Background: Peritonitis is one of the most common surgical emergencies all over world and associated with significant complications mortality. The spectrum aetiology peritonitis differs between high income countries low countries. Majority patients present late purulent septiceamia. Surgical treatment highly demanding very complex, however, if outcome in these can be correctly predicted, then b...

Background & Aim: Surgical management of lumbar spinal stenosis (LSS) is a common practice. The aim of this study to was to report morbidity and mortality observed during surgical treatment of LSS and the outcome of these patients after management over an 8-year study period. Methods & Materials/Patients: It was a retrospective, descriptive and transversal study performed at Departmental Te...

There are still some debates regarding the best treatment of Giant Cell Tumor (GCT) of the sacrum. Since GCT of this location is rare, therapeutic strategies are mainly based on the treatment of GCT in other anatomic locations. The objective of this study was to evaluate the oncologic and clinical results of surgical management of sacral GCT with and without local adjuvant therapy. Medical reco...

Pseudoaneurysm formation after aortic valve and root replacement is a postoperative complication that has traditionally been addressed by surgical means. We describe a case of a large subaortic pseudoaneurysm successfully occluded by transcatheter device closure. A 64-year-old woman with a history of mitral valve repair and ring implantation due to severe valvular regurgitation was referred for...

In orthopedic surgery there has been a never-ending quest to improve surgical outcome and the patient's experience. Progression has been marked by the refinement of surgical techniques and instruments and later by enhanced diagnostic imaging capability, specifically magnetic resonance. Over time implant optimization was achieved, along with the development of innovative minimally invasive arthr...

OBJECTIVES/HYPOTHESIS To review surgical findings and hearing outcomes of incus footplate assembly (IFA) for the patients with conductive hearing loss due to missing stapes superstructure with a mobile stapes footplate. STUDY DESIGN Retrospective case review and survey. METHODS Pre- and postoperative audiometric data and intraoperative findings were reviewed. Postoperative air-bone gap (ABG...

On a normal working day, a plot is presented to You that will change your life forever. The plot (Fig. 1A) represents your variable life-adjusted display (VLAD) curves depicted versus VLAD curves from your ‘competing’ colleagues. This VLAD curve, a real case, a real plot (the surgeon is not an author of this letter), presents a plot of your cumulative sum of the difference in expected and obser...

The aim of this study was to assess the correlation of serum vitamin D with ICU length of stay, mortality rate, length of mechanical ventilation, and incidence of sepsis. We conducted a descriptive analytic study on 793 patients admitted to surgical ICU wards in northwest of Iran from March 2015 to March 2016. Patients were assessed during the ICU stay and the following data were collect...

Background: Lumbar degenerative spondylolisthesis (LDS) is a degenerative slippage of the lumbar vertebrae. We aimed to evaluate the surgical outcome of degenerative spondylolisthesis with neural decompression, pedicular screw fixation, reduction, and posterolateral fusion.Methods: This before-after study was carried out on 45 patients (37 female and 8 male) with LDS operated from August 2008 t...

Despite improvements in perioperative care, major surgical operations are still followed by sequelae such as pain, organ dysfunction and prolonged convalescence. It has been assumed that suf®cient pain relief will improve the surgical outcome with reduced morbidity, need for hospitalization and convalescence, and there is a common consensus that optimal (dynamic) pain relief is a prerequisite f...