There are 5 main reasons that I never want to repair a flexor tendon in sedated patients ever again. If a patient is wide awake (unsedated) with no tourniquet and only lidocaine with epinephrine is used in the fingers and hand for local anesthesia and hemostasis, 5 major things happen to improve the results: 1) Decrease rupture rate with intraoperative active testing of repair: Injection of onl...

Acute renal failure due to ureter compression after a mesh-plug inguinal repair in a kidney transplant recipient has not been previously reported to our knowledge. A 62-year-old man, who successfully underwent kidney transplantation from a deceased donor 6 years earlier, was admitted for elective repair of a direct inguinal hernia. The patient underwent an open mesh-plug repair of the inguinal ...

INTRODUCTION Laparoscopic intraperitoneal onlay mesh (IPOM) repair is occasionally used for inguinal hernia repair. Here, we report a case of chronic neuropathic pain after laparoscopic IPOM repair for inguinal hernia, which was treated successfully with laparoscopic selective neurectomy. PRESENTATION OF CASE A 59-year-old man with bilateral inguinal hernia underwent laparoscopic repair. Tran...

abstract  background: rotator cuff tear is one of the most common causes of shoulder  complaints in the elderly. based on the severity and patient's condition, a variety of  methods applies to manage the tear and surgery is an important method, which could  be done by open or arthroscopic technique. the current study aimed to investigate  and report short-term results of arthroscopic repair of ...

During the last 20 years there have been significant innovations in injury repair and aftercare for patients who sustain zone 2 flexor tendon injuries. Improvements in our understanding of the mechanisms of repair and the variables that impact the function of the repair site have resulted in outcome improvements. The purpose of this article is to review advances in flexor tendon surgery and to ...

Objective: To determine the clinical outcome of laparoscopic versus open repair perforated peptic ulcer. Study Design: Comparative analytical study Place and Duration Study: Department Surgery Ward-2, Jinnah Postgraduate Medical Centre Karachi from 1st March 2021 to 28th February 2022. Methodology: Fifty patients with duodenal ulcer perforation were divided into two equal groups surgery or was ...

Ischemic colitis is a well-described complication of major vascular surgery, especially following open abdominal aortic aneurysm repair and endovascular aneurysm repair, but also with aortoiliac surgery, aortic dissection, and thoracic aneurysm repair. Following its onset, mortality remains high, highlighting the need for rapidly identifying the onset of symptoms and, perhaps more importantly, ...

Double aortic aneurysm (DAA) falls under the category of multiple aortic aneurysms. Repair is generally done through staged surgery due to low invasiveness. In this approach, one aneurysm is cured per operation. Therefore, two operations are required for DAA. However, post-first-surgery rupture cases have been reported. Although the problems involved with managing staged surgery have been discu...

Inguinal hernia repair is a common operation often performed as a day case procedure. Day surgery is popular with patients and offers many benefits. This article outlines the most common forms of hernia repair and discusses the need for general or local anaesthesia. Basic principles of day surgery management, including patient selection criteria, pain relief, post-operative information, nurse-l...