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Case Blog
Published On: January 26, 2018

Fine Needle Aspiration-Mohsinraza Technique: A Modified Technique

Mohsin Raza*
The conventional technique of FNA is use of 10ML Syringe, 22 gauge needle. Making 5-6 passes into the solid parts of mass maintaining a negative pressure. When the syringe is withdrawn from the tissue the negative pressure in syringe tends to suck the aspirated material from hollow column of needle to the body of syringe, thus a part of material is lost in the syringe....

Editorial
Published On: January 26, 2018

Global Surgery 2030: ‘Myth or Reality?’

Obonyo NG1,2,3*
‘Development of safe, essential, life-saving surgical and anaesthesia care in low-income and middle-income countries (LMICs) has stagnated or regressed’ the Lancet Commission on Global Surgery report April, 2015 [1]. This statement paints a grim picture on the road-map towards achieving Universal Health Coverage (UHC) of surgical care in LMICs. In January 2014, Dr. Jim Yong Kim (President of the World Bank)...

Case Report
Published On: January 26, 2018

Anesthesia in a Patient with Lady Windermere Syndrome

Varlik K.Erel*, Güler S
Lady Windermere Syndrome (LWS), which was inspired by character of Oscar Wilde\'s the Lady Windermere's Fan novel, describes Mycobacterium Avium Complex (MAC) infection, following,middle lobe, lingua bronchiectasis and painless, with high morbidity and mortality rate, especially,in middle-aged women. Patients can undergo surgery by neurosurgery due to spinal deformities associated infection....

Case Report
Published On: January 26, 2018

Use of Isobaric Bupivacaine in an Ultra-Morbid Obese Pregnant

Erel K.V1* and Kurum S2
Morbid obesity is rapidly increasing in reproductive-age-women. A ultra-morbid obese pregnant with preeclampsia, was applied one by one epidural and spinal anesthesia for ceserean. It was reached at 10 and 12 cm both the epidural and the subarachnoid area by compressing skin because of insufficiency of spinal needle length. Spinal anesthesia of patient with epidural catheter...

Review Article
Published On: January 26, 2018

Current Approach to Axilla in Breast Cancer

Yılmaz EM* and Demirkıran AE
The characteristics of the axillary lymph node are one of the most important prognostic factors determining the prognosis in breast cancer. Until the beginning of 1990s staging and survival were evaluated only with axillary lymph node dissection, but the introduction of the path-breaking sentinel lymph node biopsy enabled the prevention of many unnecessary morbidities....

Clinical Image
Published On: February 6, 2018

Metastatic Inguinal Lymph-Node Originating from Congenital Melanocytic Nevus

Majid Akrami and Peyman Arasteh*
A 29 year old female with a large congenital melanocytic nevus in the lower part of trunk and proximal part of both lower limbs, presented with a melanoma in external genitalia on midline. On examination patient had a palpable right-sided inguinal lymph node....

Review Article
Published On: February 26, 2018

The Portal Venous System and Portal Vein Thrombosis: Review Article

Ozkan OF*, Goret CC, Goret NE, Yuksekdag S, Topçu A, Unal E and Köksal N
Portal vein is formed by the confluence of superior mesenteric and splenic veins at the L2 vertebral level behind the head of pancreas after the opening of inferior mesenteric vein into the splenic vein. It continues for approximately 8–9 cm within the hepatoduodenal ligament...

Review Article
Published On: February 27, 2018

Treatment Strategy for Blunt Thoracic Aortic Injury in the Thoracic Endovascular Aortic Repair Era

Yamaguchi S*, Fujita H, Kanda T, Okimoto M and Takeuchi S
The treatment strategy for blunt traumatic aortic injury (BTAI) has changed dramatically in the last decade. It is reported that outcomes of thoracic endovascular aortic repair (TEVAR) have improved and now the first choice of treatment has completely replaced from surgical treatment to endovascular repair....

Case Report
Published On: March 6, 2018

A Case of Successful Endoscopic Management of Full Thickness Gastric Perforation Secondary to an Ingested Chicken Bone

Choudhary HA*, Ahmed O, Memba R and Myers E
Foreign body ingestion is not an unusual phenomenon with most cases resolving spontaneously with few adverse outcomes. Terminal ileal injuries are seen most frequently in such cases while gastric perforations are uncommon. Preoperative diagnosis remains a challenge...

Clinical Image
Published On: March 16, 2018

A Rare Cause of Rectal Bleeding due to Ingested Cow Bone

Demiral G*, Colakoglu MK, Kalcan S, Ozdemir A, Demir A and Pergel A
A 65 year-old man with rectal bleeding and severe pain in the anal canal admitted to emergency room. He had chewing problems for years because of dental loses. On physical examination, a foreign body with a sharp side embedded into anal canal was seen (Figure 1)....

Clinical Image
Published On: March 16, 2018

Self-Knotting of a Nasogastric Tube

Demiral G* and Aksoy F
A 77 years old female patient was underwent iliostomy revision surgery. Low anterior resection with loop ileostomy was applied previously three months ago for rectum tumor. Vomiting following slight distension were observed on third postoperative day...

Case Report
Published On: April 10, 2018

Double Left Anterior Descending Artery in Anomalous Left Coronary Artery from Pulmonary Artery: A Rare Malformation

Patel K, Vaidhya N, Agrawal P, Patel D and Mishra A*
Double left anterior descending artery (LAD) in an anomalous origin of left main coronary artery from pulmonary artery (ALCAPA) is an uncommon congenital cardiac malformation....

Research Article
Published On: April 27, 2018

Vertigo: A Spectrum of Cases

Kumar M and Prasad BK*
Background: Dizziness, including vertigo and disequilibrium, is a common clinical problem affecting approximately one third of the population in one form or another at some time in their life....