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Volume 6

November, 2021

Volume 6, Issue 1

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Volume 5

December, 2018-2019

Volume 5, Issue 1

[ Download PDF ]

Volume 4

December, 2017

Volume 4, Issue 1

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Volume 3

September, 2016

Volume 3, Issue 1

[ Download PDF ]

Volume 2

July, 2015

Volume 2, Issue 1

[ Download PDF ]

March, 2016

Volume 2, Issue 2

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Volume 1

February, 2015

Volume 1, Issue 1

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×

Article in press

  • 2022, February

    systematic review

    Antegrade Versus Retrograde Cerebral Perfusion in Aortic Surgery: Systematic Review and Meta-Analysis of 19365 PatientsOpen Access

    Joseph Lamelas*, Ahmed Alnajar, Michel Pompeu B. O. Sá, Muhammad Z. Azhar, Elizabeth F. Aleong, Jef Van den Eynde and Alexander Weymann
    DOI: http://dx.doi.org/10.17140/SROJ-7-128
    Provisional PDF1.20 MB 1.20 MB
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    Abstract [+]

    Background
    Since the risk of neurological injury and mortality can be mitigated with the appropriate choice of established brain protection strategies, we performed a meta-analysis of studies reporting cerebral perfusion strategy outcomes. Our focus was on surgeries that can be performed through a minimally-invasive approach, to support the decision-making process of adopting surgeons.
    Methods
    We searched the Excerpta Medica dataBASE (EMBASE), Medical literature analysis and retrieval system online (MEDLINE), and Cochrane databases, as well as ClinicalTrials.gov, Google Scholar, and the reference lists of relevant articles for studies reporting early mortality and/or stroke outcomes of both retrograde cerebral perfusion (RCP) and antegrade cerebral perfusion (ACP) strategies. The principal summary measures were odds ratio (OR) with 95% confidence interval (CI) and p values (statistically significant when <0.05). The pooled ORs were combined across studies that met the eligibility criteria. Results We identified and included seventeen eligible studies with a total of 19,365 patients undergoing ascending aorta and arch surgery from 2008-2019 by means of ACP (a total of 10,473 patients) or RCP (a total of 8,892 patients). Random effect model analyses found no increase in mortality (OR=1.03, 95%CI:0.80-1.32) or stroke (OR=1.04, 95%CI:0.81-1.32) associated RCP when compared to ACP (p>0.05).
    Conclusion
    In ascending aorta and arch surgery, requiring cerebral protection, ACP and RCP have similar rates of early mortality and stroke. While optimal application of cerebral protection strategies is both patient and surgeon specific, surgeons can comfortably adopt RCP in minimally invasive cases after accounting for factors that determine the outcomes of aortic surgery adequately.
    Keywords
    Antegrade; Retrograde; Cerebral protection; Aorta and great vessels; Minimally invasive cardiac surgery.


  • 2022, May

    editorial

    Surgical Evolution in the Modern Era: From Quantity to Quality of Life to Surgical Innovation. The Paradigm of Esophageal Cancer SurgeryOpen Access

    Georgios-Christos Giagkos, Spyridon Davakis and Alexandros Charalabopoulos*
    DOI: http://dx.doi.org/10.17140/SROJ-7-e005
    Provisional PDF282.42 KB 282.42 KB
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NOTE: The DOIs of the In-Press Articles will only function after the final publication of the articles and once they are uploaded to the Current Issues.
×

Current Issue

  • 2020, October

    editorial

    Laparoscopic Sleeve Gastrectomy for the Surgical Treatment of Obesity: Is It an Easy Procedure?Open Access

    Emilio Manno*
    DOI: http://dx.doi.org/10.17140/SROJ-6-e004
    PDF175.72 KB 175.72 KB
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  • 2021, April

    case report

    Idiopathic Primary Retroperitoneal Cyst: A Case ReportOpen Access

    Ahmad E. Al-Mulla*, Ali Al-Tabeekh, Raghad Al-Huzaim and Kareem A. Elayouty
    DOI: http://dx.doi.org/10.17140/SROJ-6-124
    PDF496.53 KB 496.53 KB
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    Abstract [+]

    Retroperitoneal cysts are rare; they are divided into neoplastic and non-neoplastic cyst. Incidences are 1 in 5750 to 1 in 250,000. They are often asymptomatic. Lymphangioma are benign cyst whereas 95% of them are found in the neck and axilla only 1% is in the abdomen. This is a case report describing the course of management for a 30-year-old male who presented to our outpatient
    clinic with abdominal discomfort due to retroperitoneal cyst.
    Keywords
    Retroperitoneal Cyst; Ultrasound; Histopathology.


  • 2021, June

    case report

    A Clonorchis Sinensis in the Gallbladder: A Rare Case in KuwaitOpen Access

    Ahmad E. Al-Mulla*, Fawazia Ashkanani, Ali Al-Tabeekh, Raghad Al-Huzaim and Lulwah Al-Saidan
    DOI: http://dx.doi.org/10.17140/SROJ-6-125
    PDF388.71 KB 388.71 KB
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    Abstract [+]

    Clonorchis Sinensis is an important foodborne pathogen. It is actively transmitted in far-East countries and Asia, especially in China. It enters the biliary system via ingestion of infected cysts. It is exceedingly rare to encounter such a presentation in the Middle East, particular in Kuwait. The presence of liver fluke in the biliary system may lead to adverse complications. We are presenting a case report describing quite an unusual gallbladder finding in a 55-year-old Chinese lady.
    Keywords
    Clonorchis sinensis; Gallbladder; Acute cholecystitis; Liver fluke.


  • 2021, July

    case series

    Acute Mesenteric Ischemia in Severe Coronavirus (COVID19): Cases Report of 3 PatientsOpen Access

    Acidi. B*, AlChirazi N, Medjmadj N and Taha F
    DOI: http://dx.doi.org/10.17140/SROJ-6-126
    PDF645.92 KB 645.92 KB
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    Abstract [+]

    Background
    Coronavirus disease 2019 (COVID-19) is a respiratory disease with pulmonary infection, but some patients experiment gastrointestinal symptoms, in the literature only few cases of mesenteric ischemia in patients with severe COVID-19 infections have been described.
    Cases
    We present 3 cases of patient with severe COVID-19, with gastrointestinal manifestation in which bowel lesion was observed and which took benefits from bowel resections. No evidence available conclusively demonstrated a thrombotic or embolic event in our cases, therefore a precise knowledge of the mechanism of bowel lesion in COVID-19 patients is essential. Clinical managing patients with COVID-19 whom manifest gastrointestinal symptomatology should be aware of the mesenteric ischemia involvement.
    Conclusion
    In conclusion, patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may show atypical presentations, such as gastrointestinal symptoms, precise knowledge of the mechanism of bowel lesion in COVID-19 patients are essential.
    Keywords
    COVID-19; Mesenteric ischemia; Severe coronavirus.


  • 2021, November

    case report

    A Unique and Rare Presentation of Obstructed Choledochal Cyst in an Adult: A Case ReportOpen Access

    Ahmad E. Al-Mulla*, Salah Termos, Fawzia Ashkanani, Ehab S. Imam, Abdulla E. Sultan, Ali Altabeekh, Mohammad Y. Saleh and Ahmad Al-Jafar
    DOI: http://dx.doi.org/10.17140/SROJ-6-127
    PDF515.40 KB 515.40 KB
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    Abstract [+]

    Choledochal cysts in adults are rare congenital abnormalities. Approximately 80% are found in childhood. Thus, their presentation in adults is always associated with complications, such as stone formation, inflammation and malignancies. The pathophysiology of this disease is yet uncertain. There are different types of choledochal cysts. Diagnosis can be challenging clinically; however, imaging techniques, such as ultrasound, magnetic resonance cholangiopancreatography (MRCP) and computed tomography (CT), can be helpful. We found several procedures performed in the extant literature, such as choledochoduodenostomy and choledochojejunostomy submucosal excision of the cyst; however, the best surgical option is excision with hepaticojejunostomy. We discuss the unusual presentation of a 33-year-old female patient with an obstructed choledochal cyst, despite having undergone a drainage procedure in childhood.
    Keywords
    Choledochal cyst; Hepato-jejunal anastomosis; Biliary system anomaly; Choledochal cyst in adults.


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Previous Issue

  • 2018, May

    original research

    Training of Future Surgeons in Minimally Invasive Surgery Needs Intensification: A Multicentre StudyOpen Access

    Srinath Ranjit, Farhan Rashid, Sami Mansour, Khaleel Fareed, Neda Farhangmehr, Bruno Lorenzi and Alexandros Charalabopoulos*
    DOI: http://dx.doi.org/10.17140/SROJ-5-122
    PDF1.19 MB 1.19 MB
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  • 2019, December

    case report

    Melorheostosis: A Rare Cause of Limb PainOpen Access

    Matthias Z. H. Lu* and Narlaka Jayasekera
    DOI: http://dx.doi.org/10.17140/SROJ-5-123
    PDF398.00 KB 398.00 KB
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    Abstract [+]

    Melorheostosis is a rare skeletal dysplasia, and to date there are no reports of this condition in Australia. This is a case of a lady who presented with dull arm pain with a pathognomonic radiological findings. The plain radiographs obtained of the limb demonstrated a characteristic candle wax appearance in a monomelic distribution. The natural history, presentation, and management are discussed in detail.

    Keywords

    Melorheostosis; Skeletal dysplasia; Central Australia.


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    Editor-in-Chief

    George F. Babcock, PhD


    Professor
    Department of Surgery
    University of Cincinnati
    2600 Clifton Ave, Cincinnati
    OH 45220, USA

    Associate Editors

    Lisa Beth Spiryda, MD, PhD


    Chair and Professor of the Department of Obstetrics and Gynecology
    University of South Alabama, College of Medicine
    307 N. University Blvd. #130, Mobile, AL 36688
    USA

    Liau Kui Hin, MBBS, M.Med(Surgery), FRCS(Edin), FAMS(Surgery)


    Medical Director & Senior Consultant Surgeon
    Department of Surgery & Surgical Oncology
    Nexus Surgical Associates Pte Ltd
    3 Mt Elizabeth, 08-06
    Mt Elizabeth Medical Centre
    228510, Singapore

    Alexandros Charalabopoulos, MD, PhD, FRCS


    Consultant Upper GI & General Surgeon
    Mid Essex Hospital Services NHS Trust
    Broomfield Hospital
    Broomfield, Chelmsford
    Essex CM1 7ET, UK

    Denise L. Johnson Miller, MD, FACS


    Medical Director, Breast Surgery
    Hackensack Meridian Health Cancer Care of Monmouth and Ocean Counties
    19 Davis Ave, 1st Floor Women’s Cancer Center
    Neptune, NJ 07753, USA

    Our editorial team


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