A rapid recovery protocol for head and neck oncology patients undergoing resection, free flap reconstruction, and tracheostomy: a feasibility study.

Enhanced recovery after surgery (ERAS) for head and neck oncology patients was first introduced in 2017 and was found to improve patient outcomes, in line with results from other surgical specialties. This article presents a rapid recovery protocol (RRP) to further enhance perioperative care in conjunction with the ERAS protocol, for patients undergoing ablative surgery together with free flap reconstruction and tracheostomy. A prospective multidisciplinary approach was adopted to identify a specific cohort of patients who would benefit from the RRP.

Unexpected difficult airway management in a transgender female patient.

A transgender female patient, who had previously undergone gender-confirming feminisation surgery to the face and larynx, was scheduled for thoracic surgery requiring one-lung ventilation. We encountered unexpected difficult airway management and difficulty inserting an appropriately-sized double-lumen tube. A size 41Fr double-lumen tube, which is selected commonly for biological males, was used eventually for lung isolation and subsequently exchanged for a size 6.

A rare clinical case - Solitary fibrous tumor of the pleura.

We present a case of a 58 years old man with a large heterogeneous and well circumscribed soft tissue mass arising from the right pleural surface, found at a computer tomography of his chest. This mass after complete resection through a right lateral open thoracotomy, proved to be a Solitary Fibrous Tumor, previously known as 'benign mesothelioma'. This tumor is usually discovered at routine chest X-rays since patients are either asymptomatic or report atypical symptoms.

Permeability alterations after surgical trauma in normal rabbit peritoneum.

Background: To investigate whether surgical trauma in a rabbit adhesion formation model and the administration of normal saline (N/S), icodextrin (ID) and/or dimetindene maleate (DM) changes the permeability of the normal rabbit parietal peritoneum.

Materials And Methods: A total of 45 female rabbits were operated on for adhesion formation and were euthanized 10 days later. In some rabbits, ID or N/S was instilled intraabdominally during operation, whereas in others DM was infused intravenously.

The role of postoperative radiotherapy in the management of patients with thymic tumors -- a retrospective study.

Background: Thymomas are the most common tumor arising in the anterior mediastinum. Surgery is the cornerstone for the management of these tumors. The role of postoperative radiotherapy in Masaoka stage II thymomas remains controversial, but it is well established in the advanced stages.

The role of antibiotic prophylaxis in elective tension-free mesh inguinal hernia repair: results of a single-centre prospective randomised trial.

Hernia repair is one of the so-called clean operations. Many surgeons, however, use antibiotics, especially in the mesh repair era, without strong evidence to support this policy. We conducted a single-centre prospective randomised trial with a view to clarify this issue on a scientific basis.

Gamma radiation measurements and dose rates in commercially-used natural tiling rocks (granites).

The gamma radiation in samples of a variety of natural tiling rocks (granites) imported in Cyprus for use in the building industry was measured, employing high-resolution gamma-ray spectroscopy. The rock samples were pulverised, sealed in 1-l plastic Marinelli beakers, and measured in the laboratory with an accumulating time between 10 and 14 h each. From the measured gamma-ray spectra, activity concentrations were determined for (232)Th (range from 1 to 906 Bq kg(-1)), (238)U (from 1 to 588 Bq kg(-1)) and (40)K (from 50 to 1606 Bq kg(-1)).

Indoor radon (222Rn) concentration measurements in Cyprus using high-sensitivity portable detectors.

Using high-sensitivity radon ((222)Rn) portable detectors (passive electronic devices of the type RADIM3), the airborne (222)Rn concentration in the interior of various Cypriot buildings and dwellings was measured. For each preselected building and dwelling, a calibrated detector was put into a closed room, and the (222)Rn concentration was registered in sampling intervals of 2 to 4 h for a total counting time of typically 48 h. (222)Rn activity concentrations were found to be in the range of 6.

Airborne 222Rn concentration in Cypriot houses.

Studies from a pilot survey in 89 houses in Cyprus show that the arithmetic mean for the housing stock is about 7 Bq m-3 and the annual effective dose equivalent to the population from radon progeny is < 330 microSv y-1. Four houses have values > 30 Bq m-3, corresponding to two standard deviations from the mean value. The highest value recorded was 78 Bq m-3.