PURPOSE Strategies for the management of bleeding complications and facilitation of an invasive procedure in patients receiving direct oral anticoagulants (DOACs) are reviewed. SUMMARY The DOACs provide clinical advantages versus vitamin K antagonists, including fixed dosing with no routine coagulation monitoring and evidence of a lower risk of bleeding. However, as with all anticoagulants, t...

trichotillomania refferes compulsive hair pulling that results in considerable hair loss.many medical and nonedical therapies have been applied for treatment of this disorder. the purpose of this study was to compare the efectiveness of clomipramine, hydroxyzine, and behavior therapy (habit reversal) in the treatment of trichottillomania. to achieve this 15 patients with trichotillomania were r...

During rectal cancer surgery, we often make a temporary defunctioning stoma like an ileostomy or a colostomy to protect the anastomosis. Generally, as part of the primary surgery, an ileostomy is more common than a colostomy because the construction and reversal of an ileostomy is easier than that of a colostomy and because an ileostomy is associated with fewer stoma-related complications than ...

The reversal of Hartmann’s procedure was first described by Boyden et al., who reported on the six colostomies, while laparoscopic approach to (HR) Anderson al. minimally invasive seemed be superior open surgery, but challenge laparoscopy remained adhesiolysis, which caused a variable rate conversions ranging from 0% 50%. In this scenario, introduction robotic overcome some technical difficulti...

Background and aims: Use of neostigmine to reverse the non-depoloarizing neuromuscular block at end surgery is a standard practice. Reversal with based on body weight still commonly followed. However, may affect adversely if used empirically in absence residual blockade. This study compares empirical technique reversal using dose adjusted train-of-four (TOF) response. Methods: prospective, doub...

INTRODUCTION A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients. MATERIAL AND METHODS The medical records of all patients who underwent reversal of a colostomy after a primary Hartmann's procedure during the ...

BACKGROUND Sugammadex reverses neuromuscular block (NMB) through binding aminosteroid neuromuscular blocking agents. Although sugammadex appears to be highly selective, it can interact with other drugs, like corticosteroids. A prospective single-blinded randomized clinical trial was designed to explore the significance of interactions between dexamethasone and sugammadex. METHODS Sixty-five p...