background: the stapled hemorrhoidopexy (sh) is a procedure for prolapse and hemorrhoids . at first sh seemed to be a good alternative for the milligan morgan (mm) hemorrhoidectomy and preliminary results in early 2000 confirmed it. however, further studies and evaluation of long-term results showed poorer outcomes. objectives: this study aimed to evaluate and compare the results of these 2 sur...

introduction cerebral haemorrhage could complicate post operative course after cardiac surgery, especially after multiple mechanical valves replacement needing for anticoagulation. the interruption of vitamin k antagonists in this cases, to avoid the enhancement of the cerebral haemorrhage, can be performed with reasonable safety. case presentation we report the case of a patient who underwent ...

background the phrase “minimally invasive” is used loosely due to the wide range of surgical options and generally means a procedure not involving a large open incision. in 1998, dr. paolo miccoli at the university of pisa developed a technique of minimally invasive video-assisted thyroidectomy (mivat) for patients presenting with small thyroid nodules. the procedure involves a smaller incision...

background many factors effect on management (surgical and nonsurgical) of adolescent idiopathic scoliosis (ais). objectives the purpose of this study was evaluation of the effects of generalized ligamentous laxity (gll) on surgical treatment of ais. materials and methods 72 patients with ais were studied between 2002 and 2009. 24 cases (33.4%) were placed in group a (normal) while 48 patients ...

background: hypoalbuminemia may be caused by liver disease, nephrotic syndrome, burns, protein-losing entropathy, malnutrition, and metabolic stress. alterations in albumin in metabolic stress such as cardiac surgery have been previously investigated. we studied serum albumin concentration in children with congenital heart disease and also the association of hypoalbuminemia with mortality and m...

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conclusions aki is common in urology patients. the underlying aetiologies of aki in this group may explain a lower overall mortality, although increasing aki severity remains a marker of patients at higher risk of poor outcomes. the low rate of renal recovery suggests that urology patients who sustain aki are exposed to a significant risk of ckd and its attendant consequences for long term heal...

the postgastrectomy recurrence rate is as high as 30-65%, with 5-year overall survival rates of <20%. local recurrence is very common which occurs in 38-45% of cases. the most common sites of locoregional recurrence are the gastric remnant at the anastomosis, the gastric bed, and the regional nodes. the recurrence may occur as early and late events after gastrectomy. most recurrences are early,...

atrioventricular groove rupture is a rare, albeit mortal, complication following mitral valve surgery. avoidance is the best strategy but it cannot fully prevent the occurrence of this complication. several repair techniques have been described with varying success rates; however, the rarity of the complication precludes consensus about the safest technique. here we report two cases of posterio...