Acute renal failure (ARF) following cardiac surgery under extra-corporeal circulation is a grave but infrequent complication. Numerous physiopathological factors accounting for its origin are analyzed, those related to ECC and those of the immediate post-operative period. The course of these cares of ARF and the elements of the treatment are looked at.

Malignant transformation of fistulas in Crohn's disease (CD) patients is rare. Prior studies mainly focused on perianal fistulas as a complication of CD, and little is known about carcinoma in enterocutaneous fistulas. There are increasing concerns that chronic immunosuppression with azathioprine, widely used for remission maintenance and post-operative recurrence prevention in CD, could increa...

Background: Rhabdomyolysis (RML) indicates a skeletal muscle necrosis which results in an emission of intracellular contents from myocytes into the circulatory system. It has been recognized to be a complication of bariatric surgery. A high BMI and a prolonged operative time are the main risk factors associated to the development of RML. The aim of this study is to define the incidence and the ...

A recent study by researchers at Penn Medicine shows that incisionless transcathether aortic valve replacement (TAVR) surgery can cut down the length of hospital stay by 30%. It was also shown that there was no impact on post-operative vascular complication rates when compared with conventional transfemoral TAVR, which requires an incision in the groin. The study is published in Circulation: Ca...

A case of symptomatic polycystic liver disease treated by fenestration and segmental liver resection is reported. The intraoperative use of ultrasound to define the plane of liver resection is emphasised. No significant post-operative complication was encountered. The clinical presentation, management and treatment are discussed.

Pharyngo-cutaneous fistulas (PCF) are commonly seen in major hypopharyngeal and laryngeal post-operative patients. Reports of PCF as a complication deep neck abscess is scarce. The majority post total laryngectomy closure achieved via conservative management, only large requires surgical closure. However, there little evidence on from origin shall be failure treatment. We present case female pa...

Post-operative delirium is a common and dangerous complication of cardiac surgery. Many risk factors for delirium have been identified, but its pathogenesis remains largely elusive. A study by Kazmierski and colleagues investigates a more recently considered risk factor for delirium: perturbations in the hypothalamic pituitary axis and depression. This and further work may help define novel pre...

We report a case of pyoderma gangrenosum as a complication of an anterior cruciate ligament reconstruction in a patient with inflammatory bowel disease, which was misdiagnosed initially as a post-operative wound infection. An early dermatology opinion and skin biopsy should be considered in cases of suspected infection where thorough surgical debridement and antimicrobial therapy has failed to...

INTRODUCTION Single-port laparoscopic surgery (SPLS) for colonic disease has been widely described, whereas data for SPLS rectal resection are sparse. This review aimed to evaluate the feasibility, safety and complication profile of SPLS for rectal diseases. METHODS A systematic literature search of PubMed and Embase was performed in September 2013 according to the PRISMA guidelines. Original...

Abstract Post-operative chyle leak is a rare but recognised complication after abdominal surgeries particularly those involving dissection adjacent to the retroperitoneal lymph nodes and/or lymphatic systems. There are limited cases of post-operative associated with adrenal surgery reported in literature no consensus on its management. Lymphatics gland drain into thoracic duct via regional or d...