Acute brachial plexopathy secondary to surgical management of an atrophic nonunion of a clavicle fracture.

We report the case of a 28-year-old patient who developed acute transient brachial plexopathy secondary to surgical management of an atrophic clavicle nonunion. The treatment was conservative, with symptom resolution at 4 months after surgery. This is the first reported case with electromyographic and neuroconduction follow-up, demonstrating complete and spontaneous resolution of axonal damage. The limited number of cases reported in the scientific literature allows for exploring some underlying causes of the acute plexopathy depending on the nature of the non-union (hypertrophic or atrophic).

9-step magnetic assisted conversion from sleeve gastrectomy to roux-en-Y gastric bypass and hiatoplasty by single-port: Case report.

RYGB represents one of the best alternatives for weight loss in obese patients achieving a weight loss of up to 60% and a resolution of comorbidities of 70%. Revision surgery contemplates multiple techniques including the conversion from one surgical technique to another, structural changes to the primary technique, among others. GERD is now a long-term problem for patients who have undergone LGS. With this case report, we show the feasibility and viability of making this revisional procedure with magnetic assistance and single-port device. (ClinicalTrials.govNCT04945304). A 32-year-old female patient underwent a SG in September 2018 with a BMI of 30 Kg/m2 and no medical history of comorbidities. One year after the surgery the patient reached a BMI of 23,9 Kg/m2. In 2020 the multidisciplinary team made a diagnosis of intractable GERD and for that reason, it was decided to perform a conversion surgery to RYGB by single port technique and magnetic assistance. The purpose of this case report is to expose the viability to perform a revisional bariatric surgery with magnetic assistance acting like a second surgical assistant in the steps of the procedure and utilizing a single port device to make fewer before incisions, reduce postoperative pain, length of hospital stay and better cosmesis with a safety approach. We can demonstrate the technical feasibility and safety of performing a conversion surgery of LGS to RYGB and hiatoplasty with magnetic assistance by single port and also demonstrate that the magnetic system serves beyond the liver retraction.

Ocular alterations in patients with cutaneous and mucocutaneous leishmaniasis.

Leishmaniasis is a parasitosis with high prevalence and increasing epidemiologic relevance. Ocular manifestations of visceral leishmaniasis (kala-azar) have been well studied, but less is known about ocular alterations in cutaneous and mucocutaneous leishmaniasis (CL/MCL). Fifty-five patients with CL/MCL and a seronegative control group of 39 were examined ophthalmologically in Paraguay. CL/MCL was diagnosed clinically by detection of the parasite, with serological methods and/or intradermal reaction.