Objective: The aim of the study was to fi nd laboratory samples for early diagnosis of anastomotic leak. Summary background data: Anastomotic leakage after rectal cancer surgery is a severe complication with high mortality. Outcome is highly dependent on early diagnosis.

Background: Vascular anastomosis is a most common and important part of many reconstructive transplant procedures. Venous anastomosis can be done by using coupling devices. In arterial anastomosis still the suture method is the main method, which is time consuming, need much experience, and associated by many complications specially with small arteries (microanastomosis). This study offers new type of stent (Lasheen vascular stent) for vascular anastomosis.

In the spectrum of myoepithelial tumors of the skin, cutaneous myoepithelioma is composed solely of myoepithelial cells. Cutaneous syncytial myoepithelioma as a rare histological variant of cutaneous myoepithelioma has been fi rst described in the last decade. This tumor is benign and rarely shows recurrence when incompletely resected. In addition to its distinctive common histological and immunohistochemical features, cutaneous syncytial myoepithelioma shares the same changes for most cases in molecular testing (EWS RNA binding protein 1 gene rearrangement). The differential diagnosis of other superfi cial dermal tumors is one of the major diffi culties in the diagnosis of this tumor. In the current study, we present our fi ndings of a 56 year-old woman who was diagnosed as cutaneous syncytial myoepithelioma.

Background: Hypospadias is a relatively common congenital defect of the male external genitalia. There is much controversy about using of the urethral stent with hypospadias repair. Our study offers new urethral stent (Lasheen urethral stent) to facilitate repair procedure, more comfortable, and improve outcome.

Defects in the jaw and face area are caused by congenital anomalies and some infections. In this study, we present a case of palatal insuffi ciency after maxillectomy, treated with shutter which was applied to ensure the aesthetics, phonation and functional defi ciency of the patient.

Purpose: To evaluate the effi cacy and safety of percutaneous cholecystostomy in acute cholecystitis cases with high surgical risk that were treated conservatively and developed perforation.

Defects in the jaw and face area are caused by congenital anomalies and some infections. In this study, we present a case of palatal insuffi ciency after maxillectomy, treated with shutter which was applied to ensure the aesthetics, phonation and functional defi ciency of the patient.

Thick Epicardial Adipose Tissue (EAT) is not always a finding at operation theatre in patients undergoing Coronary Artery Bypass Grafting (CABG). But epicardial fat has a direct relationship with obesity and metabolic syndrome. Its presence is an independent risk factor for Coronary Artery Disease (CAD). Intraoperative fi nding is an indicator for post-operative weight reduction and early initiatio pharmaceuticals to prevent progression of native vessel disease.

Aim: People living in the countryside are less to have access to health care than those Living in the city center. In addition to this, when migrants are added, it becomes more diffi cult to use health services. Although 20% of the US population lives in rural areas, only 9% of physicians work in these areas, and general surgeons seem to be inadequate in small rural towns. This study was planned to determine the general surgical procedures performed in the district state hospital.

Background: The reconstruction of distal foot for various defects or contractures mainly over or near the toes has always been a diffi cult task. A fl ap distally based on fi rst web space is dependent upon a perforator arising from the the distal communicating artery between the fi rst dorsal and plantar metatarsal arteries, can be used for the coverage of the toe or the distal foot defects.

Background: Post-operative nausea and vomiting is a common occurrence amongst surgical patients. Anecdotal reports suggest antiemetic prescribing patterns to be an area for improvement.

Peripheral facial paralysis causes asymmetry of the face affecting the upper and lower territories. Its management requires the completion of an initial clinical assessment in order to specify the topography, the severity of the involvement, the etiological nature and the possible complications. The knowledge and the mastery of the anatomo-physio-pathological bases makes it possible to understand the different clinical pictures.