the distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. however, perfusion problems and venous congestion have been reported. over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. the purpose of this paper is to describe our experience in har...

conclusions most cases of splenectomy in our center caused by trauma, and among the different types of trauma, blunt trauma is the dominant cause. road traffic accidents, in particular motor vehicle accidents, especially motorbike injures, are the most frequent cause of splenectomy. due to the instability of trauma patients, a mortality rate of 8% seems to be reasonable for splenectomy. rnwe re...

background: reintubation in patients after cardiac surgery is associated with undesirable consequences. the purpose of the present study was to identify variables that could predict reintubation necessity in this group of patients. methods: w e performed a prospective study in 1000 consecutive adult patients undergoing cardiac surgery with cardiopulmonary bypass. the patients who required reint...

one of the basic purposes in dental treatment is providing a painless treatment for patients. this purpose may be achieved by the application of laser in dentistry. low-level laser therapy (lllt) is an internationally accepted title for biomodulation with low-level lasers which we use to achieve ideal therapeutic effects. low-level laser therapy is a painless, reproducible, non-invasive, and wi...

purpose: to determine the indications for and surgical techniques of corneal transplantation at labbafinejad medical center (lmc) from 2004 to 2007. methods: in this descriptive study, records of 756 patients who had undergone corneal transplantation from october 2004 to october 2007 were reviewed. results: overall, 504 male (64.9%) and 272 female (35.1%) subjects with mean age of 41.29±21.25 (...

right ventricular failure due to right coronary artery disease, right ventricular hypertrophy, stunning, abnormal septal motion, myocardial infarction, or non-homogeneous distribution of cardioplegia is an uncommon but serious complication of open heart surgery. we report a patient with severe right ventricular hypertrophy secondary to severe mitral valve stenosis and another patient with detac...

conclusions our study demonstrated the efficacy of rfviia in controlling postoperative bleeding in redo cardiac valve surgeries regarding subsequent blood loss and transfusion requirement; however, outcome results remains to be defined. results study groups showed no difference regarding baseline variables. three patients in rfviia group (16.67%) and 13 in placebo group (72.23%) received blood ...

a 54-year-old man referred to our center with barlow’s disease and severe mitral regurgitation. he had atrial fibrillation (af) rhythm, with a mildly enlarged left atrium (la). transesophageal echocardiography (tee) showed no clot in the la and la appendage; there was only mild spontaneous echo contrast in the la appendage. the patient underwent mitral valve repair and the maze operation, durin...

autogenous tooth transplantation (att) is a simple and reasonable choice for replacing the missing teeth when a proper donor tooth is available. this report presents a case of successful att of a maxillary right third molar for replacement of mandibular right second molar with a concomitant endodontic-periodontal disease. the mandibular second molar was believed to be hopeless due to a severe d...

introduction: the co-existence of pituitary adenoma and meningioma is extremely rare. it is even rarer in patients with no previous known risk factors for either tumour. here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. methods: the tumours were diagnosed on mri in the 65-year-old...