Interlocking intramedullary nailing is currently the preferred treatment for most tibial fractures requiring operative treatment, with good results and a relatively low complication rate as reported in large clinical series. However, vascular and neurological complications caused by interlocking screws have been reported. In addition, insertion of distal interlocking screws can be technically d...

OBJECTIVE To evaluate and introduce a new method of tonsillectomy using the Thermal Welding System (TWS). METHOD The TWS is a new surgical instrument which uses direct heat and pressure to seal and divide tissues. Fifty consecutive patients underwent tonsillectomy with the use of the TWS. Inclusion criteria were chronic tonsillitis, peritonsilar abscess history and obstructive sleep apnea syn...

BACKGROUND A rare complication of diverticulosis of the colon is giant colonic diverticula (GCD). The condition was first described in English literature in 1953. METHODS A Medline search was undertaken for English, French and German language articles on 'giant colonic diverticula'. RESULTS A total of 135 patients were identified, presenting with a total of 155 GCD. With a complication rate...

OBJECTIVES Percutaneous nephrolithotomy is a relatively safe technique. However, it is not exempt from complications, some of which can be severe and even fatal. Some complications may be plausible for laparoscopic management. We report our experience in the management of a rare complication by laparoscopic means. METHODS We report the case of an Amplatz sheath that inadvertently migrated out...

AIM To assess whether facemask utilisation by the surgeon during cataract surgery has any effect on the bacterial load falling onto the operative site. METHOD Prospective randomised masked study. Consent was obtained from 221 patients. Cases were randomised to wearing a new mask or not wearing any mask throughout the procedure. Blood agar settle plates were placed adjacent to the patient's he...

BACKGROUND Ascending aortic dissection (AAD) is a rare and serious complication of aortic valve replacement. Multiple risk factors such as connective tissue disease, aortic wall thinning, aortic diameter, calcification of wall, structural features of aortic wall and associated diseases have been considered as a predisposing factor for the occurrences of AAD. Preoperative recognition of these va...

Purpose: This report was designed to review the critical complication following gastrectomy that can cause devastating problems in duodenal stump leakage patients. Although a non-operative approach might effectively manage such a complication without compromising patients’ clinical conditions, it is not always uneventful. Presentation of case: A 47 year old male with not known comorbidities dia...

AIMS Iatrogenic colonoscopy perforations (ICP) are a rare but severe complication of diagnostic and therapeutic colonoscopies. The present systematic review and meta-analysis aims to investigate the operative and post-operative outcomes of laparoscopy vs. open surgery performed for the management of ICP. METHODS A literature search was carried out on Medline, EMBASE, and Scopus databases from...

Background: Emergency Caesarean birth in labour has been associated with an increased chance of infection, bleeding (increasing the need of blood transfusion) and Deep Venous Thrombosis when compared with both vaginal birth and elective caesarean birth Objectives: to compare emergency and elective Caesarean section with regard to intra operative and post operative complications in both mother a...

INTRODUCTION Laparoscopic sleeve gastrectomy has been accepted as a standalone effective bariatric procedure. With the increase in the number of cases done worldwide, we are witnessing the emergence of new unexpected complications. PRESENTATION A seemingly straight forward sleeve gastrectomy was complicated by acute post-operative vomiting which was diagnosed as an acute intra thoracic migrat...