Vulvar cancer is a gynecological cancer whose incidence rate is relatively low. Patients generally were admitted at advanced stage, and radiation therapy at advanced stage does not provide favorable prognosis. Two main modalities in the treatment of vulvar cancer are surgery and radiation therapy. However, radiation can be performed in early stage vulvar cancer but surgery is thought to have mo...

objective(s): appendicitis remains the most common condition in the pediatric population requiring emergency abdominal operation. management of acute simple appendicitis is well described but controversy remains as to the optimal treatment of complicated appendicitis. common complications of acute appendicitis include: localized peritonitis and abscess formation, flegmon and general peritonitis...

The purpose of this study was to identify risk factors in wound dehiscence and to determine which factors might be predictable. Forty patients with abdominal wound dehiscence were compared with 40 control patients standardized by sex and age. Hypoproteinemia, nausea/vomiting, fever, wound infection, abdominal distension, type of suture material, 2 or more abdominal drains, and the surgeon's exp...

Objective: To compare the efficacy and complications of single incision trans scrotal versus standard inguinal orchidopexy in children with palpable undescended testes. Methodology: This randomized controlled trial was conducted at the Paediatric Surgery Department Bahawal Victoria Hospital Bahawalpur from April 2007 to April 2010. Children aged 9 months to 12 years, diagnosed as cases of palpa...

A continuous intravenous infusion was used to assess the tissue penetration of cefazolin (14 subjects) and cefuroxime (15 subjects) in orthopedic surgery patients. Subjects were randomly assigned to receive a continuous intravenous infusion of cefazolin (mean, 178.6 mg/h) or cefuroxime (mean, 330.0 mg/h) at a rate estimated to achieve a target steady-state total concentration of 50 micrograms/m...

Minimally invasive thyroid surgery, using various techniques including endoscopic and video-assisted have been reported. Thyroid surgery using a mini-incision over the upper pole of the thyroid, as a new technique is presented here. Methods: The study group comprised of 52 patients undergoing minimally invasive thyroid surgery (MITS) by open method during the period May 2005-May 2013. Data rega...

Background & aim: Due to the development of major complications after cesarean section (C-section), surgical site infection and delayed wound healing was of great concern to gynecologists since a long time ago. It is especially the case for mothers susceptible to post-cesarean wound infection who need special care. The present study therefore aimed to investigate the e...

a a i r s c p Background. Sternal wound infections are a major omplication after cardiac surgery in terms of morbidity nd cost increase. To decrease the incidence of infection, e evaluated triclosan-coated sutures for the closure of he sternal incision, as it is known that most of the urgical site infections are related to the incision site. Methods. From May to December 2005, a total of 479 at...

BACKGROUND About 10% of patients not responding to 3-6 months of conservative management for insertional Achilles tendinopathy undergo surgery. Traditionally, surgery of the Achilles tendon is performed through longitudinal extensile incisions. Such surgery is prone to the complications of wound healing, wound breakdown and iatrogenic nerve injury. METHODS We describe our current method of ex...

PURPOSE We prospectively evaluated the surgical outcomes of single scrotal incision orchiopexy in children with a palpable undescended testis compared with the traditional two incision orchiopexy. MATERIALS AND METHODS A total of 398 orchiopexies (292 children) were included and randomly assigned to the single scrotal incision orchiopexy group (Group I, 147 children, 201 testes) or the tradit...