hemorrhoidectomy is the treatment of choice for patients with third or fourth-degree hemorrhoids. although the majority of surgeons believe that surgical hemorrhoidectomy is the most effective approach with excellent results in the management of hemorrhoid disease, but hemorrhoidectomy is not a simple procedure. one of the complications of this surgery is an injury to anal sphincters that can l...

Introduction: In medical education, particularly in residencycourses, most of the training occurs in real clinical environments.Workplace-based learning profoundly affects students’ knowledge,attitudes, and practice; therefore, it should be properly planned.Due to the extensiveness of the clinical environment and itsimportance in training residents, investigating how residentslearn in these env...

Objective: Thoracic trauma may be a life-threatening condition. Flail chest is a severe chest injury with high mortality rates. Surgery is not frequently performed and, in Literature, data are controversial. The authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with Kirshner’s wires (K-wires). <...

Carotid artery thrombosis and concomitant brain infarction after blunt trauma are rare conditions. We report a 34-year-old woman with multiple traumas due to pedestrian car accident. At the time of initial visiting, she was somnolent and her Glasgow coma scale (GCS) score was 14. Initial vital signs (V/S) and brain computed tomography (CT) scan were normal. One day after admission to the emerge...

BACKGROUND AND OBJECTIVE The treatment of hepatocellular carcinoma (HCC) involves multidisciplinary clinical divisions and patients may be admitted to clinical divisions of different disciplinary nature. Few studies have assessed the potential effect of hospital admissions into different divisions on patient treatment options and survival. This study aimed to analyze this potential effect. ME...

coronary artery disease is the leading cause of death worldwide. in this study, we compared two surgical methods of left internal mammary artery (lima) anastomosis on left anterior descending (lad) artery in patients with severe diffuse lesions. a total of 40 patients were included in our study and randomly assigned into two groups. in group a, after a long arteriotomy on lad, the posterior sur...

introduction: in medical education, particularly in residency courses, most of the training occurs in real clinical environments. workplace-based learning profoundly affects students’ knowledge, attitudes, and practice; therefore, it should be properly planned. due to the extensiveness of the clinical environment and its importance in training residents, investigating how residents learn in the...