IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS <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> International Research Organization for Life & Health Sciences (IROLHS) en-US IJSS Journal of Surgery 2395-1893 Nicolau Syndrome – “Penalty for the Pain Killer:” A Review Article https://surgeryijss.com/index.php/IJSS/article/view/405 <p>Nicolau syndrome, also called embolia cutis medicamentosa (ECM), is an infrequent complication following intramuscular and<br>intra-articular injection of various drugs. This rare entity is characterized by severe pain and erythematous-ecchymotic reticular<br>lesions, which in many cases lead to necrotic ulcers and scarring. Clinicians must be cautious in the use of proper injection<br>procedures, including appropriate needle length, to minimize complications.</p> T Zameer Ulla B N Hanumanthappa Y R Ravishankar Copyright (c) 2021 IJSS Journal of Surgery 2021-04-26 2021-04-26 7 2 1 3 The Treatment of Inguinal Hernia in the Elderly: Under Local Anesthesia https://surgeryijss.com/index.php/IJSS/article/view/406 <p>Introduction: Inguinal hernia (IH) in the elderly is a quite common problem in general surgery. One should be aware about surgical<br>treatment of the cardiovascular and respiratory pathology of these patients as they are often affected. Also an important goal<br>of surgery is it should lead to functional recovery after the operation using the “tension free” technique and, whenever possible,<br>local anesthesia (LA).<br>Aim: Aim of this study is a better definition of the indications to surgery and anesthesia and verifying the results of surgical treatment.<br>Materials and Methods: From January 1999 to December 2002, our group operated 317 patients with IH; 123 patients were over 65<br>(119 males and 4 females, age from 65 to 101 years, mean 74); in this group, 111 Lichtenstein and 12 Trabucco HPL were performed.<br>There were 89 primitive hernias, 17 recurrences, and 17 emergency operations. LA was the method of choice except for obese patients,<br>obstruction or strangulation, or patient’s preference. In giant hernia, or when a large sac was found, the Wantz technique was performed<br>(13 patients); a suction drainage was used if a large space in the inguinoscrotal area remained after hernia reduction (9 patients).<br>Results: LA was used in 87 patients, spinal in 31 and 5 in general; there were no post-operative deaths. Local complications<br>were 4 inguinal hematomas, 2 hematomas and 2 transient edemas of the scrotum, 1 wound infection, 1 seroma of the wound,<br>and 1 scrotal seroma (9%); all patients recovered after few days of medical therapy. No cases of ischemic orchitis occurred.<br>Conclusion: Inguinal herniorrhaphy can be safely performed, in elderly patients; according to personal experience, LA proved<br>to be a safe technique, also in patients with cardiocirculatory problems. Local complications were mild and more frequent in<br>patients “over” 65 years (13% vs. 6%, in “under” 65), but recurrent hernias make the difference; a suction drainage can reduce<br>the problems caused by a fluid collection in the inguinoscrotal area. Wantz technique reduces the operative time and, according<br>to personal opinion, contributed to lower ischemic testicular complications to zero.</p> Swati A Kumar Santosh Kumar Copyright (c) 2021 IJSS Journal of Surgery 2021-04-26 2021-04-26 7 2 4 10 Comparative Study of Non-operative versus Operative Management of Appendicular Lump – A Retrospective Study https://surgeryijss.com/index.php/IJSS/article/view/407 <p>Background: Acute appendicitis is one of the most common acute surgical conditions of the abdomen and appendicular lump<br>is formed if treatment is delayed. There is no clear standardized approach to complicated appendicitis associated with abscess<br>or phlegmon. Hence, different therapy would be useful and cost effective.<br>Materials and Methods: Out of 60 patients classified into Group I – Emergency surgery group 19 (5/61) and Group II conservative<br>treatment – 41. (a) Surgery after certain time (II A). (b) Ambulatory follow-up (II B). (c) Underwent appendectomy (II C).<br>Results: Clinical manifestations of Group-I and Group-II were compared. Duration of symptoms was 6.68 in Group I and 9.58 in<br>Group-II. Body temperate in Group-I 38.1°C, Group-II 36.76°C Heart rate (pulse/min) 87.48 in Group-I, 85.73 in Group-II, WBC<br>count – 13.252 in Group-I, 132010 in Group-II size of abscess (cm) 4.40 in Group-I, 4.98 in Group-II. In surgical appendectomy 14<br>patients were in Group-I, 26 patients were in Group-II, ileostomy 04 were in Group-I ,3 were in Group-II, in right hemicolectomy<br>only 2 in Group-II, operation time 106.68 (min) in Group-I, 88.19 in Group-II post-operative complication 2 in Group-I, 5 in GroupII, post-operative hospital stay 9.48 in Group-II, 9.3 in Group-I.<br>Conclusion: Non-operative management of complicated appendicitis has more failure rates, increased hospital expenses,<br>and perhaps increased morbidity when compared to immediate surgical management of complicated appendicitis remains gold<br>standard and should be used in most patients.</p> Jayaprabhu Uttur Sanjay S Namadar Copyright (c) 2021 IJSS Journal of Surgery 2021-04-26 2021-04-26 7 2 11 14 Morphometric Study of Basilar Artery in Cadaveric Study https://surgeryijss.com/index.php/IJSS/article/view/408 <p>Background: Basilar artery is one of the import arteries of posterior part of the brain. It is clinically related to stroke, migraine<br>aneurysm, and atherosclerotic changes as age advances.<br>Materials and Methods: Fifty cadaveric brain specimens were studied for basilar artery. The origin and insertion were noted.<br>The diameter and length of the artery was measured with digital Vernier caliper.<br>Results: Mean length was 28.82 (SD±3.62) and range was 21.2–43.04. The mean diameter was 3.42 (SD±0.78), range was<br>2.08–4.82. Normal origin of artery was 45 (90%) and variations in the formation were 5 (10%). Normal insertion was 43 (86%)<br>and variations were 7 (14%).<br>Conclusion: This morphometric study indicates the variations in the length and diameter, variations in the origin, and termination.<br>As this artery correlated clinically with cerebrovascular disease these morpho –metric findings will enable the nuerophysician,<br>radiologist for proper diagnose and neurosurgeon to operate without any fatal outcome.</p> Jagadeesh Morab Savita Budi Copyright (c) 2021 IJSS Journal of Surgery 2021-04-26 2021-04-26 7 2 15 18