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   Table of Contents - Current issue
Coverpage
January-June 2018
Volume 1 | Issue 1
Page Nos. 0-35

Online since Monday, September 17, 2018

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PRESIDENTíS MESSAGE  

President's Message p. 0
Ashok Kumar
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MESSAGE FROM SECRETARY Top

Message from Secretary p. 0
Roy Patankar
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MESSAGE FROM PRESIDENT ELECT-DR NIRANJAN AGARWAL Top

Message from President Elect-Dr Niranjan Agarwal p. 0
Niranjan Agarwal
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ORIGINAL ARTICLES Top

Lazy S technique for uncomplicated pilonidal sinus p. 1
Shekhar Suradkar, Kunal Suradkar
DOI:10.4103/IJCS.IJCS_6_18  
Background: We present a new Lazy S technique for reconstruction of a defect resulting from excision of the pilonidal sinus. Materials and Methods: In this technique, semilunar incisions, at the opposite ends of the defect facing away from each other are made. Undermining flaps in the subcutaneous tissues is then made, for about 2 cm to facilitate tension-free closure. Results: A total of 42 males were closed by this technique, all under local anesthesia. The in-hospital stay was for 2 days in all patients. One patient (2.1%) developed hematoma and one patient (2.1%) had wound break down which was managed conservatively by secondary intention. Recurrence was seen in 4 (8.3%) patients. Conclusions: Our Lazy-S closure technique is a useful technique for the treatment of pilonidal sinus with favorable.
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Day care coloproctology p. 6
Naresh T Row
DOI:10.4103/IJCS.IJCS_9_18  
Introduction: The concept of day care surgery is fast catching on, with more and more surgeons practicing day care surgery. Here I discuss the feasibility of practicing day care surgery in coloproctology. Materials and Methods: Nearly 1664 (16.49%) cases of anorectal diseases (of a total of 10,089 cases) were operated at a single center over a 10 years' period from July 1, 2008 to June 30, 2018. Results: Two patients (0.12%) had complications in the form of bleeding requiring readmission. Both were managed conservatively and discharged on the next day. Conclusions: Day care coloproctology surgeries can be practiced safely and successfully in a select group of patients with specific indications.
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REVIEW ARTICLES Top

A review of treatment for fecal incontinence p. 11
Pradeep Sharma
DOI:10.4103/IJCS.IJCS_5_18  
The treatment option for faecal incontinence varies from medical management to various surgical options. This article gives an overview of the various treatment modalities for faecal incontinence.
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Surgery for hemorrhoids: A review p. 14
Kum Kum Singh
DOI:10.4103/IJCS.IJCS_4_18  
There are various surgical options available for treatment of heamorrhoids. It essentially depends on the grade of heamorrhoids. Each option has its pros and cons. This article reviews the various surgical options
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CASE REPORTS Top

Neoplasms of appendix presenting as mucocele of the appendix p. 17
Rahul Raghavapuram, Fadl H Veerankutty, M Anandakumar
DOI:10.4103/IJCS.IJCS_10_18  
We report two cases of mucocele of the appendix occurring following neoplasm of the appendix. This cause is rare, the common etiology being obstruction secondary to inflammation.
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Carcinoma of the ascending colon presenting as a retroperitoneal abscess p. 20
Shantata Kudchadkar, Shireesha Chodankar, Dilip Amonkar
DOI:10.4103/IJCS.IJCS_8_18  
Patients with the right side of colonic malignancy commonly present with obstruction and bleeding. At times, in 4% of cases, they may present with perforation. Presentation with symptoms other than these is rare. Besides atypical presentations of colonic malignancy are associated with poor prognosis. We present a case report of a retroperitoneal abscess following a perforated ascending colon malignancy as a primary presentation of carcinoma of ascending colon.
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A rare presentation of ileal perforation due to local iron toxicity p. 22
Dilip Rajasekharan, Jayanth Bannur Nagaraja
DOI:10.4103/IJCS.IJCS_7_18  
Ileal perforation peritonitis is a frequently encountered surgical emergency in developing countries. In contrast to Western countries where lower gastrointestinal (GI) tract perforations predominate, upper GI tract perforations attribute to the majority of cases in India. Spontaneous ileal perforation remains a dreaded surgical condition in developing countries. Typhoid fever is the predominant cause of nontraumatic ileal perforation, while other causes include tuberculosis, nonspecific inflammation, obstruction, radiation enteritis, and Crohn's disease. Iron tablets, in case of toxicities, are notorious for causing erosions of the gastric mucosa due to their corrosive effect leading to perforations. The incidence of these, however, is few and far between. However, iron tablets causing erosions as a cause of ileal perforation is virtually unheard of. Literature suggests the possible perforations due to iron toxicity to be in the upper GI tract, namely stomach and duodenum, reflecting the sites of absorption. In this case report, we present a patient with an ileal perforation following acute ingestion of iron tablets. We suspect that this is probably either due to the sheer number of tablets, leading to a reduced absorption, or the fact that it may be enteric coated, which may explain the passage through the upper GI tract undigested. There are no studies to the authors' knowledge that explain such a finding. Thus, there is no consensus on the total amount of iron needed or the minimum time exposed to the toxic agent to produce such a finding.
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Perineal colostomy following abdomino-perineal resection for rectal cancer-A case report p. 26
Vasudeva Pai Hosdurg, MV Sreeharsha
DOI:10.4103/IJCS.IJCS_1_18  
The management of ultralow rectal cancers within 2 cm from the dentate line is still challenging. Abdominoperineal resection (APR) is the gold standard in the treatment of ultralow rectal cancers. Conventional APR involves the construction of a left iliac fossa (LIF) end colostomy. The taboo associated with a permanent abdominal colostomy results in a poor self-esteem and a poor quality of life. Pseudocontinent perineal colostomy (PCPC) is an alternative reconstruction technique following APR in which the colostomy is placed in the perineum and a graft of smooth colonic muscle tightly surrounds the lowered colon. We present the case of a young unmarried gentleman who underwent an APR and living with a left iliac fossa colostomy who underwent this procedure. The case is of interest since a similar case report could not be found from India and also since the PCPC in our case is done as a secondary procedure.
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Perineal scar endometriosis p. 30
Arshad Ahmed Baba, Asif Mehraj Dar, Arshed A Parray, Mudassir Ahmed Khan, Mushtaq Ahmed Laway, Nisar Ahmed Chowdri
DOI:10.4103/IJCS.IJCS_2_18  
Endometriosis is defined as the presence of endometrial tissue outside the uterus and is common in fertile women. Pelvis is the most frequent location of the endometriosis. Endometriosis is mostly found in peritoneal surfaces but can also involve the vagina, vulva, rectovaginal septum, and perineum usually postobstetric, gynecological, or other surgical trauma. Extrapelvic endometriosis has been reported in any region of the body including bowel, bladder, lung, kidney, extremities, perineum, and umbilicus. We present a case of a patient perineal surgical scar endometriosis. The endometriotic scar nodule was surgically excised. Postoperatively, The patient was treated with gonadotropin-releasing hormone analogs. The surgical outcome was successful, and the patient is on our close follow-up and reports that she is asymptomatic during subsequent menstrual periods unlike before.
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ACTIVITIES OF THE ACRSI Top

Activities of the ACRSI p. 34
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CALL FOR PAPERS Top

Call for papers p. 35
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