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  • ISSN: 2379-0911
    Volume 4, Issue 2
    Letter to the Editor
    Giampiero Campanelli, Piero Giovanni Bruni*, Marta Cavalli and Andrea Morlacchi
    Our clinical experience mainly focused on the study and surgical repair of abdominal wall defects (from the simplest to the most complex, from the most common to the rarest) started in the first half of the 80s, even before the introduction of modern materials prosthetic. In the following years, with the advent of implants (meshes and plugs)...
    Case Report
    Punit Kumar Srivastava*, Richa Jaiman, Juhi Singhal and Surendra Pathak
    Gastric volvulus is extremely rare in neonates and is to be considered in differential diagnosis of recurrent vomiting in pediatric age group. There are various predisposing congenital and acquired factors that lead to gastric volvulus like absence of gastrocolic ligament attachment, abnormal fixation; diaphragmatic hernia and eventration of diaphragm etc. We describe unusual association of gastric volvulus with infantile hypertrophic pyloric stenosis. The patient was well managed by pyloromayotomy and anterior gastropexy with gastrostomy. This is the very case of infantile hypertrophic pyloric stenosis associated with gastric volvulus and very few cases described in world literature.
    Ricardo Cavalcanti Ribeiro*, Pedro Felipe Suárez and Avelino Monteiro De Abreu
    Background: The Poland's syndrome is a rare congenital alteration of the thoracic region, mainly characterized by the partial or complete absence of the pectoralis major muscle. It has one higher incidence in males, with a predominance of the right side of the chest. Several factors have been associated as possible causes, but currently a main ethology has not been found.
    Patient and methods: We report the case of a 32-year-old male patient, who presents absence of the pectoralis major on the right side, with only preservation of the portion upper distal of the muscle. Through the use of a mold that is adapted to the region of the defect, we obtained a customized implant with exact measurements of the desired area, the which was placed the day of surgery. A 3D thoracic computerized tomography was perfomed in order to achieve better shape.
    Results: With the use of this customized prosthesis, we achieve adequate correction of the defect, obtaining the desired symmetry of the thoracic region and a rapid recovery of the patient, without any complications during surgery.
    Conclusion: Using this approach best results are obtained, with less morbidity for the patient, fewer adverse effects and a more rapid recovery, making it an excellent choice in the treatment of sequelae of Poland's syndrome.
    Shigeaki Aoyagi*, Takeshi Oda, Ryo Kanamoto, Eiji Nakamura, Tomokazu Kosuga and Hiroshi Yasunaga
    Introduction: Amyand's hernia is an indirect inguinal hernia, whose content is an inflamed or non cecal appendix.
    A 60-year-old man underwent aortic valve replacement with a bileaflet mechanical valve for aortic regurgitation and mitral valve repair using a prosthetic ring for mitral regurgitation (MR). Intraoperative transesophageal echocardiography (TEE) confirmed no residual MR and a normally functioning aortic prosthetic valve without a para-valvular leak. One week after the operation, transthoracic echocardiography showed trivial MR. Two weeks later, in addition to elevation of a lactate dehydrogenase value and schistocytosis, TEE revealed mild MR with a high velocity jet that collided with the prosthetic ring. However, structural and non-structural abnormalities of the aortic mechanical valve such as para-valvular leakage were not detected on TEE. Subsequent to failed medical treatment for hemolysis, reoperation for the mitral valve was performed. At reoperation, the mitral valve repair was intact, and the cause of failed valve repair was thought to be residual MR. Mitral valve replacement with a mechanical valve led to immediate cessation of hemolysis.
    Review Article
    Ana Alberca Paramo*, Garcia EP, Menchen B, Bertelli JL, Nunez P and Suazo I
    Introduction: Amyand's hernia is an indirect inguinal hernia, whose content is an inflamed or non cecal appendix.
    Presentation of cases: We present three cases found in 2015 at the General University Hospital of Ciudad Real. The average age was 71 years, all referred inguinal mass; only one of them had an episode of incarceration, which was resolved conservatively. Programmed surgery was performed with inguinal region repair using prosthetic material and reduction of ileocecal appendix. No postoperative complications or recurrences were observed.
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