background: the most expensive variable in the operating room (or) is time. lean process management is being used in the medical field to improve efficiency in the or. streamlining individual processes within the or is crucial to a comprehensive time saving and cost-cutting health care strategy. at our institution, one hour of or time costs approximately $500, exclusive of supply and personnel ...

BACKGROUND Transareola single-site laparoendoscopic thyroidectomy (TASSET) is a rapidly advancing minimally invasive procedure. The purpose of this study was to evaluate the learning curve for TASSET. SUBJECTS AND METHODS Forty-five consecutive patients were prospectively divided into group 1 (initial phase), group 2 (intermediate phase), and group 3 (advanced phase) according to their surgic...

Dear Editor We read the article by Bagheri et al with great interest (1). We found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of Mayo wrist score, Grip strength, range of motion and radiographic parameters. It seems that the results were comparable to studies ...

The early post-operative course after hip arthroscopy for femoroacetabular impingement syndrome has not been thoroughly characterized or correlated to factors that may influence recovery. The aim of this study was to report on early pain, function and attitudes towards rehabilitation and to determine predictors of early recovery after hip arthroscopy. Sixty-two patients reported pre-operative p...

In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group we...

Background:This study aimed to investigate the analgesic effects of ketamine, ketorolac and dexamethasone after adenotonsillectomy surgery in children aged 4 to 18 years. Methods:This clinical trial was undertaken on children aged 4 to 18 years who were admitted in Shafa Hospital of Kerman for tonsillectomy and adenotonsillectomy surgeries.  Simple randomizati...

PURPOSE To compare and to assess two different microsurgical "lymphatic-sparing" techniques (subinguinal/inguinal vs. retroperitoneal) used for the treatment of a pediatric and adolescent varicocele in terms of success rate, complications and mean operative time. MATERIALS AND METHODS A retrospective study included 54 consecutive patients affected by a varicocele and treated with a microsurgi...

introduction: post-operative sore throat and cough are common complications of endotracheal intubation. these conditions may be very distressing for the patient and may lead to unpleasant memories. this study was performed in order to determine whether beclomethasone and lidocaine spray could reduce the frequency of post-operative sore throat and hoarseness after tracheal extubation.  materials...

BACKGROUND Laparoscopic sphincter-preserving low anterior resection for rectal cancer is a surgery demanding great skill. Immense efforts have been devoted to identifying factors that can predict operative difficulty, but the results are inconsistent. OBJECTIVE Our study was conducted to screen patients' factors to build models for predicting the operative difficulty using well controlled dat...

BACKGROUND UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio--economically less privileged and cannot afford the costs of treatment. OBJECTIVE An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse. MATERIALS AND METHODS A hospital based prospective study ...