stress. On examination she was emaciated with a large tender tympanitic swelling which occupied the left side of the abdomen. Plain abdominal radiograms showed a dilated stomach and duodenum with the characteristic 'double bubble' of distal duodenal obstruction; nasogastric aspiration obtained 2600 ml of bile-stained fluid. A barium meal defined a linear vertical obstruction to the third part o...

Introduction: This study aimed to investigate whether pre-operative dexamethasone could ameliorate transient hypoparathyroidism outcome through total thyroidectomy.   Materials and Methods: This randomized clinical trial study was conducted on 128 patients underwent total thyroidectomy from March 2014 to April 2015. Patients were randomly assigned to two groups of experimental receiving 8 mg IV...

Introduction: Chronic otitis media (COM) has been broadly classified into mucosal and squamous subtypes. COM types are associated with erosion of the ossicular chain. The aim of the present study was to correlate the type of COM, the site of perforation/retraction, and the type of disease pathology with the pattern and degree of ossicular chain necrosis.   Materials and Methods: A prospecti...

The Achilles tendon is the strongest and thickest tendon in the human body. Like any other tendon in the body, however, it is susceptible to rupture. Many surgeons advocate early operative repair of the ruptured Achilles tendon, citing decreased re-rupture rates and improved functional outcome. Waiting for surgical repair for longer than one month may lead to inferior functional results postope...

Demographic Trends NEARLY half the patients admitted to general wards of hospitals today are over the age of 60 (Lancet, I963); the average age of patients admitted to Geriatric Units varies between 75 and 80, and in the Sunderland Geriatric Unit over onethird of all the admissions are over 80 years. The number of operations performed on patients of 60 and over (excluding orthopaedic and urolog...

normal 0 false false false en-us x-none ar-sa background: coronary artery bypass graft is one of common cardiac surgeries which unfortunately accompany with some adverse events such as delirium. proinflammatory processes play an important role in pathogenesis of post-operative delirium. therefore, the effect of dexamethasone (dex) on post-operative delirium after cardiac surgery was evaluated. ...

Introduction: Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post...