And out of that maybe 1 in 12 (less than 8%) will have the need for surgery, whether it is elective or emergency. With these numbers it helps to know and understand when surgery is usually recommended and what these surgeries entail. Sometimes when a patient may have such severe diverticular disease their surgeon may recommend planning ahead for surgery, this is generally done to avoid the high...

As part of the enhanced recovery after surgery (ERAS) protocol, the goal-directed fluid management with hemodynamic monitoring can effectively guide perioperative fluid use and significantly improve the outcomes in high-risk patients undergoing major surgeries. Several minimally invasive and non-invasive monitoring devices are commercially available for clinical use. As part of an internal eval...

BACKGROUND The clinical motivation for the current study was that various instrument tables are located far away from the patient's head, and the only way for the surgeon to access an instrument is via a scrub nurse. Thus, the idea for this study was the development and evaluation of an improved and conveniently positioned instrument table. MATERIAL AND METHODS An improved instrument table (I...

It is well-known that any pair of closed orientable 3-manifolds are related by a finite sequence of Dehn surgeries on knots. Furthermore Kawauchi showed that such knots can be taken to be hyperbolic. In this article, we consider the minimal length of such sequences connecting a pair of 3-manifolds, in particular, a pair of lens spaces.

BACKGROUND: Esophageal cancer is a challenging clinical problem with an estimated 12,300 new cases diagnosed in 1998. METHODS: A detailed review of pertinent literature is used to describe the epidemiology and management of this disease. RESULTS: Radiation therapy remains an important cornerstone of therapy. In combination with chemotherapy and/or surgery, radiation therapy may offer an improve...

Mafraq Hospital performs an average of 10,000 surgeries every year. The impact of having high volume high risk surgical procedures calls for the need to ensure safe surgery and a prevention of surgical site infection (SSI). SSI represents a significant portion of healthcare-associated infections (HAIs). The impact on morbidity, mortality, and cost of care has resulted in identifying the need to...

Cystotomy, ovariohysterectomy (OVH) for pyometra, and correction of a gastric dilatation and volvulus (GDV) represent three of the most common surgical procedures performed in an emergency setting in small animal veterinary practice. Successful outcome is dependent on meticulous pre-operative workup and stabilization, knowledge of proper surgical technique, having the necessary equipment to car...

operative anaesthetic care, we can obtain a better definition of the tumour mass preoperatively and accept the challenge of demanding surgical procedures. Retroperitoneal lipomata are uncommon and have an indolent presentation. Lipomas occurring in this site are a different proposition than those in other sites and require meticulous pre-operative evaluation and an exacting surgical approach if...

background deep venous thrombosis (dvt) is a major risk of morbidity and mortality in morbid obese patients underwent bariatric surgery. there are some controversies in different kind of prophylactic strategies for dvt in laparoscopic bariatric surgeries. unfractionated heparin (ufh) is an available and reversible anticoagulant used for dvt prophylaxis. objectives this study aimed to compare cl...