major pancreatic injury following blunt abdominal trauma by itself is a relatively rare occurrence, and in vast majority of cases (95%) it is associated with injury to adjacent major vessels and organs; thus making isolated major pancreatic injury even rarer. while most pancreatic injuries are managed by simple measures like debridement and drainage, complex proximal injury poses surgical chall...

• Objective: To compare rates of revision knee replacement (KR) surgery for patients who had 2 knees replaced simultaneously with rates for those who had staged surgery. • Design: Retrospective database study covering the period January 1985 through December 1990. • Participants: 11,771 Medicare recipients in the United States. • Main outcome measure: Rates of revision following primary bilater...

OBJECTIVES We sought to identify the optimal treatment strategy for hypoplastic left heart syndrome (HLHS). BACKGROUND Surgical treatment of HLHS involves either transplantation (Tx) or staged palliation of the native heart. Identifying the best treatment for HLHS requires integrating individual patient risk factors and center-specific data. METHODS Decision analysis is a modeling technique...

Diabetes insipidus (DI) is described following penetrating spinal cord trauma but rarely following instrumented spinal fusion. More commonly, hyponatremia is seen following spine surgery, which may be iatrogenic, attributed to the syndrome of inappropriate antidiuretic hormone release. The authors present a case of a 57-year-old woman who underwent a planned two-stage operation for scoliotic de...

BACKGROUND Surgical resection of epileptic foci relies on accurate localization of the epileptogenic zone, often achieved by subdural and depth electrodes. Our epilepsy center has treated selected children with poorly localized medically refractory epilepsy with a staged surgical protocol, with at least 1 phase of invasive monitoring for localization and resection of epileptic foci. OBJECTIVE...

OBJECTIVES There is lack of consensus regarding concurrent vs. staged approaches, and the prioritisation of staged procedures in cases presenting with colorectal carcinoma (CRC) and abdominal aortic aneurysm (AAA) synchronously. We aim to present our experience, review the literature on this therapeutic dilemma and examine the role of endovascular aortic repair (EVAR). DESIGN, MATERIALS AND M...

A bilateral anterior cruciate ligament (ACL) tear is one of the rare injuries that seen in orthopaedics practice. Although few single-staged ACL ruptures have also been documented, most happen on two different occasions. there isn't a clear consensus, accounts both and two-staged reconstruction literature. This case report provides surgeons with options to consider while treating this unusual i...

Introduction To evaluate outcomes of simultaneous and staged surgery in patients with kidney tumors and concomitant cardiac disease. Material and methods Between October 2001 and October 2015, fifteen patients (Group 1) underwent simultaneous surgery and fourteen patients (Group 2) underwent staged surgery. 89.7% were males (26/29), and the mean age was 60.8 ±1.16 years. Locally advanced canc...