Patients with COVID-19 who have underwentsurgery high rates of mortality and complications includingincreasedrespiratorydistress, bacterialinfections, pneumothorax multi-visceralfailure. Pneumomedistinis a rare complication. Surgical indications in patients shouldbediscussed multidisciplinary consultation meeting, considering the presenceof comorbidities availability therapeutic alternatives. W...

Whether operative treatment for complex proximal humeral fractures (CPHFs) has a greater benefit over non-operative treatment remains controversial. There is no consensus on the optimal treatment in elderly patients with CPHFs. This updated meta-analysis of randomized controlled trials (RCTs) aims to investigate whether operative treatment is superior to non-operative treatment in CPHFs. The au...

Abstract Aim Post-operative hypocalcaemia is a serious complication of thyroid and parathyroid surgery if not recognised treated immediately. With sub specialisation day case surgery, on call may be unfamiliar with immediate management. This can lead to non standardised inefficient management patients. The aim was develop patient information card which outlined the symptoms initial evidenced ba...

Abstract Background Accurate knowledge of breast arterial supply on individual basis is crucial prior to reduction surgery minimize the risk post-operative necrosis nipple-areola complex which a well reported complication. The purpose this cross-sectional study was test ability multislice CT angiography delineate dominant facilitate accurate pedicle selection improve patient outcome. Results Tw...

Background: Rhabdomyolysis (RML) indicates a skeletal muscle necrosis which results in an emission of intracellular contents from myocytes into the circulatory system. It has been recognized to be a complication of bariatric surgery. A high BMI and a prolonged operative time are the main risk factors associated to the development of RML. The aim of this study is to define the incidence and the ...

OBJECTIVES To review all paediatric patients with intussusception over the last 17 years. DESIGN Retrospective case series. SETTING A tertiary centre in Hong Kong. PATIENTS Children who presented with intussusception from January 1997 to December 2014 were reviewed. MAIN OUTCOME MEASURES The duration of symptoms, successful treatment modalities, complication rate, and length of hospital...

Abstract Aims Hypocalcaemia is a severe complication post total thyroidectomy leading to increased morbidity, length of inpatient stay and associated costs. The cause damage or de-vascularisation the parathyroid glands intra-operatively however this not always easy identify usually inadvertently performed. Prompt identification patients likely become severely hypocalcaemia difficult for clinici...

introduction: elective upper and lower gi endoscopy is usually performed in children on an outpatient basis with the child under sedation or general anesthesia (ga). the objective of this study was to describe anesthesia related complications in   children undergoing elective gi endoscopy.   materials and methods: the study design was descriptive on 1388 patients undergoing elective gi endoscop...

OBJECTIVES The objectives of this randomised controlled study were to determine if pre-admission patient education affects post-operative pain levels, domiciliary self-care capacity and patient recall following a laparoscopic cholecystectomy (LC). Participants were randomised to receive the standard preadmission program (SP) or an individualised, education intervention (El). DESIGN A pre-oper...

BACKGROUND Transareola single-site laparoendoscopic thyroidectomy (TASSET) is a rapidly advancing minimally invasive procedure. The purpose of this study was to evaluate the learning curve for TASSET. SUBJECTS AND METHODS Forty-five consecutive patients were prospectively divided into group 1 (initial phase), group 2 (intermediate phase), and group 3 (advanced phase) according to their surgic...