This is a comment on “One-Year Follow-Up of a Series of 100 Patients Treated for Lumbar Spinal Canal Stenosis by Means of HeliFix Interspinous Process Decompression Device” [1]. We read a recent article [1] on a conservative treatment in 100 patients as a formidably minimally invasive method to improve quality of life. We think that this article presents (supported by a tremendous number of bot...

headache symptoms compared with patients administered blood patch, and should have been excluded from this analysis, in our opinion. Indeed, these women could be considered ‘treatment successes’, since they received analgesia sufficient to be able to continue childcare at home, headache-free at one week, without exposure to the risks of epidural blood patch. It follows that a similar proportion...

A prospective study of 199 patients over a two year period, 1 Jun 90 to 31 May 92 at the Louise Margaret Maternity Wing, Cambridge Military Hospital, Aldershot was undertaken to audit the uptake of an offer of conservative management of prolonged pregnancy to women at 42 weeks gestation. The labour outcomes of patients opting for conservative or induction management plans were recorded and the ...

Arthroscopic rotator cuff repair is a reliable option for symptomatic patients who have failed conservative treatments. Limited evidence exists regarding early rehabilitation time points (less than 1 year) and the influence of tear size. The authors sought to determine whether a difference exists in pre- and postoperative range of motion among small, medium, and large isolated rotator cuff tear...

Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleu...

Adherent placenta is an uncommon but potentially dangerous complication of pregnancy. Hysterectomy remains the ‘‘Gold Standard’’ and lifesaving procedure in the management of adherent placenta. However, with careful selection of cases and meticulous monitoring, successful conservative management is possible with the use of methotrexate. Here, we report a case of successful pregnancy outcome for...

Traditionally, mandatory exploration was the rule for managing penetrating abdominal trauma, but this has begun to change in the recent era. The change first affected stab injuries, in which the conservative approach in appropriate cases has gained wide spread acceptance. Relatively recently, the management of gunshot injuries to the abdomen has been similarly affected, and several reports appe...

BACKGROUND Concussion in the National Football League (NFL) remains an important issue. An initial description of the injury epidemiology involved 6 years from 1996 to 2001. HYPOTHESIS The increased attention to concussions may have resulted in team physicians being more conservative in treating players in recent years. STUDY DESIGN Two consecutive 6-year periods (1996-2001 and 2002-2007) w...

Asymptomatic intrapelvic meningocele is rare. Here, we report the case of a 30-year-old Chinese man who underwent sigmoidectomy due to megacolon. During the operation, an intrapelvic cyst was found and resected. Meningocele was confirmed by histological examination. The patient recovered well postoperatively with the exception of liquorrhoea. Conservative therapy was initiated, including draini...