celiac artery aneurysm is a rare visceral aneurysm, comparising only 4 % of them. in this article, an innovative surgical method is presented for the treatment o f such aneurysms. a 53 year old female referred to our center with epigastric pain and a mass in the region, which was diagnosed as a case of celiac artery aneurysm by using different imaging techniques. during the operation, according...

BACKGROUND AND PURPOSE Carotid endarterectomy (CEA) with patch angioplasty produces greater results than with primary closure; however, there remains uncertainty on the optimal patch material in CEA. A systematic review of randomized controlled trials (RCTs) was performed to evaluate the effect of angioplasty using venous patch versus synthetic patch material, and Dacron patch versus polytetraf...

INTRODUCTION AND OBJECTIVES To report on our initial experience with the implantation of a pulmonary valve using Nunn's technique in association with a transannular patch for the complete repair of the tetralogy of Fallot. METHODS In total, 21 patients were treated between September 2008 and February 2010. Their ages ranged from 7 months to 15 years (median 12 months) and weights from 6.8 kg ...

INTRODUCTION Both polyester composite (POC) and polytetrafluoroethylene (PTFE) mesh are commonly used for laparoscopic ventral hernia repair. However, sparse information exists comparing perioperative and long-term outcome by mesh repair. METHODS A prospective database was utilized to identify 116 consecutive patients who underwent laparoscopic ventral hernia repair at The Mount Sinai Hospit...

Objectives: The aim of this study was to review our experience with combined injuries to the femoral artery and vein, and to analyze the role of venous repair. Methodology: Thirty two patients with penetrating injuries of the both femoral artery and vein underwent surgical management at our hospital from May 1999 to August 2009. Primaryxvascular repair was carried out whenever possible; if not ...

INTRODUCTION Phrenic nerve stimulation (PNS) could be prevented by a silastic patch over the epicardial lead. We studied the effects in preventing PNS by placing a silastic patch directly over an epicardial lead or placing a graft around the phrenic nerve (PN). METHODS AND RESULTS Fourteen Lanyu swine were enrolled. A bipolar lead was placed epicardially on the left ventricle (LV) inferior to...

We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach. The adrenal gland resection was more complex due to involvement of the tumor with the inferior v...

BACKGROUND/AIMS Primary repair of a large hiatal hernia is associated with a published recurrence rate of up to 10%; anecdotal rates even higher than this have been reported to the authors. The use of prosthetic material in the repair of other abdominal wall defects has often produced better results than primary repair. We wanted to compare laparoscopic primary repair of large hiatus hernias wi...

PURPOSE Several studies have reported on the outcome of lysis/percutaneous transluminal balloon angioplasty (PTA) of failed or failing femoropopliteal bypass grafts (FPGs) with mixed results. None of these studies have compared the results of lysis/PTA versus thrombectomy/open patch repair for failed above-knee polytetrafluoroethylene (PTFE) FPGs. METHODS Patients with failed (thrombosed) abo...

objective: to evaluate the feasibility and results of using serosal patch of small bowel for repair and replacement of inferior vena cava (ivc) after resection of a part of infra-renal ivc in an animal model, as it may be encountered in extensive tumors of retroperitoneal and trauma patients. methods: five healthy sheep of both sexes were prepared. after general anesthesia and laparotomy, a def...