Determinants of Mortality in Necrotizing Soft Tissue Infections
ConclusionNSTI carry high mortality. The identification of potential risk factors associated with mortality might help in guiding and optimizing the management of patients who present with NSTI. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Synchronous Colon Cancer Presenting as a Different Concomitant Surgical Emergency; Case Report and Literature Review
AbstractColorectal cancer (CRC) is the third most common tumour type worldwide with approximately 1.8 million new cases diagnosed per year. Despite the high incidence of newly diagnosed cases, the majority (70% –80%) of these tumours are resectable. These tumours can present either as an incidental finding during screening colonoscopy or with anaemia symptoms such as general weakness and fatigue (for right sided-tumours) or changes in bowel habits (for left-sided tumours). In advanced cases, loss of weig ht and loss of appetite are also common presenting symptoms. Less common, yet emergent presentations include large bow...
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Surviving the COVID — 19 Pandemic Resurgence: Not Easy but Achievable
(Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

The Surgeon and the Smartphone — is the Association Really Smart?
AbstractThe aim of this literature review is to encompass the importance of integrating smartphones in the life of a surgeon especially in the era of the COVID-19 pandemic. With the progression of technology, telesurgery, remote pre and postoperative care, smartphone-assisted intraoperative navigation and transcontinental education can be made a reality. Nonetheless, rates of nosocomial infections have been raised and the increased use of a smartphone can compound this issue. Similarly, there is a greater potential for operator distraction, medical equipment interference and increased radiation exposure for the user. All t...
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

The 3-step Laparoscopic Intra-peritoneal On-lay Mesh Repair for Intermediate-size Primary Umbilical Hernia in Adults: A Useful Modification of Hybrid Technique
ConclusionWith encouraging results, we recommend our modification for wider application. However, large-volume randomized studies are needed for its establishment and wide acceptance. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

The Effectiveness of Open Distal Pancreatectomy with Spleen Vessels Preservation for the Treatment of Pancreatic Mucinous Cystic Neoplasm: Report of a Case
AbstractMucin cyst neoplasms (MCNs) of the pancreas are rare, potentially malignant lesions accounting for about 1 –2% of exocrine pancreatic tumours. They occur almost exclusively in middle-aged women and are usually located in the body and tail of pancreas. Histologically, the cyst is comprised of ovarian-type stroma which is unique among the cystic neoplasms of the pancreas. Herein, we report a case of a 25 -year-old female that presented with epigastric pain. The diagnostic work-up with ultrasound, contrast-enhanced computed tomography and endoscopic ultrasound guided fine-needle aspiration revealed a cystic tumour i...
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Endoscopic Mucosal Resection Results in the Upper Gastrointestinal System
ConclusionEMR can be safely performed in benign, premalignant and malignant mucosal lesions<2 cm with high success rates of en-bloc and complete excision and low risk of complications. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Broad Ligament Hernia — Report of a Case
AbstractSmall bowel obstruction due to broad ligament internal hernia is extremely rare. The case of a young lady with herniation of small bowel through a defect in the broad ligament of the uterus is reported and the relevant literature is briefly reviewed. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Strangulation of an Obstructed Left Paraduodenal Hernia: A Case Report
AbstractHerein, we present a case of left paraduodenal hernia in a middle-aged male who presented to emergency department with complaints of abdominal pain, palpable mass in the left side of abdomen and vomiting. At laparotomy, diagnosis was made as strangulated left paraduodenal hernia, for which decompression of sac along with resection of gangrenous small bowel and reestablishing its continuity with repair of the defect was done. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Extra-Inguinal Round Ligament Endometriosis Near to Pubic Bone. Report of a Case
ConclusionEndometriosis of the round ligament of the uterus, should be taken into consideration in the differential diagnosis in cases of extra-inguinal swelling in women of childbearing ages, even in cases with a free medical history. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Accidental Ingestion of Acid Corrosive Agent Causing Gastric Perforation — A Rare Two Case Series
In this report, we present a case series of two cases of gastric perforation secondary to accidental acid ingestion which are almost identical in presentation and had extensive necrosis of stomach. In the one patient remnant stomach was in a shape just like a sleeve following sleeve gastrectomy, while in the other a total gastrectomy had to be done. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Erosion of Polypropylene Suture into Bladder after Inguinal Herniorrhaphy: A Rare Case of Acute Urinary Retention and Lessons Learned
We present a case of polypropylene suture placed during an inguinal herniorrhaphy and functioned as a nidus for a bladder calculus, causing acute urinary retention. This case highlights the risk of entrapping the urinary bladder wall during an inguinal hernia repair procedure. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen
ConclusionsThe outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Early Radiation-induced Leiomyosarcoma after Right Mastectomy in an 83-year old Woman
We present a case of an aggressive leiomyosarcoma presented five years after radiotherapy in a patient with breast cancer. We aim to highlight highlight the early presentation and aggressiveness of this entity and discuss the importance of clinical surveillance, early detection and management of similar cases.Our patient, a 83-year old woman, initially diagnosed with breast cancer, and managed with mastectomy and chest wall radiotherapy. Radiotherapy, presented five years later with a fast growing mass on the right chest wall which was found to be a high-grade leiomyosarcoma. She underwent a surgical excision of the lesion...
Source: Hellenic Journal of Surgery - October 1, 2020 Category: Surgery Source Type: research

Surgeon-Patient Interaction Under Consultation ’s Game Perspective
ConclusionIn our example of consultation game, most information provided by the consultant was associated with non-adherence to treatment. (Source: Hellenic Journal of Surgery)
Source: Hellenic Journal of Surgery - July 1, 2020 Category: Surgery Source Type: research