Results TRD was diagnosed preoperatively in 32 patients (84%) by contrast X-Ray of gastrointestinal tract, abdominal ultrasound, and CT scan of the chest and abdomen. In 6 (16%) patients TRD was diagnosed during surgery. We did not use pleural centesis to avoid injury of abdominal organs. 27 patients (71%) underwent surgery upon 1 month of trauma episode, and 13 (34%) – after 1 month to 13 year...

Abstract We present the clinical case of a 58 year old patient with left subcostal incisional hernia, years after an emergent aortic thrombectomy and aortobifemoral bypass. The physical examination revealed lateral bulge near anterior axillary line. CT findings showed 5 cm defect without significant muscular atrophy. An endoscopic ipsilateral transversus abdominal release (TAR) preperitoneal me...

Fourteen unembalmed cadavers were subjected to 44 blunt lateral impacts at velocities of approximately 4.5, 6.7, or 9.4 m/s with a 15 cm flat circular interface on a 23.4 kg pendulum accelerated to impact speed by a pneumatic impactor. Chest and abdominal injuries consisted primarily of rib fractures, with a few cases of lung or liver laceration in the highest severity impacts. There were two c...

BACKGROUND Minimally invasive esophagectomy was first introduced as a new technique for esophageal cancer treatment 20 years ago. Performing this procedure in the lateral-prone position is the most appropriate method. Since May 2013, our center has performed 124 esophageal cancer operations using this procedure. Herein, we share our experience. METHODS We retrospectively reviewed 124 consecut...

Paravaginal defects, commonly seen in patients with anterior vaginal wall prolapse, are due to the detachment of pubocervical fascia from the arcus tendineus fascia pelvis (ATFP), at or near its lateral attachment. The majority of anterior vaginal wall prolapse is thought to be caused by paravaginal defects. Richardson et al. first described and demonstrated the anatomy of the paravaginal defec...

[Purpose] This study was designed to compare and clarify the relationship between expiratory rib cage compression and expiratory abdominal compression in patients on prolonged mechanical ventilation, with a focus on tidal volume. [Subjects and Methods] The subjects were 18 patients on prolonged mechanical ventilation, who had undergone tracheostomy. Each patient received expiratory rib cage com...

Abstract Background Lateral incisional hernia surgery represents an underappreciated challenge for general surgeons. McBurney's (L3) after appendectomy is rare, with incidence between 0.1 and 0.9%. Several studies have found fewer postoperative complications the laparoscopic approach compared open approach. Objective To show a video of transabdominal preperitoneal (TAPP) associated small right ...

To reduce the radiation exposure received by young scoliosis patients during treatment, six changes in technique were instituted: (1) a posteroanterior projection, (2) specially designed leaded acrylic filters, (3) a high-speed screen-film system, (4) a specially designed cassette-holder and grid, (5) a breast-shield, and (6) additional filtration in the x-ray tube the thyroid, breast, and abdo...