burns account for a significant proportion of injuries, and of these the face, neck, and anterior torso are commonly affected. burn scars remain a lasting reminder of the insult both for the patient and the outside world. there is little doubt that the change in appearance and the limitation imposed by a burn scar contribute to negative body image. treatment of hypertrophic scars in the neck ha...

BACKGROUND Advances in surgical and medical management have greatly improved long-term survival rates in patients with congenital heart disease (CHD). As these patients reach adulthood, myocardial dysfunction can occur, leading to cardiac transplantation. METHODS AND RESULTS We reviewed the pretransplantation and posttransplantation courses of 24 patients >18 years old (mean age, 26 years; ra...

purpose: to investigate the incidence, mechanisms, characteristics, and visual outcomes of traumatic wound dehiscence following keratoplasty. methods: medical records of 32 consecutive patients with traumatic globe rupture following keratoplasty who had been treated at our center from 2001 to 2009 were retrospectively reviewed. results: the study population consisted of 32 eyes of 32 patients i...

TO THE EDITOR—Extremely drug-resistant (XDR) Acinetobacter baumannii is an opportunistic gram-negative pathogen with increasing relevance worldwide [1]. Although outbreaks of XDR A. baumannii have been reported in several settings around the world [2–4], infection control interventions to limit XDR A. baumannii transmission among patients undergoing surgical procedures have been rarely reported...

Heart transplantation is an accepted therapeutic modality for end-stage congenital heart disease for both biventricular and univentricular anomalies. Many transplant centers have pushed the limits of transplantation to include patients with high pulmonary vascular resistance, high panel reactive antibodies, positive cross-matches, and ABO-incompatibility. Excellent results have been possible, p...

Cardiac allotransplantation is now an established therapeutic modality for end-stage heart disease (1). Although the operative procedure remains essentially unchanged, recent advances in mechanical assist technology and significant advances in the medical therapy of congestive heart failure have changed heart transplantation from an “operation” to a definitive therapy among competing therapies ...

The gram negative rod Acinetobacter baumannii is a soil and water saprophyte characterized by a high degree of innate and acquired antibiotic resistance. While it can colonize healthy hosts, it is also a well-established hospital-acquired pathogen, especially in intensive care and surgical units. The pathogen does not have many of the traditional virulence factors for producing disease in healt...

Acinetobacter baumannii has emerged as one of the WHO most dangerous pathogens hit-list and considered a priority of the Public Health Services worldwide. It can cause a wide range of opportunistic infections, typically involving ventilatorassociated pneumonia, septicaemia and surgical wound infections mainly in immunocompromised patients [1]. The general morbidity and mortality rates of infect...

introduction cerebral haemorrhage could complicate post operative course after cardiac surgery, especially after multiple mechanical valves replacement needing for anticoagulation. the interruption of vitamin k antagonists in this cases, to avoid the enhancement of the cerebral haemorrhage, can be performed with reasonable safety. case presentation we report the case of a patient who underwent ...

context the current literature suggests that minimally invasive surgery is associated with faster recovery and less morbidity than open surgery. parenchyma-sparing pancreatectomy is minimally invasive surgery, including enucleation, inferior head pancreatectomy, spleen-preserving distal pancreatectomy, and central pancreatectomy, combined pancreatectomy such as inferior head pancreatectomy plus...