Objective: To compare short term post-operative complication of laparoscopic transabdominal preperitoneal (TAPP) and Lichtenstein’s tension free hernia repair. Study Design: Randomized clinical trial. Place & Duration Study: Surgical Unit Khyber Teaching Hospital (KTH) Peshawar during the period 6 months from 1st January, 2020 to 30 June, 2021. Material Methods: In this study 492 cases ingu...

T he modern open surgical management of abdominal aortic aneurysm (AAA) has changed little since its inception in the 1950s. Endoaneurysmorrhaphy, first described by Rudolph Matas in 1888, involved ligating the branches of an aneurysm from within the aneurysm sac. Approximately 25 years later at the beginning of the 20th century, Alexis Carrel received the Nobel Prize for demonstrating the feas...

background anomalous left coronary artery from the pulmonary artery (alcapa) is a rare congenital cardiovascular defect that occurs in approximately 1/300 000 live births or 0.5% of children with congenital heart disease. there are two types of alcapa syndrome: the infant type and the adult type. the most infants experience myocardial infarction and congestive heart failure, and approximately 9...

Chronic mitral regurgitation (MR) is the most common cardiac valvular disease with more than 4 million people in the United States alone suffering from moderate or severe MR. Left untreated, chronic MR results in serious consequences. Surgical correction with mitral valve repair or replacement remains the mainstay of therapy for MR. Nevertheless, a large proportion of patients may not be offere...

non-penetrating head injuries associated with skull base fractures can lead to the development of pneumocephalus upon airs ingress, which leads its course in the subarachnoid space. intracerebral air accumulation is rare and ensuses when a paranasal sinus fracture is associated with a ensues when a paranasal sinus fracture is associated with a nearby parenchymal contusion. a 25-year old man is ...

Objective: To compare pain and physical function in men with minimally symptomatic inguinal hernia with watchful waiting or surgical repair. Design: Randomized controlled trial. Setting: Five community and academic centres in Canada and the United States. Patients: A total of 724 men were randomly assigned to a watchful waiting group (n = 366) versus a standard Lichtenstein open tension-free re...

OBJECTIVE This study compared outcomes between thoracic endovascular aortic repair and conventional open surgical and medical therapies for acute complicated type B aortic dissection. METHODS From 2002 to 2010, a total of 170 patients with type B aortic dissections were retrospectively identified from the University of Pennsylvania aortic database. Of these 170 patients, 147 had acute type B ...

Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumati...

Echocardiography is an essential tool in managing patients with mitral regurgitation. It allows identification and precise summation of anatomic lesions that lead to valve dysfunction. In this article, we highlight important aspects of mitral valve anatomy and pathophysiology as they pertain to surgical repair and discuss the critical role of echocardiography in surgical planning and assessment...

Adult patients with coarctation of the aorta have a range of clinical presentations. These include the presence of additional cardiovascular anomalies (predominantly aortic valve abnormality) and presentation with complications after coarctation repair in childhood (such as recurrent coarctation or aneurysm formation). Developments in endovascular technology over the past decade may potentially...