groups. The above mentioned proof-of-concept trials demonstrate that optimal intraoperative management of patients not only have an important role in reducing the incidence of POCD, particularly in elderly patients, but also may lead to an improvement in outcome generally following major surgery. It would be very unfortunate if such an excellent review left anaesthetists feeling that POCD was n...

BACKGROUND Surgery for intracranial aneurysm often results in postoperative neurologic deficits. We conducted a randomized trial at 30 centers to determine whether intraoperative cooling during open craniotomy would improve the outcome among patients with acute aneurysmal subarachnoid hemorrhage. METHODS A total of 1001 patients with a preoperative World Federation of Neurological Surgeons sc...

great prosthesis for reinforcement of visceral sac is a guranteed operation for unilateral or bilateral inguinal hernias in otil patients or recurrent cases. the greatest use of this technique is in the patients who are at specially high risk for recurrence. we successfully accomplished this technique in 70 cases in our hospital while the patients were countiniously under our close inspection f...

HYPOTHESIS Preoperative and intraoperative localizing techniques are more cost-effective than a nondirected bilateral neck exploration in the initial treatment of primary hyperparathyroidism (HPT). DESIGN A clinical outcome model was developed to simulate the surgical management of primary HPT. Clinical scenarios modeled included a nondirected bilateral neck exploration and surgery using the ...

Lesions of the petroclival area have long been considered by neurosurgeons as unreachable,I,2 and until recently, patients afflicted with meningiomas in this region have carried poor prognoses, usually with a lethal outcome.1,39 Refined approaches and advances in microsurgery techniques, along with the aid of intraoperative monitoring, have encouraged neurosurgeons to reevaluate the ef1icacy of...

PURPOSE The translabyrinthine approach to acoustic neuroma resection offers excellent exposure for facial nerve dissection with 95% preservation of anatomic continuity. Acceptable outcome in facial asymptomatic patients is reported at 64-90%, but transient postoperative deterioration often occurs. The objective of this study was to identify preoperative clinical presentation and intraoperative ...

A retrospective review was made of intraoperative femoral fracture prevalence in seventy nine consecutive, cementless, fully HA-coated stems used for revision hip arthroplasty. Three patients were lost to follow up. Intraoperative fracture occurred in 15 (20%) femurs. Fractures occurred during cement removal (3/15) or insertion of the implant (12/15). All fractures were identified using intraop...