In the wake of the global pandemic, healthcare systems worldwide have faced unprecedented challenges, prompting a reevaluation of traditional care delivery models. As the focus shifts towards enhancing outpatient care, the emergence of all-in-one specialty centers, exemplified by [....] » Read More
Introduction: Last 20 years I performed 1978 cases of hypospadias surgeries and made various innovations in the technique of surgery. Most innovations are reported for the first time in medical literature. Materials and methods: 1) 718 cases done with continuous interlocking stit [....] » Read More
Bariatric surgery now days is a commonly done procedure for morbid obese or super obese patients. With the development of less invasive procedures like laparoscopy & robotic surgery, the use of bariatric surgery is becoming more common. The present study was conducted with an [....] » Read More
Introduction: Neurocysticercosis (NCC) is still a frequent cause of neurosurgical consultations in most developing countries. Conventional approaches for the resection of large cysts have been used for many years. We report here our experience in the neurosurgical management of N [....] » Read More
Aim: To audit the rate of post-operative transfusion needs in three general surgical operations at Croydon University Hospital, evaluate the uptake of change in MSBOS guidance and identify its potential in reducing the burden on transfusion laboratory burden and cost. M [....] » Read More
Objective: To systematically summarize the current clinical evidence for de novo malignant upper urinary tract obstruction treatment with a focus on standards of reporting, patient outcomes and future research needs. Methods: This review protocol was published via PROSPE [....] » Read More
Background: The congenital absence of the tongue, known as Aglossia congenita, is an exceptionally rare malformation. The anticipation of a difficult airway can be established through a mere clinical examination of the oral cavity. Case Report: The case of congenital aglossia [....] » Read More
Introduction: Incorrect coding practices for surgical procedures carried out electively carries a significant financial burden on healthcare systems. In this study, we aimed to audit the coding practices pertaining to laparoscopic cholecystectomies within the NHS WWL Foundation T [....] » Read More
Superior mesenteric artery (SMA) syndrome, also called Wilkie's syndrome or Cast syndrome, reported to have an incidence of 0.1-0.3% of a population, is a rare disorder in which acute angulation of the SMA causes compression of the third part of the duodenum between the SMA a [....] » Read More
Intrathecal catheters are a vital component in contemporary anesthesia and pain management, allowing for highly targeted drug delivery directly into the cerebrospinal fluid (CSF). This approach minimizes systemic side effects and enhances the overall efficacy of the anesthetic. T [....] » Read More
Outpatient surgery often depends on local anaesthesia to prevent physiologic stress and pain during procedure. However, local anaesthetic injectionand surgical procedure may still act as a stressor for patients. In the current study, we explore the physiologic status of patients [....] » Read More
Emerging as a revolutionary approach in wound closure, surgical zip tie skin closures present a promising avenue for advancing patient safety and surgical success. This review discusses how current research highlights the efficacy of zip tie closures in promoting wound healing, r [....] » Read More
Activated neutrophils have been reported to release pro-angiogenic Hepatocyte Growth Factor (HGF), VEGF-A, MMP-9, angiopoietin 1 and CXCL-8. They also secrete proteases that degrade fibrin. Is there a role for neutrophils in promoting Neovascularization (NV) in Chronic Limb-Threa [....] » Read More
The “revised physiological classification” is the only classification that optimizes timely intervention of source control of hemorrhagic shock, and suits tactics such as titrated hypotensive resuscitation and iatrogenic vasoconstriction, and strategies such as titrat [....] » Read More
Peroneal tendinopathies represent a significant challenge in foot and ankle surgery, necessitating a nuanced understanding of their complex etiology and optimal management strategies. This presentation delves into the multifaceted aspects of peroneal tendinopathies, addressing co [....] » Read More
Aim of the work: This study aimed to compare between laparoscopic and laparotomy repair of perforated peptic ulcer regarding intraoperative parameters, postoperative parameters and outcomes. Patients and methods: This is a prospective study of 50 patients (males and femal [....] » Read More
Background: Early recognition of open ankle fractures is crucial for patient outcomes. Documenting skin integrity is vital in managing these fractures, as per the BOAST 2016 ankle fracture guidelines. Several open ankle fractures were missed at our hospital, prompting an audit on [....] » Read More
Introduction: Squamous cell carcinoma (SCC) of the tongue is one of the most common oral cavity cancers, accounting for 30 to 50% of all oral carcinomas. Carcinoma of the tongue is treated mainly by surgery followed by adjuvant therapy, depending upon the stage (early and advanc [....] » Read More
Over the last decade there has been multiple advances in regional anesthesia with introduction with novel nerve and plane blocks. Most of these blocks are safe to perform and can be performed under sedation or after induction of general anesthesia. Here comes the importance of en [....] » Read More
Introduction: Home mechanical ventilation became possible once electricity became widely available. From 1930 through 1952, noninvasive ventilatory support (NVS) was via negative pressure body ventilators, subsequently it became possible via tracheostomy (TVS) or up to continuou [....] » Read More
Introduction: Pilonidal sinus disease [PSD] is a common condition associated with significant morbidity and health care costs. High recurrence rates still pose a significant challenge in the management of PSD with no universally accepted guideline in place to guide management. La [....] » Read More
Introduction: Pilonidal sinus disease [PSD] is a common condition associated with significant morbidity and health care costs. High recurrence rates still pose a significant challenge in the management of PSD with no universally accepted guideline in place to guide managemen [....] » Read More
Introduction: Sternotomy dehiscence represents a significant complication post-coronary artery bypass surgery, necessitating effective sternal reconstruction techniques. Traditional methods, including Pectoralis muscle advancement, Rectus Abdominis muscle flap, and Omental flap, [....] » Read More
Introduction: This synthesis reviews recent research on the efficacy of acellular fish skin grafts (FSG) and Nile Tilapia Fish Skin (NTFS) in promoting reepithelialisation and reducing wound surface area in various types of wounds, including chronic diabetic foot ulcers (DFUs), v [....] » Read More
Introduction: The realm of biological skin tissue engineering has made significant strides in developing skin substitutes using biological materials. These advancements aim to closely mimic human native tissue in terms of structure, function, and integration within the host envir [....] » Read More
Skin substitutes are a relevant complement in treating a wide range of skin injuries and conditions, including burns, chronic wounds, and surgical reconstructions. The availability and diversity of skin substitutes in the market have grown significantly, reflecting advancements i [....] » Read More
Hyaluronic acid (HA) fillers, though popular and generally safe for facial rejuvenation, can lead to severe complications such as vascular occlusion, resulting in skin necrosis, vision loss [1], and even strokes[2]. Effective treatments include the use of hyaluronidase to dissolv [....] » Read More
Background: Acute appendicitis is the most common acute abdominal condition. For many decades, the diagnosis has depended mainly on clinical examinations, laboratory investigations such as leukocytosis, and abdominal sonography. Occasionally it can be challenging to reach the dia [....] » Read More
Title : Importance of dentistrys role 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 associated pro [....] » Read More
Title : A comparison of locoregional versus general anesthesia in patients undergoing carotid endarterectomy: A retrospective single-center study
Reda El Bayoumy, Basildon University NHS Hospital, United Kingdom, United Kingdom
Objective: Carotid Endarterectomy (CEA) reduces the risk of stroke in patients with asymptomatic and symptomatic extracranial carotid artery stenosis. Modern medical management of extracranial carotid artery stenosis has proven its efficacy and safety; therefore, a low perioperat [....] » Read More
Title : Impact of virtual reality Imaging on pre-operative planning for paediatric cardio surgery
Kelly Ka Yee Chu, Cambridge University Hospital, United Kingdom
Objectives To investigate how virtual reality imaging impacts decision-making in atrioventricular valve surgery Methods This was a single centre retrospective study involving 15 children and adolescents - median age 6 years (range 0.33 - 16) requiring surgi [....] » Read More
Title : Live birth after perimortem caesarean delivery in a 27-year-old out-of-hospital cardiac arrest nulliparous woman
Reda El Bayoumy, Basildon University NHS Hospital, United Kingdom, United Kingdom
The perimortem caesarean section, as described in its name, is the surgical delivery of the foetus, performed during or near the time of death of the mother. 27-year-old holiday-maker from Germany on a Mediterranean beach in south of France, 36 week pregnant, no issues with pr [....] » Read More
Title : Synchronous differential independent lung ventilation scenario: A clinical challenge
Reda El Bayoumy, Basildon University NHS Hospital, United Kingdom, United Kingdom
A 62-year-old man suffering from septic shock and acute respiratory failure underwent left empyema drainage and lung decortication. The patient's perioperative complications included a large air leak following the surgery, which posed a challenge for the anesthesiologist in t [....] » Read More
Title : Endovascular embolization for the treatment of patients with closed abdominal trauma
Petr Andreevich Yartsev, N.V. Sklifosovsky Federal Research Institute of Emergency Medicine, Russian Federation
Approximately 28-31% of all trauma patients with bleeding have a death. For hemodynamically stable patients with bleeding of closed abdominal trauma, endovascular angiography and embolization is a non-invasive approach that can be used to control bleeding and potentially avoid su [....] » Read More
Title : Endovascular embolization for the treatment of patients with closed abdominal trauma
Staleva Kseniya Victorovna, N.V. Sklifosovsky Federal Research Institute of Emergency Medicine, Russian Federation, Russian Federation
Approximately 28-31% of all trauma patients with bleeding have a death. For hemodynamically stable patients with bleeding of closed abdominal trauma, endovascular angiography and embolization is a non-invasive approach that can be used to control bleeding and potentially avoid su [....] » Read More
Title : Comparative informativeness of ultrasonic method and multispiral computed tomography in the diagnosis of abdominal trauma
Petr Andreevich Yartsev, N.V. Sklifosovsky Federal Research Institute of Emergency Medicine, Russian Federation
Abdominal trauma occurs in 35% of cases in the structure of all possible injuries of organs and systems. Damage to the abdominal cavity is characterized by the multiplicity and severity of injuries, and associated serious impairment of vital functions, therefore the mortality rat [....] » Read More
Title : Comparative informativeness of ultrasonic method and multispiral computed tomography in the diagnosis of abdominal trauma
Natalia Shavrina, N.V. Sklifosovsky Federal Research Institute of Emergency Medicine, Russian Federation, Russian Federation
Abdominal trauma occurs in 35% of cases in the structure of all possible injuries of organs and systems. Damage to the abdominal cavity is characterized by the multiplicity and severity of injuries, and associated serious impairment of vital functions, therefore the mortality rat [....] » Read More
Title : Low T3 versus low T3T4 euthyroid sick syndrome in septic shock patients - A prospective observational cohort study
Mirza Kovacevic, Cantonal Hospital, Bosnia and Herzegowina
To analyze clinical, hemodynamic and laboratory differences in two groups of septic shock patients with euthyroid sick syndrome (ESS). Methods: A total of 47 septic shock patients with ESS were divided according to values of the thyroid hormones into low T3 and low T3T4 groups. T [....] » Read More
Title : TopClosure of large abdominal wall defect instead of staged hernia repair as part of damage control laparotomy
Andriy Fedorenko, Ziv Medical Center, Israel
Background: Early closure of the open abdomen is a priority after damage control laparotomy to prevent retraction of fascial layers and prevent hernia formation that requires definitive repair at a later stage. This substantially reduces the complications associated with ventral [....] » Read More
Title : Laparoscopic repair of congenital diaphragmatic hernia is feasible in peripheral hospital
Andriy Fedorenko, Ziv Medical Center, Israel
Background: Laparoscopic repair of congenital diaphragmatic hernias can be done in suitable infants and children with good long-term results. The benefits include a lower risk of infection, less intra-abdominal adhesions, and early recovery while being a “scar-less“ p [....] » Read More
Title : The surgical management of early-stage cervical cancer
Khadra Galaal, University Medical City, SQCCCRC, Oman
Background Cervical cancer (CC) is an important cause of morbidity and mortality in women world- wide. Currently, radical hysterectomy (RH) with bilateral pelvic lymphadenectomy is the primary treatment for women with early stages (FIGO stages IA1 IB2 cervical cancer. &nbs [....] » Read More
Title : Reactive Airway Dysfunction Syndrome (RADS) in paediatric burns: Unravelling a rare consequence of inhalational injury with management guidelines
Sainath veeranki, All India Institute of Medical Sciences New Delhi, India
Background: With the advancements in burn care, it is now possible for many children to survive severe burn injuries. However, inhalation injury is still considered a significant predictor of morbidity and mortality in burn injury cases. When a child inhales smoke and toxic [....] » Read More
Title : Comparison of the effect of ketofol and ketodex as procedural sedation and analgesia for Oocyte retrieval during in-vitro fertilisation procedures - A randomized controlled pilot study
Sainath veeranki, All India Institute of Medical Sciences New Delhi, India
Introduction: Infertility affects 10-15% of couples, prompting assisted reproductive techniques IVF. Oocyte retrieval in IVF induces pain, correlating with follicle aspiration duration. Current anesthetic agents, including midazolam, propofol, and fentanyl, pose drawbacks an [....] » Read More
Title : Comparison between the caudal block and other methods of postoperative pain relief in children undergoing circumcision: A prospective randomized study
Zeana Amer Gawe, Ibn Al Nafees Hospital, Bahrain
Background: Caudal block (CB), dorsal nerve penile block (DPNB) and systemic opioids are common techniques used in pediatric surgeries to provide analgesia for penile surgery such as circumcision. This study aimed to compare the effectiveness of the CB with other methods o [....] » Read More
Title : Innovative approaches in restoring fecal continence: The modified preanal-repair concept for post-childbirth trauma
Sherif Akram Metwalli, Bielefeld University Hospitals, Germany
Fecal incontinence (FI) is a distressing condition that severely impacts the quality of life, leading to profound psychological, social, and physical challenges. Affecting approximately 2% of the general population, its prevalence is notably higher in elderly individuals and thos [....] » Read More
Title : The effects of remimazolam comapred to propofol on postoperative shivering in patients undergoing cesearen section under spinal anesthesia sedation
Seunghee Cho, Incheon Saint Mary’s Hospital, Korea, Republic of
Introduction: Shivering is known to be a frequent complication in patients undergoing surgery under neuraxial anesthesia with incidence of 40–70% Although many pharmacological agents have been used to treat or prevent postspinal anesthesia shivering (PSAS), the [....] » Read More