which is lined by granulation tissue contains hair and communicates with the surface by a track line usually by squamous epithelium continuous with the epidermis. It is a disease that most commonly arises in the hair follicles of the natal cleft of the sacrococcygeal area. Incidence is reportedly 26 per 100,000 populations, affecting males four times as often as females and predominantly young adults [1]. In this study we compared minimally invasive crystallized phenol application with modified Limberg flap reconstruction as the treatment strategies for pilonidal sinus in terms of length of hospital stay, rates of recurrence and infection, time taken for wound healing and complication rates.
    Methods: A prospective study in which 22 patients undergoing treatment for pilonidal sinus were studied from December 2015 to November 2017. Block Randomisation applied. Post operative pain, duration of stay in the hospital, development of surgical site infections (SSIs) and other demographic data was analyzed.
    Results: Out of 22 patients undergoing treatment for pilonidal sinus, 11 each were divided into 2 groups with group A, treated with Crystallized phenol application and group B treated with modified Limberg flap reconstruction. Crystallized phenol application is non invasive and patient friendly technique with less duration of stay in hospital and cost effective, only disadvantage is that it has high recurrence rate compared to Flap reconstruction.
    Conclusion: Though there have been various other studies done recruiting patients in a bigger number, this study and the data obtained goes in favor of phenol treatment to be a convenient treatment of choice for pilonidal sinus disease because of its many advantages such as being a minimally invasive procedure, performed under local anesthesia, higher success rate after multiple applications, and decreased length of stay in hospital with minimal surgical scar formation.
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