http://www.jstcr.org/currentissue.asp J Surg Tech Case Report 2011 - 3(1) Journal of Surgical Technique and Case Report Medknow Publications2006-8808 Ganiyu A Rahman Editorial Journal of Surgical Technique and Case Report 2011 3(1):1-4doi:10.4103/2006-8808.78459 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78459 http://www.jstcr.org/text.asp?2011/3/1/1/78459 http://www.jstcr.org/text.asp?2011/3/1/1/7845931 1 4 http://www.jstcr.org/text.asp?2011/3/1/1/78459 Ganiyu A Rahman

Journal of Surgical Technique and Case Report 2011 3(1):1-4

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/1/78459 Roberto Iglesias Lopes Commentary Journal of Surgical Technique and Case Report 2011 3(1):5-6doi:10.4103/2006-8808.78460 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78460 http://www.jstcr.org/text.asp?2011/3/1/5/78460 http://www.jstcr.org/text.asp?2011/3/1/5/7846031 5 6 http://www.jstcr.org/text.asp?2011/3/1/5/78460 Roberto Iglesias Lopes

Journal of Surgical Technique and Case Report 2011 3(1):5-6

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/5/78460 Bashar Abuzayed Commentary Journal of Surgical Technique and Case Report 2011 3(1):7-7doi:10.4103/2006-8808.78461 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78461 http://www.jstcr.org/text.asp?2011/3/1/7/78461 http://www.jstcr.org/text.asp?2011/3/1/7/7846131 7 7 http://www.jstcr.org/text.asp?2011/3/1/7/78461 Bashar Abuzayed

Journal of Surgical Technique and Case Report 2011 3(1):7-7

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/7/78461 Stavros I Daliakopoulos Commentary Journal of Surgical Technique and Case Report 2011 3(1):8-9doi:10.4103/2006-8808.78462 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78462 http://www.jstcr.org/text.asp?2011/3/1/8/78462 http://www.jstcr.org/text.asp?2011/3/1/8/7846231 8 9 http://www.jstcr.org/text.asp?2011/3/1/8/78462 Stavros I Daliakopoulos

Journal of Surgical Technique and Case Report 2011 3(1):8-9

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/8/78462 Aziz Nather Commentary Journal of Surgical Technique and Case Report 2011 3(1):10-11doi:10.4103/2006-8808.78463 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78463 http://www.jstcr.org/text.asp?2011/3/1/10/78463 http://www.jstcr.org/text.asp?2011/3/1/10/7846331 10 11 http://www.jstcr.org/text.asp?2011/3/1/10/78463 Aziz Nather

Journal of Surgical Technique and Case Report 2011 3(1):10-11

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/10/78463 Mitsuyuki Nakayama Commentary Journal of Surgical Technique and Case Report 2011 3(1):12-12doi:10.4103/2006-8808.78464 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78464 http://www.jstcr.org/text.asp?2011/3/1/12/78464 http://www.jstcr.org/text.asp?2011/3/1/12/7846431 12 12 http://www.jstcr.org/text.asp?2011/3/1/12/78464 Mitsuyuki Nakayama

Journal of Surgical Technique and Case Report 2011 3(1):12-12

]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/12/78464 Amit Agrawal Lakshmi N Garg Review Article Journal of Surgical Technique and Case Report 2011 3(1):13-16doi:10.4103/2006-8808.78465 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78465 http://www.jstcr.org/text.asp?2011/3/1/13/78465 http://www.jstcr.org/text.asp?2011/3/1/13/7846531 13 16 http://www.jstcr.org/text.asp?2011/3/1/13/78465 Amit Agrawal, Lakshmi N Garg

Journal of Surgical Technique and Case Report 2011 3(1):13-16

Cranioplasty is a common, but formidable surgical procedure for neurosurgeons, in patients with scalp and / or calvarial defects. This procedure can be simple or complex. The main objectives of cranioplasty are: To achieve primary wound healing, obliterate dead space, and seal off sterile cranial areas from contaminated oronasal cavities, to restore the normal barriers protecting the intracranial structures (together with a satisfactory cosmetic result) and obtain a permanent or very durable reconstruction, using biologically inert materials, and also to restore the aesthetics. The greatest problem is selecting the optimum material for repair of the cranial defect. Many synthetic substitutions of the dura and bone are often used for reconstruction of the skull base; unfortunately, these methods bear significant disadvantages and can induce chronic inflammation, carry a high risk of infection, and are inferior to biological sources in terms of strength and sealing quality [with the exception of some materials, such as titanium mashes and CortossTM (Orthovita® , Malvern, USA), which are seen to have more strength than the thin split thickness calvarial bone]. The primary aim of this article is to review the basic principles to use the split calvarial graft for the reconstruction of the skull defect.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/13/78465 Prabhdeep Singh Nain Sanjeev K Uppal Ramneesh Garg Kuljyot Bajaj Shirin Garg Original Article Journal of Surgical Technique and Case Report 2011 3(1):17-22doi:10.4103/2006-8808.78466 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78466 http://www.jstcr.org/text.asp?2011/3/1/17/78466 http://www.jstcr.org/text.asp?2011/3/1/17/7846631 17 22 http://www.jstcr.org/text.asp?2011/3/1/17/78466 Prabhdeep Singh Nain, Sanjeev K Uppal, Ramneesh Garg, Kuljyot Bajaj, Shirin Garg

Journal of Surgical Technique and Case Report 2011 3(1):17-22

Introduction : Foot disorders such as ulceration, infection and gangrene are the most common, complex and costly sequelae of diabetes mellitus. [1],[2],[3] Even for the most superficial wounds, treatment is often difficult with poor healing responses and high rates of complications. The purpose of this study is to compare the rate of ulcer healing with the negative pressure dressing technique to conventional moist dressings in the treatment of diabetic foot ulcers. Materials and Methods : The study was conducted on 30 patients, which were divided into two groups. One group received negative pressure dressing while other group received conventional saline moistened gauze dressing. Results were compared for rate of wound healing. Results : There was a statistically significant difference in the rate of appearance of granulation tissue between the two groups; with granulation tissue appearing earlier in the study group. The study group promised a better outcome (80% complete responders) as compared to the control group (60% complete responders). Conclusions : Negative pressure wound therapy has a definitive role in healing of diabetic foot ulcers.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/17/78466 Kufre Iseh Original Article Journal of Surgical Technique and Case Report 2011 3(1):23-30doi:10.4103/2006-8808.78467 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78467 http://www.jstcr.org/text.asp?2011/3/1/23/78467 http://www.jstcr.org/text.asp?2011/3/1/23/7846731 23 30 http://www.jstcr.org/text.asp?2011/3/1/23/78467 Kufre Iseh

Journal of Surgical Technique and Case Report 2011 3(1):23-30

Background: Advanced laryngeal cancers presenting with upper airway obstruction are a common scenario in Sub-Saharan Africa, requiring operative intervention as a priority. Objective: To assess outcome of total laryngectomy as a treatment option in the surgical management of advanced laryngeal cancers in a tertiary health institution in northwestern Nigeria. Materials and Methods: A retrospective analysis of total laryngectomies for laryngeal cancers carried out by one surgeon from December 2000 to August 2009. Results: Out of 30 patients with histologically diagnosed laryngeal cancer, 18 were treated with total laryngectomy Fourteen (77.8%) were males, while 4 (22.2%) were females, with a male-to-female ratio of 3.5:1. The age range was 20-70 years with a mean age of 47years for males and 33.8 years for females. Total laryngectomy was carried out on T4 lesions (100%), with preoperative tracheostomy (100%) carried out as an emergency measure to relieve upper airway obstruction. Two female patients had safe vaginal deliveries after their surgeries. Although all patients were referred for radiotherapy, only 6 (33.3%) patients could afford postoperative radiotherapy, with a 5-year survival rate of 33.3%; while all others could not afford the cost of radiotherapy treatment, which was to be carried out at a center about 5 hours drive away from our center. Seven (38.9%) patients presented with recurrent neck nodal disease, while 3 (16.7%) had carotid blow-out hemorrhage that was fatal. Conclusion: Total laryngectomy remains an important surgical modality of treatment for advanced laryngeal cancers, as it affords the patient an opportunity of longer survival when combined with postoperative radiotherapy. It is superior to 'radiotherapy only' or 'surgery only' or nothing.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/23/78467 Toshimasa Suzuki Hidejiro Kawahara Naoko Iida Masaru Naruse Takeyuki Misawa Katsuhiko Yanaga Case Report Journal of Surgical Technique and Case Report 2011 3(1):31-33doi:10.4103/2006-8808.78468 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78468 http://www.jstcr.org/text.asp?2011/3/1/31/78468 http://www.jstcr.org/text.asp?2011/3/1/31/7846831 31 33 http://www.jstcr.org/text.asp?2011/3/1/31/78468 Toshimasa Suzuki, Hidejiro Kawahara, Naoko Iida, Masaru Naruse, Takeyuki Misawa, Katsuhiko Yanaga

Journal of Surgical Technique and Case Report 2011 3(1):31-33

For laparoscopic anterior resection, an additional small incision is usually placed in the left lower quadrant or the suprapubic portion. As a left inguinal hernia incision is close to both the left lower quadrant and the suprapubic portion, such an incision can be used for anastomosis in laparoscopic anterior resection, without additional incisions. We report a laparoscopic anterior resection using a left inguinal hernia incision for colorectal anastomosis, in a patient who underwent concomitant left inguinal hernia repair. After a total mesorectal excision was performed laparoscopically, the distal portion of the rectum was transected by a stapler. A 4 cm skin incision was made in the left inguinal region and carried down to the peritoneum through the hernia sac. The bowel resection was performed extracorporeally, and an anvil was placed at the proximal end of the colon over a purse-string suture. After colorectal anastomosis was performed using a circular stapler inserted through the anus, the inguinal hernia was repaired with a mesh. The inguinal wound healed without surgical site infection, and the patient was discharged ten days after surgery.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/31/78468 Amit Agrawal Case Report Journal of Surgical Technique and Case Report 2011 3(1):34-36doi:10.4103/2006-8808.78469 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78469 http://www.jstcr.org/text.asp?2011/3/1/34/78469 http://www.jstcr.org/text.asp?2011/3/1/34/7846931 34 36 http://www.jstcr.org/text.asp?2011/3/1/34/78469 Amit Agrawal

Journal of Surgical Technique and Case Report 2011 3(1):34-36

The occurrence of bilateral extradural hematomas (EDH) is an uncommon consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare. We discuss the technique adopted by us for the management of this rare entity. A 55-year-old patient presented with history of fall of branch of tree on her head. She had loss of consciousness since then and had multiple episodes of vomiting. Examination of the scalp was suggestive of diffuse subgaleal hematoma. Her Glasgow coma scale was nine and there were no lateralizing signs. Her computed tomography scan showed bilateral, symmetrical, parietal EDH with diastases of coronal suture. The patient underwent bicoronal scalp flap well behind the coronal suture running across the junction of anterior two-third and posterior one-third of hematoma to gain bilateral exposure. Initially, left parietal trephine craniotomy was performed and without disturbing the blood clot, left trephine craniotomy was performed and the hematomas were evacuated. Management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach, and time management for good results.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/34/78469 Abdulwahab A Ajape Ahmad Bello Case Report Journal of Surgical Technique and Case Report 2011 3(1):37-39doi:10.4103/2006-8808.78470 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78470 http://www.jstcr.org/text.asp?2011/3/1/37/78470 http://www.jstcr.org/text.asp?2011/3/1/37/7847031 37 39 http://www.jstcr.org/text.asp?2011/3/1/37/78470 Abdulwahab A Ajape, Ahmad Bello

Journal of Surgical Technique and Case Report 2011 3(1):37-39

A 40-year-old, apparently healthy farmer presented with a 4-day history of progressively painful penile erection with no known predisposing or precipitating factor. He had an emergency El-Ghorab shunt which resulted in almost complete detumescence. He was noticed to have developed ischemic changes of the distal part of the penile skin which progressed to gangrene of the distal part of the penis on the 4th day post intervention. Abdomino-pelvic ultrasound revealed an intravesical mass and urine and corpus cavernosa aspiration cytology were positive for malignant cell. The patient, however, declined further treatment and was discharged against medical advice.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/37/78470 Daniel S Yanni Antonios Mammis Nikhil G Thaker Ira M Goldstein Case Report Journal of Surgical Technique and Case Report 2011 3(1):40-43doi:10.4103/2006-8808.78472 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78472 http://www.jstcr.org/text.asp?2011/3/1/40/78472 http://www.jstcr.org/text.asp?2011/3/1/40/7847231 40 43 http://www.jstcr.org/text.asp?2011/3/1/40/78472 Daniel S Yanni, Antonios Mammis, Nikhil G Thaker, Ira M Goldstein

Journal of Surgical Technique and Case Report 2011 3(1):40-43

Spinal dural meningoceles and diverticula are meningeal cysts that have a myriad of clinical presentations and sequelae, secondary to local mass effect. Our objective is to report a technical case report, illustrating a traumatic spinal injury with multiple pedicle fractures, secondary to atrophic lumbar pedicles as well as the diagnostic workup and surgical management of this problem. Posterior lumbar decompression, resection of the meningeal cyst, ligation of the cyst ostium, instrumentation, and fusion were performed with the assistance of intraoperative isocentric fluoroscopy. The cyst's point of communication was successfully located with intraoperative fluoroscopy and the lesion was successfully excised. We suggest that patients with traumatic spinal injuries, having evidence of pre-existing anomalous bony architecture, undergo advanced imaging studies, to rule out intraspinal pathology. The positive clinical and radiographic results support the removal and closure of the pre-existing meningeal cyst at the time of treatment of traumatic spinal injury. Intraoperative isocentric fluoroscopy is a helpful tool in the operative management of these lesions.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/40/78472 Sweta Tolasaria Utpal K Das Case Report Journal of Surgical Technique and Case Report 2011 3(1):44-48doi:10.4103/2006-8808.78473 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78473 http://www.jstcr.org/text.asp?2011/3/1/44/78473 http://www.jstcr.org/text.asp?2011/3/1/44/7847331 44 48 http://www.jstcr.org/text.asp?2011/3/1/44/78473 Sweta Tolasaria, Utpal K Das

Journal of Surgical Technique and Case Report 2011 3(1):44-48

Conventional nonsurgical endodontic treatment has a high degree of clinical success, but in certain cases surgical intervention becomes necessary. This is the case report of a patient presenting with bilaterally separate periapical lesions in the maxillary anterior region. One lesion was managed by periapical surgery using a novel and safe method of separating the soft tissue mass of the periapical lesion which was in proximity to vital and vulnerable anatomical tissues, and the other was managed by long-term intracanal medicament, emphasizing the need of application of treatment in the best interest of the patient.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/44/78473 Sherif Monib Andrew Ritchie Ezzuldin Thabet Case Report Journal of Surgical Technique and Case Report 2011 3(1):49-51doi:10.4103/2006-8808.78475 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78475 http://www.jstcr.org/text.asp?2011/3/1/49/78475 http://www.jstcr.org/text.asp?2011/3/1/49/7847531 49 51 http://www.jstcr.org/text.asp?2011/3/1/49/78475 Sherif Monib, Andrew Ritchie, Ezzuldin Thabet

Journal of Surgical Technique and Case Report 2011 3(1):49-51

Idiopathic retroperitoneal hematoma is a rare, but potentially life threatening cause of an acute surgical abdomen. Initially diagnosis may be overlooked, leading to unnecessary exploration, which may have implications for prognosis of the patient. An enhanced Computer Tomography (CT) scan of the abdomen is the principle method of diagnosis. However, as in our case, laparoscopic management of the acute abdomen can play a vital role in this group of patients. Importantly, early diagnosis and vigilant conservative management can improve the outcome in idiopathic retroperitoneal hematoma.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/49/78475 Pradeep K Singh Deepti Shrivastva Snigdha Paddalwar Nagraj Shetty Vipin Raut Sarthak Patnaik Abhishek Yadav Case Report Journal of Surgical Technique and Case Report 2011 3(1):52-55doi:10.4103/2006-8808.78477 Journal of Surgical Technique and Case Report 10.4103/2006-8808.78477 http://www.jstcr.org/text.asp?2011/3/1/52/78477 http://www.jstcr.org/text.asp?2011/3/1/52/7847731 52 55 http://www.jstcr.org/text.asp?2011/3/1/52/78477 Pradeep K Singh, Deepti Shrivastva, Snigdha Paddalwar, Nagraj Shetty, Vipin Raut, Sarthak Patnaik, Abhishek Yadav

Journal of Surgical Technique and Case Report 2011 3(1):52-55

Trauma is the leading nonobstetric cause of maternal death. The worst complication can be fetal compromise that threatens premature labor or even fetal death. We are reporting a case of a 30-year-old primi, short stature woman who had fracture femur with hypovolaemic shock. Managing such trauma complicated by shock in a pregnant patient needs multidisciplinary approach. Clinician team evaluating and coordinating the care of pregnant trauma patient should understand the pathophysiological changes in pregnancy with trauma to manage hypovolaemic shock, related complications, treatment of fracture, and radiation exposure to the fetus. The use of imaging studies, invasive hemodynamics and surgery, if necessary, should be individualized. A clear understanding of fetal viability, physiological changes of pregnancy, and pathophysiology of shock, is mandatory for optimal, maternal functional, and obstetrical outcome.]]> Wed,30 Mar 2011http://www.jstcr.org/text.asp?2011/3/1/52/78477