Does orientation of full-thickness groin grafts affect hyperpigmentation in burn contracture and syndactyly hands?

Background: Some grafts harvested from the groin area do not become hyperpigmented and in an individual with multiple pieces of grafts, the hyperpigmentation of the pieces may vary. This study evaluates the orientation of the inset of groin grafts according to their donor sites (superior-inferior) and its role in graft hyperpigmentation.

Methods: Patients with hand burn contracture or syndactyly who required at least 2 pieces of grafts were enrolled.

The role of octreotate scan in discrimination of solitary pulmonary nodule.

Solitary pulmonary nodule (SPN) is one of the most controversial clinical findings in patients. The aim of this study is to use (99m)Tc-ethylenediamine diacetic acid/hydrazine nicotinamide (HYNIC)-TATE scan technique to evaluate nodules. From 2008 to 2010, 21 patients with SPN underwent (99m)Tc-HYNIC-TATE scan after the initial assessment with high-resolution computed tomography and then accurate histopathologic diagnosis was established by trans-thoracic needle biopsy, Video Assisted Thoracic Surgery and thoracotomy.

Disabilities and activities of daily living among veterans with old hip disarticulation and transpelvic amputation.

Background: The Iran-Iraq imposed war lasted eight years and was one of the longest wars of the last century. Twenty-three years have passed since the war ended, but little has been discussed about the long-term results of war amputations in the literature.

Objectives: In this long-term study, we have evaluated the activities of daily living among veterans with hip or hemipelvis amputations.

An unusual case of recurrent gastric cancer long after the first gastrectomy due to adenocarcinoma.

The postgastrectomy recurrence rate is as high as 30-65%, with 5-year overall survival rates of <20%. Local recurrence is very common which occurs in 38-45% of cases. The most common sites of locoregional recurrence are the gastric remnant at the anastomosis, the gastric bed, and the regional nodes.

Temporary abdominal closure in the critically ill patients with an open abdomen.

The emergent abdominal surgeries from either of traumatic or non traumatic causes can result in situations in which the abdominal wall cannot initially be closed. Many techniques have been reported for temporary coverage of the exposed viscera, but the result of various techniques remains unclear. During 94 months, 19 critically ill patients whit an open abdomen underwent surgery using plastic bags (Bogotá bag).

Recurrent Spontaneous Rupture of the Urinary Bladder in a Patient With Human T-lymphotropic Virus Type 1-Associated Myelopathy: A Case Report and Literature Review.

Recurrent spontaneous rupture of the urinary bladder has rarely been reported in English articles. This condition may be difficult to diagnosis before a laparotomy due to acute peritonitis. Herein we describe a case of recurrent spontaneous rupture of the bladder in a 39-year-old woman with human T-lymphotropic virus type 1 (HTLV-1) -associated myelopathy/topical spastic paraparesis (HAM/TSP).

Primary urachal actinomycosis: case report and literature review.

Actinomycosis can involve all parts of the urogenital system. Urachal actinomycosis rarely reported and was mistaken with urachal adenocarcinoma. We report a case of urachal actinomycosis that presented with abdominal pain and underwent laparotomy with the diagnosis of urachal malignancy pathology reviewed the diagnosis of urachal actinomycosis.

Management of sigmoid volvulus: options and prognosis.

Objective: To describe the management of sigmoid volvulus with reference to the type of surgical procedures performed and to determine the prognosis of sigmoid volvulus.

Study Design: A case series.

Place And Duration Of Study: Ghaem Hospital of Mashhad, University of Medical Sciences, Mashhad, Iran, from 1996 to 2008.

Gastrointestinal anthrax: clinical experience in 5 cases.

Background: Bacillus anthracis may usually cause three forms of anthrax: inhalation, gastrointestinal and cutaneous. The gastrointestinal (GI) anthrax develops after eating contaminated meat. Thus, in this paper were report 5 cases of intestinal anthrax.

Laparoscopic splenectomy: ligasure or clip ligation?

Laparoscopic splenectomy (LS) is frequently performed for spleen removal under pathologic conditions. The aim of this study was to evaluate whether ligasure is superior to clip ligation during LS. In a simple randomized prospective study, 40 patients who were candidates for splenectomy were randomly assigned to 2 groups of clip and ligasure.

The effect of neoadjuvant chemoradiotherapy on airway colonization and postoperative respiratory complications in patients undergoing oesophagectomy for oesophageal cancer.

Respiratory complication is one of the important postoperative complications of oesophageal cancer. The aim of this study was to evaluate whether neoadjuvant chemotherapy before surgery is effective for postoperative respiratory complications. In this study, patients with oesophageal cancer were divided into two group: one with neoadjuvant therapy and the other without neoadjuvant therapy.

Comparison of excision with primary repair versus Limberg flap.

Introduction: Pilonidal disease is a common chronic disorder, mostly affecting young adult males. Different hypotheses have been introduced for this disease, but acquired pathogenesis is the most acceptable one. Furthermore, different types of intervention are performed based on its pathogenesis.

Efficacy and necessity of nasojejunal tube after gastrectomy.

Background: Nasojejunal tube (NJT) decompression is routinely used for intestinal drainage after total gastrectomy. It is supposed that it would protect anastomosis, but since the stomach should be completely removed, today its efficacy is under question. On the other hand, the tube leads to the discomfort of patients and aspiration disorders or nasopharyngial ulceration.

Assessment of angiogenic factor, vascular endothelial growth factor, serum and urine level changes in superficial bladder tumor immunotherapy by intravesical Bacillus Calmette-Guerin.

Background And Aim: Bladder tumor is one of the most common genitourinary tumors. Management of non-muscle invasive (NMI) bladder tumors is primarily by transurethral resection (TURBT) followed by intravesical immunotherapy or chemotherapy. Bacillus Calmette-Guerin (BCG) is the most effective adjuvant therapy in NMI bladder tumor.