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BACKGROUND Total knee arthroplasty (TKA) results in substantial postoperative blood loss with increased morbidity. Despite various studies proving the efficacy of tranexamic acid (TXA), no consensus exists on the routes of administration. METHODS Seventy consecutive patients with knee arthritis undergoing simultaneous bilateral TKA, who were eligible and(More)
Two procedures (laser bullectomy and lung reduction surgery with staples) are currently available for the surgical treatment of patients with diffuse emphysema. We compared the efficacy of these two surgical approaches in 72 patients, aged 67 +/- 7 years (mean +/- standard deviation), who had diffuse emphysema scored as severe on computed tomography and(More)
OBJECTIVE Our intent was to refine the patient selection criteria for lung volume reduction surgery because various centers have different criteria and not all patients benefit from the procedure. METHODS Patient information, x-ray results, arterial blood gases, and plethysmographic pulmonary function tests in 154 consecutive patients who underwent(More)
Our experience with lung volume reduction surgery for emphysema now encompasses more than 300 cases, including several prospective trials. We have a 3.5% operative mortality rate and, with aggressive use of Heimlich valves over the past 6 months, an average hospital length of stay of 8 days. Proper patient selection is essential and can be based primarily(More)
Synchronous tumours of the thymus and lung are rare. We describe the case of a 57-year-old gentleman, who presented with a large type AB thymoma in the superior anterior mediastinum and a primary bronchogenic adenocarcinoma in the right upper lobe. In view of this, he underwent surgical resection of the thymoma directly through amedian sternotomy and right(More)
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