Percutaneous dilatational tracheostomy is a common procedure in intensive care. This updated Danish national guideline describes indications, contraindications and complications, and gives recommendations for timing, anaesthesia, and technique, use of fibre bronchoscopy and ultrasound guidance, as well as decannulation strategy, training, and education.

To the great disappointment of all concerned, too many operations performed for pulmonary carcinoma still prove to be exploratory thoracotomies or non-curative resections, in spite of careful preoperative investigations. A follow-up study of 168 patients operated upon for pulmonary carcinoma clearly shows that such non-curative procedures yield very disappointing results. To reduce this number ...

Laparoscopic donor nephrectomy is a routine practice but still requires an intense level of attention to prevent complications. We report a rare case of gross hematuria in postoperative period after an uneventful laparoscopic donor nephrectomy.

Fracture of an osteochondroma is a rare complication. We report two cases of fractured osteochondroma in two children that were treated successfully with total excision.

Figure 1. Fascial excision of neck. Figure 2. Midline neck defect following tracheostomy decannulation after one year.

this paper investigates the removal of iron and zinc from aqueous solution with dairy wastewaterin three different biomasses such as lactobacillus delbrueckii ssp bulgaricus (lb-12), streptococcus thermophillus(stm-7) and a combination of both this bacteria culture (yc-380) and the optimization of removal efficiencyusing minitab program. a full 23 factorial design of experiments was applied to ...

In this era of minimal intervention dentistry, the changing concept of cavity preparation and the introduction of reliable adhesive materials have lead to the development of alternative methods of caries removal. Chemo mechanical caries removal (CMCR) involves the chemical softening of the carious dentine, followed by its removal with gentle excavation. This process removes only the infected ti...

OBJECTIVES The aim of this clinical note is to report one case of incidental superficial renal mass during an organ explantation. METHODS The renal donor was a 56-years-old male patient death for subaracnoidea haemorrhage without urological history. RESULTS The anatomopathologic intraoperative study of the renal masses informed about the fatty nature of the tissue, and the renal implantatio...

We report a case of a patient who had persistent local pain after explanting a subcutaneous Holter system. After surgical intervention, macroscopically, we found several nodular calcified formations. Microscopically, there was a dense fibromuscular tissue, encapsulating degenerated material. To our knowledge, this severe local reaction after implantation of subcutaneous cardiac devices has not ...