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> en-US surgijss@gmail.com (Dr Swapnil Bumb) surgijss@gmail.com (IJSS Journal of Surgery) Thu, 01 Jul 2021 07:31:07 +0000 OJS http://blogs.law.harvard.edu/tech/rss 60 Perspective Study of Anatomical Variations of Circle of Willis – A Magnetic Resonance Imaging Study in North Karnataka Population: A Retrospective Study https://surgeryijss.com/index.php/IJSS/article/view/411 <p>Background: Two main arteries that supply to brain originate from circle of Willis (COW). The COW exhibits considerable anatomical variations which have clinical and surgical importance.<br>Method: Fifty-five healthy volunteers aged between 25 and 50 years were studied by the technique used which was three-dimensional times-of-flight magnetic resonance angiography, only arteries forming the COW are studied. For the purpose of identification, COW is divided into anterior and posterior configuration.<br>Results: The variations of COW were 9 (39%) hyperplasia of ant. cerebral artery, 5 (21.7%) hypoplasia of post-cerebral arteries, 6 (26%) analogous origin of post-cerebellar artery, and 3 (13%) hypoplasia of post-communicating artery.<br>Conclusion: Complete anatomical knowledge of COW and its variations such as hypoplasia, attenuation of vessels, and analogous origin is necessary for clinician, neurosurgeon vascular surgeon, and radiologist. This baseline study will enable them for proper diagnose and surgery without fatal outcome.<br><br></p> Jagadeesh Morab, Savita Budi Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/411 Thu, 01 Jul 2021 07:39:06 +0000 Comparison of Laparoscopic Cholecystectomy with Drain versus No Drain – A Retrospective Study https://surgeryijss.com/index.php/IJSS/article/view/412 <p>Background: Cholecystectomy is the second most common operation in gastrointestinal surgery after appendectomy in India because gallstones are most common and costly digestive disease and are major cause of hospitalization; laparoscopic cholecystectomy (LC) is accepted universally for the treatment of cholelithiasis. However, drain versus no drain is remained on controversial issue.<br>Materials and Methods: Out of 60, (30) were selected drain (Group A) and 30 for no drain (Group B). Romo Vac suction drain was inserted in LC in sub-hepatic in Group A. Same antibiotics were given to both groups postoperatively. Every patient has undergone LC by standard four fort method. The post-surgical complications were noted and compared.<br>Results: The post-surgical complications such as infections of wound, post-surgical pain, block, age, duration of hospital stay, post-LC morbidity, and chest infections were significantly higher in drain patients as compare to no drain patients.<br>Conclusion: It is observed that use of drain in the elective LC did not provide any benefit to patients rather it increased wound infection and increased duration of hospital stay. Hence, the use of drain is not recommended as routine practice after LC.<br><br></p> Sanjay S Namadar, Jayaprabhu Uttur Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/412 Thu, 01 Jul 2021 08:19:01 +0000 Evaluation of Different Treatment Modalities in Oral Submucous Fibrosis https://surgeryijss.com/index.php/IJSS/article/view/413 <p>Background: A prospective randomized study was carried out to establish a standard surgical protocol for patients with advanced cases of oral submucous fibrosis (OSMF) and to assess the post-operative mouth opening following various surgical treatment modalities.<br>Materials and Methods: A total of 15 patients having interincisal distance (IID) less than or equal to 20 mm were treated surgically for OSMF. Patients with pre-operative IID between 16 and 20 mm were treated with bilateral fibrotomy, surgical removal of all the 3rd molars and grafting of the raw defect. Patients with pre-operative IID between 6 and 15 mm were treated with the above procedure along with bilateral intraoral coronoidectomy with temporalis muscle myotomy. However if pre-operative IID was ≤5 mm, than coronoidectomy and temporalis muscle myotomy were done from the extraoral approach along with other procedures.<br>Results and Observation: The results were then evaluated comparing the pre-operative and the post-operative IID measurements and followed up for 18 months with vigorous mouth opening exercises. The mean pre-operative IID was 13 mm, the mean intraoperative IID was 40 mm, and the mean 6 month IID was 33 mm, and the mean 18 month IID was 35 mm. In two patients where extraoral approach was used, there were pain and swelling in the preauricular area which took long time to resolve.<br>Conclusion: All the patients showed satisfactory epithelialization, sustained mouth opening and minimum wound contracture but patients cooperation in the form of discontinuation of habit and aggressive post-operative physiotherapy are utmost important to get a satisfactory outcome of all the efforts.<br><br></p> Deval S Mehta, Sonal Madan, Ekta Mistry, Setu P. Shah, Shalin Shah, Mehul D Jani Copyright (c) 2021 IJSS Journal of Surgery https://surgeryijss.com/index.php/IJSS/article/view/413 Thu, 01 Jul 2021 08:20:46 +0000