introduction: reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. in large defects, there will be demand for regional pedicle flaps or free flaps. hard palate separates nasal and oral cavities. due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions a...

background: cardiovascular disease is an important non-obstetric cause of maternal and fetal /neonatal morbidity and mortality during pregnancy. for a pregnant woman with cardiac disease, the potential inability of the maternal cardiovascular system to contend with normal pregnancy-induced physiologic changes may produce deleterious effects on both mother and fetus. to determine the most freque...

conclusions comparing the serum lactate level before operation and 24 hours after the operation showed that the number of received blood units had a significant effect on serum lactate. we found no significant effect for blood storage duration; however, the number of given blood units was more significant. patients and methods in a cross-sectional study, 228 patients referred to three hospitals...

conclusions for laterally localized and protruded duodenal diverticula, laparoscopic resection is a feasible and safe method. the role of laparoscopy in surgical treatment of complicated diverticula, located in other parts of the duodenum, is unclear because of lack of experience. case presentation in this article, we present a case report of a large duodenal diverticulum, treated with laparosc...

retained surgical gauze is occasionally observed in general practice. herein, we report a case with surgical gauze retained for over 13 years that created a fistula which drained pus into the stomach.

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...

introduction: many post-surgical wound infections in hospitals cause morbidity and morality of patients and these are usually transmitted via hands of surgical personnel. the aim of the present study was to detect and antibiogram the bacterial agents following scrubbing of hands of surgical personnel before operation. methods: hands of 134 personnels of operation room were swabbed following scr...

I nearly died. Making a self-diagnosis of acute appendicitis is unpretentious, especially when the patient is a family physician with more than 30 years of clinical experience. The symptoms: right lower quadrant pain, increasing in intensity over a 3-day period and associated with anorexia and chills. I arranged to undergo the appropriate tests, which corroborated my diagnosis. After calling th...

abstract traumatic rupture of the distal biceps tendon is rare. conservative treatment can result in reduced flexion and supination power with reduced function. this case report emphasizes the need for prompt surgical treatment and describes the possible complications of delayed surgical intervention.

background a considerable portion of gastrointestinal malignancies undergoes surgery without curative resection. this study was conducted to assess surgical outcome in patients with gastrointestinal cancers. methods we reviewed individuals with esophagus, stomach, colon and rectum cancers admitted for surgical treatment after initial preoperative evaluations. surgical outcome, stage of tumors a...