We report perforations of a pregnant uterus during laparoscopy for suspected internal herniation after gastric bypass at 24 weeks of gestation. Abdominal access and gas insufflation were achieved by the use of a 12 mm optic trocar. An additional 5 mm trocar was positioned. The perforations were handled by suturing following laparotomy and mobilisation of the high located uterus. The uterine fun...

In this paper, we propose a theoretical scheme for the generation of non-classical states of the cavity field in a system of a single trapped atom via controlling the Lamb-Dicke parameter. By exploiting the super-operator method, we obtain an analytical expression for the density operator of the system by which we examine the dynamical behaviors of the atomic population inversion, the phase-spa...

Laparoscopic surgery is the standard of care for many abdominal and pelvic operations and is widely applied today. LESS (Laparo-Endoscopic Single Site) surgery, originally attempted in the 1990s, is an advanced minimally invasive approach that allows laparoscopic operations to be undertaken through a small (<15 mm) incision in the umbilicus, a preexisting scar. The presence of a preexisting sca...

INTRODUCTION Since the past decade, minimal access surgery is moving towards minimizing the surgical trauma by reducing numbers and size of the laparoscopic ports . A novel technique with a single-incision laparoscopic approach has been recently described. AIM To describe the single-port technique for laparoscopic liver resection. TECHNIQUE A transumbilical 3-cm skin incision is performed a...

Two infants on the neonatal unit aged 143 days and 47 days with difficult venous access were successfully resuscitated from episodes of coliapse using the intraosseous route. (Arch Dis Child 1993;68:324-325) Intraosseous resuscitation of babies and infants is taught to residents in North America in the paediatric advanced life support course.1 No such formal training is widely available in Grea...

Aminopeptidases that generate antigenic peptides influence immunodominance and adaptive cytotoxic immune responses. The mechanisms that allow these enzymes to efficiently process a vast number of different long peptide substrates are poorly understood. In this work, we report the structure of insulin-regulated aminopeptidase, an enzyme that prepares antigenic epitopes for cross-presentation in ...

OBJECTIVE The aim of this study was to assess microorganisms associated with vascular access-associated infections (VAIs) in hemodialysis patients, with respect to possible origin from the mouth. STUDY DESIGN A retrospective and comparative analysis of the microbes associated with VAI in hemodialysis patients treated during a 10-year period was performed with the Human Oral Microbiome Databas...

Venous aneurysms are extremely rare. They may be congenital or acquired in origin and occasionally related to arteriovenous communications. A 58-year-old man complained of dull left lower quadrant pain and constipation. On physical examination a soft deep mass was palpated. Ultrasonogram and CT scan revealed a cystic formation in the pelvic cavity. Angiograms disclosed an arteriovenous malforma...