In a randomised controlled prospective trial, different antibiotic regimens were evaluated as prophylaxis in wound infection following elective surgical procedures. Four hundred and four consecutive cases were divided in four groups. Two groups were allotted two different conventional postoperative antibiotic regimens while the fourth group received short term perioperative antibiotic; group on...

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...

Objective: To compare diathermy versus surgical scalpel in skin incisions elective general procedures regarding incision time, post-operative pain and site infection.
 Study Design: Quasi-experimental study.
 Place Duration: Department of Surgery, Combined Military Hospital, Peshawar Pakistan, from Feb to Jul 2020.
 Methodology: A total 106 patients undergoing aged 20-60 years be...

BACKGROUND Transtracheal jet ventilation (TTJV) is recommended in several airway guidelines as a potentially life-saving procedure during the 'Can't Intubate Can't Oxygenate' (CICO) emergency. Some studies have questioned its effectiveness. METHODS Our goal was to determine the complication rates of TTJV in the CICO emergency compared with the emergency setting where CICO is not described (no...

OBJECTIVES To determine whether continued methotrexate treatment increases the risk of postoperative infections or of surgical complications in patients with rheumatoid arthritis (RA) within one year of elective orthopaedic surgery. DESIGN A prospective randomised study of postoperative infection or surgical complications occurring within one year of surgery in patients with RA who underwent ...

ABSTRACT
 COVID-19 pandemic has afflicted the individuals, national economies, and healthcare system worldwide. It badly struck ongoing planned surgical procedures in nearly all centers which led to come a grinding halt. This serious issue invites comments from experts throughout world.

n engl j med 363;27 nejm.org december 30, 201

Methotrexate (MTX) is the disease modifying antirheumatic 'anchor' drug for the treatment of patients with rheumatoid arthritis (RA). Despite its widespread use and the frequent need of elective orthopaedic and other types of surgical procedures in patients with RA, some confusion exists concerning the use of MTX in the perioperative period. Currently available data do not suggest a need to dis...