In this case, we explore physician conflict with performing surgery (tracheostomy) for long-term ventilation in a term infant trisomy 18 and respiratory failure. Experts neonatal-perinatal medicine, pediatric bioethics, palliative care have provided comments on case. An additional commentary was written by the parent of another 18, who is also medical provider (physical therapist).

Trauma, degeneration, and illness frequently necessitate surgical intervention [...]

BACKGROUND Mild traumatic brain injury (TBI) patients with initial traumatic intracranial hemorrhage (tICH) and without immediate neuro-surgical intervention require close monitoring of their neurologic status. Progressive hemorrhage and neurologic deterioration may need delayed neuro-surgical intervention. This study aimed to determine the potential risk factors of delayed neuro-surgical inter...

amongst the cause of cystic hepatic disease, hydatid cyst is common in the asia, south america, and africa. the definitive therapy for hepatic hydatid disease is surgical resection. rupture of the hydatid cyst into the biliary tree can lead to serious cholangitis. in this report, a 22-year-old man is presented with the signs and symptoms of obstructive jaundice and cholangitis. ultrasonography ...

Background and Aim: Several surgical techniques have been so far used for treating Cerebrospinal Fluid (CSF) leakage (rhinorrhea) such as using abdominal fat or fascia lata, but these methods have complications such as the presence of several surgeons in variable fields in the operating room or cosmetic complications for donors such as the surgical scar. This study aimed to investigate using bu...

BACKGROUND Shotgun wound classification systems attempt to predict the need for surgical intervention based on the size of wounds, pellet spread, or distance from the weapon rather than clinical findings. METHODS A 5-year retrospective review of patients sustaining a thoracoabdominal shotgun wound was performed. Factors believed to be associated with the need for surgical intervention were ex...