Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...

Staged hepatectomy, particularly associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a recently developed advanced surgery for resecting liver tumors. However, large wound surfaces, incomplete drainage and high rates of mortality are vital limitations of ALPPS. The present case study describes a patient with liver cancer who underwent ALPPS surgery combined wi...

Small traders face risk and uncertainty in carrying out their business activities. On the basis of a large-scale survey on iafermal seda trnde in Central Java, Indonesia, the economic conditions of the informal trade sector and risk avoidance strategies of traders are analyzed. In particular, petty traders have to solve ‘the traders dilemma” by extracting themselves from the moral obligations d...

INTRODUCTION Patients referred with inadequately staged ovarian malignancies present a clinical dilemma. We report our experience with completion surgery in ovarian cancer. AIMS AND OBJECTIVES To determine the benefits and risks of completion surgery in women with ovarian cancer who presented after having had inadequate primary surgery. METHODS A retrospective case series of 30 women with o...

Delayed chest closure may be mandatory after heart surgery to treat a congenital disorder. Sternal closure can be challenging, even when a staged closure procedure has been performed. We present 2 case reports of a sternal augmentation technique in neonates using bovine bone substitute. Staged chest closure was mandatory because of cardiomediastinal disproportion in the first patient, and hemod...

Staged retroauricular flap is a great option for full-thickness defects along the helical rim and antihelix. Donor site consists of the posterior ear, postauricular sulcus and mastoid area. The advantages of this flap include hidden donor scar, donor tissue similarity and rich vascularity. We present a case of collision tumor on the left helix treated with Mohs micrographic surgery and the resu...

A bstract Background When the nasal obstruction is identified in cases of snoring and/or OSA with suspected oropharyngeal and obstruction, combination palate surgeries suggested to be conducted either a single-staged or multi-staged manner. This study aimed assess efficacy safety combined nasal-palatopharyngeal surgery staged versus single-stage multilevel procedure. Methods Prospective randomi...

BACKGROUND The strategy for treating patients with severe asymptomatic carotid artery stenosis and cardiac disease remains unresolved. Staged or combined carotid endarterectomy in these patients offers the potential benefit of decreased neurological morbidity during and after cardiac surgery; however, in high-risk patients with severe coronary artery disease, chronic obstructive pulmonary disea...