OBJECTIVES In expert hands, the intrathoracic oesophago-gastric anastamosis usually provides a low rate of strictures and leaks. However, anastomoses can be technically challenging and time consuming when minimally invasive techniques are used. We present our preliminary results of a standardised 25 mm/4.8mm circular-stapled anastomosis using a trans-orally placed anvil. MATERIALS AND METHODS...

Colorectal redo surgery is well known to be a difficult procedure, associated with high risk of failure. The aim this study was look into patients presenting two consecutive failed colorectal (CRA) or coloanal (CAA) anastomosis who underwent second (i.e., third anastomosis). A retrospective based on prospective database surgeries CRA CAA, in an expert center. Sixteen between 2005 and 2020 were ...

discussion the cholecystojejunocolic anastomosis with intussuscepted valve surgery could be considered as a forthcoming approach in the treatment of intrahepatic cholestasis. case presentation an 11-year-old girl with the diagnosis of pfic underwent cholecystoappendicostomy with myotomy operation. because of anastomosis stricture, she was reoperated with cholecystojejunocolic anastomosis and in...

BACKGROUND In the management of large bowel obstruction, on-table lavage and intraoperative colonoscopy allow a safe resection and primary anastomosis in selected patients. Previous techniques carry serious disadvantages, in the form of inconvenient drainage route and spillage. A novel technique of in-sleeve on-table colonic lavage using a camera sleeve is described. METHODS Six patients (58-...

INTRODUCTION Medical therapy is usually indicated for uncomplicated diverticulitis. Indications for surgery include recurrent attacks and complications of the disease. This study describes our experience in the surgical treatment of acute sigmoid diverticulitis. METHODS Between 2001 and 2006, 82 patients were operated for acute sigmoid diverticulitis. RESULTS The indications for surgery inc...

INoEA is the International Network of Esophageal Atresia and consists of a broad spectrum of pediatric specialties and patient societies. The working group on long-gap esophageal atresia (LGEA) set out to develop guidelines regarding the definition of LGEA, the best diagnostic and treatment strategies, and highlight the necessity of experience and communication in the management of these challe...

Objective The aim of this study was to evaluate the impact of preoperative hypoalbuminemia on the development of intra-abdominal septic complications (IASCs) after primary anastomosis for patients with Crohn's disease (CD). Methods All CD patients undergoing bowel resection with a primary anastomosis during the study period from 2007 to 2015 were enrolled. The association of preoperative hypo...

BACKGROUND/AIMS Aim of this review is to assess the role and indications for primary sigmoidectomy with direct anastomosis for diverticulitis comparing it with the Hartmann's procedures. METHODS A literature search was performed using MEDLINE (PubMed), Google Scholar and The Cochrane Library and the articles from January 1990 until June 2011 were analyzed. All patients were divided into three...

OBJECTIVE To define the lowest age at which the bidirectional superior cavopulmonary anastomosis can safely be used in infants with complex congenital heart defects. DESIGN A retrospective analysis of clinical, echocardiographic, haemodynamic, and angiographic data in four consecutive patients undergoing bidirectional superior cavopulmonary anastomosis below the age of 2 months. PATIENTS Be...