https://synergypublishers.com/pms/index.php/sru/issue/feed 2021-10-21T05:35:21+00:00 Open Journal Systems <h3>Surgical Research Updates (SRU) has ceased publication and is no longer accepting submissions.</h3> <h3>All previously published articles are available in the archive of the journal.</h3> https://synergypublishers.com/pms/index.php/sru/article/view/1364 2021-10-21T05:35:21+00:00 Isadora Medrado Goulart1, Miguel Pereira Goulart Neto1, Matheus Alves de Souza1, Natália Inácio Beltramini1, Miriam Pardini Gomes2, Nathalia Simões Carneiro1, Aline Ribeiro Cunha3, Luis Fernando Ricci Boer4, Fernando Batigalia5, Luciana Estevam Simonato6 and Rogério Rodrigo Ramos7 1Universidade Brasil, Fernandópolis, Brazil; 2Universidade do Oeste Paulista, Presidente Prudente, Brazil; 3Medicine of the Medical Residency Program in General Surgery at Universidade Brasil, Fernandópolis, Brazil; 4Medicine of the Medical Residency Program in Orthopedics and Traumatology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 5Department of Human Anatomy, Postgraduate Program in Health Sciences and Specialist in General Surgery and Gastroenterology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 6Department of Clinical Propaedeutics and Human Pathology, Universidade Brasil, Fernandópolis, Brazil; 7Department of Human Anatomy and the Residency Program in Anatomy Surgery for Residents, Universidade Brasil, Fernandópolis, Brazil

The unawareness of anatomy and surgical skills during the intervention can hinder the the surgical outcome, knowing that the anatomoclinical understanding and operation skills are prerequisites for surgery. Students need to improve their surgical and anatomy skills through the pedagogical method “Dissection by Mattox Maneuver” in formaldehyde-preserved bodies. Twenty bodies were used. The material was used in accordance with Law 8501 of November 30, 1992, which regulates the use of unclaimed cadavers for study or scientific research purposes. The inclusion criterion was the preserved abdomen, excluding bodies with dissected thorax and inguinal region. It was possible to visualize and identify abdominal anatomical elements in the left flank, as well as the application of the Mattox maneuver. The dissection of the anterolateral wall of the abdomen and soft tissues with exploration of the abdominal cavity through laparotomy, followed by the Mattox maneuver in a formaldehyde-preserved cadaver can be used as a teaching method for medical students, especially for General Surgery interns. The maneuver allows improving the clinical and surgical study of laparotomy, through cadaveric dissection.

2020-04-20T00:00:00+00:00 Copyright (c) https://synergypublishers.com/pms/index.php/sru/article/view/1362 2021-10-21T05:35:21+00:00 Bamidele Johnson Alegbeleye Department of Surgery, St Elizabeth Catholic General Hospital, Shisong, P.O Box 8, Kumbo-Nso, Northwestern Region, Cameroon

Background: Enterocutaneous fistula remains an enigma and constitutes one of the most challenging situations to the patient, the caregiver, and the surgeon. Notwithstanding the conglomerates of recent progress in critical care, therapeutics, as well as nutritional support; there is yet attendant high mortality and morbidity. Interestingly, there is the obscurity of the work of literature on the condition in most African settings. Therefore, this article aimed to provide updated data on this critical postoperative complication of abdominal surgery. Method: Published articles discussing enterocutaneous fistula up to April 2020 were obtained for review from Medline search, medical libraries, and Google. The google search was done in the English language. Interestingly, the search was conducted using the words “enterocutaneous fistula,” “intestinal fistula,” “bowel fistula,” “enteric fistula,” “fistula surgery,” and “fistula and surgical diseases burden”. Ultimately, sixteen materials were included in the quantitative analysis. Some were excluded from the subgroup analyses. Discussion: Treatment of enterocutaneous fistula remains a surgical challenge despite the recent improvement of supportive patient care. Once enterocutaneous fistula occurs, adequate stabilization of the patient, a thorough investigation of the fistula anatomy, and nonoperative management should initially be attempted. The majority of the uncomplicated enterocutaneous fistula will close spontaneously when adequately managed. Interestingly, a simple suture of the fistula is not recommended. However, to intervene surgically as per uncomplicated fistula requires careful planning, meticulous dissection, resection, and anastomosis or bypass procedures are the preferred surgical procedures; besides, reconstruction of the abdominal wall is critical. A multidisciplinary team approach with a gastroenterologist, interventional radiologists, dieticians, enterostomal therapy nurses, and surgeons will maximize successful enterocutaneous fistula closure.

2020-04-20T00:00:00+00:00 Copyright (c) https://synergypublishers.com/pms/index.php/sru/article/view/1363 2021-10-21T05:35:21+00:00 Miguel Pereira Goulart Neto1, Isadora Medrado Goulart1, Matheus Alves de Souza1, Natália Inácio Beltramini1, Miriam Pardini Gomes2, Dimoriani Cristina Pinheiro1, João Pedro de Souza Argerin3, Luis Fernando Ricci Boer4, Leonardo Faidiga5, Fernando Batigalia6 and Rogério Rodrigo Ramos7 1Universidade Brasil, Fernandópolis, Brazil; 2Universidade do Oeste Paulista, Presidente Prudente, Brazil; 3Resident in Medicine at the Medical Residency Program in General Surgery at Universidade Brasil, Fernandópolis, Brazil; 4Resident in Medicine at the Medical Residency Program in Orthopedics and Traumatology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 5Clinical Physician and General Surgeon at Hospital School of the Santa Casa Misericórdia in Fernandópolis, Preceptor and Supervisor of the General Surgeryinternship at the Medicine Course at Universidade Brasil, Fernandópolis, Brazil; 6Department of Human Anatomy, Postgraduate Program in Health Sciences and Specialist in General Surgery and Gastroenterology, Medical School of São José do Rio Preto, Brazil; 7Department of HumanAnatomy and the Residency Program in Anatomy Surgery for Residents, Universidade Brasil, Fernandópolis, Brazil

The present study shows evidence of clinical and surgical aspects of Hiatus Hernia, as a means to improve anatomical and surgical knowledge of resident and medical students who are enrolled inthe disciplines of Morphophysiology, Semiology, Clinical Examination, and Hospital Internship. The aim of this research was to conduct a systematic study of the clinical aspects and surgical intervention of hiatal hernia. Systematic review was conducted in the Cochrane Library, Pubmed, and Virtual Health Library databases. In this research, 200 studies were found and submitted to the eligibility analysis, later, 156 studies were selected for a more careful evaluation of which 24 were chosen and discussed in this paper, following the rules of systematic review - PRISMA. The prospects of laparoscopic repair have revolutionized the field of clinical surgery. However, initial training must be taken into account by the medical team, since surgical intervention demands considerably more time concerning surgical training during medical school. Laparoscopic repair is indicated for cases of Hiatus Hernias combined with gastroesophageal reflux. However, before this surgical procedure, it is important to perform a complete anamnesis, physical examination, and to have a good understanding of complementary exams. Thus, the doctors, clinical residents, or interns need to have learned all the anatomic, clinical, and therapeutic knowledgerelated to the surgical procedures of hiatal hernias, since these factors are considered prerequisites for surgery.

2020-04-20T00:00:00+00:00 Copyright (c)