introduction: antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. this article evaluates the value of prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery.   materials and methods: fifty candidates for bimaxillary orthognathic surgery were di...

Insulinoma is a rare, usually benign, pancreatic neuroendocrine tumor. The clinical features of an insulinoma are fasting hypoglycemia with neuroglycopenic symptoms including confusion and unusual behavior, while hypertension is usually not associated with the disease. We herein report a patient with insulinoma who manifested paroxysmal hypertension and neuroglycopenic symptoms. The possible et...

BACKGROUND & OBJECTIVE Post-operative nausea and vomiting (PONV) is a frequent complication and may be a reason for increased morbidity and cost of treatment. Following elective surgery, it is believed to result from gut ischaemia consequent to hypovolemia from overnight fasting. This study was carried out to study the effects of pre-operative intravenous fluid supplementation, either crystallo...

BACKGROUND Acute acalculous cholecystitis (AAC) is traditionally known to occur in critically ill patients, following cardiac surgery, abdominal vascular surgery, severe trauma, burns, prolonged fasting, total parenteral nutrition, or sepsis, and is believed to have a worse prognosis as compared with acute cholecystitis associated with stones. Our observation of de novo presentation of AAC in s...

BACKGROUND Deep venous thrombosis (DVT) is a common complication of arthroplasty in old patients. We analyzed risk factors for lower-limb DVT after arthroplasty in patients aged over 70 years to determine controllable risk factors. METHODS This was a retrospective study of 1,025 patients aged >70 years treated with knee arthroplasty at our hospital between January 2009 and December 2013. Of 1...

background:  geographic and doctor-to-doctor variations in care are a focus of quality and safety efforts in medicine. this study addresses factors associated with variation in the rate of operative treatment of de quervain tendinopathy.   methods: we used a database including all patient encounters at 2 large medical centers, to study the experience of 10 hand surgeons and 1 physiatrist workin...

post operative pain and its control remains one of the most important issues in the field of surgery and health care system. formalin test has been used as a method for assessing pain and analgesia in rats. systemic and spinally administered clonidine, an ?2-adrenergic agonist, is proved to enhance postoperative analgesia. it has also been shown that morphine-dependent rats experience more chro...

aim : the aim of this study was to determine the effect of sodium bicarbonate irrigation versus normal saline irrigation in patients undergoing a laparoscopic cholecystectomy.   background : pain in patients undergoing laparoscopic cholecystectomy is the most common complaint, especially in the abdomen, back, and shoulder region. patients and methods : in a double blind randomized clinical tria...