Stephy Publishers

Open Access Journal of General Surgery

Triple Umbilical Incision for Videlaparoscopic Cholecystectomy

 The laparoscopic surgery is done by using a single port. You place a device through a single incision between 18mm to 50mm and 3-4 trocars can be used. Our work consists of making 3 little incisions to put the three trocars which measure 5 mm and use conventional instruments that measure 36 cm of length of laparoscopic surgery within the internal limits of the umbilicus. Describe the surgery technique and evaluate the initial results of a laparoscopic cholecystectomy option through three intraumbilical incisions. It is a retrospective, descriptive, multicentre and observational study. Since June 2014 to August 2019, 20 patients, 17 females and 3 males, were operated using this method from the age ranges of 16 to 65 years old. The average surgical time was 65 minutes. In all cases the procedures were concluded by the intraumbilical approach. One of the cases had to be re-operated due to intraabdominal bleeding from the posterior branch of the cystic artery. The technique is reproducible; the usual triangulation of the ports is not available. Therefore, fort this technique the surgeon needs to have experience and have had advanced training in laparoscopic surgery. The cases must be selective.

https://www.stephypublishers.com/general-surgery/pdf/OJGS.MS.ID.000501.pdf

 

Stephy Publishers

Journal of Pediatrics and Clinical Neonatology - (JPCN) 

Comparative Study of Two Nebulized Preparations of Salbutamol in Children

We conducted a prospective double blind randomized trial between April and December 2017 in which 30 children with asthma were included. Children were assigned randomly to receive nebulized Asthalin® or Ventolin®, with 15 patients included in each study arm. For each patient, oxygen saturation, presence of wheezing, retractions and thoraco-abdominal asynchrony, before and after Salbutamol nebulization were recorded. The effect of each treatment dose on oxygen saturation and respiratory rate after stratification of the initial population was analyzed.

https://www.stephypublishers.com/pediatrics-and-neonatology/pdf/JPCN.MS.ID.000501.pdf

 

 

Stephy Publishers

Journal of Pediatrics and Clinical Neonatology - (JPCN) 

Lately Performed Arterial Switch Operation in a Three Years Old Child Diagnosed of Transposition of Great Arteries

The Patient with the symptom of severe syanosis from birth have been diagnosed as TGA, VSD and ASD with pediatric cardiology examination in an extarnal hospital. After a withut follow-up period; when 34 months age the patient applicated to our institute hospital by the complains of severe synosis and reduction of effort capacity. According to ecocardiography and angiograghy findings, Arterial switch operation(AS) planned and performed even late age of patient.

https://www.stephypublishers.com/pediatrics-and-neonatology/pdf/JPCN.MS.ID.000502.pdf

 

Stephy Publishers

Journal of Pediatrics and Clinical Neonatology - (JPCN)

Evaluation of Serum Tumor Markers Variation, following the Radioactive Iodine Therapy in Patients with Differentiated Thyroid Cancer

45 cases of female patients aged 16-60 years with thyroid cancer surgery referred to the nuclear medicine department of Nemazi hospital for (iodine treatment after surgery) were selected. The selection was on the basis of interviewing and information of patients is consent forms. Only patients with thyroid cancer and referred for the first time without any other diseases were chosen for this study. The selected patients were prescribed a dose of 150mCi of I-131.From each patient, 4 mL of chelated serum for serological studies on tumor markers and 2 mL of oxalated serum for spectrophotometry studies on cell death were used in three stages. The first stage before the iodine therapy, the second stage, after 48 hours, and the third stage, 30 days after radioiodine therapy were studied and the results were evaluated by the one-way repeated measures ANOVA test.

https://www.stephypublishers.com/pediatrics-and-neonatology/pdf/JPCN.MS.ID.000503.pdf

Stephy Publishers

Journal of Pediatrics and Clinical Neonatology - (JPCN)

Maternal and Neonatal Idiopathic Thrombocytopenic Purpura

Immune thromb

ocytopenic (ITP) is an autoimmune disease that affects 9.5/100,000 adults in the population.1 It is characterized by autoimmune destruction of platelets leading to potentially life-threatening thrombocytopenia. About 7% of pregnant mothers are affected by thrombocytopenia with 1 to 10 per 10,000 mothers being affected with ITP. Studies have shown that ITP is generally a benign condition in the birthing mother and rarely has a long-lasting effect on the newborn child.2 In the rare event that the newborn is severely affected, treatment is required. We present a case of ITP in both a mother and her newborn.

https://www.stephypublishers.com/pediatrics-and-neonatology/pdf/JPCN.MS.ID.000504.pdf