We report a case of leiomyosarcoma of the distal third of the esophagus in a 51-year-old woman presenting with a six-month history of severe epigastric pain, disphagia and weight loss. The diagnosis, suspected on endoscopic examination, was preoperatively acheived by biopsy and immunohistological stain. Surgical treatment was undertaken with good results. Differentiation between leiomyosarcoma ...

Background and Objective: Non-technical skills are critical for patient safety and good surgical outcomes. Thus, surgeons should master these skills. This study aimed to assess non-technical skills among Iranian orthopedic surgeons. Material and Methods: This cross-sectional study was conducted in two orthopedic surgery wards in 2019. A total of 22 orthopedic surgeons were observed in this sur...

introduction: coverage of bone grafts is very important in reconstructive surgery. in edentulous alveolar ridges this coverage is particularly important for supporting dental prostheses. here we present the case of a patient with a large deficient maxillary anterior region that was reconstructed with a bilateral palatal submucosal periosteal connective tissue flap: a soft tissue reserve for upp...

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...

BACKGROUND AND OBJECTIVES The objective of this report was to show the importance of pre-anesthetic assessment in reducing morbidity and mortality of surgical patients and alert to problems and anesthetic care associated with obstructive sleep apnea. CASE REPORT This is a 28-year old male patient with class II obesity, sleep apnea, hypertension, referred to the pre-anesthetic outpatient clini...

Bhutan lacks the solid waste data which are essential parameters for planning and scheduling of municipal solid waste management (MSWM) systems. The first ever large-scale research survey on solid waste generation and characterization in the urban areas of Bhutan was conducted between November 2007 and January 2008 using the method of waste sampling at source. The MSW generation rates in the ur...

Harold Gillies, plastic surgeon, and Donald Morton, surgical oncologist, were iconic pioneers in their respective fields. Both men made mark by identifying important practical problems, then finding innovative ways of solving them. Gillies grappled with the challenge restoring form function to British military personnel injured World War I, set up a dedicated facility where this work could be p...