The undermining should split the muscle at the middle, and the same amount of muscle should be left in front of and behind the implant. The point X is found introducing a finger into the muscle incision 2–3 cm deeper. This is half of the thickness of the muscle and this is our plane of undermining. Point Y is in the iliac crest 5 cm beyond the upper-posterior iliac spine and is our superior lim...

Introduction: Anal malignant melanomas are relatively rare tumors. Because of their polypoid structure, they can be confused with benign anorectal diseases. Wide excision and lymph node dissection is recommended especially in including metastasis because it reduces local recurrence. Case report: We performed abdominoperineal resection + bilateral inguinal iliac paraaortic our 77-year-old female...

Femoral nerve palsy has been reported after percutaneous ilioinguinal field infiltration with general anaesthesia for inguinal herniorrhaphy. The mechanism whereby this could occur was studied in cadaver dissections. It was found that the plane between the transversus abdominis muscle and the transversalis fascia was continuous laterally with the tissue plane deep to the iliacus fascia, which i...

Peripheral nerve blockade (PNB) is superior to neuraxial anesthesia and/or opioid therapy for perioperative analgesia in total knee replacement (TKR). Evidence on the safety of PNB in patients with coagulopathy is lacking. We describe the first documented account of continuous femoral PNB for perioperative analgesia in a patient with Von Willebrand Disease (vWD). Given her history of opioid tol...

BACKGROUND This meta-analysis aimed to perform a meta-analysis including randomized controlled trials (RCTs) to assess the efficiency and safety of fascia iliaca block (FIB) for pain control in patients undergoing total joint arthroplasty (TJA). METHODS A systematic search was performed in Medline (1966-2017.03), PubMed (1966-2017.03), Embase (1980-2017.03), ScienceDirect (1985-2017.03) and t...