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 ...

Staged bariatric procedures in high risk patients are a common used strategy for morbid obese patients nowadays. After previous sleeve gastrectomy, surgical treatments in order to complete weight loss or comorbidities improvements or resolutions are possible. One strategy is to perform a novel technique named SADI (single anastomosis duodenoileal bypass-sleeve). We present the technique for tot...

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...

OBJECTIVES/HYPOTHESIS Robotic surgery has significant potential in pharyngeal and microlaryngeal surgery. We demonstrate the use of a surgical robot in pharyngeal and microlaryngeal surgery in a cadaver. STUDY DESIGN Six experimental surgical dissections, modeled after commonly performed pharyngeal and microlaryngeal procedures, were performed in a cadaver with a commercially available surgic...

Over the past few decades, robotic surgery has developed from a futuristic dream to a real, widely used technology. Today, robotic platforms are used for a range of procedures and have added a new facet to the development and implementation of minimally invasive surgeries. The potential advantages are enormous, but the current progress is impeded by high costs and limited technology. However, r...

AIM To report on our experience with a voice-directed robotic arm for scope management in different procedures for "solo-surgery" and in complex laparoscopic operations. METHODS A chip card with orders for the robotic arm is individually manufactured for every user. A surgeon gives order through a microphone and the optic field is thus under direct command of the surgeon. RESULTS We analyze...