Reconstruct the Resected Esophagus


Scientific Federation took initiative in the field of Surgery by introducing journal in the year of 2017. Our main intention is to support and promote a high quality comprehensive evidence-based on the recent research from the highly qualified authors. We received an article from Prof. Abdelkader Boukerrouche based on his recent research on the management of conduit ischemia and necrosis following esophageal reconstruction.

The stomach graft is the most digestive organ used to restore the intestinal continuity following esophagectomy for benign and malignant diseases. The colon and jejunal grafts are held in reserve. Graft necrosis is a dreaded and devastating complication and it is defined as death of the conduit used to reconstruct diseased esophagus. However graft ischemia is defined as inadequate blood supply to the graft. Various strategies to deal with intraoperative graft ischemia and necrosis are to be considered. Improvements of graft blood supply and delayed esophageal anastomosis or staged reconstruction are described. Vigilance is required in postoperative period to detect delayed graft necrosis.

Early identification and adequate management of delayed graft necrosis is key to achieving a good outcome for patients. Identification of suspicious clinical signs, aggressive investigation to determine viability of potential graft necrosis and timely management are crucial to reduce associated mortality rate. Therefore, multidisciplinary approach is key to an adequate management of these patients. The first and best strategy should be the prevention of graft ischemia or necrosis; the best way is the prevention of this complication. Therefore preoperative identification of patient risk factors, perioperative optimization of patient conditions and careful use of surgical techniques are the best defenses against conduit ischemia and necrosis.   

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Utilization of Hypnosis for Postoperative Management in Children


About Article :            
Prof Pentyala Srinivas based on his recent research on the Effectiveness of Hypnosis and Suggestive Techniques in Reducing Postoperative Side Effects in Children. Our main intention is to support and promote a high quality comprehensive evidence-based on the recent research from the highly qualified authors.
The increasing interest in recent years for suggestive techniques including hypnosis for alleviating postoperative symptoms that are parallel to the recent rapid expansion of other non-conventional alternative therapies.
Hypnosis is highly effective form of treatment for many mental, psychosomatic, and physical disorders, and it makes the person feel better by changing their perceptions and sensations especially in treating pain. For children Hypnosis could be used to yield effective results, as children have a vast imagination and lack full cognitive development and also it was found to be consistently more effective than control conditions in alleviating discomfort and  found to be as useful as midazolam in reducing  postoperative anxiety. It has also been suggested that hypno-anesthesia techniques can result in shorter hospital stays. Several studies have raised concerns with the use of general anesthetics at a young age causing negative effects in children such as neurocognitive and behavioral deficits. Children who had hypnosis before their surgery were found to be less distressed when compared to the children who undergo general anesthetics. Since from the ancient times as old as Mesopotamian, Mayan, and Indus Valley civilizations, hypnosis was seen as a cure to many physical and mental illness.
Nowadays Hypnosis is becoming more popular in surgical settings which can be an alternative option to avoid or to enhance anesthesia.
This article is published and released 1 issue in SciFed Journal of Surgery.
Author: Prof Pentyala Srinivas




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