The Woman With No Face

A SEVERE untreated facial condition has left a woman in India with large hanging growths which eclipse her entire face – causing local children to be scared of her. Khadija Khatoon, 23, from Kolkata, India, has what doctors believe to be neurofibromatosis – a catch-all term for a number of genetic disorders which cause tumours […]

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Successful Microsurgical Replantation of Scalp Amputation Using Medicinal and Chemical Leech Therapy: A Case Report

A 47-year-old woman presented to the hospital with a com- plete amputated scalp after her hair was caught in a laun- dry-packing machine. Compact compression dressing with gauze and elastic band was applied, owing to severe bleeding by completely ruptured both superficial temporal artery (STA) and superficial temporal vein (STV) (Fig. 1). The laceration ex- […]

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A Case of a Survivor to a Through-and-Through Head Gunshot Wound following Russian Roulette

Sir: Georges Arthur Surdez (1900 to 1949) is considered the inventor of Russian roulette. The first report of Russian roulette was published in January 30, 1937, in Collier’s magazine. In the original “game to die,” in 1917, in Romania, some Russian officers removed a cartridge from a revolver, spun the cylinder, snapped it back in place, placed […]

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Successful ankle replantation in two cases with different presentations

CASES Case 1 A 32-year-old man was assaulted with a sharp sword, resulting in total amputation of the lower extremity at the level of the tibiotalar joint, with clean-cut wound (Fig. 1A). He presented 4 hours after the injury, in a stable hemodynamic condition with no other associated injuries. The patient was immediately transferred to […]

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A case of a young woman with a Necrotic Sarcoma of the back

Sarcoma is a type of cancer that develops in bones and soft tissues, such as fat, muscles blood vessels, etc. Tissue becomes necrotic when substantial areas of tissue lack a blood supply, which then causes gangrene, or death of the tissue, in the area. This particular case was very vascular, so there was no way […]

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Thoracic impalement injury: A survivor with large metallic object in-situ

Case report A 25-year-old male send to emergency department (ED) due to thoracic impalement injury caused by a metallic bar. He crashed into a lorry from behind in high speed when he was driving a motor car. As a result, his car wind screen was broken, a blunt iron bar from the lorry pierced through […]

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MAJOR CRUSH INJURY LEFT UPPER LIMB

49 year old male met with a road traffic accident. Patient was driving a two wheeler which was overrun by a tipper  on 29.12.2010 at around 2.30 p.m. between Miryalguda and Damargidda Chevella mandal , Ranga Reddy distt. Andhra pradesh, India. Patient sustained extensive degloving injury to the left upper limb extending from the left mid […]

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Impalement head injury with serrated meat knife.

Abstract  An unsuspecting motorcycle passenger was ambushed and impaled on the right side of the head with a 30cm serrated meat carving knife during a sectarian crisis in the city of Jos, Plateau State, Nigeria. The patient escaped running with the knife in his head and was rescued to a military hospital from where he […]

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The Youngest Patient in United States to Receive Face Transplant

Katie Stubblefield’s wit shows through when she describes her face transplant surgery. “Longest nap of my entire life,” she says. Those unfamiliar with Katie’s still-developing speech pattern may not easily make out those words, but her parents are usually there to interpret. Robb and Alesia Stubblefield have been by her side – helping her “take […]

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Early Structural Deterioration of a Sutureless Bioprosthetic Aortic Valve

Abstract Sutureless bioprosthetic valves such as the Sorin Perceval S valve (SPV) have been used in patients with aortic stenosis that require surgical aortic valve replacement (SAVR). These prostheses have been marketed on the basis of their rapid implantation techniques with avoidance of sutures and reduced aortic cross-clamp times. We report a case of an […]

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Microsurgical breast reconstruction after severe burns

Abstract Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- […]

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Umbilical Cord Knot

A 36-year-old woman (gravida 2, para 1) with a monochorionic, monoamniotic twin pregnancy was admitted to the hospital at 32 weeks of gestation for a planned cesarean section. The antenatal course had been unremarkable. Routine cardiotocography before the procedure showed severe variable decelerations of the fetal heart rate in one of the twins; the tracing […]

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Scalp burn that occurred during hair coloring

Abstract Full-thickness scalp burns secondary to hair coloring are rare; however, such defects can be large and complex reconstruction of hair-bearing tissue may be necessary. Many skin-stretching devices that use gradual traction have been applied to take advantage of the viscoelastic properties of the skin. A 21-year-old female patient was seen with a burn defect […]

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A Large Abdominal Mass

An 80-year-old man presented to the emergency department with abdominal bloating and constipation. He had no lower urinary tract symptoms or gross hematuria but had lost 5 kg during the previous 8 months. The physical examination was notable for a distended abdomen with a mass that extended from the epigastrium to the pelvis and was […]

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HOW WWI PLAYED A KEY ROLE SHAPING PLASTIC SURGERY AND MODERN ANAESTHESIA

In 1916, young ENT surgeon Harold Gillies set up Britain’s first plastic surgery unit, where he practised the ‘strange new art’ of facial reconstruction for those who had suffered severe injuries and burns. Gillies was given the go-ahead, and by January 1916 was setting up Britain’s first plastic surgery unit at the Cambridge Military Hospital in Aldershot. Gillies toured base hospitals […]

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China’s ‘folded man’ finds happiness and hope after life-changing surgery

Li has an autoimmune disease called ankylosing spondylitis that started when he was 18. It can cause bones to fuse, making the spine curve forward. His condition worsened over time until he was completely bent over, with three parts of his body “connected” – his chin to his chest, his breastbone to his pubic bone, […]

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Eye Inside Out After Getting Hit By a Bull Horn

Girish S. Mishra, MS1 and Sushen Harish Bhatt, MS1 Case History A 68-year-old female, member of low socioeconomic community, presented to the casualty with history of hit over the right eye by a bull horn during her daily agricultural activities. She complained of sudden and painful loss of vision in the right eye. She also had a […]

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