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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 1)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 5)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 2, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 1)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 12, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 5, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 7)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 8, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 3, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 3)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 7, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 2)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 9)

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Journal Cover Archives of International Surgery
  [9 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 2278-9596
   Published by Medknow Publishers Homepage  [355 journals]
  • Ductal carcinoma In situ: The challenges and approaches

    • Authors: Sujan N Agrawal
      Pages: 137 - 145
      Abstract: Sujan N Agrawal
      Archives of International Surgery 2016 6(3):137-145
      Cancer cells are in situ or invasive depending upon whether they have invaded basement membrane or not. Ductal carcinoma in situ (DCIS) signifies in situ growth in the ductal system of the breast. Screening mammography has revolutionized the screening and diagnosis of this clinically occult disease. Diagnosis may be further improved by ultrasonography and magnetic resonance imaging in selected cases. Suspicious area in the breast is subjected to fine needle aspiration cytology (FNAC). The drawback of this simple procedure (FNAC) is that basement membrane cannot be assessed, and hence, image-guided, core needle biopsy or tru-cut biopsy is used to overcome this drawback. After confirmation of the diagnosis, DCIS may be treated by breast conservation or mastectomy and/or radiation. This paper discusses the various challenges encountered at every step in this clinically occult disease during screening, diagnosis, and treatment. Means and ways are highlighted to overcome the challenges.
      Citation: Archives of International Surgery 2016 6(3):137-145
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202366
      Issue No: Vol. 6, No. 3 (2017)
       
  • Appropriate anaesthesia technology for improved access to surgical
           services in resource constrained facilities in Northern Nigeria: A pilot
           study of the Universal Anaesthesia Machine

    • Authors: Alhassan D Mohammed, Henry V Doctor, Godwin Y Afenyadu, Jamilu Tukur
      Pages: 146 - 152
      Abstract: Alhassan D Mohammed, Henry V Doctor, Godwin Y Afenyadu, Jamilu Tukur
      Archives of International Surgery 2016 6(3):146-152
      Background: The provision of safe anesthesia in developing countries is often challenging due to multiple health systems and infrastructural challenges. We explored the suitability and reliability of the Universal Anaesthesia Machine (UAM) in Northern Nigeria.Patients and Methods: Over an 18-month period from 1st June 2012 to 30th November 2013, Nurse anesthetists and biomedical technicians were trained on the use, maintenance, and installation of the UAM in the study facilities. Patients requiring general anesthesia (GA) were then randomly assigned to the UAM or other forms of GA. Availability, ease of ues ans safety were monitored.Results: A total of 1562 patients had anesthesia administered with 54.8% using UAM. Cesarean section due to obstructed labor was the most common indication. There was no malfunctioning of the UAM and its use was preferred over other forms of GA. Complications were less than with other form of GA provided by the same staff. Conclusion: The UAM is suitable for health facilities with limited equipment and manpower. It has the potential to improve access to surgery and emergency obstetric care as it can be safely used by non-physician anesthetists.
      Citation: Archives of International Surgery 2016 6(3):146-152
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202367
      Issue No: Vol. 6, No. 3 (2017)
       
  • Feminizing genitoplasty in congenital adrenal hyperplasia: A new method
           for clitoral reduction

    • Authors: Yogender S Kadian, Kajal Pradeep, Vikas Verma
      Pages: 153 - 157
      Abstract: Yogender S Kadian, Kajal Pradeep, Vikas Verma
      Archives of International Surgery 2016 6(3):153-157
      Background: Congenital adrenal hyperplasia (CAH) is a disorder wherein female babies are born with masculinized external genitalia characterized by hyperpigmented or fused labioscrotal tissue, a urogenital sinus, and clitoromegaly. Feminizing genitoplasty (clitoroplasty, labioplasty, and vaginoplasty) is necessary to make the patient consistent with gender identity and to ensure adequate sexual function in pubertal age.Patients and Method: We performed feminizing genitoplasty in which reduction clitoroplasty was done by a ventral approach in 6 patients of CAH, with a mean age of 3.8 years. Excessive erectile tissue was excised by giving incisions into Buck's fascia at 8 and 4 o'clock position on the clitoral shaft and Byar's flaps created from the degloved clitoral shaft were used for labial and vaginal reconstruction. The glans clitoris was left as such and anchored to proximal 1–1.5 cm clitoral shaft.Results: All patients had good cosmetic female appearance of external genitalia. In 5 patients, the clitoroplasty was done along with labioplasty and vaginal introitus exteriorization. However, in 1 patient, the vaginal confluence into urogenital sinus was high and hence only clitoral reduction as well as labioplasty was done and the urogenital sinus opening was left as such. The maximum follow-up is up to 6 years with good result.Conclusion: The reduction clitoroplasty by present approach of 8 and 4 o'clock incision into the Buck's fascia is a good option for clitoral girth and length reduction as it preserves approximately two-third of Buck's fascia with intact neuromuscular bundle and glans. Postoperatively, patients have good vascularity and sensation of the glans clitoris and acceptable cosmetic outcome. However, the long-term results are difficult to comment as no patient of the present study achieved puberty.
      Citation: Archives of International Surgery 2016 6(3):153-157
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202368
      Issue No: Vol. 6, No. 3 (2017)
       
  • Clinicopathological characterization of cancer patients with human
           immunodeficiency virus infection in Ahmadu Bello University Teaching
           Hospital, Zaria, Nigeria

    • Authors: Adeyemi S Adewuyi, Olanrewaju A Oguntayo, Adegbemisola M. O. Samaila, Roseline K Adewuyi, Omolara A Kolawole, Festus Igbinoba
      Pages: 158 - 164
      Abstract: Adeyemi S Adewuyi, Olanrewaju A Oguntayo, Adegbemisola M. O. Samaila, Roseline K Adewuyi, Omolara A Kolawole, Festus Igbinoba
      Archives of International Surgery 2016 6(3):158-164
      Background: Cancer and human immunodeficiency virus (HIV) infections are commonly associated diseases, particularly in subsaharan Africa. The objective of this study was to evaluate the clinical and pathological characteristics of cancer patients with background HIV infection.Patients and Methods: This study was a retrospective study carried out between July 2006 and June 2013, at the radiotherapy and oncology department of Ahmadu Bello University Teaching Hospital (ABUTH), Zaria. One hundred and two (102) histologically confirmed cancer patients were diagnosed to be HIV seropositive, of which 88 patients' folders were retrieved for retrospective analysis. Patients' clinical and laboratory information was documented during each visit and were analyzed using Epi Info software version 3.4.1; 2007 edition.Results: Out of the 88 patients studied, the male-to-female ratio was 1:2; median age was 40 years and age range was 23–65 years. Only 27 patients were housewives and 7 were students. Primary education and above was attained by 71 patients, and there was no formal education in 15 patients. Cancer-related symptoms were the indication for HIV screening in 45 patients and ill-health in another 43 patients. Source of HIV infection was attributed to heterosexuality and blood transfusion in 76 and 4 patients, respectively. Using enzyme-linked immunosorbent assay, HIV-1 was seen in 37 patients, 1 patient had HIV-2, and 10 patients had HIV-1 and 2 seropositivity. Type of HIV was unspecified in 40 patients. Cervical cancer was the most common cancer (29) followed by Kaposi's sarcoma (23). Ocular cancer accounted for 12 out of 16 head and neck cancers. Most patients (70) presented with locally advanced disease and 16 patients with metastatic disease. The mean CD4 count was 323 and 402 cells/μl at presentation and 6 weeks after treatment, respectively. Only 44 patients were on highly active antiretroviral therapy at presentation. Only 24 patients had surgery; combination of chemotherapy and radiotherapy were given to 33 patients. No definitive treatment was given to 21 patients.Conclusion: Cervical cancer and Kaposi's sarcoma were the most common malignancies seen with an underlying HIV infection.
      Citation: Archives of International Surgery 2016 6(3):158-164
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202370
      Issue No: Vol. 6, No. 3 (2017)
       
  • Ultrasound-guided percutaneous drainage of pyometra in cervical cancer
           patients on radiotherapy

    • Authors: JC Ekweani, AO Oguntayo, A. O. D. Kolawole, MS Zayyan
      Pages: 165 - 169
      Abstract: JC Ekweani, AO Oguntayo, A. O. D. Kolawole, MS Zayyan
      Archives of International Surgery 2016 6(3):165-169
      Background: Pyometra is a gynecological emergency in cervical cancer patients receiving radiotherapy because it can be complicated by perforation, sepsis, and death. It can delay initiation and continuation of treatment. For certain select patients who may not be able to undergo drainage of the lesion under anesthesia via cervical dilatation and drainage, ultrasound-guided percutaneous drainage is a good alternative. We report the successes recorded in using an alternative route for pyometra drainage in cervical cancer patients on radiotherapy when the conventional examination under anesthesia and cervical drainage was not possible.Patients and Methods: Following institutional ethical approval, a prospective study was conducted from January 2014 to January 2016 on selected patients referred from the radio-oncology unit of Ahmadu Bello University Teaching Hospital, Zaria to the Gynecologic Oncology Unit with pyometra complicating advanced cervical cancer on radiotherapy. Initial attempts at cervical dilatation and drainage under anesthesia were unsuccessful necessitating this approach of percutaneous drainage under ultrasound guidance with mild sedation after obtaining informed consent.Results: Six patients were managed with a mean age of 58.5 years, who were diagnosed with advanced cervical cancers clinical stages 2B to 3A on radiotherapy. An average of 200 ml of pus was drained, and culture revealed mixed infections with predominant anaerobes strongly sensitive to metronidazole. There was recurrence in 1 case (16.7%) after 1 month of follow-up requiring a repeat procedure.Conclusion: The procedure is relatively cheap, safe, and effective in selected patients.
      Citation: Archives of International Surgery 2016 6(3):165-169
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202374
      Issue No: Vol. 6, No. 3 (2017)
       
  • Determinants of outcome in gastrointestinal perforations with special
           reference to clavien–dindo classification of surgical complications:
           Experience of a Single Institute in Central Rajasthan

    • Authors: Amit Singh, Rekha Porwal, Hanuman P Gupta, Anil K Sharma, Ghanshyam Kumawat
      Pages: 170 - 175
      Abstract: Amit Singh, Rekha Porwal, Hanuman P Gupta, Anil K Sharma, Ghanshyam Kumawat
      Archives of International Surgery 2016 6(3):170-175
      Background: Perforation peritonitis is one of the most commonly encountered surgical emergencies across the world. In developing countries, gastrointestinal perforations have very high morbidity and mortality rates, irrespective of the type of operative procedure performed. The aim of the present study was to evaluate and find out various determinants for safe outcome in gastrointestinal perforation in terms of decreased morbidity and mortality and applying Clavien–Dindo classification for postoperative complications for evaluating the outcome.Patients and Methods: A nonrandomized retrospective study with collected data from 350 patients with gastrointestinal perforations was conducted over a period of 3 years. Data from various preoperative and operative factors, surgical technique, and complications were recorded. The output was measured as better and worse, as per the classification proposed by Clavien–Dindo.Results: The study enrolled 350 patients with a male:female ratio of 3.3:1; 58% of the patients were <40 years of age. The most common etiologies of perforation peritonitis were peptic perforation (duodenal 42%, gastric 8%), small bowel perforation (jejunum 3.14%, ileal 26.28%), appendicular perforation (10%), and cecum and colon constituting 4.85% each. The incidence of major complications was wound infections 18%, respiratory complications 16.57%, burst abdomen 5.14%, leak 4%, and septicemia 7.14%. Overall mortality was 10.85%. High mortality was observed in ileal perforation.Conclusion: Preoperative comorbidities, operative techniques, and postoperative complications in this setting are associated with morbidity and mortality. Proper screening on admission should be done to identify premorbid illness, and with the use of some recommendations in surgical technique we can achieve safe outcome of gastrointestinal perforations. The Clavien–Dindo classification can be adapted to assess the severity of postoperative complications following gastrointestinal perforations.
      Citation: Archives of International Surgery 2016 6(3):170-175
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202365
      Issue No: Vol. 6, No. 3 (2017)
       
  • Case series on different presentations of Amyand&#39;s hernia

    • Authors: Nameer Faiz, Nadeem Ahmad, Rajendra Singh
      Pages: 176 - 179
      Abstract: Nameer Faiz, Nadeem Ahmad, Rajendra Singh
      Archives of International Surgery 2016 6(3):176-179
      A vermiform appendix in an inguinal hernia is known as Amyand's hernia. The incidence of having a normal appendix within the hernia sac varies from 0.5% to 1%, whereas only 0.1% of cases complicate into acute appendicitis, underscoring the rarity of the condition. This is a case series of three cases with different presentations and their management. The first case is of a 42-year-old male who was admitted as a routine case of a right-sided indirect inguinal hernia, with a history of occasional pain in the swelling. On surgical exploration of the sac, contents of the hernia sac included omentum and an acutely inflamed appendix with the appendix densely adherent to the hernia sac. Appendicectomy was performed and a herniotomy was done. A herniorrhaphy was performed by modified Bassini repair. The second case is of a 28-year-old young male who presented with a right-sided indirect inguinal hernia. He had no specific complaints associated with the hernia. He was operated under local anesthesia and intraoperatively in the hernia sac, appendix was an incidental finding and an appendicectomy was not performed. The third case is of a 58-year-old man who presented to the emergency with an obstructed hernia. The patient was operated upon in the emergency operation room, and on opening the sac, there was serosanguineous collection and the cecum along with the inflamed appendix. Appendicectomy was done without stump inversion. The superficial inguinal ring was found to be constricting the neck of hernia sac, which was divided. Routine herniotomy and herniorrhaphy was done by modified Bassini method.
      Citation: Archives of International Surgery 2016 6(3):176-179
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202373
      Issue No: Vol. 6, No. 3 (2017)
       
  • Ureterocele as a cause of recurrent loin pain

    • Authors: Suleiman Lawal, Joseph B Igashi, Muhammad I Zaria, Nuhu D Chom, Ahmad T Lawal
      Pages: 180 - 182
      Abstract: Suleiman Lawal, Joseph B Igashi, Muhammad I Zaria, Nuhu D Chom, Ahmad T Lawal
      Archives of International Surgery 2016 6(3):180-182
      Ureterocele is a congenital saccular dilatation of the terminal portion of the ureter within the urinary bladder. It is an uncommon cause of urinary tract obstruction in the young patient and one of the more challenging anomalies to the urologists. Ureterocele poses a diagnostic and therapeutic dilemma as it manifests a wide spectrum of perplexing clinical symptoms. We report a case of single system ureterocele in a patient presenting with acute severe transformation of recurrent loin pain.
      Citation: Archives of International Surgery 2016 6(3):180-182
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202369
      Issue No: Vol. 6, No. 3 (2017)
       
  • Villous adenoma of renal pelvis with muconephrosis: A case report

    • Authors: Sachin Madhukar Bote, Md Ayub Karam Nabi Siddiqui, Venkat Arjunrao Gite, Saurabh Ramesh Patil, Santosh Menon
      Pages: 183 - 185
      Abstract: Sachin Madhukar Bote, Md Ayub Karam Nabi Siddiqui, Venkat Arjunrao Gite, Saurabh Ramesh Patil, Santosh Menon
      Archives of International Surgery 2016 6(3):183-185
      Intestinal-type villous adenomas are rare in the genitourinary tract. Among genitourinary tract, the most common location is urinary bladder followed by urethra, prostate, vagina, and vulva. Only few cases of villous adenoma of renal pelvis have been reported so far in the literature. We present a case of villous adenoma of the kidney presenting as muconephrosis with nonfunctioning kidney, along with renal stone, which was one of the largest muconephrotic kidney with villous adenoma removed.
      Citation: Archives of International Surgery 2016 6(3):183-185
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202364
      Issue No: Vol. 6, No. 3 (2017)
       
  • Unusual presentation of a rare case of posterior urethral valves in a
           nine-year-old boy

    • Authors: Suleiman Lawal, Philip O Ibinaiye, Ahmad T Lawal, Muhammad I Zaria, Joseph B Igashi
      Pages: 186 - 189
      Abstract: Suleiman Lawal, Philip O Ibinaiye, Ahmad T Lawal, Muhammad I Zaria, Joseph B Igashi
      Archives of International Surgery 2016 6(3):186-189
      Posterior urethral valves are tissue leaflets fanning distally from the prostatic urethra to the external urinary sphincter. It is the most common obstructive uropathy leading to childhood renal failure. It constitutes a clinical spectrum ranging from severe forms to milder forms. When obstruction can be overcome by detrusor contraction, it may remain silent until later life
      Citation: Archives of International Surgery 2016 6(3):186-189
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202371
      Issue No: Vol. 6, No. 3 (2017)
       
  • Re: Surgical outcome of stapled and handsewn anastomosis in lower
           gastrointestinal malignancies: A prospective study

    • Authors: Kenji Okumura
      Pages: 190 - 190
      Abstract: Kenji Okumura
      Archives of International Surgery 2016 6(3):190-190

      Citation: Archives of International Surgery 2016 6(3):190-190
      PubDate: Fri,17 Mar 2017
      DOI: 10.4103/2278-9596.202372
      Issue No: Vol. 6, No. 3 (2017)
       
 
 
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