conclusions for laterally localized and protruded duodenal diverticula, laparoscopic resection is a feasible and safe method. the role of laparoscopy in surgical treatment of complicated diverticula, located in other parts of the duodenum, is unclear because of lack of experience. case presentation in this article, we present a case report of a large duodenal diverticulum, treated with laparosc...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...

The development of minimally invasive surgery has probably been the biggest revolution in surgical practice in last two decades, which has gone through a period of rapid development during last 10 years. These minimal access techniques have changed the approach to many surgical procedures; one of such changing procedure is laparoscopically assisted anorectoplasty (LAARP) in children which is re...

Laparoscopy, minimally invasive and minimal access surgery with more surgeons performing these advanced procedures. We highlight in the review several key emerging technologies such as the telementoring and virtual reality simulators, that provide a solid ground for delivering surgical education to rural area and allow young surgeons a safety net and confidence while operating on a newly learne...

introduction: adequate pain control is an important consideration in the post-surgical management of patients. local nerve blockade added to general anesthesia can provide excellent pain control during and after most nasal surgical procedures. the aim of this study was to determine the combined effect of local anesthetic drugs with corticosteroids in nasal surgery. materials and methods: in thi...

chylothorax in adult occurs most commonly in the wake of cardiac and thoracic procedures. injuries to the  common thoracic duct in the thorax or its branches in the mediastinum, injuries to the thymus tissues, dissection of the superior vena cava or ascending aorta, dissection of the aortic arch, disruption of the accessory lymphatics in the left or right thorax, and increased pressure in the s...

primary cardiac sarcomas are rare clinical entities with an incidence rate of 0.0001% in collected autopsy series and are regarded as very aggressive tumors. we herein describe a 21-year-old woman presenting with syncope, dyspnea, and abdominal distention. she suffered from massive ascites, plural effusion, and liver congestion demonstrated by abdominal sonography and chest x-ray. transthoracic...

there are many techniques for reconstruction after total pharyngolaryngoesophagectomy. the use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. this retrospective study is a review of 50 consecutive iranian patients who underwent pharyngolaryn...