Anaemia and allogeneic blood transfusions in surgical patients are associated with poor outcomes. Patient blood management (PBM) has been developed as an evidence-based clinical tool, by which clinicians can optimise anaemia, manage peri-operative bleeding, avoid unnecessary blood transfusion and improve patient outcome. This article aims to highlight the recent updates regarding evidence-based...

HYPOTHESIS Major hepatic resection for hepatocellular carcinoma (HCC) is associated with high operative morbidity and mortality, especially in patients with underlying chronic liver disease. The present study evaluated the factors associated with increased operative risks in patients who underwent extended right-sided hepatic resection for HCC. DESIGN Retrospective study. SETTING Tertiary r...

Cancer medicine is slowly embracing the uncomfortable reality that adjuvant modalities are often best administered before operative surgery rather than after. Cedermark points out that there are 20 published series which show a clear survival advantage for pre-operative radiotherapy in rectal cancer and only one showing such advantage for post-operative radiotherapy. Similarly direct comparison...

Major construction and engineering projects pose high challenges at logistic planning, including numerous restrictions, risks and dynamic effects. Consequently many tasks cannot be effectively solved using conventional tools and methods. We propose an integrated planning procedure that adopts simulation techniques in order to consider the whole supply chain and incorporate operative processes a...

CASE REPORT The first case is described on a patient with Urrets-Zavalía syndrome after Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) in whom an ExPRESS implant was used. DISCUSSION The ExPRESS implant is a useful tool for complex cases of post-surgical glaucoma where patients need to avoid post-operative inflammation and risks (corneal transplant patients). It is also very us...

Use of barbed threads, available with uni- and bi-directional cogs or barbs, is a semi-invasive method of lifting sagging skin of the face. Areas treated with this method include the eyebrows, the cheeks, the jowls and the neck. Ease of use and a shorter down-time have made their use popular. Specific indications, operative procedures, risks and complications are described and some clinical res...

Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selection, outcome evaluation, and techniques applied. In our view, sexological counseling and detailed e...

Cavernous sinus hemangiomas are relatively rare but have characteristic imaging features. We present a case of a large extra-axial middle cranial fossa mass arising from the cavernous sinus in a 51-year-old female, and we describe the unique features and complications of this intracranial tumor. With the proper pre-operative diagnosis, an appropriate plan can be created for these highly vascula...