Background and aim of the study: Significant postoperative discomfort is linked to laparoscopic inguinal hernia repair, and in certain patients, this pain may develop into chronic pain. Intraoperative neuromuscular blockade (NMB) depth may have an impact on surgical circumstances and the course of postoperative pain. The effects of deep vs mild NMB on immediate and long-term postoperative pain in patients having laparoscopic inguinal hernia repair were examined in this study.
Materials and Methods: Between July 2024 and July 2025, 85 patien....[more]
Objective: This randomized clinical open-label study compares the impact of Seton fistulectomy and Laser fistulectomy on patients' quality of life (QoL) and continence in patients with cryptoglandular anal fistula (AF), using the Short Form-36 Quality of Life, fecal incontinence quality of life (SF-36, FIQL) questionnaire, and Wexner continence score.
Patients and Methods: Fifty patients, aged 18–65 years, with primary or recurrent cryptoglandular AF underwent surgical interventions, including Seton fistulectomy and Laser fistulectomy....[more]
Background: The tricuspid valve remains the least studied of the four cardiac valves, and there is still no consensus on the optimal surgical approach for its repair or replacement. A growing body of evidence favours minimally invasive access routes, which may reduce operative morbidity without compromising the quality of the surgical correction.
Aim: To compare the early postoperative outcomes of isolated tricuspid valve surgery performed through a median sternotomy versus a right anterolateral thoracotomy.
Patients and Methods: This p....[more]
Introduction: Triple-negative breast cancer is an aggressive tumor with a high rate of recurrence and metastasis. The addition of pembrolizumab in the neoadjuvant setting is the current standard treatment for early-stage triple-negative breast cancer. Although immunotherapy improves treatment efficacy, its toxicity may impair patients' quality of life.
Objective: To investigate the quality of life of women with early-stage triple-negative breast cancer receiving immunotherapy and to compare it with the quality of life of women with early ho....[more]
Background: Anti-HBs antibody levels can wane over years after hepatitis B vaccination. Vitamin D may influence the immune response to booster vaccination in previously seronegative individuals.
Objective: to evaluate the association between vitamin D status and persistence of anti-HBs antibodies 20 years after primary infant HBV vaccination, and the response to a booster dose in seronegative individuals, with exploratory assessment of vitamin D supplementation.
Patients and Methods: A prospective cohort study was co....[more]
