STERCORAL ULCER PRESENTING IN A PATIENT WITH CAUDA EQUINA SYNDROME SECONDARY TO POSTOPERATIVE EPIDURAL HEMATOMA

Stercoral Ulcer Presenting in a Patient with Cauda Equina Syndrome Secondary to Postoperative Epidural Hematoma

Chronic constipation can lead to fecal impaction in the large bowel, which can cause pressure necrosis followed by perforation, known as a stercoral ulcer.In extensive posterior thoracolumbar surgery, a long operation time, large blood loss, and perioperative narcotic use may aggravate constipation.Moreover, sacral root palsy due to cauda equina sy

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Solving Capacitated Location Routing Problem by Variable Neighborhood Descent and GA-Artificial Neural Network Hybrid Method

This paper aims to find the optimal depot locations and vehicle routings for spare parts of an automotive company considering future demands.The capacitated location-routing problem (CLRP), which has been practiced by various methods, is performed to find the optimal depot locations and routings by additionally using the artificial neural network (

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