After the introduction of endocardial radiofrequency catheter, only two arrhythmias, atrial fibrillation and ischemic ventricular tachycardia require surgical procedures. In this review, we describe recent advancements and problems of surgical treatment for atrial fibrillation. On the basis of multiple-circuit re-entry theory, Cox developed the maze operation with the aim of interrupting the re...

Background and Objective: The aim of this study was to analyze our indications, surgical procedures, and clinical outcomes of patients undergoing reoperation after surgical correction of tetralogy of Fallot (TOF). Methods: Thirty seven consecutive patients who underwent reoperation late after intra-cardiac repair of TOF within a period of 10 years were assessed. Results: The most co...

Introduction. Ectopic pregnancy is defined as the implantation of a fertilized ovum outside uterine cavity and it one leading causes maternal morbidity mortality. Localization risk factors. The most common localization ectopic within fallopian tube, while other localizations include abdominal organs, ovaries, scars after previous cesarean sections, cervix. Risk factors for tube injuries, infert...

It is widely accepted that the performance of the operating surgeon affects outcomes, and this has led to the publication of surgical results in the public domain. However, the effect of other members of the multidisciplinary team is unknown. We studied the effect of the anaesthetist on mortality after cardiac surgery by analysing data collected prospectively over ten years of consecutive cardi...

HYPOTHESIS Variation in postoperative complications after abdominal aortic surgery contributes to differences in mortality between high- and low-volume hospitals. BACKGROUND Hospitals with high surgical volume have been shown to have lower operative mortality rates for complex vascular surgery than those with low volumes. Differences in the rates of complications among hospitals may explain t...

because of significant reduction of rupture rate and increase in the patient’s life expectancy, elective surgical treatment in patients with abdominal aortic aneurysm has been widely accepted. the present article aims at assessing the postoperative complications and mortality rate in patients who had been submitted to elective surgery for abdominal aortic aneurysms. this is a retrospective stud...

The frequency of sternal wound infection (SWI) after cardiac surgery ranges from 0.5% to 8% and is associated with significant morbidity, mortality, and treatment cost. Perioperative antibiotic prophylaxis is not sufficient to fully prevent the contamination of the surgical access site. One of the most effective methods for the prevention of wound infection seems to be the use of gentamicin-imp...

Background The gallbladder stone is 20-40% of geriatric diseases. In elderly patients with limited cardiac reserve the pneumoperitoneum determines dangerous alterations of the cardiac output and other hemodynamic variables. The frequent co-morbidity in elderly people leads to a severe prognosis in these patients with surgical high mortality and morbidity rates in open surgery (1) otherwise the ...

The changes in the operation technic in the last twenty years may reduce morbidity and mortality of traditionally high – risk vascular surgical procedures. (White CJ&Gray WA, 2007) The indrease of median age, the number of elderly patients will also elevate the number of vascular procedures. Careful preoperative evaluation of patients undergoing vascular surgical intervention holds great signif...