Substantial intraoperative bleeding during surgical removal of carotid body tumor may be a major problem in the management of these highly vascularized tumors. Traditional preoperative embolization via a transarterial access has proved effective but is often limited by complex vascular anatomy and small feeding vessels that is difficult to catheterize. We report two cases of carotid body tumor ...

A 54-year old male liver transplant recipient with Roux-en-Y choledochojejunostomy was admitted for symptomatic anemia. Despite endoscopies and a bleeding scan, active bleeding was not visualized. Angiography and abdominal computed tomography demonstrated possible jejunal varices at the choledochojejunal anastomosis. Double-balloon enteroscopy demonstrated varices with overlying clots in the Ro...

Hysteroscopic myomectomy is the surgical procedure of choice for the treatment of submucous or intramural myomas that protrude into the uterine cavity in patients with abnormal bleeding and/or infertility. It is a minimally invasive procedure associated with a low complication rate. Complications of hysteroscopy include uterine perforation, intraoperative and postoperative uterine bleeding, wat...

Objective: To investigate the therapeutic effect of posterolateral approach to ankle arthroscopy in management of ankle fractures. Methods: Between March 2014 and May 2016, 68 patients with ankle fractures treated in our hospital were enrolled as subjects and randomly assigned to receive either standard open reduction (the control group, n=34) or the posterolateral approach to ankle arthroscopy...

BACKGROUND Patients often fail to stop clopidogrel appropriately before non-cardiac surgery. Thromboelastography platelet mapping (TEG-PM) can be used to measure the percentage adenosine 5'-diphosphate platelet receptor inhibition (ADP-PRI) by clopidogrel in these patients. METHODS This prospective case-control study investigated the risk of bleeding in patients who had taken clopidogrel with...

Inferior vena cava (IVC) aneurysms are extremely rare. Patients can be asymptomatic, have thrombosis, rupture, or pulmonary embolism. Thrombosis of the IVC aneurysm may mimic a retroperitoneal tumor. Surgical treatment of abdominal venous aneurysms with thrombosis is warranted and is necessary for the management of intraoperative bleeding and thrombosis.

The primary outcome measure is safety, including mortality and morbidity (intraoperative outcomes: operative duration, cross-clamp time, conversion rates; perioperative outcomes: myocardial infarction, atrial fibrillation, neurological adverse events, bleeding, transfusion, re-exploration, septic complications, pain, hospital stay, and discharge disposition). Secondary outcome measures include ...

INTRODUCTION Aortic dissection is a life threatening disease and is usually accompanied by a high rate of mortality and morbidity. Here we present a case report in which intraoperative tranesophageal echocardiography was used for intraoperative assessments of thoracic aortic dissection due to cocaine abuse. CASE PRESENTATION A 45- year- old male was admitted to a university hospital due to se...

PURPOSE To evaluate tailored polypropylene (prolene) mesh, anterior rectus sheath, and vaginal wall slings positioned under the mid-urethra, to treat stress urinary incontinence (SUI) in women, as SUI is a common pathological condition causing considerable distress and compromising social, physical, psychological, and sexual health, and for which surgical treatment remains controversial. PATI...

OBJECTIVE To reduce vascularisation before surgery through the application of topical vasoconstrictors, decreases the rate of intraoperative bleeding, improves the dynamics of the surgery and reduces the difficulty in surgical performance. METHODS Only patients with primary pterygium were included in the study. A prospective randomized clinical trial was designed to compare intraoperative ble...