from 1983 until 1987, 4177 outpatient urologic procedures were performed at shahid labbafi nejad medical center. 34% of the cases were open surgical, while 66% were endourologic procedures. there was no surgical complication related to the outpatient aspect of the procedure. rate of infection in open surgical cases was almost zero. the number of procedures was increased each succeeding year. al...

To date virtual reality simulations of operative procedures have been extensively tested and utilised by advanced surgical trainees. The increasing number of medical students has meant that the amount of exposure to surgical procedures is reducing, and direct involvement of the medical student within those procedures is decreasing. The Bonedoc DHS Simulator for fixing hip fractures was trialled...

Development of miniaturized real-time imaging technologies has revolutionized the surgical specialties. As improbable as it first seemed, elimination of the long incision for intraabdominal access resulted in a dramatic reduction in hospital stay for open surgery. Minimal access surgery resulted in decreased postoperative pain and decreased morbidity as well as improved cosmesis. Bikini surgery...

With increasing enthusiasm in minimally invasive surgery, several approaches and access are being performed with great precision. In this report, we illustrate and describe a minimal invasive approach to mitral valve surgery with optimal access under direct vision, the indications and patient selection, the surgical techniques, its advantages over the other approaches, and its simplicity and re...

Simulated surgical environments are rapidly gaining adoption in training students, residents, and members of specialized surgical teams. However, minimal attention has been given to the use of simulated surgical environments to educate patients on surgical processes, particularly procedures that require the active participation of the patient. "Awake" neurosurgery provides a unique situation in...

BACKGROUND Coronal incision is a popular and versatile surgical approach to the anterior cranial vault and upper and middle third facial skeleton. The flap itself permits widespread exposure of the fractures in this region. The bicoronal flap was first described by Hartley and Kenyon (neurosurgeons) to gain access to the anterior cranium in 1907. It extension as an access flap to the upper and ...

OBJECTIVE To investigate factors influencing skin incision-to-delivery time (including sub-divisions thereof) and the effect of these surgical intervals on immediate neonatal outcome. METHODS A prospective cohort analysis was conducted of all women undergoing cesarean delivery at Tygerberg Hospital, Cape Town, South Africa, from May 24 to November 2, 2010. Three surgical intervals were evalua...

BACKGROUND Acute care surgical services provide comprehensive emergency general surgical care while potentially using health care resources more efficiently. We assessed the volume and distribution of emergency general surgery (EGS) procedures before and after the implementation of the Acute Care and Emergency Surgery Service (ACCESS) at a Canadian tertiary care hospital and its effect on surge...