Patients breathless from chronic lung disease present a serious problem in morbidity and mortality in Britain, the U.S.A., and other countries with a temperate climate (Fletcher and Tinker, 1961 ; Bower, 1961). For their successful treatment it is essential to determine how much obstruction there is to the air-flow from their lungs and to try to find the cause of this obstruction, whether it be...

Raghib syndrome is an extremely rare congenital heart defect characterized by persistent left superior vena cava (LSVC) draining into the left atrium and absence of the coronary sinus. Although few cases have been reported in the literature, there are a number of techniques to redirect the LSVC flow to the right atrium. These procedures include surgery to establish intracardiac flow using atria...

Meningiomas, though benign histologically, are relatively common tumors that may behave in an aggressive, clinical fashion. Traditionally, treatment for these lesions has been primarily through surgical excision. This may be curative, but it has become clear that the degree of surgical resection achieved is a primary determinant of the rate of tumor recurrence. Often, the size and location of t...

We investigated 82 cases of upper extremity trauma which were complicated by CRPS. All of them were evaluated by thermography and laser Doppler flourometry. The cases of sympathetically dependent and independent forms of CRPS were divided. In the 49 cases of sympathetically dependent form, thoracoscopic sympathectomy was performed in 33 and paravasal sympathectomy in 16 cases. Mean VAS pain sco...

I n recent years, the emphasis in providing surgical services has undergone remarkable change. Previously, patients undergoing surgical procedures remained in a hospital for many days after the operation. In 1994, 66% of all elective operations in the United States were performed on an outpatient basis (1). More complex ambulatory procedures are being performed on sicker patients (2). With the ...

IIIureivwilng t h first cdfition of lis bho,k i ( )ct (t)r lfast, We VXIOl (lI to I(oq)p tII at it would have a wide circulation. WV.' ar. glal to see that we we-re jUStite'd ill SuLCh a1 lop)e, aS thie reprinting of the b1)k itt the re,co(l l)e(lpiod of less than seven imlonithis clearly demonstrates. A.ltIhough described modIestly as a "'repirint," it is to a large extent a new ((lition, for ...

Morbid obesity is a disease of modern society. Surgery is indicated when there is no endocrinopathy, medical treatment failed and Body Mass index (W/H2) is more than 40 (III degree obesity of Garrow). Many different methods were suggested in connection with the type of obesity, the associated diseases and the psychical state of the patient. Jejuno-ileal by-pass intend to produce a generic malab...

Intra-articular distal humerus fractures can be among the most challenging injuries treated by orthopedic surgeons. The goals of surgical treatment are anatomical restoration of the articular surface and stable fixation of the fracture fragments to allow for early motion. However, the bone stock of the distal humerus is limited, and stable fixation may be difficult to achieve in the case of a l...