conclusions for laterally localized and protruded duodenal diverticula, laparoscopic resection is a feasible and safe method. the role of laparoscopy in surgical treatment of complicated diverticula, located in other parts of the duodenum, is unclear because of lack of experience. case presentation in this article, we present a case report of a large duodenal diverticulum, treated with laparosc...

The elderly patient is generally counseled with caution regarding open surgical procedures because of the relatively high morbidity and mortality associated when compared with similar procedures in younger patients without comorbidities. However, there is an ever-increasing utilization of minimally invasive surgical approaches to urological conditions with demonstrable benefits over open surger...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...

Learning Objectives: As a result of completing this activity, the participant will be able to Describe how new surgical techniques for transurethral resection of the prostate (TURP) have impacted anesthetic management and patient outcome Explain current perioperative challenges in urological robotic and renal calculi procedures Interpret the anesthesiologist’s role in renal transplantation in d...

OBJECTIVE We demonstrate an innovative use of a barrier surgical wound retractor/protector system for use in a variety of prosthetic urologic procedures (penile prosthetics, artificial urinary sphincters, male slings). MATERIALS AND METHODS We demonstrate the use of a self-retaining ring wound retractor in a multitude of prosthetic urological procedures: insertion of an inflatable penile pros...

introduction: adequate pain control is an important consideration in the post-surgical management of patients. local nerve blockade added to general anesthesia can provide excellent pain control during and after most nasal surgical procedures. the aim of this study was to determine the combined effect of local anesthetic drugs with corticosteroids in nasal surgery. materials and methods: in thi...

chylothorax in adult occurs most commonly in the wake of cardiac and thoracic procedures. injuries to the  common thoracic duct in the thorax or its branches in the mediastinum, injuries to the thymus tissues, dissection of the superior vena cava or ascending aorta, dissection of the aortic arch, disruption of the accessory lymphatics in the left or right thorax, and increased pressure in the s...