International Journal of Trend in Scientific Research and Development: Surgery

International Journal of Trend in Scientific Research and Development

IJTSRD is a leading Open Access, Peer-Reviewed International Journal which provides rapid publication of your research articles and aims to promote the theory and practice along with knowledge sharing between researchers, developers, engineers, students, and practitioners working in and around the world in many areas. For any further information, feel free to write us on editor.ijtsrd@gmail.com

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    • Showing posts with label Surgery. Show all posts
    Showing posts with label Surgery. Show all posts

    Tuesday 20 July 2021

    Smartphone Applications and its Role in Foot and Ankle Surgery

    July 20, 2021 0
    Smartphone Applications and its Role in Foot and Ankle Surgery

    Introduction The coronavirus disease 19 COVID 19 pandemic has exposed inherent weaknesses in global healthcare systems. Conversely, it has encouraged innovation, research and collaboration. Digital technology has the ability to tackle these difficulties via the use of applications. However, the reliability and validity of unregulated medical applications must be questioned. The aim of this study was to review surgical foot and ankle themed applications and specifically assess the level of involvement from medical professionals in the design and content. Methods The App Store iOS , Google Play Android and the BlackBerry App World Blackberry were searched for foot and ankle themed applications. The following search terms were used bunions, ankle sprains, diabetic foot, foot and ankle deformities, pre op templating, Patho anatomy, post operative rehab, gait, measurement of clinical angles of foot and ankle. Data were collected on target audience, patients, healthcare workers, number of applications, applications with customer satisfaction reviews, applications with medical professional involvement and applications available within the UK application stores. Results 35 individual foot and ankle themed applications were identified. 30 applications had customer satisfaction ratings, 11 applications were predominantly health worker centric and 3 were patient centered. 23 applications had medical professional involvement in their development or content. Conclusion The benefits of applications are offset by the lack of Foot and ankle specification. There is relatively little medical professional involvement in their design. Increased regulation is required to improve accountability of application content. 


    by Dr. Prashanth Nagaraj | Mr Davinder Singh Paul Baghla | Miss Samantha Z Tross "Smartphone Applications and its Role in Foot and Ankle Surgery" 

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, 

    URL: https://www.ijtsrd.compapers/ijtsrd43642.pdf 

    Paper URL: https://www.ijtsrd.commedicine/surgery/43642/smartphone-applications-and-its-role-in-foot-and-ankle-surgery/dr-prashanth-nagaraj

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    Monday 1 July 2019

    Transfixant Injuries of the Mediastinum Always a Challenge

    July 01, 2019 0
    Transfixant Injuries of the Mediastinum Always a Challenge

    Transfixant injuries of the mediastinum are those in which the aggressor object travels through the midline of the thorax, where the mediastinum is located, being associated with high morbidity and mortality. This review of the literature addressed several aspects of the theme, including diagnosis and treatment. A search was carried out in Pubmed, Scopus and Scielo databases, using indexed descriptors and selection of articles by peers. Mortality rates from 20 to 87 among the victims of this injury modality were observed, varying due to the proportion of unstable patients. In patients undergoing thoracotomy resuscitation, mortality rates between 85 100 . The treatment consisted of maintaining the patients hemodynamic status, so that patients with imminent death in the emergency service should undergo resuscitation thoracotomy, unstable patients should undergo emergency thoracotomy After a brief clinical diagnostic evaluation, while stable patients benefit from further investigation and in up to 60 of the cases, do not require a surgical approach. It was concluded, therefore, that such lesions are associated with high morbidity and mortality, and their approach differs according to the patients hemodynamic profile in the emergency room. Emergency services should be prepared to meet this new patient profile, which arrives at prompt care with severe injuries and increasingly critical clinical conditions. 


    by Wysterlânyo Kayo Pereira Barros | Isadora Priscila De Oliveira Sizenando | Tâmara Azevedo De Medeiros | Thomas Di Nardi Medeiros | Wagner Gomes Da Nóbrega Silva | Amália Cinthia Meneses Rêgo | Irami Araújo-Filho ""Transfixant Injuries of the Mediastinum: Always a Challenge""

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019,

    URL: https://www.ijtsrd.com/papers/ijtsrd25224.pdf

    Paper URL: https://www.ijtsrd.com/medicine/surgery/25224/transfixant-injuries-of-the-mediastinum-always-a-challenge/wysterl%C3%A2nyo-kayo-pereira-barros

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    Wednesday 21 November 2018

    Ayurvedic Intervention in the Management of Post-Operative Diabetic Foot Gangrene - A Case Study

    November 21, 2018 0
    Ayurvedic Intervention in the Management of Post-Operative Diabetic Foot Gangrene - A Case Study
    Surgical procedures normally carry a risk of wound infection, excessive bleeding or tissue damage. Diabetes has higher risk of wound healing complications following surgery. Wound tends to require more time to heal due to poor blood circulation, nerve damage, or a compromised immune system. In such conditions, non-healing wounds can lead to osteomyelitis, sepsis and even death also. Ayurvedic literature has given detailed explanations on wound management from its manifestation to the complete healing, shown good results in Non-healing wounds. 

    Acharya Sushruta, explained Shodana purification , Ropana healing procedures for wounds with Ayurvedic formulations includes Panchavalkala Kashaya and Jatyadi Taila. This is a case of 45-years old male, diabetic presented with the complains of non-healing wound on 5th right toe with swelling, discharge, foul smell and blackish discoloration of skin, diagnosed as diabetic foot gangrene. Ray's amputation done and post-operative wound management was carried under Ayurvedic treatment procedures. Significant improvement seen in wound healing within a short period. In this case Panchavalaka Kashaya and Jatyadi Taila show its Shodhana and Ropana properties. 

    by Basavaraj Chanda | Vislavath Srikanth | Gopikrishna | Prasanna N Rao "Ayurvedic Intervention in the Management of Post-Operative Diabetic Foot Gangrene - A Case Study" 

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-1 , December 2018, 

    URL: http://www.ijtsrd.com/papers/ijtsrd19016.pdf

    Direct Link: http://www.ijtsrd.com/medicine/surgery/19016/ayurvedic-intervention-in-the-management-of-post-operative-diabetic-foot-gangrene-%C3%A2%E2%82%AC%E2%80%9C-a-case-study/basavaraj-chanda

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    Friday 5 October 2018

    Case Report Accessory Great Saphenous Vein

    October 05, 2018 0
    Case Report Accessory Great Saphenous Vein

    The anterior accessory great saphenous vein AASV is a common pathway for both primary and recurrent symptomatic varices, which is often inadequately recognized by those unfamiliar with venous anatomy. Varicose veins are a common disorder. Extensive ultrasound US mapping of lower extremity chronic venous valvular insufficiency includes the great saphenous vein GSV , anterior accessory saphenous vein AASV and thigh posterior tributary to GSV such as the posterior accessory saphenous vein PTSV, PASV 1-3 Anatomically, the AASV vessel rests within the same layer of the limb as the GSV, lying just superficial to the deep venous system over the proximal anterior thigh. 


    It has been shown that both the refluxing GSV and AASV patterns adversely affect patient-perceived quality of life measures.4,5 Despite the common finding of AASV reflux, the majority of governing bodies focus on few vein patterns, namely the great saphenous and small saphenous veins.6Conclusion Patterns of reflux from the saphenofemoral junction to either the anterior accessory saphenous vein or great saphenous vein possess similar disease severity and commonly suffer complications of venous stasis. 

    The lateral accessory saphenous vein is the commonest cause of recurrence in the groin of varicose veins. It should be looked for specifically during pre-operative assessment duplex scanning and at primary surgery. If identified at operation, we believe it should be either stripped or avulsed to reduce the risk of recurrence. 

    by Shobha. G | Uma. B. Gopal | Santoshkumar Singarapu | Akashata. B. K | Jeevankumar Giri | Manu Krishnan. K "Case Report: Accessory Great Saphenous Vein" 

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-6 , October 2018, 

    URL: http://www.ijtsrd.com/papers/ijtsrd18817.pdf

    Direct Link: http://www.ijtsrd.com/medicine/surgery/18817/case-report-accessory-great-saphenous-vein/shobha-g


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    Monday 22 August 2016

    Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials

    August 22, 2016 0
    Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials
    Background: All studies conducted to compare minimal access oesophagectomy (MAO) with open oesophagectomy (OO) till date, have the limitation that they are primarily bas ed on non randomized studies. Only evidence based on randomised controlled trials (RC Ts) can establish MAO as the preferred surgery for resectable oesophageal cancer (OCA) and hence the current review.

    Objectives: This review aims to establish a firm body of evidence in support of MAO. The objectives involve using PICO strategy and searching for relevant RCTs, extracting and analyzing data from them in order to derive conclusions that help establish evidence in favour of MAO.

    Data Sources: of the current review are RCTs that asess outcomes of MAO.

    Review methodology: Quantitave study has been designed through a systematic review and meta-analyses of RCTs.

    Results: Blood loss during surgery, post -operative pulmonary infection and duration of hospital stay favour MAO versus OO for resectable OCA management.

    Conclusion: The ideal MAO strategy may involve thoracoscopic oesophagectomy in prone position with low tidal volume ventilation, perioperative administration of amino-acids and neutrophil elastase inhibitor plus immediate postoperative chest physiotherapy and enteral feeding.

    By Dr. Syed SumairaNawaz" Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials"

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-6 , October 2017,

    Paper URL: http://www.ijtsrd.com/papers/ijtsrd4634.pdf 

    Direct URL: http://www.ijtsrd.com/medicine/surgery/4634/minimal-access-oesophagectomy-systematic-review-and-sub-group-meta-analyses-based-on-randomised-controlled-trials/dr-syed-sumairanawaz
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    Friday 29 July 2016

    Bile Leakage during Laparoscopic Cholecystectomy A rare case of Aberrant Anatomy

    July 29, 2016 0
    Bile Leakage during Laparoscopic Cholecystectomy A rare case of Aberrant Anatomy
    Bile leakage in association with cholecystectomy is a well known complication. Common causes include damage to the biliary ducts and slipping of clips/ties. Here I describe a rare case of bile leakage which resulted due to aberrant biliary anatomy. A thirty four year old lady undergoing laparoscopic cholecystectomy developed bile leakage. It was not clear where the bile was leaking from. Therefore an intraoperative cholangiogram was performed. We found an accessory hepatic duct in the liver of this patient was draining separately from the rest of the biliary system. The laparoscopic operation had to be converted to open cholecystectomy in order to control the bile leakage. It can be concluded that the anatomy of the biliary tree is highly variable and the importance of intra operative cholangiograms during cholecystectomy should be emphasized.

    Sumaira Nawaz Syed"Bile Leakage during Laparoscopic Cholecystectomy A rare case of Aberrant Anatomy"

    Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-6 , October 2017,

    Paper URL: http://www.ijtsrd.com/papers/ijtsrd3548.pdf 

    Direct URL: http://www.ijtsrd.com/medicine/surgery/3548/bile-leakage-during-laparoscopic-cholecystectomy-a-rare-case-of-aberrant-anatomy/sumaira-nawaz-syed
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