Background While recommendations for the optimal distribution of surgical services in high-income countries (HICs) exist, it is unclear how these translate to resource-limited settings. Given the significant shortage and maldistribution of surgical workforce and infrastructure in many low- and middle-income countries (LMICs), the optimal role of decentralization versus regionalization (ce...

purpose: to compare clinical and confocal scan outcomes after descemet stripping automated endothelial keratoplasty (dsaek) performed for fuchs’ endothelial dystrophy versus pseudophakic bullous keratopathy. methods: in this retrospective comparative study, 47 consecutive eyes of 39 patients with the diagnosis of fuchs’ endothelial dystrophy (n=29, group 1) or pseudophakic bullous keratopathy (...

purpose: to evaluate the outcomes of keratorefractive surgery for correction of postkeratoplasty astigmatism in keratoconus. methods: in this retrospective study, surgical records of 45 eyes of 45 patients that underwent relaxing incisions with or without compressive sutures were evaluated. the minimum interval between complete suture removal and operation was 1 month. location and extent of in...

abstract  background: in the recent decade, many primary total knee arthroplasties have  been carried out in iran and the number of revision cases is expected to rise with the  aging population. the aim of this study was to report the outcome of revision surgery  in the country and make a comparison between the outcome of revision and that of  the primary arthroplasty.  methods: retrospectively...

purpose: to evaluate the health-related quality of life (hrqol) among strabismus patient. methods: one hundred and twenty-two strabismic patients ≥ 14 years who scheduled for surgery were selected non-randomly. the patients completed the adult strabismus 20 (as-20) and sf 36 questionnaires. measurements were performed preoperatively and 3 and 6 months postoperatively. changes in psychosocial an...

introduction domestic and industrial swallowing of caustic substances can cause acute and chronic injuries. in the acute phase of care, focus is on the immediate control of tissue damage and perforation, and in the chronic phase, the focus is on the treatment of pharyngeal narrowing and impaired swallowing. conclusions treatment of esophageal burn lesions is by immediate and delayed removing of...

For some time now, there has been significant interest in understanding and defining the role of minimally invasive surgery in colorectal cancer. Laparoscopic surgery has been shown to have similar or better outcomes compared with open surgery. Recently, prospective randomized trials have demonstrated oncologic outcomes of laparoscopic colon surgery equivalent to those for open surgery. However...

Introduction: Infective endocarditis is well known to produce neurologic complications from septic emboli, which mandates a multidisciplinary approach between neurosurgery and cardiac surgery. However, literature is not clear as to the optimal interval length between neurosurgery and cardiac surgery.Presentation of Cases: The first case involves a 60-year-old woman with significant past medical...