Objectives: Obstructed labour is an obstetrical emergency with adverse feto-maternal consequences and caesarean delivery in such cases requires skillful handling of impacted fetal head. Objective our study was to guide clinician about technique that facilitates the least complications for mother baby. Methods: It a randomized clinical trial non-probability consecutive sampling conducted at –rem...

BACKGROUND There is no gold standard technique for umbilical hernia (UH) repair. Conventional open UH repair often produces an undesirable scar. Laparoscopic UH repair requires multiple incisions beyond the umbilicus, specialized equipments, and expensive tissue separating mesh. We describe our technique of open UH repair utilizing a small incision. The technique was derived from our experience...

PURPOSE: We present an Australian perspective on the use of flank incision as a surgical strategy in the management of renal cell carcinoma (RCC) with vena cava thrombus. METHOD: A retrospective analysis of all patients who had a flank incision for RCC with caval thrombus performed at our tertiary centre, from June 1997 to June 2011 was performed. The following parameters were studied: demograp...

F ascia lata (FL) is a material that is abundant and safe to harvest and has multiple uses as a graft material. Its advantage in augmentation rhinoplas-ty is in creating a smooth, natural looking dorsum. 2 Many techniques have been described for FL harvest, which require endoscopes, strippers, or fasciotomes. 4 Other small incision techniques have been described, but the graft segment harvested...

Purpose: Since the early 1990s, laparoscopic cholecystectomy has become the gold standard for cholecystectomy. Single-incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic. The results are presented here of a single surgeon’s initial experience with single-incision laparoscopic cholecyste...

purpose: to evaluate the outcomes of keratorefractive surgery for correction of postkeratoplasty astigmatism in keratoconus. methods: in this retrospective study, surgical records of 45 eyes of 45 patients that underwent relaxing incisions with or without compressive sutures were evaluated. the minimum interval between complete suture removal and operation was 1 month. location and extent of in...

BACKGROUND With the expanded use of the radial artery as a bypass conduit in patients undergoing coronary artery bypass grafting, an endoscopic radial artery harvesting method was used to improve esthetics and patient acceptance, and possibly, to decrease hand neurologic complications. METHODS After informed consent and confirmation of adequate ulnar collateral blood flow, 300 consecutive pat...

Harvesting of the saphenous vein is a routine procedure in coronary and peripheral vascular surgery. It is usually performed using a continuous long skin incision. Minor complications are reported in up to 24% (hematoma, wound dehiscence, infection, pain) and major problems necessitating surgical interventions (bleeding, abscess) in less than 1%. These complications lead to a prolonged hospital...