In patients who are surgical candidates, colonic stenting is beneficial for preoperative decompression in large bowel obstruction, as it can convert a surgical procedure from an emergent two-step approach into an elective one-step resection with a primary anastomosis.

Introduction: Management of colorectal injuries is still under debate. The purpose of this study was to analyze management and clinical outcome from a cohort of patients with colorectal injuries caused by high velocity missiles. Objectives: This was a retrospective analysis of consecutively collected data from all the war zone casualties with colorectal injuries during a 6 month period from 14t...

End-to-end ductal anastomosis is a physiologic biliary reconstruction that is commonly used in liver transplantation and less frequently in the surgical treatment of iatrogenic bile duct injuries. Currently, end-to-end ductal anastomosis is the biliary reconstruction of choice for liver transplantation in most adult patients. In recent years, it has also been performed for liver transplantation...

BACKGROUND The objective is to compare primary repair vs intestinal resection in cases of intestinal typhoid perforations. In addition, we hypothesised the usefulness of laparostomy for the early diagnosis and treatment of complications. METHODS 111 patients with acute peritonitis underwent emergency laparotomy: number of perforations, distance of perforations from the ileocaecal valve, and t...

BACKGROUND To compare single- with two- layer intestinal anastomosis after intestinal resection: a meta-analysis of randomized controlled trials. METHODS Randomized controlled trials comparing single- with two-layer intestinal anastomosis were identified using a systematic search of Medline, Embase and the Cochrane Library Databases covering articles published from 1966 to 2004. Outcome of pr...

BACKGROUND Since January 1 2005, the outcomes of bariatric surgeries have been recorded in Germany. All data are registered prospectively in cooperation with the Institute of Quality Assurance in Surgery at Otto-von-Guericke University Magdeburg. METHODS Data are collected in an online data bank. Data collection began in 2005 for the results of Roux-en-Y-Gastric Bypass (RYGB). In addition to ...

Emergency left-sided colonic resections have traditionally been dealt with by employing staged resections due to the dangers of an anastomosis in unprepared bowel. A small series of 6 patients with left-sided colonic obstruction is presented in which a single stage primary anastomosis was done after an antegrade intraoperative colonic lavage. There were no deaths, infective complications or ana...

Abstract We report an extremely rare case of primary aortocaval fistula with simultaneous development aortoenteric in a 68-year-old man. The patient developed under oral anticoagulation spontaneous intracaval aortic rupture. An emergency intervention was performed covering the aorto-uniiliac stent graft and femoro-femoral crossover bypass. One week later, transferred to our institution diagnosi...

Background: Anastomotic leaks constitute one of the most serious intraoperative complications and although many studies have been devoted to nding a solution for this problem, none of them has yet been able o er a decisive, successful method. In this study, the ability of brin glue and adhesive lm to repair anastomotic leaks in an experimental model was compared. Materials and methods: e sample...

BACKGROUND Adhesions follow abdominal surgery with an incidence as high as 95%, resulting in invalidating complications such as bowel obstruction, female infertility, and chronic pain. Searches have been performed for a safe and effective adhesion barrier; however, such barriers have impaired anastomotic site healing. The primary aim of this study was to investigate the effect of a new adhesion...