Background: Facial aging reflects the effects of time, intrinsic and extrinsic factors on the skin, soft tissues, and deep structural components of the face, and is a complex synergy of skin textural changes and loss of facial volume. The facial manifestations of aging reflect the combined effects of gravity, progressive bone resorption, decreased tissue elasticity, and redistribution of subcut...

BACKGROUND Emergent pancreaticoduodenectomy is a life-saving procedure in certain clinical scenarios when all the conservative treatment fails. The indications can be limited into perforation and bleeding. To clarify the impact of etiology on surgical outcomes of emergent pancreaticoduodenectomy for non-trauma, we analyzed our patients and performed a literature review. METHODS We reviewed 93...

background patients can develop complications and prevent unwanted side effects and additional costs on patients and hospitals by knowing methods of anesthesia. the purpose of this study is evaluating patients' awareness for elective surgery on spinal and general anesthesia and factors influencing their preference. material and methods in study a cross-sectional method was developed to evaluate...

BACKGROUND Remifentanil infusion is commonly used for general anesthesia but reflex cough can occur after an intravenous (IV) infusion. This study was designed to examine the effect of IV-dexamethasone on remifentanil-induced cough (RIC). METHODS One hundred thirty patients scheduled for elective surgery were randomly assigned into two groups that received by either 2 ml of IV 0.9% saline (Gr...

The purpose of this study is to assess the effects of propacetamol on attenuating hemodynamic responses subsequent laryngoscopy and tracheal intubation compared to lidocaine. In this randomized clinical trial, 62 patients with the American Anesthesiologists Society (ASA) class I/II who required laryngoscopy and tracheal intubation for elective surgery were assigned to receive propacetamol 2 g/I...

Methods: One hundred adult patients (ASA I-III) scheduled to undergo elective surgery under general anesthesia were randomized either to an I-gelTM (n=50) or an LMA-SupremeTM (n=50). The primary objective was to compare ventilation pressures. Secondary objectives included time and number of trials needed to introduce the device, adverse effects and repositioning. Endoscopic view of the glottic ...

Gallstone ileus is a rare complication of cholelithiasis. It accounts for 25% of nonstrangulated small bowel obstructions in patients over the age of 65 years. The morbidity and mortality rate of gallstone ileus remains very high, partly because of misdiagnosis or delayed diagnosis. The two surgical options are: a) enterolithotomy with removal of impacted stone, cholecystectomy, and fistula rep...

PURPOSE The role of surgery in the management of diverticular disease after an episode of acute diverticulitis (AD) managed in a conservative form is evolving. Age, number of episodes of AD, type of episode, and symptoms after the episodes are factors related to the need for elective surgery. The aim of this study is to evaluate the safety of conservative management and the risk factors for eme...

Two thousand sixty-three surgical procedures were performed on 1992 patients (1715 dogs and 277 cats). In a retrospective analysis, the procedures were categorized according to the expected degree of wound contamination, and corresponding wound infection rates were determined. The number of procedures in each category and the percent that became infected were as follows: clean (1100, 2.5%), cle...

Laparoscopic appendectomy (LA) is a well-standardized surgical procedure, but there are still controversies about the different devices to be used for appendiceal stump closure and related postoperative complications. Indocyanine green (ICG) fluorescence angiography (FA) has already been shown helpful in elective emergency surgery, providing intraoperative information on tissue organ perfusion,...