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  • ISSN: 2379-0911
    Volume 3, Issue 2
    Case Report
    Shyam R. Javvaji1*, Srimanasi Javvaji2 and Marc E. Grossman2
    Abstract: Mycobacterium marinum is a ubiquitous salt and fresh water organism, which in humans, causes cutaneous nodules, ulceration, tenosynovitis, osteomyelitis and rarely disseminated infection. There have been only 9 reported cases of M. Marinum infection in transplant recipients; we herein report the 10th case of a 52 year old female with alpha-1 antitrypsin deficiency that had undergone single lung transplantation. We review the literature of M. marinum infection in transplant recipients and ATS/IDSA guidelines for optimal therapy for this unusual infection.
    Lhagva Sanchin*, Anja Glien, Josephine Machoy and Hans Jorg Meisel
    Glossopharyngeal neuralgia is a rare condition which occurs with a frequency about 1%of that of trigeminal neuralgia. Common cause of glossopharyngeal neuralgia is a vascular compression of the nerve. Microvascular decompression of the glossopharyngeal nerve is an effective treatment option for patients with therapy resistant recurrent pains. We present the case of a 38-year-old woman with left glossopharyngeal neuralgia. High resolution MRI scans detected the compression of the glossopharyngeal nerve by the left posterior inferior cerebellar artery (PICA). The patient was treated by microvascular decompression with Teflon graft placement between the cranial nerves IX and X and the PICA. Two intra-operative HD-videos, which show the neurovascular conflict und interposing technique, are also presented here. Postoperative course was characterized by relief of pains with no recurrence of the symptoms.
    Perspective
    Zerrin Ozcelik*, Seda Banu Akinci
    Obesity is a worldwide epidemic and public health crisis associated with severe comorbidity leading to end organ dysfunction and poorer transplant outcome [1].
    Research Article
    Gul Bora, Bilgehan Cagdas Sonbahar, Mehmet Giray Sönmez*, Necdet Ozalp and Cengiz Kara
    Aim: This prospective study aims to evaluate incidence of resistant orchialgia after hernia repair and compare two techniques.
    Material and methods: Total of 59 randomized male patients who underwent inguinal hernia repair between Jan 2014 and May 2015 were analized prospectively in terms of postoperative resistant orchialgia. Patients who have orchialgia and no surgical complication were directed to the Urology clinic. They were sequentially evaluated for orchialgia at the first week, first, third and sixth months after their discharge. Pain was scored on 0-10 visual analog scala.
    Results: Patients were evaluated which were operated with open tension free repair (Group A) or laparoscopic total extraperitoneal repair (Group B). Between the two groups, there were no significiant differences statistically in terms of their operative time, hospital stay and average of age. (p=0.052) We observed orchialgia in only 4 patients corresponding to a ratio of 6.77%. All of the 4 patients were laparoscopically operated and we determined that statistically there was no significant differences between the two techniques. (p=0,128) At their six monthly check we observed that orchialgia had completely disappeared in the three patients and only one patient was still suffering from orchialgia.
    Conclusion: Chronic orchialgia is a rare but a frustrating problem for doctors and patients. Surgeons dealing with recurrance of hernia and local complications have a tendency to overlook orcialgia; adversely affecting daily life quality of the patients. Further prospective research is needed for enhancement in the treatment of orchalgia.
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