BACKGROUND AND OBJECTIVES The proximal tibia (pT) is a common site for bone tumors. Improvements in imaging, chemotherapy and surgical technique made limb salvage surgery the treatment of choice. Yet, reconstructions of the pT have been associated with less favorable outcome compared to other parts of the extremities. The aim of this study was to evaluate the outcome of patients with a modular ...

this is a semi experimental survey with the main goal of identifying effects of the use of fundal pressure in causing complication from the time of the woman,s entrance into the delivery room to the time of discharge from the hospital.   210 women took part in this survey, 70 of which were in the research and 140 in the observed group. the necessary data about the subject of the study were gath...

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a-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. swelling of the neck and upper anterior chest was observed. computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the p...

background and objective: the present study aimed to assess the role of magnesium sulfate (mgso4) sup-plementation after cardiac surgery in pediatric patients, evaluating the incidence of cardiac complications, such as arrhythmia. methods: in this study, 105 children scheduled for elective cardiac surgery were randomly divided into 3 groups. the first group, as the placebo group, received salin...

background osteotomy is one of the major steps in rhinoplasty. the aim of study was to compare edema and ecchymosis after external and internal lateral osteotomy in patients who underwent rhinoplasty. methods based on a prospective randomized clinical trial, 168 osteotomies were performed through an external route in a perforating fashion and internal route in a continuous fashion at right or l...

We reviewed the laboratory-confirmed cases of leptospirosis in Ramathibodi Hospital, a medical-school hospital in Bangkok, to assess the documented cases of leptospirosis in Bangkok and the medical complications of severe cases. There were 59 cases from January 1994 to December 2000. More than half of the cases were Bangkok residents and did not travel outside Bangkok in the preceding 2 weeks. ...

We present a unique vascular complication of α-1 antitrypsin deficiency (AATD) in a patient with an acute onset of epigastric pain and hemodynamic instability. Abdominal computed tomography angiography detected hemoperitoneum and hematoma within the gastrohepatic ligament with active extravasation. Abdominal angiography revealed left gastric aneurysms. An association between AATD and vascular a...

Guide wires are frequently used in various endourologic procedures to access the upper as well as lower urinary tract. Flexible guide wires have lesser complication rate of tissue injury as compared to stiff guide wires. Flexible guide wires are however more prone to bending and kinking due to their mechanical properties. We report an unusual complication of knotting of flexible guide wires dur...