Subphrenic abscess though a common presentation itself encountered in surgical practice due to various cause, tubercular subphrenic the absence of coexisting tuberculous abdomen presenting as complication pulmonary tuberculosis is extremely rare. Only very few cases have been reported an extrapulmonary manifestation so far. We report case isolated sub-diaphragmatic which responded well with ant...

Small bowel perforation from blunt abdominal trauma is a common injury. Isolated perforation of the small bowel after blunt abdominal trauma is infrequent and the diagnosis can be elusive. A case of isolated perforation from blunt trauma is presented. Deterioration of the clinical picture raised suspicion of acute abdomen, perforated sore. If acute abdomen is the case even with a history of min...

It is well known that surgeons are required to learn many skills and to take many medical training for diagnosis and surgery. Traditionally, the medical doctors have been learned from the anatomy of patients, dead body, animals and simple abdomen. In recent years, medical training system based on the VR (Virtual Reality) technologies became popular for remarkable development of the computer and...

Thoracic ossification of the ligamentum flavum (OLF) has been widely recognized as a main cause of thoracic myelopathy in Asia, particularly in Japan. However, thoracic OLF rarely causes radiculopathy. We report a rare case of thoracic radiculopathy caused by OLF. A 67-year-old male presented with a chief complaint of back pain radiating to the right of the abdomen. Neurological examination rev...

The indications for surgical decompression of abdominal compartment syndrome (ACS) are not clearly defined, but undoubtedly some patients benefit from it. In patients without recent abdominal incisions, it can be achieved with full-thickness laparostomy (either midline, or transverse subcostal) or through a subcutaneous linea alba fasciotomy. In spite of the improvement in physiological variabl...

INTRODUCTION Kyphoscoliosis, which is a deformity of the spine caused by aging and osteoporosis, results in various surgical difficulties for laparoscopic cholecystectomy (LC) due to low-lying costal arches, such as a small abdominal working space, disturbance of the surgical view and decreased controllability of the surgical instrument. PRESENTATION OF CASE We herein report the case of a 92-...

BACKGROUND The abdominal wall is the commonest site of extrapelvic endometriosis, which usually develops in association with a prior surgical scar. CASE A 28-year-old woman with two endometriomas in the recti abdominis, which developed in a scarless abdomen. CONCLUSIONS Abdominal wall endometrioma can develop spontaneously in the absence of prior surgical scar and should be considered in th...

Background: Wound dehiscence after laparotomy remains a serious complication. Postoperative complete wound dehiscence, being an unfortunate and also a very serious complication, is associated with a high morbidity and mortality rate despite the most sophisticated intensive care these patients receive today. Aims: The present study was undertaken to assess the proportion of burst abdomen in post...

BACKGROUND Surgical-site infections (SSIs) are the most common complications after surgery. An influence from talking and distractions during surgery on patient outcomes has been suggested, but there is limited evidence. The aim of this prospective observational study was to assess the relationship between intraoperative communication within the surgical team and SSI, and between intraoperative...

BACKGROUND The majority of intensive care physicians recognize the clinical significance of intra-abdominal hypertension on the outcome of critically ill patients. Abdominal compartment syndrome (ACS) is defined as an intra-abdominal pressure (IAP) >20 mmHg with ongoing organ failure. However, there is no consensus regarding the indications for surgical decompression. METHODS A review of pers...