The anesthetic management of patients undergoing tracheoesophageal fistula repair often involves lung separation, usually selective bronchial intubation with a double-lumen endotracheal tube. However, in patients with airway fistulas arising below the tracheal lumen, selective lung ventilation and separation may require unusual methods of airway management. In the patient described in this repo...

Background: A study was undertaken to assess the prevalence of interlobar collateral ventilation in patients with severe emphysema to identify factors that may help to predict patients with significant collateral ventilation. Methods: Between April 2002 and August 2003, ex vivo assessment of the lungs 17 consecutive patients with smoking related severe emphysema was performed. To assess collate...

abstract background: the incidence of early wound related complications is assessed in laparoscopic versus open abdominal surgeries. complications of surgical wounds (esp. wound infections) are considered as a major problem in surgery wards. complications of surgical wounds are classified as early and late. common and early complications are hematoma, seroma and wound infection. methods: the me...

for the first time we have used eyelid skin expansion to facilitate reconstruction of selected patients with shortage of lid skin (e.g. for burn scar and after excision of tumors). this method allows for a controlled increase in skin, need for reconstruction, and offers many advantages over grafted skin transfered from a distance. color, texture, thinness, delicacy and adnexal structures are ae...

Dear Editor, A 57-year-old man presented for suspension microlaryngoscopy and biopsy of a laryngeal lesion that was mildly obstructive. After induction of general anaesthesia, a standard midline approach of glideScope laryngoscopy provided good laryngeal exposure. A junior anaesthesiologist made a failed attempt to introduce a 5.0-mm internal diameter cuffed microlaryngeal tracheal (MlT) tube w...

conclusions sils appendectomy can be successfully performed by trainees on all-comers with comparable resource utilisation and clinical outcomes to those achieved by junior trainees performing a conventional three-port laparoscopic approach. results seventeen patients had sils operations: 15 appendectomies, one resection of inflamed meckel’s diverticulum and one appendectomy with oophorectomy. ...

Anaesthetists and pulmonologists are well trained to follow the “can’t intubate, can’t oxygenate” (CICO) protocol but procedure is rarely practised. This case report concerns an elective patient scheduled for endobronchial ultrasound bronchoscopy (EBUS) because of suspected sarcoidosis. Based on known medical history, anaesthesia EBUS was initiated with a laryngeal mask. The airway turned out b...

phyllodes tumors are biphasic fibroepithelial neoplasms of the breast. while the surgical management of these relatively uncommon tumors has been addressed in the literature, few reports have commented on the surgical approach to tumors greater than ten centimetres in diameter – the giant phyllodes tumor. we report a case of giant breast tumors and discuss the techniques utilized for pre-operat...

to evaluate results of concurrent functional endoscopic sinus surgery (fess) and nasal plastic surgery in terms of safety, efficacy and patient satisfaction, and compare them with the results of single procedures. we conducted a prospective case control study in three groups of patients with chronic sinusitis and nasal deformity; 25 cases had concurrent fess and rhinoplasty, 25 controls had fes...