Background: Appendicitis is recognized worldwide as the commonest surgical emergency. Its management becomes more challenging when the patient presents with perforated appendicitis In the western world To determine the value of peritoneal drains in patients operated with an appendicular pathology more advanced then simple acute appendicitis (referred as advanced appendicular pathology). Patient...

Results The study included 10,200 patients; all were having firearm injuries leading to hemopneumothorax. Male to female ratio was 2:1. All patients were initially managed with tube thoracostomy. 400/10200 (3.92%) patients underwent emergency Thoracotomy, Rest of the patients i.e. 9801/10200 (96.07%) were hemodynamically stable and treated with low pressure suction and incentive spirometry. In ...

A 69-year-old man with medically refractory 3-vessel coronary artery disease underwent sequential, minimally invasive coronary artery bypass grafting of the left internal mammary artery (LIMA) to the left anterior descending artery and first diagonal artery. The surgery was conducted off-pump and was uneventful. A pleural drain was placed on the left side at the end of the surgery. Postoperativ...

Carotid endarterectomy is a commonly performed operation to remove plaque at the region of the carotid bifurcation. We present our technique to keep the field clear and to minimize potential trauma to the carotid using a neurosurgical external ventricular drain passed behind the common carotid and placed in the dependent position under the arteriotomy.

We present a new minimally invasive method of percutaneous placement of suction catheter in patients of puerperal breast abscess (PBA). 30 patients between 18 and 34 years of age were treated by this novel technique from January 1999 to January 2005 after an informed consent. Among them there were primi­ para 15, 2 para 10 and 3 para 5 lactating mothers. Clinical diagnosis of PBA was based on h...

Shallow landslides on steep (>25) hillsides along Puget Sound have resulted in occasional loss of life and costly damage to property during intense or prolonged rainfall. As part of a larger project to assess landslide hazards in the Seattle area, the U.S. Geological Survey instrumented two coastal bluff sites in 2001 to observe the subsurface hydrologic response to rainfall. The instrumentatio...

Total knee arthroplasty (TKA) is associated with significant postoperative blood loss for which blood transfusion might be necessary. The role of wound drainage is controversial. The use of drainage was believed to be effective in decreasing hematoma formation (Drinkwater and Neil 1995; Holt et al. 1997; Martin et al. 2004), which has been theoretically thought to decrease postoperative pain, s...

Laparoscopic cholecystectomy (LC) was introduced to the arsenal of surgical techniques in 1987 and has become the gold standard in treating cholecystolithiasis. In spite of undoubted benefi ts for patients, it is not a complication-free procedure. The type of complications after a classical , i.e. " open " surgery and LC do not differ in a significant way. The difference lies in their prevalenc...