IJSS Journal of Surgery 2021-03-01T07:43:11+00:00 Dr Swapnil Bumb Open Journal Systems <p style="text-align: justify;"><strong>IJSS Journal of Surgery</strong>&nbsp;is a peer-reviewed journal publishing articles of surgeons those who perform abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. IJSS Journal of surgery has the goal of providing its readership the highest quality rapid retrieval of information relevant to surgeons. It provides an in-depth, international forum for the most recent, authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Journal content includes Leading Articles, Reviews, Original Research Articles, Randomized Clinical Trials, Your Views and Book Reviews. All papers published in the IJSS are subject to rigorous peer review.</p> Pre-operative Status as a Deciding Tool in Predicting Failure of Laparoscopic Cholecystectomy in Acute Calculous Cholecystitis 2021-03-01T07:25:10+00:00 Soundarya Yamakanamardi Sreekar Agumbe Pai <p>Introduction: Laparoscopic cholecystectomy is the most commonly done procedure for gall stone disease. However few cases<br>of acute calculous cholecystitis require conversion to open procedure which can increase the morbidity and financial burden to<br>patient. Hence, through this study we are trying to use certain preoperative factors which can predict the chances of failure of<br>laparoscopic procedure in acute calculous cholecystitis patient and thus prevent unnecessary trail of laparoscopy in such patients.<br>Aims and Objectives: To assess the symptoms in patient to predict conversion of laparoscopic cholecystectomy to open<br>cholecystectomy in patients with acute calculous cholecystitis. To identify preoperative parameters to predict conversion of<br>laparoscopic cholecystectomy to open cholecystectomy in patients with acute calculous cholecystitis. To correlate the preoperative<br>factors with intraoperative severity.<br>Materials and Methods: A prospective study was conducted in Bangalore medical college, Bengaluru from May 2019 to November<br>2020 on 100 patients with diagnosed acute calculous cholecystitis.<br>Results: 100 patients of acute calculous cholecystitis underwent trial of laparoscopic cholecystectomy of which 16 patients had<br>to undergo conversion to open procedure whereas remaining 84 patients underwent successful laparoscopic cholecystectomy.<br>Conclusion: In our study male gender, elderly age, raised serum alkaline phosphatse, raised total bilirubin, raised total leucocyte<br>count were associated with higher chances conversion to open procedure and hence was concluded that these patients were<br>poor candidates for laparoscopic cholecystectomy.</p> 2021-03-01T07:25:10+00:00 Copyright (c) 2021 IJSS Journal of Surgery Comparison of Sutures with N-butyl 2-cyanoacrylate Glue for Mesh Fixation during Primary Inguinal Hernia Repair – A One-year Randomized Control Trial 2021-03-01T07:31:53+00:00 Rishikesh Mallikarjun Hanji B M Kajagar <p>Background: The Lichtenstein technique for open hernia repair is associated to a high rate of post-operative chronic groin pain, mainly related to the mesh fixation technique. This randomized controlled trial was aimed to compare the conventional suture fixation with glue fixation of the mesh.<br>Materials and Methods: Sixty patients with primary inguinal hernia were randomized to undergo open hernia repair with suture fixation (Group A) or n butyl 2-cyanoacrylate glue fixation of the mesh (Group B). Primary outcome was early and late post-operative pain. Secondary endpoint was days taken to return to daily activities.<br>Results: Early post-operative pain and pain between 48 h and 1 month after surgery were significantly lower in Group B compared to Group A and days taken to return to daily activities in Group B is less than the days taken to return to daily activities in Group A.<br>Conclusion: This study demonstrates that mesh fixation with glue is a safe procedure that causes less early and late post-operative pain than the classical suture fixation in primary open mesh repair of inguinal hernias.</p> 2021-03-01T07:31:53+00:00 Copyright (c) 2021 IJSS Journal of Surgery Study Sarcomas of Facial Region in Bihar Population 2021-03-01T07:37:56+00:00 Gaurav Verma <p>Background: Sarcomas are malignant neoplasm derive from different tissues body. Although they are rare to occur proper and efficient treatment is mandatory, otherwise it will have poor prognosis.<br>Materials and Methods: Fifty-nine patients of different age groups having clinical and pathological symptoms of sarcoma were studied their socioeconomic status habits were also noted.<br>Results: 7 (11.8%) osteosarcoma occurred at mandible and maxilla, 6 (10%) mandible, 5 (8.4%) Ewing sarcomas were at mandible and maxilla, 10 (16.9%) located at 5th and 7th cranial nerves, 5 (8.4%) metastatic sarcomas were at palate and nasopharynx, 7 (11.8%) spindle cell sarcoma at maxilla, and 11 (18.6%) Kaposi sarcomas at mandible were studied.<br>Conclusion: As these sarcomas have tendency of recurrence, hence radiotherapy and/or chemotherapy treatment is uncertain, therefore surgery is the most reliable treatment for maxillofacial and oral sarcomas.</p> 2021-03-01T07:37:56+00:00 Copyright (c) 2021 IJSS Journal of Surgery Study of Internal Derangement of Temporomandibular Joint in Bihar Population: A Mystery 2021-03-01T07:43:11+00:00 Gaurav Verma <p>Background: Internal derangements of temporomandibular joint (TMJ) are conditions in which articular disc has become displaced from its origin position the condylar head. This displacement causes musculature, ligaments, and impairment.<br>Materials and Methods: Patients of different age groups were studied. The patients having signs and symptoms of temporomandibular disorders and research diagnostic criteria positivity were studied.<br>Results: 4 (6.15%) were below 18 years, 7 (10.7%) were aged between 18 and 35 years, 19 (29.2%) aged between 36 and 50, 23 (35.3%) were between 51 and 65, and 19 (18.4%) were &gt;65 years of age. The clinical manifestations were as follows: 23 (35.3%) had myofascial pain dysfunction syndrome, 19 (29.3%) had osteoarthritis, 26 (40%) had clicking sound, 17 (26.1%) had crepitus, 4 (6.1%) had joint tenderness, and 27 (41.5%) had deviation of mandible on opening.<br>Conclusion: This study implies that TMJ. derangements are not uncommon; however, they are self-limiting and respond well to conservative, inexpensive care. In the rare cases, surgical intervention may require.</p> 2021-03-01T07:43:11+00:00 Copyright (c) 2021 IJSS Journal of Surgery