Background: We used a database of patients treated at three hospitals to study the primary null hypothesis that thereare no factors associated with unplanned reoperations or adverse events after surgical repair for diaphyseal claviclefracture. Additionally we addressed the following secondary study questions: 1. What is the prevalence of unplannedreoperations or adverse events...

advancements in medical science have led to the development of complex surgeries that improve survival in patients with liver disease. assessments of the indications and contraindications for surgery and risk factors are the most important steps prior to any surgery in this population. particular attention is essential to assess for the presence of pre-surgical ascites, hepatic encephalopathy a...

objective in the majority of patients with intractable epilepsy, seizures can be well controlled with appropriate medication. however, current estimates indicate that some of patients with epilepsy are refractory to all forms of medical therapy. the surgical treatment of intractable epilepsy in children has  evolved with advances in technical innovations. these medically intractable patients ar...

the distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. however, perfusion problems and venous congestion have been reported. over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. the purpose of this paper is to describe our experience in har...

background: pain is a common experience among mechanically ventilated patients. pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions. the aim to this study was to investigate pain levels and predictors among mechanically ventilated patients during rest and routine nursing interventions. materials and metho...

background a doctor’s competence and professionalism is often judged on the basis of attire. our lady of lourdes (olol) is a leading irish hospital in the implementation of bare below the elbows (bbte) policy, however surgical attire is not standardised and there is great variability in attire worn on wards. we aimed to evaluate patients attitude towards surgeons attire in olol.   methods a pro...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...