International Journal Of Surgical Papers 2018-02-23T17:26:06+00:00 Open Journal Systems <p><strong>ISSN: 2518-2013</strong></p> <p>International Journal of surgical papers is a peer-reviewed, open access journal that publishes original research articles, review articles, clinical studies and etc. in all areas of surgery. International Journal of surgical papers is one of the fastest communication journals and articles are published online within short time after acceptance of manuscripts. The journal will consider submissions from all over the world, on research works not being published or submitted for publication towards publication as full paper, review article and research note.</p> <p><em><strong>Submission</strong></em></p> <p><strong>Authors can send their papers through online submissions or as an email attachment to:</strong> <a href=""></a></p> <p>&nbsp;</p> <p><a href="">Impact Factor=1.33</a></p> <p><strong>Indexed in:</strong></p> <p><strong>Index Copernicus,</strong></p> <p><strong>CiteFactor,</strong></p> <p><strong>Genamics JournalSeek,</strong></p> <p><strong> J-Gate, </strong></p> <p><strong>Scientific World Index, </strong></p> <p><strong>JournalGuide Directory of Journals, </strong></p> <p><strong><span class="tagline">Geneva Foundation for Medical Education and Research,</span></strong></p> <p><strong><span class="tagline"> ResearchBib,&nbsp; </span></strong></p> <p><strong><span class="tagline">International Innovative Journal Impact Factor, </span></strong></p> <p><strong><span class="tagline">Scientific Indexing Services (SIS database),</span></strong></p> <p><strong><span class="tagline">Directory of Research Journals Indexing</span></strong></p> Case 1-2018: A 77-Year-Old Woman with Abdominal Pain, Weakness and Pulsatile Abdominal Region 2018-02-06T17:13:16+00:00 Zahra Farahani Mehrdad Taghipour Mohammad Moslemi <p>Abdominal aortic aneurysm refers to abdominal aortic with diameter of 3.0 cm or more (1). It is an unusual cause of abdominal and sometimes low back pain (2). Age older than 65 years, family history of&nbsp; aortic aneurysm, smoking, and male sex are the main risk factors of this vascular complication (3).</p> <p>A 77-year-old woman was referred to Besat hospital with epigastric and preumbilical pain of six weeks period. The pain was described as a dull achy sensation with no radiation and precipitation. There was no history of fainting and headache. She had dizziness to some extent. Defication or urinary dysfunction was not reported.</p> <p>The patient's medical history was notable for cerebrovascular accident, hysterectomy and hypertension, which was well controlled with medical therapy. Current medications include: Nitrocontin, acetylsalicylic acid (ASA), Amlodipine and Atenolol. The patient was a nonsmoker and had no family history of connective tissue disease.</p> <p>The physical examination revealed a blood pressure of 110/60 mm Hg. Head and neck examination revealed normal jugular vein pressure and no cervical and supraclavicular lymphadenopathy. In examination of fine, nondistent, gardless abdominal a pulsatile, nontender mass was palpated in left side of the umblia. A bruit or thrill was not detected on auscultation.</p> <p>Edema, clubbing and cyanosis were not while sensorial and motor examinations of Extremities were normal. detected. All peripheral pulses were palpated with regular pattern.</p> <p>Endoscopy, abdominal sonography and Color Doppler Sonography were ordered as radiologic examinations. The abdominal sonography revealed a pulsatile mass of 102mm by 113 mm in mid abdomen.</p> <p>The patient underwent a successful open repair for abdominal aortic aneurysm with placement of a graft. During surgery, there was no evidence of rupture or superimposed infection. The patient is now alive<strong>.</strong></p> 2018-02-06T17:13:11+00:00 ##submission.copyrightStatement## Case 2-2018: A 40-Year-Old Woman With Gastrointestinal Hemorrhage and Final Pathologic Diagnosis of Rectal Adenocarcinoma 2018-02-06T17:19:08+00:00 Shahrzad Shokri Mehrdad Taghipour <p>Colon adenocarcinoma is the most frequent type of colorectal cancer histopathologically (1). Low physical activity levels, Obesity, low intake of fruit and vegetables, and overconsumption of red meat can predispose individuals to develop this malignancy (2). Change in bowel habits, Occult bleeding, Abdominal pain, Back pain, malaise and pelvic pain are the most clinical manifestations (3). Here in this case presentation study we report a middle aged person with rectal hemorrhage.</p> <p>A 40-year-old woman was referred to Imam khomeini hospital Sari-Iran with chief complaint of rectal bleeding for about 6-7 months period. The symptoms had become worse during past two months. There was no history of abdominal pain, vomiting , nausea, chronic constipation, significant fever or weight loss. No underlying disease was reported. The patient's medical history was also negative. Neither she was allergetic to any drug or food , nor she was addicted. Her family history also did not include any special or significant disease. At the time she arrived at hospital, she was completely consious and could respond to the questions well. On initial physical examination, the vital signs revealed a normal range. In her abdominal examination no tenderness and rebound tenderness was detected. But a 1cm mass was touched in TR examination.</p> <p>The patient's laberatory findings showed no anemia, with normal blood coagulation tests and liver function tests results. Moreover other biochemical test were aslo normal.</p> <p>In order to diagnose the problem a colonoscopy was conducted in which the diagnosis was a tumoral mass in Rectum that was adjucent to Anus. No other&nbsp; gross lesion was seen up to Cecum (Figure 1). In order to determine the stage of this tumor an Endoscopic ultrasound (EUS) was performed. In the sonography's report a T1N0 low rectum malignancy was indicated (Figure 2). A biopsy was taken too. The pathology report was&nbsp; suggestive for adenocarcinoma in the patient's rectum. To find out any metastasis in the abdominopelvic cavity a spiral CT scan was conducted in which only a thickness in rectal wall was seen<strong>.</strong></p> 2018-02-06T17:19:00+00:00 ##submission.copyrightStatement## The Effect of Preoperative Intravenous Dexamethasone on Postoperative Pain after Surgery of Inguinal Hernia 2018-02-23T17:26:06+00:00 Kamran Hadavand Mirzaie Mehrdad Taghipour Mohammad Hossein Broujerdi Nourodin Mousavi Nasab Ali Habibi Mohammad Moslemi <p><strong>Background:</strong> Postoperative pain is a problematic area in surgery as evidenced by frequent reports of therapies in the literature. Pain can lead to serious complications such as vomiting, aspiration, dehydration, electrolyte disturbances and disruption of incision site. In the present study, we examined whether pre-incisional intravenous dexamethasone provides less pain after surgery of inguinal hernia.</p> <p><strong>Method:</strong> Fifty-six patients, scheduled for surgery of inguinal hernia, were included and randomly assigned to the control and study groups. In the control group patients received only the anesthesia drugs whereas those in the study group received intravenous dexamethasone; 8 mg, and VAS questionnaire was completed 1,6,12,18,24,48 hours after the operation.</p> <p><strong>Results:</strong> In the present study, there were demographic data and differences among the two groups. In the study group patients who received dexamethasone; 8 mg, showed significant differences concerning post- operative pain.</p> <p><strong>Conclusion:</strong> We found that pre-incisional treatment with intravenous dexamethasone 8mg causes significant differences in post-operative pain between the two groups. However, with consideration of pain complications and the research which represents the drug efficacy in higher doses, conducting further studies and in other kinds of surgeries are recommended.</p> 2018-02-23T17:25:56+00:00 ##submission.copyrightStatement##