Mobile technologies are likely to reveal a high potential to improve the information exchange in medical treatment. Especially in emergency services, the use of these technologies can support the work of the regionally distributed actors. During the last years many projects dealing with innovative mobile systems were started as pilots but in most cases the concrete effects of their application ...

Primary ovarian pregnancy is one of the rarest varieties of ectopic pregnancies. Patients frequently present with abdominal pain and menstrual irregularities. Intrauterine devices have evolved as probable risk factors. Preoperative diagnosis is challenging but transvaginal sonography has often been helpful. A diagnostic delay may lead to rupture, secondary implantation or operative difficulties...

Treatment of adult femoral shaft fractures typically involves operative stabilization with intramedullary implants, external fixation, or a plate and screw construct. However, when stabilization is delayed for any reason, use of a traction pin is recommended to stabilize the fracture, prevent significant shortening, as well as to help with pain control. In this paper, we present the rare compli...

Liver resection (LR) for the patients of hepatocellular carcinoma, often with chronic liver disease, have high risks of developing significant postoperative complications and multicentric metachronous repeat lesions with the need of repeat treatments. Reduction of surgery-induced parenchymal injury and destruction of the collateral blood/lymphatic flow, which leads to less post-operative ascite...

THE problem of uniocular catcaract witlh good visual acuity in the other eye is an old, but by no means a solved, problem. The established views still upheld by many oplhthalmologists, that such a cataract is best left alone, is based on the observation that the optical correction of unilateral aphakia is not satisfactory, a-s diplopia and general discomfort are exl)erienced. Furthermilore, the...

Day-case cataract surgery and the need for local anaesthesia are likely to increase. Retrobulbar (and peribulbar) anaesthetic injection is a common technique in cataract surgery, but serious complications are persistently reported. Subconjunctival injection is an alternative that avoids these risks. This retrospective study compares two groups of patients that underwent extracapsular cataract s...

Patients who have cerebrovascular disease and vascular insufficiency routinely have neurosurgical and nonneurosurgical procedures. Anesthetic priorities must provide a still bloodless operative field while maintaining cardiovascular stability and renal function. Patients who have symptoms or a history of cerebrovascular disease are at increased risk for stroke, cerebral hypoperfusion, and cereb...

Laparoscopic cholecystectomy for acute cholecystitis and cholelithiasis is one of the most common operations performed in the United States. Inadvertent perforation and spillage of gallbladder contents are not uncommon. The potential impact of subsequent retained gallstones is understated. We present the case of an intraperitoneal gallstone retained from a previous cholecystectomy eroding into ...

ACL reconstructions in young, skeletally immature athletes are potentially harmful, both for the tibial and femoral growth plates. Over the last decade, the results of non-operative treatments have been poor, but several authors now recommend that skeletally immature patients undergo surgery, despite its potential risks. Observation alone may also be harmful to the health of the knee joint, bec...

Background Bleeding control is an important aim in surgery. A lot of haemostatic devices can be used to support hemostasis, so operative risks and length and hospital stay are reduced. At General and Transplants Surgery Department of “Federico II” University of Naples, we evaluated the efficacy of hemostatic devices such as fibrin glues and collagen sponges in several surgical applications: kid...