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Journal of Surgery

ISSN: [Jurnalul de chirurgie]
ISSN: 1584-9341

Open Access

Articles in press and Articles in process

    Editorial Pages: 1 - 2

    Effects of Acute Kidney Injury in Surgical Patients

    Edward D. Siew*

    Patients who develop post-operative Acute Kidney Injury (AKI) have a poor prognosis, especially when undergoing high-risk surgery. Therefore, the objective of this study was to evaluate the outcome of patients with AKI acquired after non-cardiac surgery and the possible risk factors for this complication. A multicenter, prospective cohort study with patients admitted to Intensive Care Units (ICUs) after non-cardiac surgery was conducted to assess whether they developed AKI. The patients who developed AKI were then compared to
    non-AKI patients.

      Review Article Pages: 1 - 7

      Comparing Lobectomy and Segmentectomy: Which Elements Affects an Optimal Oncological Outcome?

      Theoni Kontou, Michail Galanis*, Theodoros Kolokotronis and Efstratios Koletsis

      In this research work in recent years, Low Dose Computed Tomography (LDCT) is being used for lung cancer screening in high risk groups. According to USPSTF guidelines, people aged between 55 and 80 years old, who have a smoking history of 30 pack-years or have quit for less than 15 years, are recommended to take a LDCT scan. Other possible candidates for lung cancer screening can be patients with radon exposure, family history associated with lung cancer or history of pulmonary fibrosis or chronic obstructive lung disease. Detecting lung cancer at an early stage raises the question of optimal treatment and overall survival. This article aims to compare segmentectomy vs. lobectomy as surgical options, in case of stage I Non-Small-Cell Lung Carcinoma (NSCLC), ideally IA.

      In order to compare the two previously referred strategies, data has been collected from articles (40 studies have been reviewed), reviews and systematic analyses in PubMed Central and also reviewing recent literature. Tumor size and location, patient age, comorbidities and nodal status have been examined as factors that affect the choice between segmental or lobar tumor resection. R0 resection and distance between resection margin and tumor was taken into consideration.

      Segmentectomy could be an equal alternative to lobectomy in early stage NSCLC (tumor<2 cm). It could mainly be preferred for >75 y.o. and/or multimorbid patients with low cardiopulmonary reserve and struggle to survive a lobectomy. However, the anatomical segmentectomy requires among other a peripheral tumor position. Some segments, such as posterior segments of left upper lobe, are not removed separately. In this case, for anatomic reasons a bi- or tri-segmentectomy could be performed.

      As far as early stage NSCLC is concerned anatomic segmentectomy is an acceptable procedure in a selective group of patients. For a better tumor and stage classification a systematic lymph node dissection should be performed.

      Research Article Pages: 1 - 4

      Atherosclerotic Ulcer Treated with Hirudo-Therapy and Herbo-Medicinal Ointment: Marham-E-Raal

      Waseem Ahmad*, Saiyad Shah Alam, Zareena Aquil and Md Rizwanullah

      Introduction: Atherosclerosis is mainly a worsening problem related to advancing age with a chronic inflammatory involvement. It leads to the blockage of normal blood flow pathway and hence ischemia of the distal part of limb. The saliva of leech contains number of anti-thrombotic chemicals such as hirudin, bfrudin, haemadin and granulin-like. These chemicals inhibit thrombin fibrin binding and prevent formation of atheroma or plaque. Marham-e-raal is well known formulation for non-healing ulcers irrespective of their origin. It contains potent healing agents that are greatly beneficial for achieving the healing of ulcers.

      Methodology: One patient of atherosclerotic gangrene of lower limbs was taken into study after written informed consent. Hirudo medicinalis applied at the course of arteries of occlusion twice weekly and Marham-e-raal was used for local application after proper washing with Alusol (alum powder solution). The treatment continued for two months.

      Discussion: The patients especially belong to older age group and present with chronic non healing ulcer at distal limbs with severe burning pain. These ulcers are resilient to healing by modern treatment.

      Conclusion: The optimal treatment of atherosclerotic ischemic ulcer is application of medicinal leeches over the course of arteries showing occlusion with local application of Marham-e-raal.

        Mini Review Pages: 1 - 2

        Evaluation and Treatment of Dysthyroid Optic Neuropathy

        Nicholas Theodore*

        DOI: 10.37421/1584-9341.2022.18.49

        Inflammation, proliferation, and remodelling have historically been considered the three different stages of wound healing. Numerous well planned interactions and reactions between cells and substances are put into play during each phase. For each phase, there is substantial overlap, and the boundaries between them are hazy. The reader will first receive a general overview of the wound healing process in this article, which will be followed by a more in-depth examination of the cells and inflammatory mediators involved in wound healing. The start of the healing process and its base are provided by haemostasis. Vasodilation and higher vascular permeability are brought on by inflammation. But controlling bleeding is the first thing the body does after being wounded. Vasoconstriction occurs in the damaged blood artery, and the endothelium and surrounding platelets activate the intrinsic component. Cellular cues that cause a neutrophil response are produced as soon as the clot forms. Neutrophils are attracted to the injured area by interleukin, tumour necrosis factor, transforming growth factor, PF4, and bacterial "products" as the inflammatory mediators build up, prostaglandins are elaborated, and the nearby blood vessels vasodilate to facilitate the increased cellular traffic. Around 48 to 96 hours after damage, monocytes in the adjacent tissue and blood are drawn to the region and undergo a transformation into macrophages. It's crucial to get the inflammatory cells going, especially the macrophage. In order to enter the proliferative phase, a macrophage must be stimulated. Vascular endothelial growth factor, fibroblast growth factor, and other factors will be synthesised by an activated macrophage to drive a giogenesis.

        Mini Review Pages: 1 - 2

        A First Hand Evaluation of Virtual Reality and Haptics in Dental Surgery

        Nicholas Theodore*

        DOI: 10.37421/1584-9341.2022.18.53

        The last 20 years have seen a rise in the use of virtual reality and haptics, two unique human-machine interface technologies, across a variety of industries including healthcare, entertainment, manufacturing, and education. They offer a fresh and inexpensive method, especially for dental surgery simulation and training, allowing dentists to perform procedures as much as they'd like without incurring additional costs. Training can also take place anywhere. The use of virtual reality and haptics for teaching and simulation in dental surgery is thoroughly covered in this study. The investigation of a few novel concepts and current research developments is followed by an introduction to the main research initiatives and their typical systems, a summary of the key research questions that were involved, and a discussion of potential future directions and findings.

          Review Article Pages: 1 - 3

          Endoscopic Bariatric Therapies: Current Status and Future Perspectives

          Baraa Kamal Mohamed*, Juan S. Barajas Gamboa and John Rodriguez

          Obesity is a chronic, multifactorial disease associated with multiple cardiometabolic conditions. The successful management of this condition includes a multidisciplinary approach with interventions focused on lifestyle modification, pharmaceutical therapies, and bariatric surgery.

          Endoscopic Bariatric Therapies (EBT) has been proposed as a way to bridge the gap between medical management and bariatric surgery. The Association for Bariatric Endoscopy (ABE) in conjunction with the American Society for Gastrointestinal Endoscopy (ASGE) published the position statement approving and integrating EBT into practice. The aim of this article is to review the most common EBT’s, their indications, outcomes and complications.

          Research Article Pages: 1 - 3

          Incidence and Outcomes of Thromboembolic Events in Plastic Surgery Infirmary Patients

          Mendes Alvarenga*, Alexander Almeida and Ricardo Horta

          Venous thromboembolism (VTE) is a major public health concern. To minimize the incidence of perioperative venous thromboembolism, risk assessment and prevention are essential. This study was designed to assess the frequency and result of VTE episodes in a cosmetic surgery facility, as well as to establish if good practices were followed. Recently, the American Association of Plastic Surgeons conducted a thorough survey and meta-study of venous thromboembolism risk delineation, as well as the hazards and advantages of chemoprophylaxis in the plastic surgical treatment population.

          Editorial Pages: 1 - 1

          Editorial Note on Abdominal Assessment

          Dembe Masiko*

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          Editorial Pages: 1 - 2

          Short Note on Endocrine Surgery

          Rakesh Arora*

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          Full Length Research Paper Pages: 1 - 3

          Urinary Tract Infection and Associated Risk Factors among Catheterised Patients in the Surgery Department of a Tertiary Care Hospital in South India: A Prospective Cohort Study

          P Roshini*, Abheesh V Hegde, Anthony Rozario and Savitha Nagaraj

          Background: Catheter-Associated Urinary Tract Infection (CAUTI) accounts for 36% of the total Health-care associated infections, and are avoidable. Hence, it is important to assess the factors responsible for a catheterized patient developing UTI.

          Methods: A prospective cohort study was conducted in a tertiary care hospital among 196 patients from September 2014 to January 2016 to assess the risk factors and estimate the proportion of catheterized patients developing UTI.

          Results: 31 (15.3%) patients had CAUTI, out of which 6 (20%) had UTI due to Multi-drug resistant UTI. A majority, 119 (60.75%) were catheterized by the post-graduates. 123 (62.8%) patients were catheterized in the OT. Mean no. of days the catheter was in-situ was 4.79 ± 3.65 days. 22(11.2%) had symptomatic UTI and 8(4.1%) had asymptomatic UTI. Most common organism causing UTI was Escherichia coli, 14 (7.1%). Age more than 48 years influenced an individual to develop UTI (p<0.05).

          Conclusions: Cauti is an important device associated health acquired infection and infection control programs must be implemented and supervised.

          Editorial Pages: 1 - 2

          Brain Tumor

          Partha Roy

          A cerebrum tumor is a mass or development of unusual cells in your mind. A wide range of sorts of cerebrum tumors exist. Some cerebrum tumors are noncancerous (generous), and some mind tumors are destructive (threatening). Mind tumors can start in your cerebrum (essential mind tumors), or malignancy can start in different pieces of your body and spread to your mind as optional (metastatic) mind tumors. How rapidly a mind tumor develops can differ incredibly. The development rate just as the area of a mind tumor decides what it will mean for the capacity of your sensory system. Mind tumor treatment alternatives rely upon the kind of cerebrum tumor you have, just as its size and area.

          Editorial Note Pages: 1 - 2

          Overview on EndocrineSurgery

          Rajeswaran Chinnadorai

          The expression "Endocrine Surgery" is identified with the medical procedure of throat or Thyroid organs Endocrine medical procedure is a careful sub-forte zeroing in on a medical procedure of the endocrine organs, including the thyroid organ, the parathyroid organs, the adrenal organs, organs of the endocrine pancreas, and some neuroendocrine organs. Some careful groups depart twisted depletes set up after medical procedure to the thyroid organ. There is no solid proof that injury channels further develop results following a medical procedure and there is bad quality proof that injury channels increment the period of time an individual stays in the emergency clinic following thyroid medicalprocedure.

          Commentary Pages: 1 - 2

          Perspective on Robotic Surgery

          John Rodriguez*

          Mechanical medical procedure is a technique to do a medical procedure utilizing tiny instruments joined to an automated arm. The specialist controls the mechanical arm with a PC. The expression "Mechanical" incorporates progressed PC innovation with the experience of the talented specialists. This innovation furnishes the specialist to screen with a 10x amplified, top quality, 3D-picture of the body's perplexing life structures. Mechanical medical procedures are various kinds of surgeries that are finished utilizing automated frameworks. Mechanically helped a medical procedure was created to attempt to conquer the impediments of previous negligibly obtrusive surgeries and to upgrade the abilities of specialists doing open a medical procedure.

            Research Article Pages: 1 - 3

            Urinary Tract Infection and Associated Risk Factors among Catheterised Patients in the Surgery

            Madav Sri Ram

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            Catheter-Associated Urinary Tract Infection (CAUTI) accounts for 36% of the total Health-care associated infections, and are avoidable. Hence, it is important to assess the factors responsible for a catheterized patient developing UTI. A prospective cohort study was conducted in a tertiary care hospital among 196 patients from September 2014 to January
            2016 to assess the risk factors and estimate the proportion of catheterized patients developing UTI.

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Citations: 205

Journal of Surgery received 205 citations as per Google Scholar report

Journal of Surgery peer review process verified at publons

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