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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Case report
Full Version
Incidentally found Bilaterally Occult Femoral Hernia during Transabdominal Preperitoneal Inguinal Hernia Repair: A Case Report
Correspondence Address :
Dr. Raj Bhupendra Depani,
B 1102, Vasant Vihar, Near Patidar Chowk, Sadhuvaswani Road, Rajkot, Gujarat, India.
E-mail: raj.depani@gmail.com
Hernia is defined as an area of anatomical weakness or an abnormal protrusion of a viscous or a part of a viscous through an opening, covering it. Inguinal hernia is the most common hernia because of the presence of natural weakness like the deep ring and cord structures. The minimally invasive procedures for inguinal hernia repair include Intraperitoneal Onlay Mesh (IPOM) repair, Transabdominal Preperitoneal Repair (TAPP), and Total Extraperitoneal (TEP) repair. Laparoscopic inguinal hernia repair has the advantage of inspecting the entire myopectineal orifice, as it allows for the identification of bilateral or recurrent hernias. The principle behind laparoscopic repair includes strengthening of myopectineal orifice in all the above approaches. TAPP repair is mainly indicated for large indirect hernias or irreducible hernia. TEP repair is technically challenging to perform and has the advantage of avoiding interbowel adhesions as the peritoneum is not opened. IPOM repair is not routinely performed but has advantages in cases where there is an increased risk of spermatic cord injury seen in patients with a history of lower abdominal irradiation or a history of multiple recurrent hernia surgery. Occult contralateral inguinal hernia and the occult femoral hernia can be easily diagnosed and repaired with no extra incisions while performing TAPP repair. These hernias, if left untreated may present as recurrent hernias or as non resolution of symptoms posthernia surgery. A rare case of bilateral occult femoral hernia found during laparoscopic TAPP repair of an inguinal hernia was reported. The entire myopectineal orifice was repaired using the same mesh with no extra risk or cost.
Abnormal protrusion, Occult contralateral hernia, Transabdominal preperitoneal repair
A 55-year-old male patient presented with bilateral inguinal swelling which he noticed for the last three months. He also complained of constipation for the last three years. He had no pain or any urinary symptoms. Physical examination revealed a non tender, reducible swelling of 5×3 cm on right-side and 6×4 cm on left-side. Ultrasonography showed a defect of 16 mm size on the right-side and 18 mm size on the left-side. His Haemoglobin was 12.4%, Random blood sugar 102 mg/dL serum creatinine 0.8 mg/dL. Laparoscopic TAPP was planned after diagnosing it as a bilateral uncomplicated incomplete inguinal hernia. The patient was placed in the supine position under general anaesthesia. A 10-mm port was placed for the telescope over the supraumbilical region and two 5-mm ports were placed over para rectus region infraumbilically.
After dissecting the preperitoneal space of retzius and bogros, bilateral direct inguinal hernia were found along with a bilateral femoral hernia. Femoral ring of 1 cm diameter were present on both sides [Table/Fig-1,2]. The myopectineal orifice was repaired on both sides using medium weight prolene mesh of 12×15 cm size (Table/Fig 3). The postoperative period was uneventful and the patient was discharged on postoperative day 2.
Occult hernias are those asymptomatic hernias not detected by physical examination (1). One of the reasons for the failure of clinical examination to diagnose these femoral hernias may be their rarity as they may make up just about 5% of all patients. The incidence of occult hernias in patients diagnosed with unilateral inguinal hernia before surgery is 11-35% (2). The most common occult hernia in the presence of inguinal hernia is occult direct inguinal hernia (4.11%) (3) followed by another inguinal hernia (2.45%), occult femoral hernia (1.23%) and obturator and Spigelian hernia is lowest at 0.08% (4). Putnis S et al., Dulucq JL et al., and Old OJ et al., reported the incidence as 3.7% (18 of 484 patients), 5.6% (19 of 337 patients) and 2.3% (32 of 1404 patients), respectively [5-7]. Henriksen NA et al., reported an incidence of femoral hernia in patients with recurrent hernia of 9.2%, while in patients with bilateral inguinal hernia, the incidence was 3.8% (8). Femoral hernia was significantly higher in females (26.07%) than in males (5.09%) as concluded by Bialecki J et al., (9). According to Manoharan V and Joshi AS, out of 51 unilateral clinical hernia patients, 29 (56.7%) patients had ipsilateral occult hernia (10).
The laparoscopic approach allows for a clear view of the entire inguinal region. This enhanced visualisation can lead to the detection of bilateral or recurrent hernias, as well as other potential pathologies in the region. Inspection of the entire myopectineal orifice is particularly important in cases where occult femoral hernias are present, as they may not be clinically evident and can be easily missed during open surgery [2,4]. TAPP repair allows for the identification and repair of bilateral or recurrent hernias, which can prevent future hernia development and the potential complications that can arise from undiagnosed or untreated hernias. Additionally, the laparoscopic approach allows for the use of mesh for reinforcement of the repair, which has been shown to reduce the risk of hernia recurrence (6).
Hence, the high incidence of femoral hernia especially in females provides an upper hand to laparoscopic hernia repair compared to open surgery. Study showing increased risk of inguinodynia after Lichtenstein repair compared to laparoscopic repair may be attributed to untreated occult femoral hernias (11). Moreover, the same mesh used for inguinal hernia repair can be placed over femoral canal which does not increase the cost of the procedure.
Bilateral occult femoral hernias can be incidentally found during inguinal hernia repairs and should be considered in the differential diagnosis. Early diagnosis and repair can prevent the development of complications such as incarceration or strangulation of the hernial contents. Laparoscopic inguinal hernia repair has a clear advantage in detecting and repair of occult femoral hernias, especially in highrisk female and elderly patients.
DOI: 10.7860/JCDR/2023/62159.18089
Date of Submission: Dec 09, 2022
Date of Peer Review: Feb 06, 2023
Date of Acceptance: Apr 15, 2023
Date of Publishing: Jun 01, 2023
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 13, 2022
• Manual Googling: Feb 15, 2023
• iThenticate Software: Apr 10, 2023 (15%)
ETYMOLOGY: Author Origin
EMENDATIONS: 7
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com