Blood loss during surgical procedures poses a grave risk to the patient, but transfusion is costly and associated with adverse outcomes. Antifibrinolytics, however, offer an economical and effective means of decreasing blood loss associated with surgical procedures. Tranexamic acid (TXA) is an antifibrinolytic that blocks lysine-binding sites of fibrinogen and fibrin, preventing the breakdown o...

results utilizing autologous stem cell populations to treat craniofacial defects is a promising field of ongoing investigations. studies show that cartilage stem/progenitor cells (cspcs) are highly chondrogenic and can produce elastic reconstructive material with long-term tissue restoration. conclusions auricular reconstruction surgery is a challenging plastic procedure that requires great exp...

Regarding the removal of a gastric bezoar, laparoscopic surgery was performed and it was shown that the laparoscopic approach is safe and feasible. However, the laparoscopic method has the risk of intraabdominal contamination, when the gastric bezoar is retrieved from the gastric lumen in the peritoneal cavity. We developed and applied a new procedure for the removal of the gastric bezoar using...

PURPOSE To present a technique for vascular access that features minimal surgical visualization of the target vessel, fast and safe access using an open Seldinger technique under tactile and visual control, and suture closure. TECHNIQUE After minimal surgical access to the target vessel, exposing only the anterior wall, 4 preliminary 5-0 polypropylene transmural single sutures are placed in t...

Aim. Single-access laparoscopic surgery (SALS) can be effective for benign and malignant diseases of the ileum in both the elective and urgent setting. Methods. Ten consecutive, nonselected patients with ileal disease requiring surgery over a twelve month period were included. All had a preoperative abdominopelvic computerized tomogram. Peritoneal access was achieved via a single transumbilical...

We present the design of a simulator for a prototype interventional magnetic resonance imaging scanner. This MRI scanner is integrated with an operating theater, enabling new techniques in minimally invasive surgery. The simulator is designed with a threefold purpose: (1) to provide a rehearsal apparatus for practicing and modifying conventional procedures for use in the magnetic environment, (...

Minimal access surgery (MAS) includes conventional minimally invasive laparoscopic and thoracoscopic surgery, single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES). An end of the evolution of MAS is not foreseeable, but there are still limitations. In the most common fields of intestinal surgery (cholecystectomy, appendectomy, colo-rectal resect...

The World Bank will publish the nine volumes of Disease Control Priorities, 3rd edition, in 2015-16. Volume 1--Essential Surgery--identifies 44 surgical procedures as essential on the basis that they address substantial needs, are cost effective, and are feasible to implement. This report summarises and critically assesses the volume's five key findings. First, provision of essential surgical p...