To the Editor:—In the November 2007 issue of ANESTHESIOLOGY, Valenza et al. described how they used the application of positive end-expiratory pressure and the beach chair position to counteract the respiratory derangements in morbidly obese patients undergoing laparoscopic gastric surgery. The authors state that although both the beach chair position and the addition of positive end-expiratory...

The purpose of this study was to determine whether intravenous ketorolac tromethamine could produce preemptive analgesia in patients undergoing laparoscopic gynecologic surgical procedures. Each patient's response to pain was measured by the mechanical visual analogue scale (M-VAS) and total analgesic use. By using a double-blind design, 49 patients were randomized into the preemptive group (n ...

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Less than 2% of patients diagnosed with cancer participate in a clinical trial in the United States (1). Gynecologic oncology patients do not appear to participate in trials with any more frequently than other cancer types. While gains in progression free survival have continued to improve overall life span for women with advanced gynecologic cancers, more cures have not been realized. Clinical...

Recent advances in endoscopic surgical techniques and the increased sophistication of surgical instruments have offered new operative methods and techniques for the gynecologic surgeon (1). Recent years have witnessed a marked increase in the number of gynecological endoscopic procedures performed, mainly as a result of technological improvements in instrumentation. The addition of a small vide...

conclusions aki is common in urology patients. the underlying aetiologies of aki in this group may explain a lower overall mortality, although increasing aki severity remains a marker of patients at higher risk of poor outcomes. the low rate of renal recovery suggests that urology patients who sustain aki are exposed to a significant risk of ckd and its attendant consequences for long term heal...

the postgastrectomy recurrence rate is as high as 30-65%, with 5-year overall survival rates of <20%. local recurrence is very common which occurs in 38-45% of cases. the most common sites of locoregional recurrence are the gastric remnant at the anastomosis, the gastric bed, and the regional nodes. the recurrence may occur as early and late events after gastrectomy. most recurrences are early,...

atrioventricular groove rupture is a rare, albeit mortal, complication following mitral valve surgery. avoidance is the best strategy but it cannot fully prevent the occurrence of this complication. several repair techniques have been described with varying success rates; however, the rarity of the complication precludes consensus about the safest technique. here we report two cases of posterio...

background an appropriate and well-timed surgery has great impact on a patient’s treatment and can prevent further damage to partially injured structures which if untreated will be lost leading to severe disability. in the present study we report our experience with early coverage of electrically injured upper extremity vital structures with encouraging results. objectives the aim of this study...

conclusions our study shows in terms of figures that measurements of features of the temporal bone made from spiral ct scan images and those directly obtained during surgery are similar to an adequate extent. results twenty cases were included. in the three measurements performed in this study, only the first parameter (distance between the canal and the sigmoid sinus) was significantly differe...