Should cardiac surgery be performed in low-volume hospitals?

Should coronary angiography be performed in district hospitals?

Should Decompressive Surgery Be Performed in Malignant Cerebral Venous Thrombosis?

Background and Purpose—In malignant cerebral venous thrombosis (CVT) patients, emergency decompressive surgery has been suggested as a life-saving procedure. We report 12 patients with malignant CVT, among whom 8 underwent operation. Methods—Retrospective study of 12 patients from 3 stroke units who had a malignant CVT as defined: (1) supratentorial cortical lesions attributable to superficial ...

testosterone replacement therapy: should it be performed in erectile dysfunction?

the classical etiology of erectile dysfunction (ed) comprises aging and vascular, neurogenic, psychological and hormonal components. recent studies have shown that ed can be the forerunner of serious cardiovascular disturbances. it has also been reported that peripheral neuropathy and microvascular injuries caused by pathophysiological changes in patients with diabetes and obesity lead to ed in...

How should musculoskeletal biopsies be performed?

585 Biopsy refers to tissue sampling for histological examination, diagnosis, classification, and grading of a tumor. The goal of biopsy is to obtain a diagnostic tissue sample without complications, tumor spread, and compromise of future treatments.1,2 As a rule, all lesions should be biopsied as if they were malignant,2,3 and all soft tissue masses 3 cm or larger in diameter or growing lesion...

Feasibility of Gastric Cancer Surgery at Low Volume Hospitals

PURPOSE Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers. MATERIALS AND METHODS We included 184 patients who underwent gastric surgery for gastric cancer at our hospita...