BACKGROUND Endoscopy and surgery are the treatment modalities of choice in patients with obstructive chronic pancreatitis. Physicians face the decision between endoscopy and surgery for this group of patients, without clear consensus. OBJECTIVES To assess and compare the effectiveness and complications of surgical and endoscopic interventions in the management of pain for obstructive chronic ...

INTRODUCTION Surgical services are increasingly seen to reduce death and disability in Sub-Saharan Africa, where hospital-based mortality remains alarmingly high. This study explores two implementation approaches to improve the quality of perioperative care in a Tanzanian hospital. Effects were compared to a control group of two other hospitals in the region without intervention. METHODS All ...

Introduction: In this study, we sought to illustrate our experience in urgent surgical management for embolized cardiac septal occlude devices resulting from trans-catheter closure of atrial septal defect and ventricular septal defect. Mathrials and Methods: We retrospectively reviewed four patients aged 2–10 years who underwent urgent surgery due to cardiac septal occluder embolization between...

Pancreatic pseudoaneurysm is a rare vascular complication of chronic pancreatitis resulting from erosion of the pancreatic or peripancreatic artery into a pseudocyst that is identified as a pulsating vascular malformation which may lead to lethal complications if left untreated. Many publications in the literature consider angiography as the first step in the management of pancreatic pseudoaneu...

The cardiac risk (CR) in noncardiac surgery represents the probability of acute cardiovascular conditions appearance, assessed as perioperative complications. The most frequent perioperative complications are the acute manifestations of coronary or noncoronary ischemia; acute or exacerbated chronic heart failure (CHF); acute rhythm and conductive disorders; acute cardiac inflammatory processes;...

BACKGROUND In the everyday surgical life, staff may experience that patients with Alcohol Use Disorders (AUDs) seem reluctant to participate in alcohol intervention programs. The objective was therefore to assess acceptance of screening and intervention as well as adherence to the intervention program among emergency department (ED) and surgical patients with AUDs. METHODS A systematic litera...

endocarditis and intracardiac infection have been increased recently especially in dialysis dependent renal failure patients. this is usually intractable infection to broad spectrum antibiotic therapy and in most cases surgical intervention was necessary. we have presented 45 years old man with intracardiac infection at the tip of dialysis catheter that after catheter removal intracardiac infec...

Background and Aim: Degenerative lumbar spine disease can lead to lumbar spine instability. The patients can present with Low Back Pain (LBP), radicular pain, and motor and sensory dysfunction. Age >50, female sex and pregnancies are among prevalent risk factors. The degeneration process usually starts from the intervertebral discs progressing to involve facet joints, ligaments, and vertebral b...