Introduction: Preoperative complexity estimation helps deciding whether to proceed with a minimally invasive approach, perform an open procedure or make a referral to a more experienced surgeon. Laparoscopic cholecystectomy outcome is particularly affected by the presence and severity of inflammation, advancing age, male sex and greater BMI.

Vascular complications of liver hydatidosis are infrequent but severe. We present a case with severe vascular problems due to a recurrence of a liver hydatid cyst. A 39 year-old male consulted the Emergency Department after frank hematemesis due to esophagealvarices. He had undergone surgery at the age of seven in his native country for liver and lung hydatid cysts. Abdominal CT showed a 20 cm multivesicular cyst, occupying segments IV, V and VIII of the liver, displacing and partially compressing a dilated portal vein and causing portal hypertension and obstruction of the inferior cava vein. A subtotal cystectomy was performed. After surgery, portal vein flow was normal and esophagealvarices disappeared, but caval obstruction remained. We review the vascular complications due to liver hydatidosis, focusing on therapeutic management.

A hydatid cyst, or echinococcus, is a zoonosis frequently formed by the larvas of Echinococcus granulosus. The disease appears as a slowly growing cystic mass and is asymptomatic. The disease is common in the Eastern, Southeastern, and Central Anatolia regions of Turkey. The rate of incidence of the disease in Turkey is reported as 5.7 out of 100,000 individuals. The complications of hydatic cysts appear as different clinical entities depending on the cyst’s being intact or ruptured. The complications of intact cysts are usually compression symptoms, while the infection in the clinical progress of the ruptured cysts and secondary complications to the infecion are frequently seen. In this section, hydatid cyst complications in the lung, extrapulmonary thoracic findings, and respiratory system complications of hydatid cyst cases of the liver will be discussed.

A 58-year-old woman was referred for elective coronary bypass graft surgery (CABG). As an incidental finding, the coronary angiogram showed a radio-opaque linear foreign body in the superior vena caval-right atrial region; additionally to a significant flow limiting multivessel coronary artery disease (Panels A, B). The nature of the foreign body was initially unclear; the patient did not give a history of penetrating chest trauma or other major diseases. Further anamnestic review revealed a suicidal attempt 25 years before, which lead to a short intensive care stay. The patient underwent a conventional triple vessel CABG. After opening the right atrium, a fractured old-fashioned central venous cannula (CVC) was found being impacted with the tip into the tricuspid annulus; the curvature accurately shaped the route through superior vena cava to the tricuspid valve (Panels C, D). Following removal of the foreign body the patient had an uneventful postoperative course.

On Sep 3, 2012, several rhinology specialized medical staff members in Shenzhen Pengcheng Hospital were stabbed by a patient with blood-covered hands; on Oct 25, 2013, a chief physician of the otolaryngology department of the first People’s Hospital of Wenling, was killed in his clinic while working on a patient. The recent events of violence against doctors in China have caused great shock throughout most of the country. We can’t help wanting to ask: Who is at the bottom of all these troubles? Speaking of this problem, Empty nose syndrome (ENS) is an unavoidable topic. In the past decade, ENS is becoming increasingly common iatrogenic disorder but poorly understood resulting from the destruction of normal nasal tissue [1]. ENS may have murdered many rhinologic medical staff indirectly, whereas this disease is still “fresh” in China because of lacking of enough attention and research about ENS in the general Chinese Medical Community.

Vascular complications of liver hydatidosis are infrequent but severe. We present a case with severe vascular problems due to a recurrence of a liver hydatid cyst. A 39 year-old male consulted the Emergency Department after frank hematemesis due to esophagealvarices. He had undergone surgery at the age of seven in his native country for liver and lung hydatid cysts. Abdominal CT showed a 20 cm multivesicular cyst, occupying segments IV, V and VIII of the liver, displacing and partially compressing a dilated portal vein and causing portal hypertension and obstruction of the inferior cava vein. A subtotal cystectomy was performed. After surgery, portal vein flow was normal and esophagealvarices disappeared, but caval obstruction remained. We review the vascular complications due to liver hydatidosis, focusing on therapeutic management.

Natural Orifice Specimen Extraction (NOSE) maintains the benefits of minimally invasive surgery obviating the need to extend the port site incisions for specimen extraction. We describe the technique of transvaginal extraction of a laparoscopic right hemicolectomy specimen in sexually active 63 year old female. This included intracorporeal ileo-colic anastomosis and transvaginal colpotomy and extraction of specimen. Periodical follow up for 6 months did not show any complications with no reported dyspareunia. Multiple smaller studies have confirmed the safety of transvaginal extraction of resected colon. Transvaginal extraction of colonic specimen is an attractive option in women with minimal side effects if any.

Introduction: Organ reinnervation and functional recovery following peripheral nerve injury still remains a major challenge and return of functional recovery to the preinjured level rarely occurs.The aim was to evaluate the effect of locally administered insulin-like growth factor (IGF I) on nerve regeneration. Methods: Eighty male white Wistar rats were divided into four groups (n = 20), randomly: In transfected group (TC), left sciatic nerve was transected and stumps were fixed in the adjacent muscle. In the treatment, group defect was bridged using a silicone conduit (SIL/IGF) and filled with 10 µL IGF I (100 ng/kg). In silicone graft group (SIL), the graft was filled with phosphate-buffered saline alone. In the sham-operated group (SHAM), the sciatic nerve was exposed and manipulated. Each group was subdivided into three subgroups of five animals each and studied 4, 8 and 12 weeks after surgery.

Background: Dual Kidney Transplant (DKT) of marginal kidneys has expanded utilizing the extended criteria donor (ECD) organs. The aim of this study is to report the outcomes of dual kidney transplant in our institute and review the surgical techniques of DKT in the Literature. Materials and Methods: Between Jan 1999 and April 2014, 10 cases (8 male and 2 female; mean age 50 years) of DKT were performed in our institute. The surgical techniques include unilateral incision for 9 patients, a midline incision for 1 patient. The literature was reviewed for surgical techniques of DKT.

Introduction: Organ reinnervation and functional recovery following peripheral nerve injury still remains a major challenge and return of functional recovery to the preinjured level rarely occurs.The aim was to evaluate the effect of locally administered insulin-like growth factor (IGF I) on nerve regeneration.

Partial meniscal defects can be the cause of knee joint line pain. Synthetic meniscal scaffolds have been used as substitutes for the meniscal defect. CMI (Collagen Meniscus Implant, Ivy Sports Medicine, Gräfelfing, Germany) was the first product designed and Actifit (Orteq Bioengineering, London, United Kingdom), a polyurethane scaffold, is a more recent one. Both implants have been proven safe and clinically efficient so far. The indications, surgical technique, postoperative regime, results and complications are discussed.

Background: Dual Kidney Transplant (DKT) of marginal kidneys has expanded utilizing the extended criteria donor (ECD) organs. The aim of this study is to report the outcomes of dual kidney transplant in our institute and review the surgical techniques of DKT in the Literature.

Introduction: Preoperative complexity estimation helps deciding whether to proceed with a minimally invasive approach, perform an open procedure or make a referral to a more experienced surgeon. Laparoscopic cholecystectomy outcome is particularly affected by the presence and severity of inflammation, advancing age, male sex and greater BMI.

Partial meniscal defects can be the cause of knee joint line pain. Synthetic meniscal scaffolds have been used as substitutes for the meniscal defect. CMI (Collagen Meniscus Implant, Ivy Sports Medicine, Gräfelfing, Germany) was the first product designed and Actifit (Orteq Bioengineering, London, United Kingdom), a polyurethane scaffold, is a more recent one. Both implants have been proven safe and clinically efficient so far. The indications, surgical technique, postoperative regime, results, and complications are discussed.