laparoscopically-assisted vaginal hysterectomy (lavh) was performed in fifteen patients without invasive cancer. indications for hysterectomy were myomas, abnormal uterine bleeding unresponsive to hormonal treatment and dilatation and curettage, chronic pelvic pain with first degree uterine prolapse and possible adenomyosis, and dysplasia and ovarian cyst in postmenopausal years. no significant...

we present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. the striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery

dear editor we read the article by bagheri et al with great interest (1). we found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of mayo wrist score, grip strength, range of motion and radiographic parameters. it seems that the results were comparable to studies ...

background: despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. some studies suggested, the most effective approach to controlling immediate post-operative pain may include a combination of drug agents and non-drug methods. the aim of this study was to investigate the effect of music therapy on...

a common complication of prosthetic heart valves is thrombosis. although the incidence of prosthetic valve thrombosis (pvt) in the tricuspid position is high, there are not enough data on the management of it, in contrast to left-sided pvt. here, we describe three cases of tricuspid pvt with three different management approaches: thrombolytic therapy; close observation with oral anticoagulants;...

conclusions negative pressure inspiration is significantly impaired by an unstable chest wall. restoring mechanical stability of the fractured ribs improves respiratory outcomes similar to baseline values. results a wide variation in the mean inspiratory volumes and peak flows were measured between specimens; however, the effect of a flail chest wall and the subsequent internal fixation of the ...

context functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. there is an increasing trend in the literature to perform operative fixation of these fractures. evidence acquisition the aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. a compr...

a 54-year-old man referred to our center with barlow’s disease and severe mitral regurgitation. he had atrial fibrillation (af) rhythm, with a mildly enlarged left atrium (la). transesophageal echocardiography (tee) showed no clot in the la and la appendage; there was only mild spontaneous echo contrast in the la appendage. the patient underwent mitral valve repair and the maze operation, durin...

surgery to remove some part of the inner ear is an effective intervention to relieve of symptoms. an informed care can decline the patient's fears, and also a pre-operating patient education can facilitate the patient’s recovery. patients, who are in a labyrinthectomy waiting list, feel a combination of anxiety and release. they have spent lots of time to find a treatment for their severe ...

introduction: antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. this article evaluates the value of prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery.   materials and methods: fifty candidates for bimaxillary orthognathic surgery were di...