Background: Postoperative complications are frequent causes of postoperative mortality. Such complications may also lead to a prolonged period with decreased functional and cognitive status. Perioperative care is a factor in postoperative morbidity and mortality. Until now no common international definitions and classifications of postoperative complications have been established. The group of ...

CONTEXT Elderly patients are at high risk of both abnormal hematocrit values and cardiovascular complications of noncardiac surgery. Despite nearly universal screening of patients for abnormal preoperative hematocrit levels, limited evidence demonstrates the adverse effects of preoperative anemia or polycythemia. OBJECTIVE To evaluate the prevalence of preoperative anemia and polycythemia and...

Purpose: To retrospectively review the outcomes of adjuvant postoperative radiotherapy (PORT) following surgery in patients with advanced hypopharyngeal cancer treated at an academic tertiary referral center. Methods: Data of patients treated with curative intent in a single radiotherapy unit over a 15-year period (1990-2004) with upfront surgery followed by PORT was retrieved from an electroni...

BACKGROUND The surgical wound after penetrating keratoplasty is more vulnerable to contusive trauma than the intact cornea. OBJECTIVES To assess the incidence of ocular trauma following penetrating keratoplasty, and to evaluate its causative factors, management, and visual outcome. SETTING Tertiary referral facility in a fairly closed population. METHODS Retrospective study assessing ocul...

PURPOSE To evaluate the treatment outcome and prognostic factor after postoperative radiotherapy in retroperitoneal sarcoma. MATERIALS AND METHODS Forty patients were treated with surgical resection and postoperative radiotherapy for retroperitoneal sarcoma from August 1990 to August 2008. Treatment volume was judged by the location of initial tumor and surgical field, and 45-50 Gy of radiati...

OBJECTIVE To find out various modes of benign prostate hyperplasia (BPH) presentation in our region and their relation to postoperative failure to void after transurethral resection of prostate (TURP). METHODS A study was conducted at Urology Department, Sandeman Teaching Hospital Quetta and Akram Hospital (Private) Quetta from January 2000 to December 2003. All BPH patients in whom the prima...

BACKGROUND The purpose of this study was for us to describe a case of recurrent sebaceous carcinoma treated with postoperative reirradiation. METHODS A 38-year-old man was diagnosed with sebaceous carcinoma of the right lower eyelid. The patient developed local recurrence 4 times, with the first one at 30 months after the excision. The first local recurrence was treated with excision and post...

Pancreatic cancer still remains a challenge for surgeons. The goal of surgery is to ensure oncological R0 resection as positive resection margin is associated with poor prognosis. The purpose of this study is to determine the utility of age, ASA score, bilirubin and albumin value, CA 19-9 and imaging modalities for predicting the resectability in pancreatic cancer. This retrospective study cons...

BACKGROUND S-100B protein is an established serum marker of primary and secondary brain damage in head injury and stroke. Despite major progress in neurophysiologic monitoring, there are still difficulties in the early identification and quantification of evolving edema or trauma after craniotomy for tumor. In this study we aimed to correlate serum S-100B values with early postoperative neurolo...