Pain is the major cause of morbidity in cancer patients. Interventional techniques should be considered for management pain that refractory to traditional analgesics or when patients are unable tolerate opioids. intended stop signals through neural pathways from periphery brain. This article deals with interventional such as central neuraxial block, sympathetic peripheral nerve percutaneous cor...

Background . Acute adhesive small bowel obstruction (AASBO) is a common surgical emergency requiring immediate interventions. AASBO usual indication for both resection and adhesiolysis. Postoperative adhesions cause 60% of obstructions. Materials methods An analysis treatment outcomes presented 197 acute patients; 63 patients had urgent laparotomy, 134 were scheduled laparoscopy. The examinatio...

We are reporting on the implantation of a spinal cord stimulator to treat intractable radicular pain following a retained bullet fragment in the spinal canal. Such retained fragments are associated with risks including pain, neurological deficit, infection, toxic effects, and migration. Our patient was a young man with radicular pain and history of a gunshot entering the abdomen. Computed tomog...

INTRODUCTION Although Brucella spondylitis and Brucella discitis have been frequently reported, Brucella infection of the vertebral arch is rare and has not been previously described. We present the first case of Brucella infection of the thoracic vertebral arch with epidural abscess formation and discuss the clinical key points. CASE PRESENTATION A 57-year-old man of Han nationality with a h...

BACKGROUND Neuromodulation with spinal cord stimulation is a proven cost effective treatment for the management of common conditions such as chronic radicular leg pain from failed back surgery syndrome, complex regional pain syndrome, and other painful neuropathic pain syndromes. The traditionally instructed method for percutaneous spinal cord stimulator (SCS) lead placement promotes the use of...

Introduction. Adult spinal deformity (ASD) surgeries carry significant morbidity, and this has led many surgeons to apply minimally invasive surgery (MIS) techniques to reduce the blood loss, infections, and other peri-operative complications. A spectrum of techniques for MIS correction of ASD has thus evolved, most recently the application of percutaneous iliac screws. Methods. Over an 18 mont...

We report a case of 29-year-old, morbidly obese, diabetic primigravida who had undergone previously primary percutaneous coronary intervention with stent placement for an inferior wall myocardial infarction at 10 weeks of gestation. She remained asymptomatic with medication during the remainder of her pregnancy, but preoperative echocardiography revealed left ventricular dilation and a restrict...