conclusions hs in total thyroidectomy, reduces operating time, blood loss, postoperative pain, drainage volume, voice changes, and postoperative hypocalcemia, compared to conventional techniques. background traditional haemostatic techniques in total thyroidectomy may cause some damages to surrounding tissues. it is believed that these damages can be reduced using ultrasonic dissector devices l...

angiosarcomas are endothelial cell neoplasms in the lining of the blood vessel wall and account for about 0.04% of all breast malignancies with a high rate of error in primary diagnosis. the breast angiosarcoma is a rare and uncommon pathology and has been described mostly as case reports. indeed, only a limited number of cases have been published. accordingly, the natural history of this tumor...

during the primary survey life-threatening or limb-threatening conditions are identified and management is instituted simultaneously. priorities for the care of adult, pediatrics & pregnancy women are all the same. you should do rapid sequential way to assess the patients in 10 seconds treat as you find life threatening condition and repeat if at any time unstable vital signs should be repeated...

background: brainstem hemorrhage was first described by cheyne in 1812 in a pathological study of patients presenting with lethargy and coma. in 1877 bode reviewed the findings of 67 patients reported in the literature (1). in the united states, the incidence of closed head injury is estimated to be approximately 200 cases per 100,000 persons per year. the financial burden of head injuries in t...

[no abstract available]

Background: One of the main causes of maternal death in developing countries is postpartum hemorrhage. Cesarean section is one of the most common surgeries all around the world. In comparison with normal vaginal delivery, cesarean section is a greater risk factor for postpartum hemorrhage and need for blood transfusion. The risk of postpartum hemorrhage will increase when other risk factors suc...

objective: preterm infants are prone to intraventricular hemorrhage. they may suffer from significant morbidity and mortality particularly in those with high-grade hemorrhage. our objective was to determine the incidence of intraventricular hemorrhage in premature infants transported to a tertiary center compared with those delivered at the level iii facility.  methods: we evaluated all prematu...

background: intracerebral  hemorrhage (ich) is the  most fatal subtype  of stroke.  despite  limited effective therapy, there  is no  accepted clinical grading  scale to  predict  in- hospital  mortality,  especially  in developing  nations.  the purpose  of this study was to assess the  predictors  of in- hospital mortality among a sample of iranian patients  with spontaneous ich for use at th...

postpartum hemorrhage is an important cause of maternal morbidity and mortality after delivery. active management of postpartum hemorrhage by an uterotonic drug decreases the rate of postpartum hemorrhage. the aim of this study is to evaluate the efficacy of rectal misoprostol for prevention of postpartum hemorrhage. this double blind randomized clinical trial was performed on full term pregnan...

purpose : to report a case of total blindness a few hours after orbital blowout fracture repair the visual acuity (va) returned to normal after immediate reoperation. case report : a 21-year-old man with obvious enophthalmos in the left side, 2 weeks after car accident, was candidate for orbital floor reconstruction surgery. anterior orbitotomy from subcilliary incision was done and at the end ...