Postoperative alopecia is an uncommon complication and its outcome is aesthetically drastic. Although its mechanism has not been clearly elucidated, a proposed risk factor is steep Trendelenburg positioning (30-40 degrees) that is frequently used during robotic gynecologic surgeries. We report a case of postoperative alopecia in 53-year-old female patient who had undergone robotic-assisted lapa...

Dear Editor, Ultrasound guidance does not always guarantee a successful cannulation and lack of complications.[1] Thus, an ultrasound of the internal jugular vein (IJV) with a maximum diameter of <7 mm is associated with decreased cannulation success.[2] The vein puncture with a small diameter may result in double wall punctures. As a consequence, the carotid artery injury, nerve, and pleura da...

A patient with a documented history of 2 asystolic episodes associated with venipuncture demonstrates the profound cardioinhibitory effects that vasovagal reactions to blood and injury ("blood-injury phobia") can produce. In approaching a patient with blood-injury phobia, the clinician should place the patient in the Trendelenburg position, apply a cardiac monitor, administer oxygen, and consid...

The literature review is devoted to the peculiarities of artificial lung ventilation (ALV) in patients with morbid obesity during laparoscopic oncosurgical interventions Trendelenburg position. At present, there are no consensus recommendations on choice optimal ALV mode anesthesia this area oncosurgery. When analyzing data obtained from other types operations, was impression that were signific...

BACKGROUND The anterolateral approach is a commonly used technique for total hip replacement. It requires the detachment of a large part of the gluteus medius muscle. However, it is known that this muscle has a great impact on hip stability. Using the percutaneous assisted approach the damage to the gluteus medius can be limited. The purpose of this study is to compare the effect of the percuta...

BACKGROUND Closed-chest, off-pump, multivessel CABG requires modified instruments to expose and stabilize posterior and inferior coronary branches. Using three new prototype devices, we explored the feasibility of endoscopic bypass grafting on these branches and assessed cardiac function during cardiac displacement. METHODS Eight pigs (75 to 85 kg) were instrumented for hemodynamics and paced...

Laparoscopic surgery in patients with Fontan circulation is a haemodynamic challenge; venous return may be compromised by insufflation of carbon dioxide into the abdomen (increasing intra-abdominal pressure), the use of reverse Trendelenburg position and positive pressure ventilation. Combined with an increase in pulmonary vascular resistance due to hypercarbia, cardiac output may be reduced. H...