Lietuvos chirurgija
type: channel
description: Founded in 1993 and dedicated to publishing surgical articles.
publisher: Vilniaus universiteto leidykla / Vilnius University Press
language: en
publication name: Lietuvos chirurgija
issn: 1392-0995
copyright: Please read the Copyright Notice in Journal Policy.
items: Atraumatic Bilateral Patellar Tendon Rupture: A Case Report and Review of the Literature
items: Congenital Anterior Urethrocutaneous Fistula: A Rare Case Report
items: Hyperplastic Endometrial Polyp with Architectural and Cytological Atypia: Clinical Case and Literature Review
items: A Case Report of Mesenteric Cystic Lymphangioma with Multiple Abdominal Organs Granulomas
items: Evaluation of Outcomes from Lower Lip Defect Reconstruction after Wide Excision of Squamous Cell Carcinoma
items: Effectiveness of Ursodeoxycholic Acid (UDCA) in Preventing Bile Duct Gallstone Recurrence after Cholecystectomy: A Randomized, Double-Blind, Placebo-Controlled Trial (RCT)
items: Digital Rectal Examination: Current Perspectives and Applications of a Timeless Clinical Art
items: Conference Program of „Vilnius Surgical Symposium for Young Surgeons 2026“
items: Information for authors
items: Editorial Board and Table of Contents

Atraumatic Bilateral Patellar Tendon Rupture: A Case Report and Review of the Literature
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Introduction.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Bilateral patellar tendon rupture is rare injury, with only sporadic cases reported in the literature. Systemic diseases, such as Systemic Lupus Erythematosus, and corticosteroid administration are significant risk factors for this injury, as they contribute to collagen fiber deterioration in the tendon. Rupture of the patellar tendon disrupts the knee’s extensor mechanism, often requiring surgical intervention. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Case report.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font…
subject: Clinical Practice
  topic: section
subject: bilateral patellar tendon rupture
  topic: keywords
subject: systemic lupus erythematosus
  topic: keywords
subject: corticosteroids
  topic: keywords
subject: knee extensor mechanism
  topic: keywords
subject: internal brace
  topic: keywords
subject: suture augmentation
  topic: keywords
creator: Gustas Jonaitis
creator: Giedrius Petryla
creator: Paulius Kanopa
rights: Copyright (c) 2026 Gustas Jonaitis | Giedrius Petryla | Paulius Kanopa https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 74
ending page: 81
doi: 10.15388/LietChirur.2026.25(1).9

Congenital Anterior Urethrocutaneous Fistula: A Rare Case Report
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Congenital anterior urethrocutaneous fistula (CAUF) is an extremely rare penile anomaly which presents despite a normal urethral meatus and intact prepuce. It may present in isolation or with associated anomalies such as hypospadias or chordee. We report the case of a 14-months-old boy with a congenital anterior urethrocutaneous fistula on the ventral penile shaft. A single-stage urethrocutaneous fistula closure with a dartos flap along with torsion correction was performed. The postoperative course was uneventful, and the child remains well on follow-up.
subject: Clinical Practice
  topic: section
subject: congenital
  topic: keywords
subject: urethrocutaneous fistula
  topic: keywords
subject: penile anomaly
  topic: keywords
creator: Neel Aggerwal
creator: Chandra Vibhash
creator: Pragya Mishra
creator: Umesh B. Singh
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 70
ending page: 73
doi: 10.15388/LietChirur.2026.25(1).8

Hyperplastic Endometrial Polyp with Architectural and Cytological Atypia: Clinical Case and Literature Review
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Introduction<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">. Endometrial polyps are a common benign pathology of the uterine lining; however, a subset may exhibit architectural and cytological atypia associated with a significant risk of malignant transformation. Atypical endometrial hyperplasia is considered a true premalignant condition. The aim of this study was to present a clinical case and a review of the literature emphasizing the diagnostic value of hysteroscopic polypectomy and the importance of optimal management. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Methods.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-l…
subject: Clinical Practice
  topic: section
subject: atypical endometrial polyp
  topic: keywords
subject: hysteroscopy
  topic: keywords
subject: polypectomy
  topic: keywords
subject: atypical endometrial hyperplasia
  topic: keywords
creator: Gabija Matuzaitė
creator: Diana Bužinskienė
rights: Copyright (c) 2026 Gabija Matuzaitė | Diana Bužinskienė https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 63
ending page: 69
doi: 10.15388/LietChirur.2026.25(1).7

A Case Report of Mesenteric Cystic Lymphangioma with Multiple Abdominal Organs Granulomas
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Introduction.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Mesenteric cystic lymphangioma is a rare, slow-growing intra-abdominal mass, primarily affecting the small-bowel mesentery, with occasional involvement of the omentum, mesocolon, and retroperitoneum. Arising from lymphatic malformations of unclear etiology, it predominantly occurs in males (5:2 ratio). Since this condition coexists with immune dysfunction in some patients, an underlying immunodeficiency should be considered. Combined immunodeficiency profoundly impairs vaccine efficacy, sometimes rendering immunization ineffective or triggering severe, life-threatening reactions. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Case…
subject: Clinical Practice
  topic: section
subject: Mesenteric cystic lymphangioma
  topic: keywords
subject: abdominal granulomas
  topic: keywords
subject: immunodeficiency
  topic: keywords
subject: rubella virus
  topic: keywords
creator: Agnė Gudauskaitė
creator: Vytautas Bilius
creator: Arūnas Strumila
rights: Copyright (c) 2026 Agnė Gudauskaitė | Vytautas Bilius | Arūnas Strumila https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 57
ending page: 62
doi: 10.15388/LietChirur.2026.25(1).6

Evaluation of Outcomes from Lower Lip Defect Reconstruction after Wide Excision of Squamous Cell Carcinoma
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Introduction.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Lip defects may occure from various etiologies, the most prevalent being invasive malignant processes. The treatment of these lesions involves their surgical removel. The reconstructed mouth, along with the functional, esthetic, and psychological outcomes of the reconstruction, profoundly affect the patient’s quality of life. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Aim.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-tran…
subject: Original research work
  topic: section
subject: lip reconstruction
  topic: keywords
subject: squamous cell carcinoma
  topic: keywords
subject: functional, aesthetic and psychological outcomes
  topic: keywords
creator: Vladimir Milosev
creator: Dijana Miloseva
creator: Vladimir Popovski
creator: Lence Miloseva
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 34
ending page: 45
doi: 10.15388/LietChirur.2026.25(1).3

Effectiveness of Ursodeoxycholic Acid (UDCA) in Preventing Bile Duct Gallstone Recurrence after Cholecystectomy: A Randomized, Double-Blind, Placebo-Controlled Trial (RCT)
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Objective.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Does ursodeoxycholic acid (UDCA) effectively prevent the recurrence of symptomatic bile duct stones that require intervention in patients who have undergone a<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-…
subject: Original research work
  topic: section
subject: UDCA
  topic: keywords
subject: cholecystectomy
  topic: keywords
subject: gallstone recurrence
  topic: keywords
subject: bile duct stones
  topic: keywords
subject: RCT
  topic: keywords
creator: Muhammad Munir Memon
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 26
ending page: 33
doi: 10.15388/LietChirur.2026.25(1).2

Digital Rectal Examination: Current Perspectives and Applications of a Timeless Clinical Art
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Background.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Digital Rectal Examination (DRE) is one of the earliest, easiest, and most cost-effective tools in clinical medicine. Its viability in contemporary practice has come under scrutiny due to advancements in imaging. This article revisits its clinical applications in light of the recent literature. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Methods.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-s…
subject: Reviews
  topic: section
subject: digital rectal examination
  topic: keywords
subject: anorectum
  topic: keywords
subject: gastrointestinal bleed
  topic: keywords
subject: prostate cancer
  topic: keywords
subject: screening
  topic: keywords
subject: trauma
  topic: keywords
creator: Sajad Ahmad Salati
creator: Faiza Riaz Malik
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 18
ending page: 25
doi: 10.15388/LietChirur.2026.25(1).1

Conference Program of „Vilnius Surgical Symposium for Young Surgeons 2026“
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 12
ending page: 17

Information for authors
type: item
description: -
subject: Back Matter
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 82
ending page: 90

Editorial Board and Table of Contents
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Copyright (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-05-11
publication date: 2026-05-11
starting page: 1
ending page: 11