1254 June 2013 A FTER 2 decades of military dictatorship, in 1985 a civilian president was elected in Brazil. The events surrounding the inauguration related as much to the disciplines of perioperative medicine as to diplomacy. After abdominal surgery, the elected president developed a most significant postoperative pulmonary complication: severe acute respiratory distress syndrome (ARDS). He n...

Approximately 1 in every 1000 patients undergoing laparoscopic abdominal surgery will experience bowel or vessel perforation injury by trocars during initial access.1 A systematic review of studies found no conclusive evidence that any one method of gaining initial access and establishing pneumoperitoneum during laparoscopic surgery is safer or more efficacious than another.2 While injuries occ...

zoars are the most common type of foreign body lodged in any part of the gastrointestinal tract, the overall incidence of bezoarinduced intestinal obstruction remains relatively low. Incidence of intestinal obstruction caused by bezoars is 2 to 4% [9]. The differential diagnosis of intestinal obstruction secondary to bezoars is difficult before surgery because the clinical and the radiographic ...

Remifentanil is an ultra short acting opioid that is suitable for many operations and is wildly used for induction and maintenance of anesthesia. In this article we have reported the incidence of abdominal pain after cataract surgery in patients with remifentanil based anesthesia. This study is a randomized single blind clinical trial on 300 patients who were candidates for elective cataract su...

Objective: To compare extra-abdominal vs intra-abdominal repair of the uterine incision at cesarean delivery in Pakistan. Methods: This was a randomized controlled trial conducted at the Gynae Unit III, Lady Willingdon hospital Lahore. Inclusion criteria were indication for cesarean delivery and gestational age of 36 weeks or more in primigravidas. Patients with previous cesarean deliveries, ch...

An incisional hernia (Fig 1.) is defined as any abdominal wall gap with or without a bulge in the area of a postoperative scar perceptible or palpable by clinical examination or imaging [1]. Incisional hernia is a common long-term complication following abdominal surgery and is estimated to occur in 11-23% [2, 3]. Risk factors for incisional hernia are male gender, body mass index, cancer, and ...

Remifentanil is an ultra short acting opioid that is suitable for many operations and is wildly used for induction and maintenance of anesthesia. In this article we have reported the incidence of abdominal pain after cataract surgery in patients with remifentanil based anesthesia. This study is a randomized single blind clinical trial on 300 patients who were candidates for elective cataract su...

OBJECTIVES Data from 80 patients with a vesicovaginal fistula (VVF) were collected and analysed, to define the probable factors affecting the outcome of surgery. PATIENTS AND METHODS In a retrospective study, the records of 80 women with a mean (SD) age of 35.8 (9) year were assessed; 40% of the VVF occurred after abdominal hysterectomy, 30% after Caesarean section, 15% after difficult vagina...