Emergency surgery, acute care surgery and the boulevard of broken dreams

Emergency surgery, acute care surgery and the boulevard of broken dreams

The scenario sounds familiar. Last night I returned home very late after a full day of emergency surgeries. While I was having my usual cold dinner in front of the television with my entire family asleep, I received disturbing news; a famous Italian actor had undergone emergency surgery in Honduras. the actor had been participating in a "reality show" and experienced severe back pain. For this ...

Acute care surgery and COVID-19 pandemic: the voice of emergency surgical services

During the course of the COVID-19 pandemic, surgical services around the world were greatly affected by the need for organizational and infrastructure modifications, accelerated training of primary teams, and strategies to allow for patient flow due to the confinement and disruption of economic activities. Acute care surgery departments are one of the departments that presented the greatest num...

Cementless fixation in total knee arthroplasty: down the boulevard of broken dreams - opposes.

In this study we present our experience with four generations of uncemented total knee arthroplasty (TKA) from Smith & Nephew: Tricon M, Tricon LS, Tricon II and Profix, focusing on the failure rates correlating with each design change. Beginning in 1984, 380 Tricon M, 435 Tricon LS, 305 Tricon 2 and 588 Profix were implanted by the senior author. The rate of revision for loosening ...

Cementless fixation in total knee arthroplasty: down the boulevard of broken dreams - affirms.

There has been a recent increase in interest for non-cemented fixation in total knee arthroplasty (TKA), however the superiority of cement fixation is an ongoing debate. Whereas the results based on Level III and IV evidence show similar survivorship rates between the two types of fixation, Level I and II evidence strongly support cemented fixation. United Kingdom, Australia, Sweden,...

Emergency surgery for acute cholecystitis.