abstract vascular injury presents a great challenge to the emergency resident because these injuries require urgent intervention to prevent loss of life or limb. sometimes serious vascular injury presents with only subtle or occult signs or symptoms. the patient may present weeks or months after initial injury with symptoms of vascular insufficiency, embolization, pseudoaneurysm, arteriovenous ...

abstract   background: iatrogenic airway injury after endotracheal intubation and tracheotomy remains a serious clinical problem. in this study we reviewed post-intubation and traumatic tracheal stenosis in 47 patients with a special attention to the cause, hense surgical treatment of the stenosis was performed and the results compared with the literatures.   methods: since february 1995 throug...

Recent developments in laparoscopic gastrectomy have led to the introduction of various methods of stapled anastomosis. We have also introduced stapled anastomosis to reconstruction of the digestive tract with the aim of performing safe and quick anastomosis and enabling an early return to oral feeding. Reconstruction of the digestive tract following pancreaticoduodenectomy in our institution i...

conclusions in selected recipients with psc, dd reconstruction is a safe and efficacious technique, with long-term clinical outcomes comparable to ryh. background while roux-en-y hepaticojejunostomy (ryh) is the common anastomotic technique for liver transplantation (lt) in patients with primary sclerosing cholangitis (psc), duct-to-duct (dd) reconstruction may be used if the recipient common b...

BACKGROUND The aim of this study was to analyze the early postoperative outcome of esophageal cancer treated by subtotal esophageal resection, gastric interposition and either intrathoracic or cervical anastomosis in a single center study. METHODS 72 patients who received either a cervical or intrathoracic anastomosis after esophageal resection for esophageal cancer were matched by age and tu...

BACKGROUND Dehiscence of esophageal anastomosis is frequent and there are still controversies which type of anastomosis is preferred to diminish its incidence . AIM To compare end-to-end anastomosis versus end-to-side anastomosis in terms of anastomotic leakage, esophageal stricture and gastroesophageal reflux symptom. METHODS This study was carried out for two year starting from 2012. End-...

Background: One of the crucial aspects ascending aorta replacement is to achieve hemostasis proximal anastomosis. This study aimed describe a modified prosthesis eversion technique for anastomosis in and compare its operative outcomes with conventional technique.

To clarify the effect of surgery on the prevention cerebral hemorrhage in adult moyamoya disease, we compared postoperative courses between superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis and conservative therapy. The study subjects were 30 adults with moyamoya disease. Unilateral STA-MCA anastomosis was conducted in 7 of these 30 cases, and bilateral STA-MCA anastomosi...

Background Although supermicrosurgical anastomosis is a widely known reconstructive microsurgical technique, it is difficult to perform. To expand the clinical use of supermicrosurgery, we used hemi-intravascular stenting (hemi-IVaS), which is performed by inserting an intravascular stent into one side of the vessel. We conducted lymphaticovenular anastomosis, free perforator flap transfer, and...

BACKGROUND In stable coronary artery disease (CAD), exercise training has well-documented positive effects on arterial endothelial function. NO derived from endothelial NO synthase (eNOS) is regarded as a protective factor against atherosclerosis. The aim of the present study was to investigate the effects of exercise training on the endothelial function in relation to the expression of eNOS an...