a common complication of prosthetic heart valves is thrombosis. although the incidence of prosthetic valve thrombosis (pvt) in the tricuspid position is high, there are not enough data on the management of it, in contrast to left-sided pvt. here, we describe three cases of tricuspid pvt with three different management approaches: thrombolytic therapy; close observation with oral anticoagulants;...

background: brain type natriuretic peptide (bnp) is a cardiac hormone that is secreted mainly by the ventricles in response to volume expansion and pressure load. it can predict post-operative complications after heart surgery in adults. we sought to investigate the prognostic value of bnp in children after heart surgery. methods: we measured the bnp serum levels in 96 children with congenital ...

background: extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. in order to reduce these complications, and, based on basic physiological principles, a new practical ex...

background: postoperative cognitive dysfunction (pocd) has been an important complication of cardiac surgery over the years. neurocognitive dysfunction can affect quality of life and lead to social, functional, emotional, and financial problems in the patient’s life. to reduce pocd, we sought to identify the association between cognitive dysfunction and perioperative factors in patients undergo...

Endometrial cancer is the most common gynecologic malignancy affecting women in the United States. In 1988, the International Federation of Gynecology and Obstetrics shifted from a clinical staging protocol to one based on surgical factors, making surgical staging the accepted treatment approach to endometrial cancers, with excellent survival compared to other gynecologic malignancies. The manu...

Background: Safe realistic training and unbiased quantitative assessment of technical skills are required for laparoscopy. Virtual reality (VR) simulators may be useful tools for training and assessing basic and advanced surgical skills and procedures. This study aimed to investigate the construct validity of the LapSimGyn VR simulator, and to determine the learning curves of gynecologists with...

expanded in the last years. Published data has demonstrated the feasibility and safety of this technique for several several gynecologic oncology procedures. Main advantages when compared to open approach are less blood loss, decreased morbidity, shorter hospital stay, and earlier recovery. Tumor dissemination and port site implantation have been described for patients undergoing operative lapa...

conclusions patients’ experiences after cardiac surgery indicated the need for the consideration of holistic care and supportive intervention programs after surgery to promote recovery and a better quality of life following cardiac surgery. results the data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out t...

results of 153 patients, 96.8% received pc and 54.9% transfused ffp during or after surgery. most of the transfusions were done after operation in intensive care unit (icu). also, 20% and 17% of the patients underwent transfusion of more than 6 units of pc and ffp, respectively. the mean left ventricular ejection fraction of the patients was 42.5 ± 10.9%. a significant number of patients had an...