Surgery, Gastroenterology and Oncology

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Background & Aims: Haemorrhoidal disease is the most common anorectal pathology affecting 50% Irish and 36.4% UK population at some stage in their life. After conservative management with dietary modification and office procedures like rubber band ligation has failed formal haemorrhoidectomy needs to be done. Conventional haemorrhoidectomy has been replaced by new techniques like stapled haemorrhoidectomy (SH) and transanal haemorrhoidal dearterialization (THD) due to its serious complications. We performed this systematic review and meta-....[more]

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Purposes: This study aimed to investigate the postoperative movement of an internal stentplaced at the anastomotic site of pancreaticojejunostomy during pancreaticoduodenectomy.
Methods: Of the 70 patients who underwent pancreaticoduodenectomy using an internalstent at the anastomotic site of pancreaticojejunostomy between January 2014 andDecember 2019, 64 patients (91%) were included in this study. Stent fall from the anastomoticsite, stent excretion from the body, and stent migration into the pancreatic and bileduct, as well as stent-r....[more]

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Background: To evaluate our center experience of living-donor liver transplantation (LDLT) in hepatocellular carcinoma (HCC) patients regarding recipients’ mortality and morbidity and study the various prognostic factor affecting tumor recurrence and its impact on patients’ survival.
Methods: This is a retrospective study including patients who underwent LDLT for HCC complicating liver cirrhosis in period from 2004 to 2020.
Results: The study included 252 patients. The mean age was 52 ± 6 years. All patients had unde....[more]

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Background: We determined the feasibility of the ERAS protocol in laparoscopically operated patients for early and advanced gastric cancer.
Methods: Fifty-eight patients were included in the study (19 in the ERAS and 39 in the CC group). In both groups, only laparoscopic technique was used. Postoperative recovery parameters and serum CRP levels were compared.
Results: The CC group had significantly more complications (0% in the ERAS vs. 25.6% in the CC group; p=0.018). Patients in the ERAS group had a significantly ....[more]

Read article Background: Anal stenosis is a weighty complication after anal and rectal surgery. Moderateand severe cases mostly require surgery.
Patients and Methods: This study included 45 patients with post-hemorrhoidectomy analstenosis; 23 patients underwent diamond flap anoplasty (group I), and 22 had V-Y flapanoplasty (group II). Patients were monitored for post-operative complications and followedup at 1, 3 and 6 months postoperatively for symptomatic improvement, pain visual analoguescale (VAS) and Wexner score for continence level.
Results: 31 patients were male....[more]

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Introduction: Surgical services are considered one of the main and most important, fundamental health-care services provided in any health-care system. Annually, approximately 310 million operations are performed worldwide. The World Health Organization checklist is aimed at detecting potential safety hazards, improving communication among surgical staff, and decreasing the incidence of drug and surgical site errors.
We aim to assess the degree of adherence of medical staff to the safety checklist and to study the effect of supervision on ....[more]

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Background: The small intestine is not fixed to the retroperitoneum, and lesions in the smallintestine can be resected through a very small skin incision, similar to laparoscopic surgery,if it is placed accurately. In 2010, we reported on small incisional surgery (SIS) for smallintestinal diseases, in which the skin incision was placed at the umbilicus based on anthropometricanalysis. However, the feasibility and usefulness of SIS for resection of smallintestinal lesions have not been elucidated.
Methods: From January 2015 to December 20....[more]

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Background: Posterior perforation due to peptic ulcer are relatively rare, it remains one of the causes of acute upper quadrant pain, and it should always be included in the differential diagnosis in high risc patients. Our paper represents a retrospective study and evaluates: age and gender of the patients, begin of symptomatology, clinical manifestation, radiological imagies, supposed diagnosis, operative discovery, operation and outcomes. Literature data were researched using PubMed, Google Scholar, ResearchGate, Publons, Academia.edu, Semant....[more]

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Introduction: Regardless of the technical achievements and treatment options, gastric cancer remains with high incidence and mortality in some parts of the world, including Eastern Europe. In our practice we used Endoscopic Submucosal Dissection (ESD) as treatment of histologically verified early gastric cancer or high-grade dysplasia.
Patients and Methods: We performed a retrospective study of 10 patients diagnosed with the above-mentioned lesions without signs of deep mucosal invasion, lymphogenic or metastatic dissemination. All o....[more]

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Extramammary Paget’s Disease is a rare cutaneous malignancy with only a few hundred cases described in the literature. Due to its rarity, diagnosis is often difficult. Here, we present a case of an 88-year-old man with a perianal lesion that persisted for two years despite treatment with multiple topical agents. A skin biopsy established the diagnosis of Perianal Extramammary Paget’s Disease. After excluding an underlying adenocarcinoma, surgical treatment was proposed to the patient. Wide local excision of the lesion was performed, and a loop ileo....[more]

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Intestinal angiodysplasia is a common cause for gastrointestinal bleeding. Often, the diagnosis and management of these patients can be challenging. We aim to describe the clinical aspect, imagistic diagnosis and therapeutic options of angiodysplasia. We report the case of a 56 years old woman with multiple severe comorbidities diagnosed with angiodysplasia in an acute setting. The main clinical manifestation was massive gastrointestinal hemorrhage, in the context of disseminated intravascular coagulation. Despite the embolization of the first jejunal ....[more]