Homero Rivas1, Yusuf O Hallak2, Osama Karajeh1, Kevin Helling3. 1. College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, 505055, Dubai, United Arab Emirates. 2. College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, 505055, Dubai, United Arab Emirates. Yusufhallak99@gmail.com. 3. Wyoming Surgical Associates, 419 S. Washington St., Suite 200, Casper, WY, 82601, USA.