PURPOSE We developed a small-diameter (20-French [Fr]) chest drainage system that incorporates an active tube clearance (ATC) system, and we evaluated its efficacy in an acute hemothorax model. DESCRIPTION The ATC system includes an internal guidewire that can be advanced into the lumen of the chest tube to keep the tube from clogging. In six pigs, a 20-Fr ATC tube was placed on one side and ...

During the bidirectional Glenn shunt procedure in small infants, the standard right-angle venous cannula is frequently placed in the innominate vein for establishing the temporary veno-atrial bypass without cardiopulmonary bypass, but it should be small enough to allow flow to pass around it from the internal jugular vein opposite to the side the cannula is directed. Small cannula may induce th...

to take measures of safety. He rejected the old embankment and caused a new one to be constructed far away from the river side to the east of several villages between Harala and Kashra, a distance of more than two miles in length, and which still goes by his name. The villages ti the west of this bund during each overflow were allowed to suffer their destiny. The heavy losses suffered by the pe...

BACKGROUND To describe one modified method of having machine-independent removal of 5,000 centistokes silicone oil through 23-gauge trocar-cannulas. METHODS Consecutive patients with silicone oil tamponade for more than four months and with complete retinal reattachment were included. Two 23-gauge trocars were used to make sclerotomies while the microcannulas remained in situ for intravitreou...

OBJECTIVE This prospective randomized controlled pilot study aimed to find whether gelatin-thrombin matrix used as a tissue sealant (FloSeal) can prevent the occurrence of pelvic lymphocele in patients with gynecologic cancer who has undergone pelvic lymphadenectomy. METHODS Each patient, who undergo a laparotomic pelvic lymph node dissection on both sides, was randomly assigned for FloSeal a...

BACKGROUND The treatment of recurrent pleural effusion in advanced malignant disease should be efficient and with tolerable side effects. Since 1983 intrathoracic instillation of the anti-malaria drug mepacrine has been used to achieve pleurodesis. The cytotoxic drug bleomycin has been claimed to be equally effective and with fewer side effects. The present study was designed to compare these t...

BACKGROUND Simultaneous bilateral total knee arthroplasty (TKA) is an effective treatment option and safe for properly selected patients. The purpose of this study was to evaluate whether patients have different satisfaction levels between the first and second knee in the early stage after simultaneous bilateral TKA. METHODS We retrospectively reviewed 46 patients who underwent simultaneous b...

A major emphasis in geomorphology over the past several decades has been on the development of quantitative physiographic methods to describe the evolution and behavior of surface drainage networks. The quantitative analysis of morphometric parameters is found to be of immense utility in river basin evaluation. The influence of drainage morphometry is very significant in understanding the landf...