Asian Journal of Research in Surgery <p style="text-align: justify;"><strong>Asian Journal of Research in Surgery</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers (<a href="/index.php/AJRS/general-guideline-for-authors">Click here for Types of paper</a>) in all aspects of&nbsp;‘Surgery’. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> en-US (Asian Journal of Research in Surgery) (Asian Journal of Research in Surgery) Sat, 26 Dec 2020 03:10:51 +0000 OJS 60 Isolated Extramedullary Nasopharynx Plasmacytoma: Neglected Otalgia <p>Primary isolated plasmacytoma is an uncommon malignancy. However, occurrence of isolated plasmacytoma involving head and neck region is approximately 80% of cases. In head and neck isolated plasmacytoma, symptoms reported includes nasal obstruction, local pain, epistaxis, ear fullness, hoarseness. Occasionally, isolated plasmacytoma may present in the nasal cavity. We report a case of isolated nasopharynx plasmacytoma presenting as otalgia and literature review on presenting symptoms and management of isolated nasal cavity plasmacytoma.</p> B. Mas Ayu, G. Sakina ##submission.copyrightStatement## Sat, 26 Dec 2020 00:00:00 +0000 Surgical Management of Class III Skeletal <p>The orthognathic surgery is a surgical manipulation of the facial skeleton to achieve normal anatomy and functions. This paper presents a case of a Class III skeleton treated using a surgical approach (Maxillary advancement surgery &amp; mandibular setback) after 18 months of orthodontic preparation, the patient underwent a bimaxillary osteotomy. The aesthetic and functional result was satisfactory.</p> Ouassime Kerdoud, Faiçal Slimani ##submission.copyrightStatement## Sat, 26 Dec 2020 00:00:00 +0000 Urological Emergency: A Testicular Torsion of Undescended Testes in the Inguinal Canal “A Common but Still Uncommon” <p>Testicular torsion is a urologic emergency that needs immediate attention and treatment. However, the occurrence of torsion of the undescended testis (UDT) is uncommon which make the dilemma of diagnosis of the torsion in undescended testis is challenging. We are reporting a case of a Malay teenager presented with one day history of inguinal swelling and pain. On examination the swelling measured3 cm x 5cm at inguinal region with erythematous skin changes. However, no testes felt at left hemiscrotum. Provision diagnosis of strangulated right inguinal hernia with differential diagnosis of inguinal abscess or torsion of left undescended testicle was made. We proceeded with left inguinal exploration. We performed orchiectomy in view of non-viable left testes.&nbsp; This case discusses the diagnostic dilemma and the treatment options in a left inguinal swelling mimicking a strangulated inguinal hernia presentation.</p> S. Hidayatullah, S. Sarmukh, A. Azuwarie, H. Azmi ##submission.copyrightStatement## Wed, 13 Jan 2021 00:00:00 +0000 Prospective Randomized Study for Comparison of the Outcome of Suction versus Non-Suction Closed Drainage on Seroma Development after Open Onlay Ventral Hernioplasty in 100 Patients <p><strong>Introduction: </strong>There isn't a widely used definition for seroma but “serous fluid collection in a body space, tissue or organ occurring after surgery or trauma”, is defined as seroma. Symptomatic seromas are common in laparoscopic and open ventral hernia repairs, presented in 8 to 12.5% of patients after open repair by clinical examination at the 8 weeks post-operative control. Several operative measures were done to reduce the development of postoperative seromas after hernia repair as an intra-operative technical step (e.g. quilting sutures) or adjunct procedure (e.g. drain application). During ventral hernias repair, surgeons regularly insert a surgical drain to allow the fluid drainage. Closed drains can be either active (suction) drains or passive (non-suction) drains.</p> <p><strong>Methods</strong><strong>:</strong> During the period from August 2018 to October 2019, a total of 100 adult patients presented with different types of ventral hernias, underwent open onlay mesh hernioplasty in the gastrointestinal surgery unit, general surgery department, Tanta University. Patients included in this study were randomly allocated into one of the following two groups using the closed envelope method. Group A included 50 patients with suction tube drain and group B included 50 patients with non-suction tube drain.</p> <p><strong>Results: </strong>There were no statistically significant differences between both groups regarding the patients’ demographics. It was evident that with the use of suction drains from 9<sup>th</sup> POD the mean daily fluid effluent and the mean total amount of fluid effluent during all follow-up days was significantly lower than in non-suction tube drains. Also, the mean time of drain removal was statistically significantly shorter in group A than in group B.</p> <p>It was found that cases of ultrasonographic and clinically diagnosed seroma, had compensated chronic liver disease, obesity (BMI &gt; 30 kg\m<sup>2</sup>), multiple previous abdominal incisions, long period of hernia presence (&gt; 4 years), long-standing partial irreducibility, and large dead space after subcutaneous flap dissection.</p> <p><strong>Conclusion: </strong>Suction drains were removed at a significantly shorter time than non-suction ones under the same rules of management. It also gives significantly lower volume fluid effluent from the 6<sup>th</sup> POD onwards. Seroma were harder to manage with non-suction tube drains: longer drainage period, worse resolution rates.</p> Ali Fahmy Shehab, Sherif Mohammed Elgarf, Mohammad Hamdy Abo- Rayia, Osama Helmy Elkhadrawy ##submission.copyrightStatement## Sat, 26 Dec 2020 00:00:00 +0000