acute left atrial thrombosis at the site of the resection of the primary cribriform septum is an exceedingly rare and important complication after atrial septal defect (asd) closure with a pericardial or synthetic patch. this case report presents a mobile thrombus noted on the left atrium at the raw surface site of a resected cribriform primary septum that was not caught in the suture line with...

background: postoperative pulmonary dysfunction is one of the most frequent complications after cardiac surgery and it is believed to result from the use of cardiopulmonary bypass (cpb). in this study, we investigated the effect of low tidal volume ventilation during cpb on postoperative gas exchange and lung mechanics. methods: this prospective randomized study included 100 patients undergoing...

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 ...

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...

purpose: compaison of excyclotorsion induced by horizontal transposition of vertical rectus muscles versus vertical transposition of horizontal rectus muscles in rabbit eyes. methods: in this exprimental study, group 1 underwent full tendon nasal transposition of the superior rectus and full tendon temporal transposition of the inferior rectus (10 adult rabbits); group 2 underwent superior tran...

conclusions for laterally localized and protruded duodenal diverticula, laparoscopic resection is a feasible and safe method. the role of laparoscopy in surgical treatment of complicated diverticula, located in other parts of the duodenum, is unclear because of lack of experience. case presentation in this article, we present a case report of a large duodenal diverticulum, treated with laparosc...

background: reintubation in patients after cardiac surgery is associated with undesirable consequences. the purpose of the present study was to identify variables that could predict reintubation necessity in this group of patients. methods: w e performed a prospective study in 1000 consecutive adult patients undergoing cardiac surgery with cardiopulmonary bypass. the patients who required reint...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...