This video shows an open superior mesenteric vein to inferior cava shunt (Drapanas procedure) treat severe recalcitrant gastrointestinal bleeding. patient had previously has extensive vena and thrombosis that progressed a massive complex portal vascular malformation. The survived for 10 months free of symptoms with no recurrent bleeding after the procedure, before dying from unrelated causes. e...

Tooth loss is followed by a natural bone resorption process that often leads to defects in the alveolar ridge, making the installation of dental implants unfeasible. Correction of such bone defects, especially loss of height of the ridge or associated loss of thickness, is a great challenge to dental surgeons. The technique of segmental osteotomy accompanied by interpositional bone grafting has...

Surgical intervention by resection of the ankylotic mass through gap arthroplasty alone resulted in reankylosis. Attempts have been made to prevent such reankylosis with interpositional arthroplasty. Numerous materials have been interposed between the resected bone surface and articular fossa at the base of the skull. Alloplastic materials such as silicone, silastic, proplast, Teflon, rubber pr...

A congenital absence of the portal vein (CAPV) is a rare disorder that may lead to an intrapulmonary shunt. A 14-year-old male with CAPV underwent living donor liver transplantation with a left lobe graft from his father. The portal vein reconstruction was achieved with a renoportal anastomosis using an interpositional graft from the native collateral vein, because portal venous system directly...

In this study. muscle fasda removed from over the biceps femoris muscle was used as microvascular interpositional graft material in 67 rats. The faces of the cleaned fasda were rolled in order to form the luminal surface of the graft and were sutured in the from of a tube in different diameters and lengths. In group I. the grafts were 2.5mm in diameter and 2 to tmm in length in the common carot...

Thumb pain secondary to arthritis at the basal joint of the thumb is a common condition, especially in women, and can be quite disabling. An accurate diagnosis can be readily made from the history and examination. Reconstructive procedures for each stage of the disease are aimed at relieving pain and restoring thumb motion and strength. There are a number of methods available to treat this cond...

Although the peripheral nerve has the potential to regenerate after injury, degenerative processes may be essential to promote axonal growth into the denervated nerve. One hypothesis is that the nerve contains growth inhibitors that must be neutralized after injury for optimal regeneration. In the present study, we tested whether degradation of chondroitin sulfate proteoglycan, a known inhibito...