Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management ...

BACKGROUND Bladder injury during laparoscopic incisional hernia repair has a reported incidence of 0.5%.1 Mesh placement during repair may be difficult when the fascial defect extends towards the pubis. The bladder may need to be separated from the peritoneum in order to place the mesh safely and achieve adequate mesh overlap.2 We propose a simple intra-operative technique to help identify blad...

Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management ...

OBJECTIVES With the expanding uptake of mitral valve repair as the primary therapy for mitral valve regurgitation, an increasing cohort of patients are presenting with failures following valve repair. These patients have traditionally been treated by mitral valve replacement. We have adopted an aggressive strategy of valve re-repair for failures of mitral valve repair and present our mid-term r...

this paper studies an m/g/1 repairable queueing system with multiple vacations and n-policy, in which the service station is subject to occasional random breakdowns. when the service station breaks down, it is repaired by a repair facility. moreover, the repair facility may fail during the repair period of the service station. the failed repair facility resumes repair after completion of its re...

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As well as gaining a deeper understanding of the changes that we make, we need to know more about exactly what it is we are trying to preserve. What characteristics, attributes, essential elements, significant properties – many terms are used – of digital materials do we seek to retain access to? What is the ‘essence’ of digital materials? Whereas this question was a simple one to answer in the...

Department of Defense· contractors must be established for ASTIA services, or have their " need-to-know" certified by the cognizant military agency of their project or contract.