introduction: screening of patients with anterior abdominal penetrating trauma in need for laparotomy is an important issue in management of these cases. this study aimed to compare the accuracy of abdominal wall ultrasonography (awu) and local wound exploration (lwe) in this regard. methods: this diagnostic accuracy study was conducted on ≥ 18 year-old patients presenting to emergency departme...

That this work should have reached its thirteenth edition speaks very well for its original author and aJo, for its present editor, under whose guidance new editions have been produced more frequently to meet aQ increasing demand. Throughout this book of five hundred odd pages a Jery high standard is maintained, due probably to the lact that each section is written by an expert and a.lways it i...

ttp://dx.doi.org/10.1016/j.jpge.2016.01.005 341-4545/© 2016 Sociedade Portuguesa de Gastrenterologia. Published C BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4 istory, diet change, sick contacts, abdominal surgery or astrointestinal diseases. She denied alcohol or tobacco. he was not taking any medication or supplements with he exception of the usual antihypertensive therapy....

This clinical policy from the American College of Emergency Physicians is the revision of the 2003 Clinical Policy: Critical Issues in the Initial Evaluation and Management of Patients Presenting to the Emergency Department in Early Pregnancy. A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the btain a pelvic ultrasound in a clin...

ne of the things that distinguishes surgeons who are comfortable and ompetent in the management of anorectal disease from others is their pproach to the patient. Such an approach ideally should put the patient at ase and reduce the fear and embarrassment that are often associated, in the atient’s mind, with seeking care for anorectal problems. The process starts hen the patient calls to make an...

From the *Department of Pediatric Surgery, University Hospital of Santiago and the Departments of †Pediatric Gastroenterology and ‡Pediatric Surgery, Children’s Hospital Teresa Herrera, Hospital Juan Canalejo, A Coruña, Spain A bdominal cystic lymphangiomas (ACLs) are rare congenital benign malformations of the lymphatic system that are usually located in the small-bowel mesentery, followed by ...

conclusions results of this study indicate that selective brain cooling is an effective method of decreasing icp in rats; however, the deeper hypothermia caused a greater decrease in icp three hours after hypothermia induction. background experimental approaches have been promising with the use of therapeutic hypothermia after traumatic brain injury (tbi) whereas clinical data have not supporte...

ne of the things that distinguishes surgeons who are comfortable and ompetent in the management of anorectal disease from others is their pproach to the patient. Such an approach ideally should put the patient at ase and reduce the fear and embarrassment that are often associated, in the atient’s mind, with seeking care for anorectal problems. The process starts hen the patient calls to make an...

conclusions major vascular injuries in our center occurred in young men, frequently because of stab wounds. popliteal injuries mostly caused by motor vehicle accidents was the second most common arterial injury, followed by combined ulnar and radial injuries. vascular reconstruction in the first hours after trauma may prevent many unnecessary and preventable amputation procedures. results most ...