INTRODUCTION Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients and to determine if the length of time between the procedure of construction ...

Background—Normal left ventricular myocardium demonstrates distinct spikes in the velocity trace before and after left ventricular ejection. We tested the hypothesis that the preejection and postejection velocity spikes reflect early systolic shortening and late systolic lengthening that are interrupted by mitral and aortic valve closure, respectively. Methods and Results—In 11 anesthetized dog...

BACKGROUND Damage-control laparotomy (DCL) has revolutionized the surgery of injury. However, this has led to the dilemma of the nonclosable abdomen. Subsequently, there exists a subgroup of patients who after resuscitation and diuresis, remain nonclosable. Before the adoption of our open abdomen protocol (OAP) and use of transabdominal wall traction (TAWT), these patients required skin graftin...

OBJECTIVE In this study, we tested 3 techniques of atrial septal defect closure under real-time 3-dimensional echocardiography guidance in a swine model. METHODS The operations were conducted under the sole guidance of a modified real-time 3-dimensional echocardiography guidance system with a x4 matrix transducer (Sonos 7500, Philips Medical Systems, Andover, Mass). Eighteen swine were anesth...

Background: Suturing of caesarean incision leads to reduction in maternal mortality, suturing can be done in either single layer or double layer. Many studies have shown both of them to be effective, with no conclusive evidence of preference of any one of them. The objective of this study was to compare method of uterine closure by single-layer and double-layer closure keeping in mind the intra...

Purpose: Previous studies have found disparities in emergency medical service (EMS) transports for rural residents including double the average response time and lower patient survival rates when compared with their urban counterparts. Since 2012, rate of hospitals closures has risen alarmingly from previous years. linked closure to increased EMS transport total activation time. However, data m...

Traditional approaches to mobile robot guidance have utilised an internal model of the environment constructed from sensor data in order to plan a course of action. Although this approach has been challenged by behaviour-based robotics (e.g., Brooks, 1991), the creation of "smart perceptual instruments" that attempt to directly couple perception and action has been seriously addressed by the ec...

purpose : to describe a case of acute angle-closure glaucoma associated with oral topiramate (topamax, aria daroo) therapy case report: two weeks after initiation of oral topiramate therapy for epilepsy, a 35-year-old woman presented with blurred vision and headache. intraocular pressure in both eyes was significantly elevated and her visual acuity was 20/30 ocular uterque (ou). bilateral conju...

oro-antral communication and fistula can occur as a result of inadequate and improper treatment. inadvertent communication with the maxillary sinus can occur during certain surgical procedures in the maxillary posterior region. though, spontaneous healing may occur in defects which are smaller than 2 mm but larger communications require immediate attention and should be treated without delay, i...

reduced during the first six months by non-closure of the defect. Presumably non-closure allows cerebrospinal fluid to escape from the open neural tube, postponing the development of hydrocephalus until epithelium has formed. As deferred shunt operations are associated with a better prognosis,4 nonclosure may in fact be advantageous, delaying the onset of ventriculitis until the child is immuno...