conclusions rtesd in the prone position is safe and presents a feasible alternative for management of large rectal tumors. we also anticipate the technique to further improve with the advancement of robotic technology. introduction endoscopic submucosal dissection (esd) of large tumors of the rectum is particularly challenging using colonoscopy or with laparoscopic instruments. more recently ro...

spontaneous coronary artery dissection (scad) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. this condition may occur particularly in women during late pregnancy and in the postpartum period. we present the case of a 33-year-old african american woman, who had spontaneous left anterior descending coronary artery (lad) dissection two weeks ...

the ramifications of the portal vein in the liver of horses were studied by using corrosion casting and gross dissection. the portal vein in the horse supplies the hepatic lobes by six major branches. the right lobe is supplied by three main branches, namely the dorsal diaphragmatic, the right caudodorsal and the right intermediate branches. the left branch supplies the left lateral and medial ...

conclusions a single preoperative oral dose of pregabalin, acetaminophen, dextromethorphan, and naproxen one hour before surgery is an effective method for reducing postoperative pain and morphine consumption in patients undergoing radical neck dissection. background preemptive analgesia may be considered as a method not only to alleviate postoperative pain but also to decrease analgesic consum...

Original Article Lower limb veins are most prone for venous disorders. Complete knowledge of the variations of great saphenous vein is of immense importance in assessment of clinical conditions like varicose veins, deep vein thrombosis and venous ulcer. Duplication of long saphenous vein is one of the potential reasons behind recurrence of varicosity after successful surgery. The present study ...

Manuscript received: 13.05.17; Revision accepted: 28.08.17 A 26-year-old female underwent big bubble (BB) deep anterior lamellar keratoplasty (DALK) in the left eye for advanced keratoconus. During the procedure, a Type 2 bubble (T2B) with a clear margin and extending to periphery was noticed [Fig. 1]. As manipulating T2B carries a high risk of rupture of Descemet’s membrane (DM), it was left i...

We report a case of unexpected ventilatory impairment that occurred during per-oral endoscopic myotomy (POEM) under general anesthesia. A 73-year-old woman underwent POEM for Jackhammer esophagus. The patient developed hypercarbia, pneumoperitoneum, and severe subcutaneous emphysema during the operation. Although she was treated with abdominal paracentesis, it became difficult to ventilate her ...

Pain-related massage, important in traditional Eastern medicine, is increasingly used in the Western world. So the widening acceptance demands continual safety assessment. This review is an evaluation of the frequency and severity of adverse events (AEs) reported mainly for pain-related massage between 2003 and 2013. Relevant all-languages reports in 6 databases were identified and assessed by ...

We describe a robust method to direct the differentiation of pluripotent stem cells into retinal pigment epithelial cells (RPE). The purpose of providing a detailed and thorough protocol is to clearly demonstrate each step and to make this readily available to researchers in the field. This protocol results in a homogenous layer of RPE with minimal or no manual dissection needed. The method pre...

We describe the case of a patient with an intramural hematoma and floating thrombus after cardiopulmonary resuscitation. The 92-year old man had a cardiac arrest due to ventricular fibrillation and witnesses immediately initiated manual cardiopulmonary resuscitation. Transesophageal echocardiography was performed immediately on hospital admission because the patient was in cardiogenic shock. In...