intraoperative radiation therapy (iort) is a multidisciplinary approach in which residual tumors or tumor beds are directly irradiated during a surgical procedure. to evaluate its efficacy, from 1985, we conducted a prospective study including non-metastatic gastric adenocarcinoma treated by surgery, iort (15 grays) and postoperative external beam radiotherapy (44 grays). up to 1993, 51 cases o...

OBJECTIVES To investigate attitudes of cardiac surgeons and anaesthetists towards working immediately after an intraoperative death and to establish whether an intraoperative death affects the outcome of subsequent surgery. DESIGN Questionnaire on attitudes to working after an intraoperative death and matched cohort study. SETTING UK adult cardiac surgery centres and regional cardiothoracic...

A recent international consensus conference on the reduction in mortality in cardiac anesthesia and intensive care included intraoperative aortic balloon pump among the ancillary (i.e. non-surgical) drugs/techniques/strategies that might influence survival rates in patients undergoing cardiac surgery. The consensus conferences state that "Pre-operative intraoperative aortic balloon pump might r...

natural rubber latex is the second most implicated agent in intraoperative anaphylactic reactions. this report describes a case of intraoperative anaphylaxis occurring in a non-atopic fourteen-year-old girl undergoing multiple surgical procedures, but without spina bifida, in which latex surgical gloves were the main culprit for the anaphylactic reactions. clinical manifestations of an anaphyla...

To assess the relation of bacteraemia to intraoperative cholangiography 194 patients with choledochlithiasis who underwent choledochotomy and who had intraoperative cholangiography through the cystic duct are presented in this study. It has been shown that, in the presence of infected bile, intraoperative cholangiography without manometric control is hazardous, provoking a high incidence of bac...

statement of the problem: due to shortage of icu beds in hospitals, knowing what kind of orthognathic surgery patients more need icu care after surgery would be important for surgeons and hospitals to prevent unnecessary icu bed reservation. purpose: the aim of the present study was to determine what kinds of orthognathic surgery patients would benefit more from icu care after surgery. material...

The use of alternative medicine is prevalent worldwide. However, its effect on intraoperative anesthetic care is underreported. We report the anesthetic management of a patient who underwent an extensive head and neck cancer surgery and presented with a severe intraoperative metabolic alkalosis from the long term ingestion of baking soda and other herbal remedies.

OBJECTIVE To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage. METHODS Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an a...

Various intraoperative neurophysiological monitoring (IONM) helps in assessing the integritry of neural pathways during surgical treatment. IONM is an assistive tool to preserve fuction brain, brainstem, cranial nerve, spinal cord and peripheral nerves a great assest for neurosurgeons. Different application includes: MEP, SSEP, ABR, VEP, BCR AMR. Intraoperative neuromonitoring has become integr...