BACKGROUND Failure of the pancreatic remnant anastomosis to heal following pancreato-duodenectomy is a major cause of significant and life-threatening complications, notably a post-operative pancreatic fistula. Recently, non-randomized trials have shown superiority of a most intuitive anastomosis (Blumgart technique), which involves both a duct-to-mucosa and a full-thickness pancreatic "U" stit...

PURPOSE The purpose was to evaluate outcomes according to different operative strategies of type A esophageal atresia (EA). METHODS All patients who underwent surgery for type A EA between 1980 and 2011 were included. Patients were divided into 2 groups: E-E group included patients who received esophageal end-to-end anastomosis, whereas E-G group included patients who received esophago-gastri...

Abstract Sigmoid volvulus is a frequent cause of intestinal obstruction. Its management has evolved with the use laparoscopic surgery, achieving an elective sigmoid resection anastomosis after flexible endoscopic detorsion. A female patient was admitted to emergency room abdominal pain, distention, and constipation. The computed tomography showed whirled mesentery in addition dilated loops, cof...

OBJECTIVES To investigate the procedure characteristics and long term follow-up of percutaneous coronary intervention (PCI) for saphaneous vein graft (SVG) lesions in the elderly patients. METHODS From December 2005 to December 2011, 84 graft lesions were treated percutaneously. Seventeen were located at proximal anastomosis, 48 were located at SVG body, 19 were located at distal anastomosis....

This paper presents the treatment course of a 13-year-old child with Meckels gangrenous-perforative diverticulitis complicated by diffuse peritonitis. The perforation was localized at base diverticulum; therefore, ileal resection performed. Peritonitis required difficult choice further surgical management, i.e., stoma formation or primary intestinal anastomosis. Nowadays, an enterostomy is cons...

conclusions cpaa provided not only better functional results than scaa, but also improved quality of life, thus may be the better choice. background the tendency towards sphincter preserving for low rectal cancers with low anterior resection, has led to the technique of straight coloanal anastomosis (scaa) or colonic j-pouch anal anastomosis (cpaa). objectives the aim of our study was to compar...

Acute aortic dissection is a surgical emergency that must be urgently managed, with the primary goal of restoring flow to the dominant true lumen in the downstream aorta. Our preference at the Cleveland Clinic is for an open distal anastomosis technique without aortic clamping, as it permits more accurate approximation of dissected layers and more homeostatically secure anastomosis. During this...