An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was note...

Open tibial fractures result in high rates of complications. This study aims to elucidate the risk factors causing these complications, and suggest antimicrobial regimens based on the organisms grown in post-operative infections. Over a period of five years, 173 patients had sustained open tibial fractures and undergone operative treatment at a single institution. All surgical data was gathered...

PURPOSE To evaluate the effectiveness of subconjunctival anesthesia as compared to retrobulbar anesthesia for pain control during manual small-incision cataract surgery (MSICS) performed by third-year residents. DESIGN A randomized, controlled trial. PATIENTS AND METHODS A total of 150 patients undergoing routine cataract surgery were randomly assigned to receive either subconjunctival anes...

The mortality risk associated with surgical tracheostomy has declined from 3–4% quoted in studies before 1985 to < 1%. The total complication rate has also declined over the same period from up to 90% to < 40%. The complication rate is doubled in ICU versus non-ICU patients and in tracheostomies performed in emergency situations. This is mainly due to an 8-fold increase in the intra-operative (...

INTRODUCTION The principal advantage of dynamic sentinel lymph node biopsy (DSNB) over modified inguinal node dissection is the lower complication rate. The aim of this study was to identify factors associated with short-term complications of DSNB in order to lower morbidity of the procedure. METHODS Retrospective and prospective cohort studies were performed on patients undergoing DSNB betwe...

INTRODUCTION Modified Stoppa approach was introduced as an alternative to ilioinguinal approach for management of anterior fractures of acetabulum in order to reduce complications of the latter. However, the efficacy of either approach over other is not well established. The aim of this meta-analysis is to compare the efficacy of modified stoppa and ilioinguinal approach in the management of ac...

Coronary artery dissection is a quite unusual but eventually lifethreatening complication, and most cases occur as an immediate adverse event after cardiac catheterization [1, 2]. Mostly, it affects the right coronary artery, due to its anatomical disposition [3]. Rarely it can affect the LMCA (1% of all procedures), as happened in the case reported, and it can have fatal consequences if the ad...