The role of pre-operative breast MRI is outlined on the basis of the existing evidence in favor of a superior capability in comparison with mammography and sonography to detect ipsilateral and contralateral malignant lesions and to evaluate the disease extent, including the extensive intraductal component associated with invasive cancers. Patients with a potential higher anticipated benefit fro...

the laser technology offers a wide range of uses in dentistry with certain advantages to the general dental practitioner like bloodless surgery, minimal post-operative pain, reduction of operative time and high patient acceptance. patient acceptance has also been demonstrated in various studies. apart of these major advantages, safety regarding the use of lasers cannot be neglected and has beco...

Background: Caesarean section is the most commonly performed obstetrical procedure. sections can be divided into either planned or emergent, with latter accounting for a higher frequency of complications.Methods: A prospective observational comparative study conducted in department obstetrics & gynaecology at MGM Medical College, Navi Mumbai over period 1 year. All women singleton pregnanci...

Surgical plume poses a risk to perioperative nurses and the team as whole, well operative patient. contains various hazardous components which pose multiple health risks staff who are exposed it. Further research is required in order definitively understand from long-term exposure surgical advance current policies procedures. The practice standard on management Australian College of Perioperati...

introduction for decades, acetabular fractures were treated conservatively. judet et al. in 1960s established the operative treatment of these fractures by continuous improvement of pre-operative evaluation and classification of fractures. several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcome. conclusion...

a 32-year-old female patient with previous bentall operation and mitral valve repair surgery due to severe aortic insufficiency, mitral valve insufficiency, and ascending aortic aneurysm was admitted to our hospital with serious dyspnea, fatigue, and mild chest pain. two-dimensional echocardiography demonstrated a markedly dilated basal aorta and cardiac chambers. thoracic computed tomography s...

context hepatocellular carcinoma (hcc) is a fatal disease. chronic hepatitis b virus (hbv) and/or hepatitis c virus (hcv) infection is the major cause of hcc. high viral replication rate and related hepatic/systematic inflammation are the major risk factors in hcc recurrence after hepatectomy or liver transplantation. evidence acquisition some of the carcinogenesis-related hbv mutations are als...

This study evaluated the effect of hysterectomy or hysterectomy and bilateral salpingo-oophorectomy (hysterectomy and oophorectomy) versus alternative medical management on life expectancy, quality of life, and direct medical costs. Using techniques of decision analysis and available data on sequelae, it was found that gains in life expectancy and quality of life can be expected when women ages...

BACKGROUND Opioids can increase sensitivity to noxious stimuli and cause opioid-induced hyperalgesia. We performed a systematic review to evaluate the clinical consequences of intra-operative doses of opioid. METHODS We identified randomized controlled trials which compared intra-operative opioid to lower doses or placebo in adult patients undergoing surgery from MEDLINE, EMBASE, LILAC, Cochr...

In order to identify the risk factors and the incidence of post-operative spinal epidural haematoma, we analysed the records of 14 932 patients undergoing spinal surgery between 1984 and 2002. Of these, 32 (0.2%) required re-operation within one week of the initial procedure and had an International Classification of Diseases (ICD)-9 code for haematoma complicating a procedure (998.12). As cont...