Sternal Cleft: Appropriate Approach to Diagnosis and Treatment :( SCSOAJ) - lupine publishers

Sternal Cleft: Appropriate Approach to Diagnosis and Treatment by Yasser Ali Kamal in surgery and case studies open acccess journals in lupine publishers 

Sternal cleft (SC) is a rare congenital anomaly of the chest wall, isolated or combined with other malformations. We try to provide an appropriate stepwise approach for the diagnosis and treatment of SC. Prenatal ultrasound diagnosis can be obtained after the 18th week of gestation. At birth, diagnosis is based on the findings of clinical examination, chest x-ray, computed tomography and additional investigations for the associated anomalies. Primary approximation of the sternal bars is preferred before the age of 3 months. For older cases and rigid chest wall, the surgical correction can be achieved using prosthetic materials, autologous grafts, or biologic implants. The surgical decision depends on the age of patient, rigidity of the chest wall, and presence of other abnormalities in the chest wall.

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The History of Opcab (Off Pump) Coronary Surgery: (SCSOAJ) - Lupine publishetrs

The History of Opcab (Off Pump) Coronary Surgery by Diego Fabricio Erazo Mogrovejo in surgery and case studies open access journals in lupine publishers.

After the advent of the heart-lung machine, few surgeons continued to use the OPCAB technique, Among those were Benetti and Buffolo from South America, who published in the early 1990s the first two large series on OPCAB surgery [1-3]. Several surgical approaches were tested, such as full sternotomy, no spreading sternotomy including left, anterolateral, Posterolateral and right anterolateral thoracotomies, as well as partial sternotomy [3]. The video-assisted techniques in the nineties allowed us, for the first time, to dissect the left internal thoracic artery (LITA) without opening the pleura cavity. The LITA was anastomosed to the left anterior descending (LAD) through a small left anterior thoracotomy and the MIDCAB operation was create

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An Unusual Case of Pre-Auricular Myiasis-SCSOAJ: lupine publishers

An Unusual Case of Pre-Auricular Myiasis-SCSOAJ by Abhinaya shivakumar in surgery and case studies open access journals in lupine publishers.

68 year old lady, presented to the ER with complaints of fatiguability, prostration for a period of 1 month and a wound over the left side of the face for 1 year, wound appeared spontaneously, it progressed to an ulcer and was increasing to the current size. There was no h/o trauma, fever. No significant family, past history or travel history. On examination, patient was conscious oriented,vitals were stable. Local examination revealed on the right temporal and cheek region, an ulcer of 7x3cm over the preauricular region, solitary, margin was spreading which was inflamed and edematous with beaded edges, sero-sanguinous discharge, with active maggotfly infestation surrounding area is inflamed. On palpation, the ulcer was nontender, indurated edges, ulcer was resting on the zygomatico-temporal bone and depth been around 1cm, maggots larvae was present, ulcer was bleeding on touch 

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