Laparoscopic cholecystectomy (LC) has become the ‘gold standard’ for symptomatic gallstones. Although the overall complication rate after LC is less than the traditional open approach, intra-abdominal abscesses following LC are rarely encountered. Also, intra-operative stone spillage and dropping of the surgical clips do occur. An abscess secondary to a dropped surgical clip is an uncommon even...

PURPOSE Open fractures are considered an orthopaedic emergency and are generally an indication for operative debridement. Recent studies have questioned this approach for the management of Gustilo-Anderson Type I open fractures in the paediatric population. This meta-analysis studies the non-operative management of Type I open paediatric forearm fractures. METHODS An Ovid MEDLINE and PubMed d...

OBJECTIVE To analyze the results after the implementation of the non-operative management (NOM) of the right upper thoracoabdominal gunshot injuries protocol. METHODS Prospective study. From January 2005 to December 2011, 115 patients were included into this study. Criteria for inclusion were gunshot wound to the right thoracoabdominal region, haemodynamic stability, no signs of peritonitis, ...

BACKGROUND Liver is the most frequently injured organ upon abdominal trauma. We present a group of patients with blunt hepatic trauma who were managed without any invasive diagnostic tools and/or surgical intervention. METHODS A total of 80 patients with blunt liver injury who were hospitalized to the general surgery clinic or other clinics due to the concomitant injuries were followed non-op...

BACKGROUND Non-operative management of blunt splenic trauma is the preferred option in hemodynamically stable patients. OBJECTIVES To identify predictors for the successful non-operative management of patients with blunt splenic trauma. METHODS The study group comprised consecutive patients admitted with the diagnosis of blunt splenic trauma to the Department of Surgery, Hadassah-Hebrew Uni...

Historically, the treatment of splenic rupture has been splenectomy. With the emergence of splenic conservation in splenic trauma, similar concept has been applied to spontaneous rupture in other conditions. There are only few case reports of isolated splenic rupture in patients with hemophilia managed operatively with splenectomy [1,2]. Here, we describe the successful non-surgical management ...

Nonoperative management of blunt splenic injury allows preservation of the immune function of the spleen while avoiding unnecessary laparotomy. The aim of our study was to evaluate the feasibility and the results of conservative management of adult blunt splenic trauma in the context of a developing country. Nonoperative management was proposed for 52 out of 62 patients with blunt splenic traum...

INTRODUCTION Although surgery is the preferred treatment for grade III&IV pancreatic trauma, there is a growing movement for non-operative management. in blunt pancreatic trauma. Very few studies compare operative versus non-operative management in adult patients. METHODS Retrospective analysis of a prospectively maintained database was performed from 2004 to 2013 in the department of gastroi...

background: despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. some studies suggested, the most effective approach to controlling immediate post-operative pain may include a combination of drug agents and non-drug methods. the aim of this study was to investigate the effect of music therapy on...