BACKGROUND AND OBJECTIVES Today, laparoscopic intrafascial hysterectomy and laparoscopic supracervical hysterectomy are well-accepted techniques. With our multimodal concept of laparoscopic hysterectomy for benign indications, preservation of the pelvic floor as well as reconstruction of pelvic floor structures and pre-existing prolapse situations can be achieved. METHODS The multimodal conce...

INTRODUCTION Therapeutic laparoscopy of the pancreas is still described as experimental surgery by many surgeons. Many issues remain to be clarified in determining the future of this new method. CASE PRESENTATION The objective of the present study was to present a case of a patient who underwent totally laparoscopic distal pancreatectomy for a benign appearing tumor in the tail of the pancrea...

Objective. Mesorectal excision corresponding to the location of a tumor, termed tumor-specific mesorectal excision (TSME), is commonly performed for resection of upper rectal cancer. We devised a new laparoscopic procedure for sufficient TSME with rectal transection followed by mesorectal excision. Operative Technique. After mobilization of the sigmoid colon and ligation of inferior mesenteric ...

difficulties except those occasioned by the size of the tumour. The incision to deliver the tumour extended, from the pubes to the umbilicus and the weight and size of the tumour hindered considerably the subsequent steps of the operation. The broad ligaments which were greatly hypertrophied contained a large number of immense thin walled veins, some the size of the little finger, the ligation ...

Ligation of one common carotid artery and exposure to carbon monoxide has proved to be a reliable method of producing unilateral cerebral infarcts in the rat, allowing controlled experiments in any given sample size. Pathophysiological measurements in awake and narcotized rats has shown that, in contrast to hypoxic hypoxia, the carbon monoxide-induced functional anaemia (3000 ppm in room air) d...

Nerve growth factor (NGF) and its precursor proNGF are perhaps the best described growth factors of the mammalian nervous system. There remains, however, a paucity of information regarding the precise cellular sites of proNGF/NGF synthesis. Here we report the generation of transgenic mice in which the NGF promoter controls the ectopic synthesis of enhanced green fluorescent protein (EGFP). Thes...

The results of treatment of 348 painful neuromas of sensory nerves of the hand in 172 patients were evaluated. Three hundred and sixteen were treated by simple excisional neurectomy and these results may be used for comparison with other methods. Sixty-five percent had an excellent or satisfactory result from a single such procedure. A repeated neurectomy improved the results to 78 percent. The...

The occurrence of primary carcinoma of the ureteral stump following radical nephrectomy for renal cell carcinoma is extremely rare; 7 patients with the disease have been reported previously. All these patients were males with transitional cell carcinoma. The current study reports the case of a 61-year-old woman, who presented with gross hematuria following a radical nephrectomy for local clear ...

BACKGROUND It is still a matter of debate whether to ligate the indirect hernial sac during herniotomy or leave it open. We designed this study to find out the complications associated with leaving the sac open. METHODS This observational study was carried out at Surgical Unit C, Ayub Medical College, Abbottabad from January 2007 to December 2012. The hernial sacs of some children, aged 5 mon...

Painful jumping stump is characterized by persistent choreiform or myoclonic involuntary movements and severe neuropathic pain in the stump of a limb following amputation. This syndrome is also defined as„ trepidation du moignon‟, convulsive movements of the stump” or“jumpy stump”.The pathophysiology and etiology have not yet been clearly defined. We describe a seventy four year old man, who ha...