PURPOSE We present a surgical technique for chest wall reconstruction using custom-designed titanium implants developed for two female patients to provide both chest wall symmetry and adequate stability for staged breast reconstruction. METHODS A retrospective review was performed for two adolescent female patients with large chest wall defects who underwent the described technique. The etiol...

A 67-year-old woman with a history of esophagectomy with substernal gastric tube (GT) reconstruction and left lower lobectomy required aortic valve replacement (AVR) for aortic valve regurgitation and stenosis. Through a median sternotomy (MS) with cardiopulmonary bypass (CPB), we performed AVR without injury to the GT. Careful peeling of the GT and detailed information of the operative field b...

This study reports our experience with 84 patients with iatrogenic bile duct injury who underwent biliary reconstruction in our hospital in last 5 yrs. Magnetic Resonance Cholangio-pancreaticography was the optimal pre operative diagnostic procedure to define the stricture. Most patients underwent hepaticojejunostomy with or without stent. Morbidity and mortality rates were 25.33% and 6.14% res...

Vascular-free flaps are the most frequently employed method in cases of jaws reconstruction after large tumor removal. This therapeutic choice is due to its intrinsic blood supply, which speeds up recovery and enables healing apart from injured recipient site. commonly used secondary reconstructions brought on by radiation, infection, or prior surgical intervention. In fact, with help 3d techno...

INTRODUCTION: Direct to implant (DTI) breast reconstruction offers the obvious advantages of shortening the reconstructive process and reducing costs. In our practice, DTI has evolved from dual-plane (DP) to prepectoral (PP) implant placement. Prepectoral reconstruction offers additional benefits of elimination of pectoralis muscle animation deformity and potential reduction in postoperative pa...

It is estimated that in the United States, there are approximately 100,000 primary anterior cruciate ligament (ACL) reconstructions performed yearly. Despite a success rate of 92-98%, ACL reconstruction is not without potential complications, including post-operative infection [1]. Reports of septic arthritis after ACL reconstruction are rare in the literature; with infection rates ranging from...