BACKGROUND Hyperglycemia, defined as blood glucose (BG) levels above 200 mg/dl (11.1 mM), is associated with increased postoperative morbidity. Yet, the treatment standard for intraoperative glycemic control is poorly defined for noncardiac surgery. Little is known of the interindividual treatment variability or methods to modify intraoperative glycemic management behaviors. AlertWatch (AlertWa...

BACKGROUND Intraoperative testing of colonic anastomoses is routine in assuring anastamotic integrity. We sought to determine the efficacy of the methylene blue enema (MBE) as an intraoperative test for anastomotic leaks. METHODS This study is a retrospective review of consecutive colonic operations performed from January 2001 to December 2004 in a community hospital setting by a general surg...

Surgical fixation of humeral shaft fractures generally involves plating or nailing. It is unclear whether one method is more effective than the other. The aim of this study was to compare the results of the intramedullary nail and locking compression plate for the treatment of humeral shaft fractures. A total of 60 patients with humeral shaft fractures were randomized to undergo surgery with an...

  The anterior cruciate ligament (ACL) is composed of two bundles, which work together to provide both antero-posterior and rotatory stability of the knee. Understanding the anatomy and function of the ACL plays a key role in management of patients with ACL injury. Anatomic ACL reconstruction aims to restore the function of the native ACL. Femoral and tibial tunnels should be placed in their an...

esophagogastric varices are a frequent complication of portal hypertension. bleeding from ectopic varices of the ileum is not only life-threatening, but its accurate diagnosis is also difficult. we have presented the case of a 31-year-old man with massive hematochezia. he was a known case of non-cirrhotic portal hypertension since 15 years prior. conventional examination that included angiograp...

We report the case of a patient with septal hypertrophic cardiomyopathy undergoing surgical correction in which the use of intraoperative transesophageal echocardiography permitted the planning of the surgical approach and an immediate knowledge of the surgical outcome.

BACKGROUND On-pump cardiac surgery triggers a significant postoperative systemic inflammatory response, sometimes resulting in multiple-organ dysfunction associated with poor clinical outcome. Extracorporeal cytokine elimination with a novel haemoadsorption (HA) device (CytoSorb®) promises to attenuate inflammatory response. This study primarily assesses the efficacy of intraoperative HA during...

HYPOTHESIS Awareness of guidelines for damage control can improve patient outcomes after postraumatic open abdomen. DESIGN Retrospective (November 1992 to December 1998), prospective (January 1999 to July 2001), 104-month study. SETTING Los Angeles County and University of Southern California Medical Center, Los Angeles. PATIENTS All patients undergoing damage control resulting in posttra...

purpose: to investigate demographic, clinical and histopathologic features of consecutive exotropia. methods: patients with consecutive exotropia who underwent surgery in farabi hospital between september 2014 and april 2015 were enrolled in this study. after complete ophthalmologic examination and far and near deviation measurement, all patients with negative forced duction test underwent 4-mm...

OBJECTIVES To gather data on, and assess the applicability of, intraoperative recurrent laryngeal nerve (RLN) monitoring during thyroidectomy and related cervical procedures in children and adolescents. Recurrent laryngeal nerve trauma is one of the most serious complications of surgery in the anterior neck compartment. Numerous studies have demonstrated the utility of intraoperative monitoring...