Natural orifice translumenal endoscopic surgery (NOTES) involves the intentional perforation of the viscera with an endoscope to access the abdominal cavity and perform an intraabdominal operation. In a brief time period, NOTES has been shown to be feasible in laboratory animal and human studies. Easy access to the peritoneal cavity and complete gastric closure should be secured before NOTES ca...

Introduction: The most common type of velopharyngeal valve (VPV) closure is a matter of controversy.The aim of this study was to estimate the most common type of VPV closure, including identification of the type and grade of VPV closure among Egyptian children.  Materials and Methods: This study included patients who were candidates for adenotonsillectomy. In these cases, video-nasoendoscopy an...

Abstract Repair of hernia is a very common procedure performed by general surgeon. Laparoscopic approach has demonstrated advantages over direct approach: less complications, faster recovery and postoperative pain. In Spiegel hernias, if the ring than 2 cm, simple laparoscopic suture can be performed; however, transabdominal preperitoneal (TAPP) hernioplasty lower risk recurrence. We report cas...

OBJECTIVE To determine the effect of closure or non-closure of the visceral peritoneum at cesarean delivery on uterine scar formation assessed at repeat cesarean delivery. METHODS Women undergoing initial cesarean delivery were allocated into 2 groups: group 1 underwent visceral peritoneal closure, while in group 2 the visceral peritoneum was not closed. At repeat cesarean delivery 4 specimen...

In this paper, the notion of closure operators of matroids  is generalized to fuzzy setting  which is called $M$-fuzzifying closure operators, and some properties of $M$-fuzzifying closure operators are discussed. The $M$-fuzzifying matroid induced by an $M$-fuzzifying closure operator can induce an $M$-fuzzifying closure operator. Finally, the characterizations of $M$-fuzzifying acyclic matroi...

introduction: detection of malignant cells in the peritoneal cavity indicates the extension of cancer cells. the aim of this study is to evaluate the incidence rate of positive cytology in colorectal cancer and its relationship with the local progress of the tumor.  methods: in a 2-year prospective study in mashhad and iran universities of medical sciences, peritoneal lavage was performed on 40...

Treatment of gastrointestinal fistulas after staple line leaks is difficult and non-invasive procedures such as endoclips, stents or endoscopic vacuum assisted closure (E-VAC) are sometimes not adequate. Fibrin sealants (FS) may promote healing, although today used mainly to prevent anastomosis dehiscence within digestive tract. The authors present a 37-year-old female patient who developed chr...

Typhoid ileal perforation (TIP) is the most lethal complication of typhoid fever. Although TIP is a surgical emergency by consensus, there is still much controversy regarding the most appropriate surgical approach to be used. Bowel exteriorization and secondary closure are usually recommended for patients presenting late with multiple TIPs and heavy peritoneal soiling. We, however, discuss a un...

Introduction: Bladder flap hematoma (BFH) is a rare complication of cesarean section (CS). BFH appears between the bladder and lower uterine segment (LUS) when visceral peritoneal closed during traditional CS techniques decreased contractions. Surgery treatment choice for management closure in decrease contractions that cause BFH.Case Presentation: A 35-year-old G3P2A0 underwent delivery due to...

BACKGROUND To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. METHODS A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. RESULTS Multiple case reports sug...