Background. Although blood ordering is a common practice in surgical field, the average requirement for a particular procedure is usually based on subjective anticipation of blood loss rather than on evidence based estimates. Overordering with minimal utilization squanders technical time, reagent and imposes extra expenses on patients. This study was conducted to assess blood utilization practi...

BACKGROUND Acute colonic obstruction because of malignancy is often a surgical emergency. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the traditional treatment of choice. Endoscopic colonic stent insertion effectively decompresses the obstructed colon, allowing for surgery to be performed electively. This study sought to determine the cost-effe...

We present a case of elective total knee arthroplasty where the surgical procedure was affected by the neuromuscular blocking agent administered at induction of general anaesthesia. Recognition of this effect was vital to avoid additional bone resection at the soft tissue balancing stage of the procedure.

We report the case of a 54-year-old patient who was admitted to our institution for planned surgical treatment of an ascending aortic aneurysm and aortic valve insufficiency. A decision was made to perform an elective Bentall-de Bono procedure. Constrictive pericarditis was revealed intraoperatively. The Bentall-de Bono procedure and the resection of calcified pericardium were performed success...

right ventricular failure due to right coronary artery disease, right ventricular hypertrophy, stunning, abnormal septal motion, myocardial infarction, or non-homogeneous distribution of cardioplegia is an uncommon but serious complication of open heart surgery. we report a patient with severe right ventricular hypertrophy secondary to severe mitral valve stenosis and another patient with detac...

Background: To assess the prevalence of serous tubal intraepithelial carcinoma (STIC) in women underwent opportunistic salpingectomy at time caesarean delivery (CD). Methods: We conducted a retrospective cohort study (2014–2017) who received either bilateral total or partial as postpartum permanent contraception procedure during CD. collected characteristics patients, type CD (elective versus u...

Objective: Analysis of various cases admitted to surgical unit of Pakistan Institute of Medical Sciences (PIMS), Islamabad. Patients and Methods: This cross-sectional study was conducted from Jan 2016 – Dec 2016 at Department of General Surgery, PIMS Islamabad. The record of all the cases admitted in Surgical Unit II during the year 2016 was reviewed. All data was collected on a specially desig...

Background: Minimally invasive laparoscopic surgery is the method of choice for the surgical treatment of gallbladder disease. However, surgery of the biliary tract in the elderly is often associated with high morbidity and mortality. Patients and Method: To evaluate the efficacy and safety of the laparoscopic cholecystectomy in the elderly with symptomatic, uncomplicated gallbladder disease, w...

OBJECTIVE(S) To examine the relation between hospital teaching status and surgical outcomes for both emergency and elective general surgery cases using a national database. BACKGROUND Teaching hospitals (TH) have been shown to have better outcomes for complex elective surgical cases when compared with nonteaching hospitals (NTH). Less is known about the effect of teaching status on outcomes f...