BACKGROUND Surgical site infection is one of the most common complications of conventional laparoscopic surgery. Preventing infection of the incision is particularly important. OBJECTIVE To discuss how to prevent the occurrence of surgical site infection after contaminated abdominal surgery. METHODS Five hundred and fifty-one surgery patients with ``contaminated abdominal incisions'' from J...

 Background: The most common laryngeal mass in children is recurrent respiratory papillomatosis (RRP).  Studies have attempted to correlate viral typing and its aggressiveness. Method: 29 patients with histologically confirmed RRP enrolled in adjuvant therapies. Patients underwent several surgical interventions. Results: HPV genotyping demonstrated 45% HPV-6 and 55% HPV-11. The mean age at the ...

Surgical intervention is a gold standard technique for ruptured and unruptured middle cerebral artery bifurcation aneurysm. Before surgical intervention it is necessary to know the three-dimensional shape, surgical position, projection and position of the aneurysm and the course of the parent artery. In a demonstrative case with middle cerebral artery aneurysm, using the OsiriX MD image process...

A patient with acute anorectal complaints who visits a hospital emergency room often presents a diagnostic challenge because the surgeon on duty is not always experienced in the treatment of anorectal disorders. The article presents the most common anorectal disorders which may be encountered by a surgeon on duty in the hospital emergency room. The leading anal symptoms making the patient visit...

Introduction The term clawed hallux refers to a specific deformity of the great toe. It is clinically defined as the extension of the first metatarsophalangeal joint (MTPJ) combined with flexion of the interphalangeal joint (IPJ). This imbalance is presumed to be a result of a functional “overpull” (a disproportionate load) of one or more of the three extrinsic muscles of the first ray: the per...

OBJECTIVE To determine the effect of timing of surgical intervention for necrotizing pancreatitis. DESIGN Retrospective study of 53 patients and a systematic review. SETTING A tertiary referral center. Main Outcome Measure Mortality. RESULTS Median timing of the intervention was 28 days. Eighty-three percent of patients had infected necrosis and 55% had preoperative organ failure. The mor...

Disordered gastric motility represents a spectrum of dysfunction ranging from delayed gastric emptying to abnormally rapid gastric transit, commonly referred to as the "dumping syndrome." Both extremes of gastric motility disorders can arise from similar pathologic processes, and produce remarkably identical symptoms. This fact underscores the need to attain a precise diagnosis to ensure the in...

Although accepted in several countries abroad, the performance of percutaneous coronary intervention (PCI) without onsite surgical backup is controversial in the United States. Current guidelines from the United States do not endorse elective PCI in facilities without onsite surgical backup but acknowledge that primary PCI for ST-segment elevation myocardial infarction is acceptable under caref...