Asian Journal of Research in Surgery 2022-01-07T11:18:09+00:00 Asian Journal of Research in Surgery Open Journal Systems <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> Giant Cyst with Unclear Positioning and Undefined Pathological Diagnosis 2021-11-01T05:46:43+00:00 Ergün Yüksel Ulvi Murat Yüksel Bahadır Çetin <p>This is the report of a right-sided giant cystic lesion of a young woman without symptoms which was diagnosed incidentally during routine health screening before marriage. All the routine blood tests and chest x-ray were normal. Abdominal ultrasound (US) revealed a type-3 hydatic cyst in the right liver lobe, but serum tests were negative. On the contrary, Magnetic Resonance Imaging (MRI) revealed a “retroperitoneal cyst” adjacent to the right upper pole of the kidney rising upwards by making a massive bulge at the posterior part of the right lobe of the liver, displacing and rotating the right lobe through the diaphragm by neighboring liver segments of VI, VII, and VIII. At the operation, it was unexpectedly discovered that none of the abdominal US and MRI radiologic reports were wholly true or false! As a well-known fact, without any exception of its anatomical structures, a normal liver is located completely intraperitoneal part of the abdominal cavity. This case is the first where we could not find another in the searched literature that the upper inferior part of the right lobe of the liver was located “partially” in the retroperitoneal area. As there was no trauma history of the patient, this might be a congenital malformation affecting both the right liver lobe and right side of the diaphragm in which a giant fully retroperitoneal cyst was originated. All of the radiologic, surgical, and postoperative pathological diagnostic uncertainty and confusion is caused by this malformation.</p> 2021-11-01T00:00:00+00:00 ##submission.copyrightStatement## Obturator Hernia Revisited; Presentation and Discussion of two Case Reports 2021-12-29T11:53:59+00:00 Shashank Agrawal Raghav Bansal Amit Jain Pramod Kumar Mishra Bhuvnesh Guglani <p>With very low reported incidence of 0.073% and 1.6% in western and Asian literature respectively, obturator hernia is a rare entity to encounter. Pre-operative diagnosis and timely management are key to survival. In this case report, we are presenting two cases of obstructed obturator hernia which were timely diagnosed pre-operatively high index of suspicion with Emergency exploratory laparotomy. A review of literature concluded that a high index of suspicion with the proper physical examination which is guided by appropriate cross-sectional imaging can be the only way to go in an attempt to prevent mortality and morbidity associated with Obturator hernia.</p> 2021-12-29T00:00:00+00:00 ##submission.copyrightStatement## Outcome Analysis of Early Oral Feeding in Comparison with Traditional Feeding after Upper Gastointestinal Surgeries 2022-01-07T11:18:09+00:00 Shashank Agrawal Shailendra Pal Singh Vipin Gupta Somendra Pal Singh Rajesh Verma <p><strong>Background</strong><strong>:</strong> The practice of starving patients in the immediate period after upper gastrointestinal surgery is widespread. It have shown that the early initiation of oral feeding is feasible and safe after upper gastrointestinal surgeries, and suggest that this practice may reduce infection related complications and length of hospital stay compared with the traditional approach “nothing by mouth” resulting in faster recovery.</p> <p><strong>Aim: </strong>To evaluate early starting of oral feeding in upper gastrointestinal surgeries is better in comparison to traditional feeding in terms of post operative leak, septic complications and length of hospital stay?</p> <p><strong>Material and </strong><strong>Methods</strong><strong>:</strong> A randomized control trial including 70 patients of both sex and over 18 years of age, who underwent upper gastrointestinal surgeries were included and were randomized in two groups, one who were given oral feed within 24 hrs of surgery were compared to one who were traditionally given feed after return of bowel sounds in terms of convalescence of gastrointestinal function and were followed for bowel movements, and time of tolerance of solid diet, complications, and the length of hospitalization.</p> <p><strong>Results</strong><strong>: </strong>With 35 patients in each group, considering the gastrointestinal recovery, earlier intestinal movements (2.17 days vs. 3.97 days, p&lt;0.001) and defecation (3.80 days vs. 6.57 days, p&lt;0.001) were observed in the early feeding group’s patients. Moreover, the regular diet was tolerated by patients in the early feeding group significantly earlier (4.62 days vs. 7.26 days, p&lt;0.001). The mean hospital stay was significantly shorter in the early feeding group (7.77 days vs. 13 days, p&lt;0.001).</p> <p><strong>Conclusion: </strong>Early oral diet is safe and viable for patients undergoing upper gastrointestinal surgery.</p> 2021-12-29T00:00:00+00:00 ##submission.copyrightStatement##