purpose : longitudinal follow-up of bowel function in children with anorectal malformations (arms)) as they grow, to determine the anorectal function problems and help to resolve them somedeal. material and methods : this study included 262 patients with arm that operated in our center between 2006 until 2013.patients that definitive reconstruction was performed in another center and underwent ...

background evaluation of operational risk is a consequential goal in perioperative management of patients in cardiac surgery. preoperative total lymphocyte count (ptlc) is a prognostic criterion of adverse major cardiovascular outcomes. objectives the purpose of this study was to investigate the prognostic value of ptlc as an independent predictor of postoperative morbidity and mortality in car...

we present a case report of acute spontaneous knee hemarthosis due to erosion of the nail through the knee joint capsule in a boy, seven months following retrograde flexible nailing for fractured femur. careful positioning of the location of the insertion site of flexible nails and proper nail tip management are important to avoid this rare late complication.

introduction: the precise time of using percutaneous coronary intervention (pci) after fibrinolytic therapy for maximum efficiency and minimum side effects is still undetermined. therefore, the present study was designed to compare the outcome of myocardial infarction (mi) patients who underwent surgical intervention (angiography and pci) within 48 hours of thrombolytic therapy or after that. m...

background: postoperative pulmonary complications (ppc) are of the major reasons for death. prolonged mechanical ventilation (pmv) and delayed extubation are leading to the incidence of more seriously complications. the effect of hyperinflation has not been investigated in control of these complications in patients who have been weaned from mechanical ventilation and are undergoing t-tube suppo...

conclusions our case report showed the therapeutic effect of rhepo in complete curing of povl. regarding the side effects of epo such as thrombogenic effects or mild hemodynamic changes like transient sinus tachycardia during infusion, it seems that beneficial effects of epo is more than its disadvantages and expenses, for patients with povl. case presentation our patient was a 61-year-old man,...

severe inflammation after cardiopulmonary bypass with the vasculitis of the acral extremity and vertebro-basilar arterial system leads to the locked-in syndrome and blue toe syndrome. in broad terms, systemic, idiopathic, and environmental factors provoke syndromes that present with digital discoloration or the blue toe syndrome. painful digital discoloration, accompanied by ulceration, suggest...

purpose: mesh technique is the standard for inguinal hernia repair because of less recurrence,   but it is inferior or equal to sutured technique in case of other post-operative complications   such as chronic pain. this clinical trial set out to compare these two techniques.   materials and methods: a total number of 322 cases of unilateral inguinal hernia in participants   older than 18 years...

background: acute appendicitis is one of the most common acute surgery events. its main treatment is surgery. however medical management before and after the surgery has an important impact on the treatment. objective: the aim of study was evaluating the outcomes of single dose and quadruple doses of prophylactic antibiotic therapy in patients with acute non-complicated appendicitis. methods: t...

Introduction:  Esophageal atresia is one of the most significant congenital diseases in pediatric surgery. Postoperative complications have become an important issue. Additionally, the little data are about life quality of baby's that had been surgery. The aim of our study was to analyze and evaluating the long- term life quality of subjects. Methods: We performed an observational study of the...