Robot-assisted surgery is progressively deployed in colorectal surgery, and decompression surgery utilizing a stent is known as a typical treatment for malignant stenosis regarding the large intestine. Surgical treatment after stent positioning is also regularly performed. However, the anastomosis strategy stays questionable. A 75-year-old girl went to our medical center’s interior medicine division with primary complaints of bloody stool and irregularity for the previous year and colonoscopy was planned. After using laxatives to organize for therapy, stomach discomfort was seen and an emergency request had been made. A diagnosis of colorectal cancerous stricture and rectosigmoid junction cancer tumors ended up being made and a stent was placed during disaster colonoscopy. After intestinal hepatic glycogen decompression, a diagnosis of rectosigmoid junction disease (UICC 8th; T3N0M0 Stage IIa) was rendered and robotic-assisted large anterior resection of the anus and lymph node D3 dissection were done. Reconstruction ended up being performed utilizing Gambee anastomosis outside of the body cavity. The postoperative training course was uneventful. The two fold stapling strategy is not difficult, however in this situation, the obstructed digestive tract had been distended. Meanwhile, Gambee anastomosis, makes it possible for adjustment of tightness, was considered effective. Primary laryngeal tuberculosis (PLTB) is an unusual condition. The symptoms and results aren’t specific in most of the situations. Clients are diagnosed basically predicated on histopathological examination and mycobacterial culture. Primary laryngeal tuberculosis is an uncommon clinical entity despite its close anatomical and physiological proximity towards the lung area. Clinician should keep in mind the existence of primary laryngeal tuberculosis to prevent delayed diagnosis and therapy, that could induce high morbidity and death.Clinician should keep at heart the presence of major laryngeal tuberculosis in order to prevent delayed diagnosis and therapy, that may cause high morbidity and death. Penile amputation is an unusual situation reported globally as separated instances and little show. It constitutes a urological disaster which needs microsurgical abilities for the restoration associated with the cock. We present an instance of a penile amputation and discuss the management of this difficult problem. A 47-year-old patient presented to your er with total amputation of corpora cavernosa of the penis caused by knife hostility. The patient underwent effective microsurgical replantation, demonstrating positive development and satisfactory results. Microneurovascular repair of penile amputation is the gold standard. Tips include a careful anastomosis, and a concentrate on vein anastomoses for optimal results in addition to associating a psychiatric approach. Your penis score categorizes the severity of lesion and predict postoperative problems and main effects. Penile amputation presents a unique challenge, necessitating microsurgical anastomosis, meticulous muscle management, and adherence to set up protocols tend to be imperative for successfully managing such intricate situations. Even in situations of posttraumatic partial penile amputation after a long duration, can yield satisfactory morphofunctional effects.Penile amputation presents a distinctive challenge, necessitating microsurgical anastomosis, careful structure administration, and adherence to established protocols tend to be crucial for effectively handling such complex situations. Even yet in cases of posttraumatic partial penile amputation after a long period, can produce satisfactory morphofunctional outcomes. Plexiform neurofibromas (PNs) are described as their diffuse masses with tortuous expansion along nerve branches. While surgery is the main management for PNs, the suitable medical method remains unestablished. A 35-year-old woman offered a sizable hanging size since the medial aspect of the thigh hereditary melanoma while the leg 1-Thioglycerol price . It caused discomfort, disfigurement, and periodic discomfort. The patient ended up being planned for the debulking surgery under vertebral anesthesia. Incisions received from the normal-looking skin right beside the size, through skin layers, subcutaneous tissue and deep fascia until the muscle tissue were seen. The size was then approached and elevated within the subfascial plane (fairly avascular). Large, dilated, heavy tortuous vessels could possibly be seen in the suprafascial and subcutaneous planes. Optimum location that could be eliminated ended up being marked and excised. The standard contour regarding the remaining lower extremity was restored close to attaining a thigh and a leg lift. PNs pose medical challenges because of the vascularity and hard areas. The subfascial debulking approach provided in the case is designed to lower intraoperative hemorrhage by preventing very vascular places and stopping entry into blood sinuses inside the neurofibromatous muscle. This method also reduces the risk of inadvertent problems for nearby neurovascular structures. Pyogenic liver abscess (PLA) is a potentially deadly problem described as the formation of space-occupying lesions in the liver parenchyma. Despite breakthroughs in diagnostic imaging and antibiotic drug treatments, complications such as for example biliary fistula formation can arise, posing challenges in management. The individual responded absolutely towards the treatment, with just minimal abscess size and fistula resolution.