The evaluation of the usefulness of CO laser in microsurgical resection of brain tumors.

Background: Since its introduction to surgery, the CO laser has been used in the treatment of various neurosurgical pathologies as it combines cutting, vaporizing, and coagulating properties in one tool and has a safe penetration depth. In this case series of 29 patients, we present the evaluation of the usefulness of the closed system type - sealed tube surgical CO laser in the surgical removal of brain tumors.

Methods: The Sharplan 40C model SurgiTouch, sealed tube type CO laser, was used in the resection of 29 brain tumors; 13 meningiomas, six metastases, nine gliomas, and one acoustic neuroma.

The Use of Real-Time 3D Intraoperative Ultrasound "Angiography" in Localization and Occlusion Control of a Ruptured Mycotic Aneurysm: A Case Report.

Background:  Infectious (mycotic) aneurysms are rare with high mortality and are most commonly found at the distal branches of the middle cerebral artery (MCA). Because aneurysms of the distal MCA are located deep in the Sylvian fissure and are small in size, intraoperative identification and safe clip occlusion of these aneurysms are challenging. Thus, the use of intraoperative imaging and navigation can be beneficial.

Meckel's Diverticulum in Adults: Surgical Concerns.

Since Meckel's diverticulum (MD) is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD. Treatment of symptomatic MD is definitive surgery, including diverticulectomy, wedge, and segmental resection. The type of procedure depends on: (a) the integrity of diverticulum base and adjacent ileum; (b) the presence and location of ectopic tissue within MD.

Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man.

Bilateral primary spontaneous pneumothorax (BPSP) is a rare condition, accounting for ∼1.6% of spontaneous pneumothoraces. Patients with primary spontaneous pneumothorax have typically low body weight.

Ectopic spleen: An easily identifiable but commonly undiagnosed entity until manifestation of complications.

Introduction: Ectopic spleen is an uncommon clinical entity as splenectomy for treatment of ectopic spleens accounts for less than 0.25% of splenectomies. The most common age of presentation is childhood especially under 1 year of age followed by the third decade of life.

Tube pancreatico-duodenostomy for management of a severe penetrating pancreaticoduodenal injury.

Context: Optimal management of penetrating pancreaticoduodenal injuries and better outcomes are associated with simple, fast damage control surgery and shorter operative time. The performance of pyloric exclusion and tube duodenostomy has markedly decreased. However, there is still a trend toward their performance in cases of delay duodenal repair or severe pancreaticoduodenal injury.