Achievement of a safe outcome for an extensive mass with hypervascularity in the extremities requires a surgical team skilled in musculoskeletal oncology. We report debulking surgery for a huge mass of elephantiasis neuromatosa in the right leg of a 56-year old man using the novel Ligasure® vessel sealing system.

OBJECTIVE LigaSure (Valleylab, Tyco Healthcare, Boulder, CO) is a novel instrument with widespread use in various surgical disciplines for vessel sealing. It uses heat energy to denature collagen and elastin and achieve vessel sealing. We investigated the safety of LigaSure in pulmonary arteries (PA) and veins (PV). METHODS Twelve sheep were anesthetized and endotracheally intubated. Six unde...

OBJECTIVE The purpose of the present study was to compare early post-operative complications and length of hospital stay of hemorrhoidectomy patients between those who had and had not received metronidazole perioperatively. RESEARCH DESIGN Retrospective, matched pair case-control study. MATERIAL AND METHOD Medical records of all hemorrhoidal patients hospitalized between January 2000 and De...

PURPOSE The purpose of this study was to assess whether any method of hemorrhoid therapy has been shown to be superior in randomized, controlled trials. METHOD A meta-analysis was performed of all randomized, controlled trials assessing two or more treatment modalities for symptomatic hemorrhoids. Outcome variables included response to therapy, need for further therapy, complications, and pai...

.. Objectives: Is to compare outcomes in terms of mean post-operative pain and hospital stay between stapled versus conventional hemorrhoidectomy. Hypothesis: There is a difference in mean post-operative pain and hospital stay between stapled and conventional hemorrhoidectomy, stapled technique is better than conventional technique. Study Design: Randomized control trial. Setting: Department of...

PURPOSE This study evaluated the use of adding morphine to bupivacaine in spinal anesthesia for pain control in patients who underwent an open hemorrhoidectomy. METHODS Forty patients were prospectively selected for an open hemorrhoidectomy at the same institution and were randomized into two groups of 20 patients each: group 1 had a spinal with 7 mg of heavy bupivacaine associated with 80 µg...