background an appropriate and well-timed surgery has great impact on a patient’s treatment and can prevent further damage to partially injured structures which if untreated will be lost leading to severe disability. in the present study we report our experience with early coverage of electrically injured upper extremity vital structures with encouraging results. objectives the aim of this study...

conclusions our study shows in terms of figures that measurements of features of the temporal bone made from spiral ct scan images and those directly obtained during surgery are similar to an adequate extent. results twenty cases were included. in the three measurements performed in this study, only the first parameter (distance between the canal and the sigmoid sinus) was significantly differe...

context the current literature suggests that minimally invasive surgery is associated with faster recovery and less morbidity than open surgery. parenchyma-sparing pancreatectomy is minimally invasive surgery, including enucleation, inferior head pancreatectomy, spleen-preserving distal pancreatectomy, and central pancreatectomy, combined pancreatectomy such as inferior head pancreatectomy plus...

Splenic injury is a rare but serious complication of bariatric surgical procedures. Given that the need for dissection of the gastrosplenic ligament during bariatric surgical procedures, splenic injury is not unfathomable. While most subcapsular splenic hematomas may be self-limiting, continued expansion may result in splenic rupture and should, therefore, be handled with great care. With the g...

High- and low-pressure vacuum drains are commonly used after surgical procedures. High-pressure vacuum drains (ie, sealed, closed-circuit systems) are efficient and allow for easy monitoring and safe disposal of the drainage. Low-pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy for patients to manage at home because it is easy to reinstate the vacuum pre...

And out of that maybe 1 in 12 (less than 8%) will have the need for surgery, whether it is elective or emergency. With these numbers it helps to know and understand when surgery is usually recommended and what these surgeries entail. Sometimes when a patient may have such severe diverticular disease their surgeon may recommend planning ahead for surgery, this is generally done to avoid the high...

BACKGROUND The elliptical excision is a common surgical procedure. The dermatologic literature predominantly describes an excisional geometry with a 3:1 length:width ratio and an apical angle of 30 degrees. OBJECTIVE To analyze the elliptical excision by applying mathematical principles and define the apical angle and its relationship to the length:width ratio. METHODS We examined numerous ...

Evidence-based medicine (EBM) has rapidly emerged as a new paradigm in medicine worldwide. The clinical medicine in twenty-first century could be the era of EBM. Randomized controlled trial has been regarded as the gold standard for evaluating the treatment effect of a new drug or a new therapy. The effect of a treatment versus controls may be expressed in relative or absolute measures. Relativ...

Gait laboratory recommendations for surgery were compared with actual surgeries performed in 30 consecutive patients. The agreement between the procedures performed and those recommended by the gait laboratory averaged 93.2+/-13.4% overall and 86.0+/-18.3% excluding patients referred by the gait laboratory physician. For 23 patients (77%), the recommended surgeries exactly matched the surgeries...

Matching for several nominal covariates with many levels has usually been thought to be difficult because these covariates combine to form an enormous number of interaction categories with few if any people in most such categories. Moreover, because nominal variables are not ordered, there is often no notion of a "close substitute" when an exact match is unavailable. In a case-control study of ...