This paper presents a strong criticism of the current enthusiasm for clinical randomised prospective studies in surgery. In the process, the author probes the 'intellectualism' or lack thereof in present day surgical attitudes. The subjects are examined against a framework of ethics and inescapable dilemmas. Ways of correcting the more obvious weaknesses are suggested. The manuscript is, and is...

A total of 204 patients with difficult situation cholecystitis were enrolled to this study from April 2007 to January 2014 at PortFouad general hospital and Suez-Canal University hospital. Surgical interference for patients with acute cholecystitis was done within 72 hours from the onset of symptoms of the acute inflammation. Written consent was obtained from all patients or first degree relati...

r William Beaumont provided one of the earliest Ddiscussions of ethics specifically related to surgery and in particular to surgical research when, in 1833, he described his experiments with Alexis St. Martin’s gastric fistula [1]. Dr Beaumont was one of the first scientists in any field who obtained the consent of the research subject, mentioned requirements that would avoid harm to the resear...

conclusions coccygectomy is a successful treatment in patients unresponsive to conservative treatments for coccydynia. results the patients were followed up for an average of 25.7 months. the results were good in 11 patients, excellent in 1, and fair in only 1 patient. the excellent and good rates amounted to 92.2%. no major complication was seen. patients and methods between october 2010 and d...

n this issue of theJourna1 of Law, Medicine &Ethics, Peter Clark provides a comprehensive and sound ethiI cal analysis of clinical trials examining the treatment of advanced Parkinson's disease with fetal tissue transplantation.' These studies raise profound questions about how clinical trials of surgical interventions ought to be conducted. At stake is not only the ethical basis of such trials...

INTRODUCTION To improve surgical safety, health systems must identify preventable adverse outcomes and measure changes in these outcomes in response to quality improvement initiatives. This requires understanding of the scope and limitations of available population-level data. To derive literature-based summary estimates of benchmarks of care, we will systematically review and meta-analyse rate...

INTRODUCTION The efficacy of bariatric surgery for large-scale, long-term weight loss is well established. However, many questions remain over the continual benefits and cost-effectiveness of that weight loss for overall health, particularly when accounting for potential complications and adverse events of surgery. Health research institutes in the UK and the USA have called for high-quality lo...

abstract background: ethics was discussed for many years in medical ethics through rules, theories, hypothesis and religious. there are some organs in iran that working on ethics. department of medical science is one of them that has his own instructions on ethics. this study aims to review some of the challengeable issues in medicine. conclusion: department of ethics in iranian academy of medi...

INTRODUCTION Traditional and transcatheter surgical treatments of severe aortic valve stenosis (SAVS) are increasing in parallel with the improved life expectancy. Recent randomised controlled trials (RCTs) reported comparable or non-inferior mortality with transcatheter treatments compared with traditional surgery. However, RCTs have the limitation of being a mirror of the predefined inclusion...

INTRODUCTION Chiari malformation type I (CM-I) is a congenital hindbrain anomaly that requires surgical decompression in symptomatic patients. Posterior fossa decompression with duraplasty (PFDD) has been widely practiced in Chiari decompression, but dural opening carries a high risk of surgical complications. A minimally invasive technique, dural splitting decompression (DSD), preserves the in...