background the number of laparoscopic procedures done each year continues to rise substantially. clinically significant hemorrhage from secondary port sites at laparoscopy is an uncommon but serious complication and can become unrecognized intraoperatively. abdominal wall hemorrhage and bruising may complicate laparoscopic operative procedures. methods we propose an easy technical gesture to st...

introduction: the precise time of using percutaneous coronary intervention (pci) after fibrinolytic therapy for maximum efficiency and minimum side effects is still undetermined. therefore, the present study was designed to compare the outcome of myocardial infarction (mi) patients who underwent surgical intervention (angiography and pci) within 48 hours of thrombolytic therapy or after that. m...

Laparoscopic orchiopexy (LO) was used in place of open surgery in 10 patients for diagnosing cryptorchidism in our department. In this method a large abdominal incision was not given in search of intra-abdominal testes. Anorchia was diagnosed in four patients, which was shown to be bilateral in one. In one subject with ambiguous genitalia, revealing the presence of intra-abdominal gonads e...

OBJECTIVE DiGeorge syndrome is a genetic disorder with multisystem involvement resulting in craniofacial and cardiac anomalies and parathyroid and immune system dysfunction. This study describes perioperative management of a large cohort of patients with DiGeorge syndrome undergoing cardiac surgery. DESIGN Retrospective cohort study. SETTING Major academic tertiary institution. PARTICIPAN...

BACKGROUND Deep and superficial sternal wound infections (DSWI & SWI) following cardiac surgery increase morbidity, mortality and cost. Autologous platelet rich plasma (PRP) derived from the patient's own blood has been used in other surgical settings to promote successful wound healing. The goal of this study was to analyze the addition of PRP using a rapid point of care bedside system to stan...

Although red blood cell (RBC) transfusions are frequently used in cardiac operations, an increasing amount of data has demonstrated deleterious consequences. Consequently, the appropriate use of this limited resource is unclear. In this review, we discuss the relationship between anemia and the outcomes of cardiac surgical procedures, the risks associated with RBC transfusion, and the impact of...

Infective endocarditis (IE) is a life-threatening disease with substantial morbidity and mortality which affects individuals with underlying structural cardiac defects who develop bacteraemia, often as a result of dental, gastrointestinal, genitourinary, respiratory or cardiac invasive/surgical procedures. Prompt recognition of the clinical diagnosis by a wide variety of medical personnel, earl...

Hyperglycemia, which occurs in the perioperative period during cardiac surgery, has been shown to be associated with increased morbidity and mortality. The management of perioperative hyperglycemia during coronary artery bypass graft surgery and all cardiac surgical procedures has been the focus of intensive study in recent years. This report will paper the pathophysiology responsible for the d...

introduction: insome cases, assist devices are required to ensure an adequate cardiac output after cardiac surgery. intra-aortic balloon pump (iabp) is the most commonly used cardiac assist device, which provides first-line support for patients with heart failure. the aim of this study was to determine factors affecting the mortality rate of patients receiving iabp. materials & methods:  in thi...