OBJECTIVE To describe the main findings of the Portland Diabetic Project, which elucidates the adverse relationship between hyperglycemia and outcomes of cardiac surgical procedures in patients with diabetes and delineates the protective effects of intravenous insulin therapy in reducing those adverse outcomes. RESULTS In this ongoing 17-year prospective, nonrandomized, interventional study o...

Textiloma is the inadvertent retention of a textile foreign body on the surgical site. It is a rare complication of surgery but which carries severe consequences for both patients and surgeons in terms of morbi-mortality and medico-legal procedures respectively. We herein report the case of an abdominal textiloma in a 42 year old woman who underwent a total abdominal hysterectomy for symptomati...

OBJECTIVE To prospectively assess early and late morbidity and mortality of patients undergoing elective surgical repair of abdominal infrarenal aortic aneurysms and to determine the independent predictors of cardiac events. METHODS For 6 consecutive years, this study analyzed 130 patients, who underwent routine standardized preoperative assessment always with the same clinical, surgical, and...

OBJECTIVE EuroSCORE has been used in cardiac surgery operative risk assessment, despite important variables were not included. The objective of this study was to validate EuroSCORE on mortality prediction in a Brazilian cardiovascular surgery center, defining the influence of type of procedure and surgical team. METHODS Between January 2006 and June 2011, 2320 consecutive adult patients were ...

Introduction: Postoperative bleeding in cardiac surgery is not an uncommon complication and can be evaluated with surgical and nonsurgical causes. Although any type of coagulopathy should be treated before, during, and after the surgical procedure, cardiac surgeons should have perfect surgical techniques for step by step hemostasis to minimize blood loss. Material...

introduction: adequate pain control is an important consideration in the post-surgical management of patients. local nerve blockade added to general anesthesia can provide excellent pain control during and after most nasal surgical procedures. the aim of this study was to determine the combined effect of local anesthetic drugs with corticosteroids in nasal surgery. materials and methods: in thi...

there are many techniques for reconstruction after total pharyngolaryngoesophagectomy. the use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. this retrospective study is a review of 50 consecutive iranian patients who underwent pharyngolaryn...

conclusions by using the normal angle kappa determined in this study, pseudodeviations can be identified more precisely in those who might undergo keratorefractive surgery. results a total of 977 healthy participants who aged 18 to 45 years were included consecutively. the study population consisted of 614 females and 363 males. the average angle kappa was 5.00º ± 1.36º at 240.21º ± 97.17º in m...

Trauma is the leading cause of pediatric mortality and abdominal injury a significant contributor to morbidity. Abdominal trauma in population injured children, third death this population, after head thoracic injuries. It most common owing unrecognized injury. They often occur traffic accidents, games sports. The clinical presentation depends on severity injury, organ associated Mesenteric fro...