Emmanuel Bracho Ruiz - Academia.edu (original) (raw)
Papers by Emmanuel Bracho Ruiz
SAR journal of surgery, Sep 14, 2023
Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydacty... more Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydactyly. Its existence has been documented in the hand literature from Digby's initial description in 1645. Preaxial polydactyly, specifically bifid thumb, has been extensively observed, with a frequency ranging from 0.08 to 1.4 per 1000 live births. Traditionally, radial polydactyly is classified into three distinct categories: severe hypoplasia, partial duplication, and entire duplication, which can sometimes be mistaken for pseudo duplication. The classification system developed by Wassel has emerged as the widely accepted standard for the categorization of thumb polydactyly. The classifications of surgical treatment procedures are associated with variations. Thumb duplication is categorized as a "duplication" (group 3) in the International Federation of Societies for Surgery of the Hand (IFSSH)/Swanson classification of congenital malformations of the hand and upper limb. The objective of surgical reconstruction is to achieve a thumb that is both stable and mobile, while also possessing appropriate dimensions and form. The prevailing method of reconstruction often involves the excision of the minor digit followed by the subsequent reconstruction of the major digit. Surgical procedures aim to rectify issues pertaining to deviation, instability, and insufficient dimensions. Moreover, it is worth noting that a significant proportion of instances will necessitate an additional intervention in order to enhance the cosmetic and/or functional result.
SAR journal of surgery, Sep 5, 2023
The condition known as pediatric foot polydactyly can manifest itself in a broad range of malform... more The condition known as pediatric foot polydactyly can manifest itself in a broad range of malformations, from a single extra digit that is only connected to the rest of the foot by a thin band of connective tissue to intricate central foot duplications that involve the duplication of tarsal bones. The presentation of preaxial polydactyly of the foot is crucial to understand, even though it is quite uncommon. This is because in over half of the cases, several congenital malformations, such as syndactyly and atrial septum defects, have been described. The result of surgical reconstruction should be a foot that is stable, mobile, and pain-free, with five aesthetically pleasing toes. This should allow the patient to wear standard footwear and walk without experiencing any discomfort.
South Asian research journal of applied medical sciences, Dec 4, 2023
Mucinous appendiceal tumors consist of mucinous adenocarcinoma, low-grade appendiceal mucinous ne... more Mucinous appendiceal tumors consist of mucinous adenocarcinoma, low-grade appendiceal mucinous neoplasm, and high-grade appendiceal mucinous neoplasm. The incidence of non-mucinous adenocarcinomas is reduced. The most recent edition of the World Health Organization classification and recent consensus guidelines will enable the consistent application of agreed nomenclature. Not only is precise diagnosis essential for effective patient management, but it also facilitates the comparison of results across centers and tumor registries. The most prevalent benign adenoma in the appendix is serrated. It is imperative to differentiate these conditions from low-grade appendiceal mucinous neoplasms, as the latter can also resemble harmless ailments. Adenocarcinomas of the goblet cells are a rare subtype of appendiceal neoplasm. While appendiceal neoplasms are uncommon, they are not entirely so, and even the most seasoned pathologists may find them difficult to diagnose. In addition, appendiceal neoplasia classification and terminology have been subjects of contention for decades. Nonmucinous appendiceal neoplasms are less prevalent than mucinous tumors, and their association with other appendiceal neoplasm subtypes remains uncertain. A literature review of appendiceal mucinous neoplasms identified during laparoscopic appendicectomies is presented here.
SAR journal of medicine, Dec 4, 2023
Acta Neurochirurgica, 2009
Short title: Microvascular decompression for glossopharyngeal neuralgia Hua Zhao, Jin Zhu, Yin-da... more Short title: Microvascular decompression for glossopharyngeal neuralgia Hua Zhao, Jin Zhu, Yin-da Tang were co-first authors.
SAR Journal of Surgery
Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma ... more Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma (HCC), accounting for barely 1%–9% of all HCC cases. Fibrolamellar carcinoma, an unclear malignancy, appears to be more commonly observed in youthful individuals without any preexisting liver conditions. The nomenclature "fibrolamellar" originates from the presence of dense fibrous collagen bands enveloping the neoplastic cells. Contrary to hepatocellular carcinoma (HCC), cirrhosis and viral hepatitis infection do not serve as predisposing factors for fibrolamellar carcinoma (FLC). Additionally, FLC is not typically associated with increased levels of serum alpha-fetoprotein. Patients with FLC frequently manifest with nonspecific abdominal discomfort, queasiness, general discomfort, and decreased in body mass. Surgical intervention, specifically resection or liver transplantation, serves as the cornerstone of treatment and represents the sole potentially curative avenue. FLCs, ...
SAR Journal of Surgery
The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pos... more The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pose a formidable problem Proximal neuropathy of the median nerve (MN) is a relatively rare condition, accounting for approximately 1% of all compressive neuropathies affecting the upper limb. The existing body of literature documents two distinct clinical presentations, which are based upon the location of entrapment. These presentations are commonly referred to as pronator teres (PT) syndrome and anterior interosseous nerve (AIN) syndrome. Pronator teres syndrome, also known as median nerve compression in the upper forearm, manifests as a constellation of clinical manifestations and indications. Carpal tunnel syndrome is a dynamic condition that is commonly characterized by the compression of the median nerve within the carpal tunnel. Although relatively uncommon when compared to carpal tunnel syndrome, pronator syndrome and anterior interosseous nerve syndrome are conditions involving co...
SAR Journal of Surgery
Thyroglossal duct cancer is a relatively rare finding, presenting clinical features that resemble... more Thyroglossal duct cancer is a relatively rare finding, presenting clinical features that resemble those of a benign cyst, a more common congenital abnormality that may manifest as a lump in the midline or neck area. Thyroglossal duct cysts are a commonly found aberration during the development of the thyroid gland. The prevalence of adenotonsillar hypertrophy is greater than that of branchial cleft abnormalities, and among the pediatric population, it is the second most common cause of neck masses, surpassed only by enlarged cervical lymph nodes. In specific instances, thyroglossal duct cysts have been seen to exhibit a low prevalence of cancer. The diagnosis of thyroglossal duct cancer is commonly made by histological examination of the tumor. In addition, needle aspiration cytology, ultrasonography, and computed tomography are employed as diagnostic tools to differentiate malignant patients from alternative potential diagnosis.
SAR Journal of Surgery
The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pos... more The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pose a formidable problem for surgical practitioners in instances where indigenous soft tissue flaps fail to provide sufficient tissue volume or suitable tissue characteristics to fulfill the desired reconstructive requisites. In the present scenarios, the preferred reconstructive modalities involve the utilization of regional pedicled flaps or free tissue transfers. The utilization of flaps originating from the temporalis muscle, fascia, or a combination of them, was initially documented by Yolovine in the year 1898. Subsequently, Murphy employed these flaps in 1914 for surgical interventions targeting the temporomandibular joints (TMJ). Subsequent to their initial utilization, axial flaps predicated upon the middle and deep temporal vessels have been subject to extensive and comprehensive deployment. This study seeks to provide a comprehensive understanding of the temporalis flap procedur...
SAR Journal of Surgery
Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging ... more Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging for reconstructive surgeons. The options for reconstruction are limited. Reverse sural flap is relatively easy to perform and considered a good option for reconstruction. The complication rates are variable in studies. These defects commonly occur as a result of trauma, infection and tumor excision. Sural artery neurovascular island flap is a relatively thin, pliable and insensate flap with minimum donor-site morbidity and acceptable aesthetic outcome.
SAR Journal of Surgery
The incidence of animal bite injuries affecting the anatomical regions of the head and neck is no... more The incidence of animal bite injuries affecting the anatomical regions of the head and neck is notably prevalent, particularly among individuals within the younger demographic. Canine species have been identified as the primary source of the majority of bite injuries in the human population, the spectrum of injuries encompasses a range of traumatic manifestations, which may encompass uncomplicated lacerations or punctures, as well as more complex avulsions characterized by the presence or absence of accompanying tissue. The anatomical regions most frequently affected by the condition under investigation include the buccal region, nasal area, and labial region. The acquisition of comprehensive data regarding the vaccination status of both the animal and the patient is of paramount significance in the realm of medical research. Furthermore, it is imperative to duly administer prophylactic measures such as tetanus or rabies prophylaxis, contingent up on the presence of any indications ...
South Asian Research Journal of Medical Sciences
The orthopoxvirus, which also includes the smallpox virus, is what causes monkeypox. Several ende... more The orthopoxvirus, which also includes the smallpox virus, is what causes monkeypox. Several endemics have been found in Africa, mostly in the western and central parts of the continent. But since May 13, 2022, several cases have been reported from different member states. The number of proven cases in one month was higher than the total number of cases recorded outside of Africa since the first case in 1970. The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) think that monkeypox is a very important disease for the health of people around the world. Patients with monkeypox still don't know what symptoms they will have or what lab tests will show. We talk about a young man with HIV and Type C hepatitis who got a serious monkeypox virus that caused major skin problems.
Zenodo (CERN European Organization for Nuclear Research), Mar 24, 2023
SAR journal of surgery, Sep 14, 2023
Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydacty... more Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydactyly. Its existence has been documented in the hand literature from Digby's initial description in 1645. Preaxial polydactyly, specifically bifid thumb, has been extensively observed, with a frequency ranging from 0.08 to 1.4 per 1000 live births. Traditionally, radial polydactyly is classified into three distinct categories: severe hypoplasia, partial duplication, and entire duplication, which can sometimes be mistaken for pseudo duplication. The classification system developed by Wassel has emerged as the widely accepted standard for the categorization of thumb polydactyly. The classifications of surgical treatment procedures are associated with variations. Thumb duplication is categorized as a "duplication" (group 3) in the International Federation of Societies for Surgery of the Hand (IFSSH)/Swanson classification of congenital malformations of the hand and upper limb. The objective of surgical reconstruction is to achieve a thumb that is both stable and mobile, while also possessing appropriate dimensions and form. The prevailing method of reconstruction often involves the excision of the minor digit followed by the subsequent reconstruction of the major digit. Surgical procedures aim to rectify issues pertaining to deviation, instability, and insufficient dimensions. Moreover, it is worth noting that a significant proportion of instances will necessitate an additional intervention in order to enhance the cosmetic and/or functional result.
SAR journal of surgery, Sep 5, 2023
The condition known as pediatric foot polydactyly can manifest itself in a broad range of malform... more The condition known as pediatric foot polydactyly can manifest itself in a broad range of malformations, from a single extra digit that is only connected to the rest of the foot by a thin band of connective tissue to intricate central foot duplications that involve the duplication of tarsal bones. The presentation of preaxial polydactyly of the foot is crucial to understand, even though it is quite uncommon. This is because in over half of the cases, several congenital malformations, such as syndactyly and atrial septum defects, have been described. The result of surgical reconstruction should be a foot that is stable, mobile, and pain-free, with five aesthetically pleasing toes. This should allow the patient to wear standard footwear and walk without experiencing any discomfort.
South Asian research journal of applied medical sciences, Dec 4, 2023
Mucinous appendiceal tumors consist of mucinous adenocarcinoma, low-grade appendiceal mucinous ne... more Mucinous appendiceal tumors consist of mucinous adenocarcinoma, low-grade appendiceal mucinous neoplasm, and high-grade appendiceal mucinous neoplasm. The incidence of non-mucinous adenocarcinomas is reduced. The most recent edition of the World Health Organization classification and recent consensus guidelines will enable the consistent application of agreed nomenclature. Not only is precise diagnosis essential for effective patient management, but it also facilitates the comparison of results across centers and tumor registries. The most prevalent benign adenoma in the appendix is serrated. It is imperative to differentiate these conditions from low-grade appendiceal mucinous neoplasms, as the latter can also resemble harmless ailments. Adenocarcinomas of the goblet cells are a rare subtype of appendiceal neoplasm. While appendiceal neoplasms are uncommon, they are not entirely so, and even the most seasoned pathologists may find them difficult to diagnose. In addition, appendiceal neoplasia classification and terminology have been subjects of contention for decades. Nonmucinous appendiceal neoplasms are less prevalent than mucinous tumors, and their association with other appendiceal neoplasm subtypes remains uncertain. A literature review of appendiceal mucinous neoplasms identified during laparoscopic appendicectomies is presented here.
SAR journal of medicine, Dec 4, 2023
Acta Neurochirurgica, 2009
Short title: Microvascular decompression for glossopharyngeal neuralgia Hua Zhao, Jin Zhu, Yin-da... more Short title: Microvascular decompression for glossopharyngeal neuralgia Hua Zhao, Jin Zhu, Yin-da Tang were co-first authors.
SAR Journal of Surgery
Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma ... more Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma (HCC), accounting for barely 1%–9% of all HCC cases. Fibrolamellar carcinoma, an unclear malignancy, appears to be more commonly observed in youthful individuals without any preexisting liver conditions. The nomenclature "fibrolamellar" originates from the presence of dense fibrous collagen bands enveloping the neoplastic cells. Contrary to hepatocellular carcinoma (HCC), cirrhosis and viral hepatitis infection do not serve as predisposing factors for fibrolamellar carcinoma (FLC). Additionally, FLC is not typically associated with increased levels of serum alpha-fetoprotein. Patients with FLC frequently manifest with nonspecific abdominal discomfort, queasiness, general discomfort, and decreased in body mass. Surgical intervention, specifically resection or liver transplantation, serves as the cornerstone of treatment and represents the sole potentially curative avenue. FLCs, ...
SAR Journal of Surgery
The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pos... more The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pose a formidable problem Proximal neuropathy of the median nerve (MN) is a relatively rare condition, accounting for approximately 1% of all compressive neuropathies affecting the upper limb. The existing body of literature documents two distinct clinical presentations, which are based upon the location of entrapment. These presentations are commonly referred to as pronator teres (PT) syndrome and anterior interosseous nerve (AIN) syndrome. Pronator teres syndrome, also known as median nerve compression in the upper forearm, manifests as a constellation of clinical manifestations and indications. Carpal tunnel syndrome is a dynamic condition that is commonly characterized by the compression of the median nerve within the carpal tunnel. Although relatively uncommon when compared to carpal tunnel syndrome, pronator syndrome and anterior interosseous nerve syndrome are conditions involving co...
SAR Journal of Surgery
Thyroglossal duct cancer is a relatively rare finding, presenting clinical features that resemble... more Thyroglossal duct cancer is a relatively rare finding, presenting clinical features that resemble those of a benign cyst, a more common congenital abnormality that may manifest as a lump in the midline or neck area. Thyroglossal duct cysts are a commonly found aberration during the development of the thyroid gland. The prevalence of adenotonsillar hypertrophy is greater than that of branchial cleft abnormalities, and among the pediatric population, it is the second most common cause of neck masses, surpassed only by enlarged cervical lymph nodes. In specific instances, thyroglossal duct cysts have been seen to exhibit a low prevalence of cancer. The diagnosis of thyroglossal duct cancer is commonly made by histological examination of the tumor. In addition, needle aspiration cytology, ultrasonography, and computed tomography are employed as diagnostic tools to differentiate malignant patients from alternative potential diagnosis.
SAR Journal of Surgery
The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pos... more The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pose a formidable problem for surgical practitioners in instances where indigenous soft tissue flaps fail to provide sufficient tissue volume or suitable tissue characteristics to fulfill the desired reconstructive requisites. In the present scenarios, the preferred reconstructive modalities involve the utilization of regional pedicled flaps or free tissue transfers. The utilization of flaps originating from the temporalis muscle, fascia, or a combination of them, was initially documented by Yolovine in the year 1898. Subsequently, Murphy employed these flaps in 1914 for surgical interventions targeting the temporomandibular joints (TMJ). Subsequent to their initial utilization, axial flaps predicated upon the middle and deep temporal vessels have been subject to extensive and comprehensive deployment. This study seeks to provide a comprehensive understanding of the temporalis flap procedur...
SAR Journal of Surgery
Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging ... more Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging for reconstructive surgeons. The options for reconstruction are limited. Reverse sural flap is relatively easy to perform and considered a good option for reconstruction. The complication rates are variable in studies. These defects commonly occur as a result of trauma, infection and tumor excision. Sural artery neurovascular island flap is a relatively thin, pliable and insensate flap with minimum donor-site morbidity and acceptable aesthetic outcome.
SAR Journal of Surgery
The incidence of animal bite injuries affecting the anatomical regions of the head and neck is no... more The incidence of animal bite injuries affecting the anatomical regions of the head and neck is notably prevalent, particularly among individuals within the younger demographic. Canine species have been identified as the primary source of the majority of bite injuries in the human population, the spectrum of injuries encompasses a range of traumatic manifestations, which may encompass uncomplicated lacerations or punctures, as well as more complex avulsions characterized by the presence or absence of accompanying tissue. The anatomical regions most frequently affected by the condition under investigation include the buccal region, nasal area, and labial region. The acquisition of comprehensive data regarding the vaccination status of both the animal and the patient is of paramount significance in the realm of medical research. Furthermore, it is imperative to duly administer prophylactic measures such as tetanus or rabies prophylaxis, contingent up on the presence of any indications ...
South Asian Research Journal of Medical Sciences
The orthopoxvirus, which also includes the smallpox virus, is what causes monkeypox. Several ende... more The orthopoxvirus, which also includes the smallpox virus, is what causes monkeypox. Several endemics have been found in Africa, mostly in the western and central parts of the continent. But since May 13, 2022, several cases have been reported from different member states. The number of proven cases in one month was higher than the total number of cases recorded outside of Africa since the first case in 1970. The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) think that monkeypox is a very important disease for the health of people around the world. Patients with monkeypox still don't know what symptoms they will have or what lab tests will show. We talk about a young man with HIV and Type C hepatitis who got a serious monkeypox virus that caused major skin problems.
Zenodo (CERN European Organization for Nuclear Research), Mar 24, 2023