Neurosurgery has made great advances in recent years as a result of a greater understanding from research of neurological conditions and technological breakthroughs which have expanded the scope of surgery. Deep brain stimulation, neuromodulation, role of stereotactic radiosurger [....] » Read More
Tarlov cysts remain a topic of controversy, from the first publication of Tarlov in 1938 and even now a myriad of treatments has been proposed for larger sacral cysts. For several reasons which will be discussed, Tarlov cysts have the tendency to be regarded as incidental finding [....] » Read More
Most of the advanced therapies in Medical Sciences are just a dream to 99.9 % of people as they cannot afford them. To bring this dream into a reality I decided to do research myself and reduced the cost of costly equipment in Medicine and Surgery about hundred times. The entire [....] » Read More
The “High Risk” Surgical patient consumes a significant proportion of surgical and perioperative resources. High risk patients underpin the concept of perioperative medicine. The first part of this talk discusses identification of such patients. The [....] » Read More
Currently, procedural skills in medicine are widely taught by means of an apprenticeship model, whereby trainees perform procedures under a graded level of supervision during clinical practice on live patients. Due to a variable and unpredictable clinical workload especially with [....] » Read More
The laparoscopic approach to gastrointestinal cancer resections offers advantages in terms of postoperative hospital stay, return of bowel function and intensive care and hospital stays. Though laparoscopic pancreatic resections are technically demanding, they are gaining increas [....] » Read More
Introduction: Primary bone tumours of the lesser trochanter (LT) are rare and the literature describing them is sparse. We describe the largest series of LT tumours reviewing the demographics, diagnosis and management. Methods: A retrospective search of prospectively maintaine [....] » Read More
Coblation technology offers the ability to ablate or remove soft tissue and cartilage from the larynx through the creation of a low temperature plasma field. Surrounding thermal injury is minimal but achieving precision can be a challenge. Given the delicate layered microstructur [....] » Read More
Introduction The da Vinci system has been used by a variety of disciplines for laparoscopic procedures but the use of robots in vascular surgery is still relatively unknown. The feasibility of laparoscopic aortic surgery with robotic assistance has been sufficiently demonstrated. [....] » Read More
There are different techniques of performing circumcision however in any case requires suturing of wound edges to complete the procedure.Wound closure techniques have evolved from the earliest development of non-absorbable suturing materials to advanced modalities like synthetic [....] » Read More
Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) is increasingly used in a range of settings in anaesthesia. It has been shown that THRIVE extends the safe apnoea time in children¹, and it is used well in paediatric resuscitation. At our quarternary ref [....] » Read More
Telling happy news is fun and usually easy. Telling difficult news is not fun and never easy but in some ways is more important, both for the one who says it and the one who is meant to hear it. How difficult news is told makes all the difference as to whether and how it is heard [....] » Read More
Comparing the aetiologies and presentations of two cases in Jamaica, West Indies in the Caribbean. The goal of this lecture is to outline the various predisposing factors on the onset of the disease process following several years of exposure to the infective process. We will exp [....] » Read More
Globally, neck of femur fractures (NOFF) are one of the most devastating injuries to the elderly population with a recognised 1 year mortality of 30% and 30 day mortality of 10%. In the UK alone, the reported annual health and social care cost is £2 billion and rising. The [....] » Read More
Background: Breast augmentation is the one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions with influence on the final appearance of the augmented breast are the breast implant pocket choice and selection of t [....] » Read More
Oxygen is liberally administered in intensive care units (ICUs). Nevertheless, ICU doctors’ preferences for supplementing oxygen are inadequately described. The aim was to identify ICU doctors’ preferences for arterial oxygenation levels in mechanically ventilated adu [....] » Read More
Objective: The management of Heparin resistance in patients undergoing ECMO is still uncertain. We sought to assess the efficacy and safety of Fresh frozen plasma to optimize the anticoagulation in these patients. We studied 42 adults undergoing VA-ECMO. Heparin infusion was incr [....] » Read More
Endometriosis affects 1 in 10 women in the childbearing age. It causes period pain which can be disabilitating and can cause infertility. Severe endometriosis found in 5 – 37% of women. Severe endometriosis diagnosis established in the presence of DIE involving uterus, rect [....] » Read More
Introduction: The number of surgical procedures being performed annually has consistently increased over the past years worldwide. With the increased demand this puts on surgical services, the surgical profession must ensure that standards are maintained and guidelines followed i [....] » Read More
Endovascular medicine is one of the most rapidly expanding fields in medicine today. Vascular complications after pancreatic transplantation carry a high rate of graft loss. It is therefore obvious that efforts have been made to utilise endovascular techniques to treat the challe [....] » Read More
Vocal cord paralysis (VCP) is a serious complication after general anesthesia. VCP due to iatrogenic nerve injury is reduced, but VCP due to mechanical damage after general anesthesia is increasing. The purpose of this study is to investigate etiological profile and risk factor f [....] » Read More
Introduction: Flexor hallucis longus (FHL) tendon transfer is the method of choice in reconstructing chronic neglected Achilles tendon rupture (ATR). In routine FHL tendon transfer surgery, the FHL is excised at the level of the Master knot of Henry and transferred into a bone tu [....] » Read More
Introduction: Perioperative acute kidney injury has been found to occur in 12% of patients undergoing lower limb revascularisation. Remote ischaemic preconditioning (RIPC) of short cycles of distant tissue ischaemia followed by reperfusion is a promising technique to reduce tissu [....] » Read More
Introduction: NICE guidelines recommend that pre-operative haemoglobin (Hb) should be ≥130g/L in patients undergoing elective surgery. At our centre the preoperative Hb cut-off, for patients undergoing elective joint replacement, is ≥110g/L. We aimed to compare the post-ope [....] » Read More
Introduction: Remifentanil is the most widely used opioid for total intravenous anesthesia (TIVA) or balanced anesthesia (BA) due to its favorable pharmacological properties. However, opioid-induced hyperalgesia and/or acute tolerance after intraoperative use of remifentanil have [....] » Read More
Title : Oral Surgical Roles in Cleft Lip & Palate Management
Theresa P Chiang, Canada China Child Health Foundation, Canada
Cleft lip and palate is a common congenital maxillofacial deformity. There is serious tissue defects with loss of maxillary bone segment and tissue displacement involved, affecting both appearance and function. This deformity causes major challenges because of associate [....] » Read More
Title : Tracheal Intubation in Critically ill Adults. The 2018 National Airway Guideline from the Difficult Airway Society, Intensive Care Society, Faculty of Intensive
Andy Higgs, Warrington Hospitals NHS FT, United Kingdom
The 4th National Audit Project of the Royal College of Anaesthetists assessed major complications arising from airway management in the UK over a 12 month period and demonstrated that tracheal intubation in the ICU and Emergency Department was associated with exceptionally h [....] » Read More
Title : Oncologic efficacy of KTP laser in early glottic cancer
Matthew S Broadhurst, Queensland Voice Centre, Australia
Coblation technology offers the ability to ablate or remove soft tissue and cartilage from the larynx through the creation of a low temperature plasma field. Surrounding thermal injury is minimal but achieving precision can be a challenge. Given the delicate layered microstructur [....] » Read More
Title : The Role of Laparoscopic Metabolic Surgery in Treating Type-2 Diabetes: An Evidence Update
Basil J Ammori, King Hussein Cancer Center, Jordan
The laparoscopic approach to gastrointestinal cancer resections offers advantages in terms of postoperative hospital stay, return of bowel function and intensive care and hospital stays. Though laparoscopic pancreatic resections are technically demanding, they are gaining increas [....] » Read More
Title : One Lung Ventilation in Children - Techniques and management
Dinesh K Choudhry, Sidney Kimmel Medical College at Thomas Jefferson University, United States
Thoracic surgery is being performed in increasing spectrum of pediatric patients. Over the years, indications for video assisted thoracoscopic surgery (VATS) has increased exponentially and one lung ventilation (OLV) is frequently performed to facilitate surgical exposure or to i [....] » Read More
Title : Robotic-assisted 3-hole Esophagectomy for Cancer
Olusola Oduntan, University of Florida, United States
Esophageal cancer is the sixth leading cause of cancer death worldwide. Esophagectomy remains the standard for the long-term survival of patients with early stage and advanced esophageal cancer, and improved perioperative care and advanced surgical techniques have contributed to [....] » Read More
Title : Minimally invasive and uterus-preserving techniques in pelvic floor surgery
Pawel Szymanowski, Frycz Modrzewski Krakow University, Poland
More than 30% of women in the western world suffer from different urogynecological diseases like urinary incontinence and pelvic organ prolapse (POP). In cases of POP the most commonly used operative procedure is still a hysterectomy with anterior and posterior colporrhaphy even [....] » Read More
Title : Use of Blood Tests and ABG in the Diagnosis of Acute Mesenteric Ischemia
Ali Daneshmand, Royal Perth Hospital, Australia
Aim: To investigate the usefulness of commonly used blood tests and Arterial Blood Gas results in the diagnosis of Acute Mesenteric Ischemia Methods: All patients with acute mesenteric ischemia (AMI) who presented to a single tertiary hospital in Perth, Western Australia over a 1 [....] » Read More
Title : Using of new double invaginated end to end pancreatojejunostomy with transanastomotic stenting and external pancreatic duct drainage: Preliminary report
Merab Kiladze, Tbilisi State University, Georgia
Pancreatoduodenectomy (PD) is the most invasive and complex operative procedure of GI tract surgery most commonly performed for the pancreatic head and periampullary area malignancy with morbidity rate 40-50% and mortality on average 5%. Following the PD the pancreatic anastomosi [....] » Read More
Title : Pelvic sheet wrap and initial management of unstable fractures
Ameen I Ramzy, Legacy Emanuel Medical Center, United States
Pelvic fractures resulting from high-energy mechanisms can be deadly. Internal bleeding from pelvic fractures can be both arterial and venous. Bleeding into the retroperitoneal space, which is large enough to hold the patient’s entire blood volume, can result in fatal hemor [....] » Read More
Title : Whats the best non mesh continence surgery for my patients
Mohamed Abdel Fattah, University of Aberdeen, United Kingdom
Urinary incontinence (UI) is a common and debilitating condition among women (1). In 2000, the MRC Incontinence Study showed that 34% of women (~6million) in the UK over 40 years of age have clinically significant UI with 2.7% (~0.33 million) reporting UI as socially disabling (2 [....] » Read More
Title : Does pre-operative urodynamic lead to better outcomes in management of urinary incontinence in women? A linked systematic review and meta-analysis
Alyaa Mostafa, University of Aberdeen, United Kingdom
The use of preoperative urodynamics as a standard investigation for urinary incontinence (UI) has long been a subject of debate, with a lack of robust evidence to demonstrate improved patients’ outcomes. We aim to compare the clinical and cost effectiveness of urodynamics v [....] » Read More
Title : Three-dimensional reconstruction in liver surgery: A feasible reality in clinical practice
Banchini Filippo, Guglielmo da Saliceto Hospital, Italy
Three-dimensional reconstruction of CT and MRI is now becoming a frequent option to visualize clinical images with direct volume rendering software. Unfortunately, this kind of rendering doesn’t allows the reconstruction of a single organ to manipulate it in clinical practi [....] » Read More
Title : Making our hospitals safer for surgical patients; Using improvement science, health services research and machine learning in acute urological surgery
Tony Tien, Whipps Cross University Hospital, United Kingdom
Patient safety is a serious worldwide public health concern. Adverse events in the United Kingdom (UK) is estimated by the Department of Health to occur in 10% of hospital admissions, which is over 850 000 per year. The cost to the health service is estimated at £2 billion [....] » Read More
Title : Preperitoneal laparoscopic lateral repair operation in pelvic organ prolapse - A novel approach
Wioletta Katarzyna Szepieniec, AFM Krakow University, Poland
Introduction and methods: The aim of this study is to show a novel approach of the repair of the lateral paravaginal defect causing the cystocele. The extraperitoneal (preperitoneal) approach has its advantages and can be used in patients with comorbidities and in obese patients. [....] » Read More
Title : Histone deacetylase 2 (HDAC 2) expression in human breast cancer and its assositation with clinicopathological factors and patients survival
Konstantinos Kontzoglou, Laiko Hospital, Greece
There is strong association with malignancy and histone deacetylases (HDAC) in humans. The histone deacetylase inhibitors (HDACI) are now tested as antitumor agents in various clinical trials. The aim of this study is to assess the clinical importance of HDAC-2 in breast cancer. [....] » Read More
Title : Principles and practice of collaborative surgical procedures at oncogynecology
Tsismar Gatenadze, Maritime Hospital, Gagua Clinic, Georgia
Background: We describe our experience of treatment of benign and malignant gynecologic pathology with make an emphasis on combined and simultaneous surgical procedures and collaborative team approach for optimization of the clinical outcomes of specialized care cases.Recently th [....] » Read More
Title : Thoracoscopic surgery in children- Rare cases managed successfully
Amit Raut, Ashoka medicover hospitals, India
There are different techniques of performing circumcision however in any case requires suturing of wound edges to complete the procedure.Wound closure techniques have evolved from the earliest development of non-absorbable suturing materials to advanced modalities like synthetic [....] » Read More