BACKGROUND Postintubation tracheal stenosis remains the most common indication for tracheal surgery. In the event of a rapid and progressive course of the disease after extubation, surgical approaches such as primary resection and anastomosis or various methods of tracheoplasty should be selected. We report our experience with surgical management of moderate to severe postintubation tracheal st...

A two and a half year old child sustained low tension electric burns in left thigh and abdominal wall leading to multiple jejunal perforations. Segmental resection followed by primary anastomosis was done with delayed repair of abdominal wall defect. The baby recovered uneventfully.

A female patient was admitted to our hospital with sigmoid colon perforation caused by migrated biliary plastic stent, which was placed 2 months ago for the treatment of choledocholithiasis. The patient underwent sigmoid colon resection with primary anastomosis and was discharged on seventh postoperative day in good general condition.

Esophageal atresia without tracheoesophageal fistula is a rare esophageal anomaly in children. We have successfully applied three-dimensional technique of computed tomography on four consecutive babies with this anomaly in order to accurately measure the length of the gap between the two esophageal segments, which is important for preoperative plan and the feasibility and timing of delayed prim...

Abstract Littre's hernia (LH) is a very rare presentation in patients presenting with hernias. It the presence of Meckel's diverticulum (MD) sac. However, it usually presents obstruction or strangulation. We are reporting here case 42-year-old male patient who presented an irreducible swelling left inguinal region. The diagnosis incarcerated indirect was made preoperatively. Intraoperative find...

PURPOSE The safety and the efficacy of the compression anastomosis clip (Hand CAC 30) have been demonstrated by animal studies. This study was designed to evaluate the clinical validity of the Hand CAC 30 in enterocolic side-to-side anastomosis after colonic or enteric resections. METHODS A non-randomized prospective data collection was performed for patients undergoing a side-to-side anastom...

BACKGROUND Acute sigmoid volvulus is one of the commonest causes of benign large bowel obstruction. Its incidence varies considerably from one geographic area to another. OBJECTIVE To review the management of acute sigmoid volvulus in a relatively high prevalence area. METHODS All adult patients with acute sigmoid volvulus seen at the Royal Victoria Teaching Hospital (RVTH) Banjul, between ...

HYPOTHESIS A selective surgical approach using either a 1- or a 2-stage resection is relatively safe and effective in the management of acute complicated colonic diverticulosis. DESIGN A consecutive cohort study. SETTING A university hospital. PATIENTS Eighty-nine consecutive patients who underwent emergency operations for diverticular disease between July 1, 1984, and June 30, 1999. Ther...

BACKGROUND The aim of this study was to assess the possibility of a primary end-to-end pharyngoesophageal anastomosis after standard tumor resection of the cervical esophagus by acute flexion of the neck. METHODS A total of 34 consecutive patients with primary cervical esophageal cancer, none having received prior radio- or chemotherapy, were treated by two methods based on intraoperative fin...