CONTEXT Many men with inguinal hernia have minimal symptoms. Whether deferring surgical repair is a safe and acceptable option has not been assessed. OBJECTIVE To compare pain and the physical component score (PCS) of the Short Form-36 Version 2 survey at 2 years in men with minimally symptomatic inguinal hernias treated with watchful waiting or surgical repair. DESIGN, SETTING, AND PARTICI...

A 58-year-old man was admitted to our hospital for massive swelling in an anterior cervical location. Nine years earlier, he underwent surgical repair of a complex type A aortic dissection. This procedure was complicated by a fistula between the anastomosis of the graft and the descending aorta, resulting in massive presternal swelling. Therefore, we performed thoracic endovascular repair with ...

The long-term outcome after the surgical repair of pressure sores in the adult population has been well studied. Recurrence rates from 25 to 80 percent have been reported, despite improvements in surgical repair and mechanical support devices. Such high recurrence rates have led many investigators to question the rationale for the surgical closure of pressure sores. There are no published long-...

OBJECTIVE To determine if the presence of a tracheo-esophageal fistula (TEF) alters outcome following laryngeal cleft repair. DESIGN A retrospective review of patients diagnosed and treated for laryngeal clefts, with a minimum follow-up period of 1 year. SETTING An academic tertiary care children's hospital. PATIENTS Twenty-five pediatric patients diagnosed and surgically treated for lary...

Abstract Mitral valve repair is a common and preferred technique over mitral replacement whenever it feasible. Transesophageal echocardiography (TEE) not only reliably identify repairable but also guide appropriate intervention. In addition to two-dimensional (2D) TEE, the three-dimensional (3D) clearly delineates size shape of apparatus, determine repairability success technique. We illustrate...

OBJECTIVE To review the presentation and associated congenital abnormalities of laryngeal cleft and present guidelines for its evaluation and management. DESIGN A 10-year retrospective study (1994-2004) with institutional review board approval. SETTING Two pediatric tertiary care medical centers. PATIENTS Twenty-two pediatric patients (mean age, 21 months) with laryngeal cleft. INTERVEN...

BACKGROUND Current treatment for extensive thoracoabdominal aortic aneurysms (TAAAs) involves high-risk surgical and endovascular repairs, with a hospital mortality exceeding 20%, and a postoperative paraplegia rate beyond 10.5%. OBJECTIVES The aim of this study was to present an estimation of the economic impacts of surgical and endovascular treatments of types II and III TAAAs in the US as ...

A 3-year-old wild gray wolf was referred to the Department of Veterinary Clinical Sciences of ShirazUniversity with a history of car accident. The radiographic examination showed supracondylar distal femoralfracture in right leg. The wolf was pre-medicated by acepromazine followed by induction of anesthesia usinga combination of diazepam and ketamine. Anesthesia was maintained by halothane. The...

Objective- To get a concrete information about nature, cause and geographic distribution of ruminant congenital malformation in certain areas of Bangladesh. Design- Clinical study. Animals- A total 76 ruminant calves and kids having congenital deformities were studied. Procedures- Surgical intervention for each case was carried out after proper diagnosis and post operative care with systemic an...

Thoracoabdominal aortic aneurysms (TAAAS) are perrnanent localized dilations of the aorta that involve the celiac axis and extend proximally or distally from this point. Open surgical repair of TAAAS has traditionally involved greater operative risk than repairs of aneurysms in other aortic segments. However, experienced surgical centers now have much lower mortality and morbidity rates for TAA...