OBJECTIVE The abdominal route of genitourinary fistula repair may be associated with longer term hospitalisation, hospital-associated infection and increased resource requirements. We examined: (1) the factors influencing the route of repair; (2) the influence of the route of repair on fistula closure 3 months following surgery; and (3) whether the influence of the route of repair on repair out...

Abdominal aortic aneurysms represent a common pathologic condition, with an increasing incidence in the last decades. Unfortunately, the mortality rate in ruptured abdominal aortic aneurysms has also increased. The aim of this retrospective study was to determine the risk factors that could interfere with the surgical outcome of these patients, especially with the perioperative morbidity and mo...

INTRODUCTION Arthroscopic repair of the rotator cuff is a demanding surgery. Accurate placement of anchors is key to success. CASE PRESENTATION A 38-year-old woman received arthroscopic repair of her rotator cuff using a double row suture anchor technique. Postoperatively, she developed impingement syndrome which resulted from vertical displacement of a suture anchor once the shoulder was mob...

We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A 42-year-old male had an uncertain history of trauma and a penetrating wound near the left medial canthus. Computed tomography imaging showed a 3.0-cm bottle cap penetrating into the anterior skull base. He underwent foreign body removal, canalicular repair, ethmoidectomy, a...

Background: Successful repair of a torn rotator cuff may prevent progression to rotator cuff arthropathy. However,previous studies have shown a substantial rate of failure after rotator cuff repair and characteristics of surgicallyrepaired rotator cuffs that go on to shoulder arthroplasty have not been fully elucidated. The purpose of this study wasto determine the patient cha...

BACKGROUND The literature does not provide consistent information on the impact of patients' gender on recovery after rotator cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative period after rotator cuff repair. METHODS Eighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functi...

[Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair wa...

Abstract Aims Acutely symptomatic abdominal wall and groin hernias (ASH) are a common reason for acute surgical admissions in the UK. There is limited data to guide treatment of such presentations. This study aimed assess outcomes emergency hernia surgery, identify management strategies, improve care these high risk patients. Methods A 12 week, UK-based, multi-centre, collaborative, prospective...

BACKGROUND We report our initial experiences of robot-assisted cardiac surgery using the da Vinci Surgical System. METHODS Between February 2010 and March 2014, 50 consecutive patients underwent minimally invasive robot-assisted cardiac surgery. RESULTS Robot-assisted cardiac surgery was employed in two cases of minimally invasive direct coronary artery bypass, 17 cases of mitral valve repa...

OBJECTIVES Percutaneous edge-to-edge devices for non-surgical repair of mitral valve regurgitation are under clinical evaluation in high-risk patients deemed not suitable for conventional surgery. To address guidelines for initial therapy decision, we here report on 13 cases of surgery after failed percutaneous edge-to-edge mitral valve repair or attempted repair, and discuss methodology and pr...