background: surgical technique using small-diameter  instruments and single-incision laparoscopy are two new options for less invasive laparoscopic cholecystectomy (lc). in this study, we have compared mini-lc (mlc) with single-incision lc (silc). materials and methods: this study is a randomized clinical trial conducted on the patients diagnosed with  symptomatic cholelithiasis who underwent l...

Focal non-neoplastic stenoses of the trachea are uncommon and many of these are complications of either endotracheal intubation or placement of tracheostomy tube. The pathogenesis of post-intubation tracheal stenoses (PITS) may be related to multiple factors (infection due to bacterial colonization, meccanical irritation, hypotension, gastroesophageal reflux, underlying illness), but the ischem...

We report the anaesthetic management of a mother, and airway management of a neonate with a prenatal diagnosis of cervical cystic hygroma causing upper airway obstruction. The mortality of such neonates due to upper airway obstruction is reported to exceed 20% following deliveries. Elective Caesarean section was performed under general anaesthesia, and in utero tracheal intubation of the neonat...

Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten...

Lung disease is a leading cause of death and likely to become an epidemic given increases in pollution and smoking worldwide. Advances in stem cell therapy may alleviate many of the symptoms associated with lung disease and induce alveolar repair in adults. Concurrent with the ongoing search for stem cells applicable for human treatment, precise delivery and homing (to the site of disease) must...

UNLABELLED Intraabdominal pressure (IAP) can influence blood loss during spinal surgery. We examined the relationship of IAP changes to blood loss with a rectal balloon pressure catheter. Forty patients were randomly assigned to narrow (Group 1) or wide (Group 2) pad support widths of the Wilson frame. IAP was measured when the patient was supine after the induction of anesthesia, prone on a gu...

Dear Sir, We present a 43-year-old man with ca larynx who underwent tracheostomy, secondary to subtotal laryngectomy operation. The patient’s respiratory problems were resolved and tracheostomy was removed. He presented to our clinic with a depressed scar and a tracheal tug (Fig 1). Tracheostomy is a life-saving maneuver used in respiratory emergencies, maxillofacial trauma, and oncologic surge...

Intrathoracic goiters are usually located anteriorly, in the superior or anterior mediastinum, and are termed substernal or retrosternal goiters. Posterior mediastinal goiters are rare, about 10% of all intrathoracic goiters. Patients with retrosternal goiter usually have a visible or palpable cervical mass. In addition, tracheal deviation may be present with compression symptoms. Posterior med...

BACKGROUND AND OBJECTIVES A better understanding of pathophysiologic changes associated to trauma and hemorrhagic shock can help the development of therapies capable of reducing trauma-related mortality. The objective of this study was to describe a model of non-controlled hemorrhagic shock in pigs. METHODS Animals received ketamine and midazolam as pre-anesthetic medications. Anesthesia was ...