Since the early 80s, many surgical procedures have moved from the inpatient to outpatient setting. Outpatient surgical visits now account for about two-thirds of all surgical visits in the U.S. Over the same period, freestanding ambulatory surgery centers (ASCs) have arisen as alternatives to traditional hospital-based outpatient surgical departments. The number of ASCs grew from 240 in 1983 to...

PURPOSE OF REVIEW The surgical management of patients partly determines the anesthetic management. A shift has taken place in thoracic surgery, with a large portion of procedures now being performed through a video-assisted thoracoscopic surgery (VATS) approach. This review is intended to provide the anesthesiologist with an update on the management of thoracic surgical patients presenting for ...

background: when non-operative treatment of tennis elbow fails; a surgical procedure can be performed to improve the associated symptoms. different surgical techniques for treatment of lateral epicondylitis are prescribed. the purpose of this study was to evaluate the clinical outcomes of surgical treatment for tennis elbow based on small incision techniques.   methods: this technique was perfo...

INTRODUCTION Practising surgeons need an effective means for learning new skills and procedures in advanced minimal access surgery (MASA). Currently, available educational methods include traditional continuing medical education symposia (1-day courses), instructional videos, mentoring, or comprehensive courses that combine lectures, skills laboratories and live surgery. The impact of comprehen...

Over the last two decades, minimally invasive surgery (MIS) has emerged as an attractive alternative to traditional open surgical procedures. MIS has been shown to provide excellent surgical outcomes with the added benefit of decreased procedure-related morbidity. Minimal bleeding, reduced blood transfusion rates, shorter hospitalization, and shorter recovery times are all proven advantages for...

Minimal access surgery began in the early 1980s with the introduction of laparoscopic fallopian tube ligation. The first laparoscopic cholecystectomy was performed 7 years later, and was rapidly embraced as the preferred method for cholecystectomy despite a lack of evidence to support the safety of the new technique. In response to several deaths and complications associated with laparoscopic c...

BACKGROUND Surgeons are increasingly faced with consultation for intervention in residents of geriatric centers or in patients who suffer from end stage medical disease. We review our experience with consult services dedicated to the needs of these frail patients. STUDY DESIGN Patients were prospectively followed after being evaluated by three different geriatric surgical consult services: Gr...

conclusions acute and chronic administration of ellagic acid had anxiolytic property. also, the most effective dose of ellagic acid was 30 mg/kg. pretreatment with flumazenil reversed the beneficial effect of ellagic acid and diazepam on anxiety. it is likely that the anxiolytic effect of ellagic acid is largely mediated by activation of gabaa receptor. results acute and chronic application of ...

From 1983 until 1987, 4177 outpatient urologic procedures were performed at Shahid Labbafi Nejad Medical Center. 34% of the cases were open surgical, while 66% were endourologic procedures. There was no surgical complication related to the outpatient aspect of the procedure. Rate of infection in open surgical cases was almost zero. The number of procedures was increased each succeeding yea...

A retrocaval ureter is an unusual congenital anomaly that results in outer ureteral compression by the inferior vena cava. Open pyelopyelostomy or ureteroureterostomy procedures are done with good results. In the present era of minimal invasive access surgery, a laparoscopic technique is being used with the same good results with all advantages, like minimal analgesic, short hospital stay and w...