BACKGROUND Bile duct injury is a severe complication of laparoscopic cholecystectomy and many reports focus on this topic, especially regarding the long-term success of repair of these injuries. There is some concern, however, as to whether concomitant vascular injuries can jeopardize reconstruction of a bile duct injury following laparoscopic cholecystectomy. METHODS A review of the current ...

IMPORTANCE The vascular supply of anterolateral thigh (ALT) free flaps is variable, and the pedicle length and ability to capture perforators to the flap may be limited by the anatomic configuration. We describe the reasoning behind performing the auto flow-through procedure, as well as the steps to carry this procedure out. OBSERVATIONS A retrospective medical chart review was performed within...

BACKGROUND Bowel reconstruction after subtotal esophagectomy represents a problem when a previous distal gastrectomy was performed: usually the colon or jejunum is used. METHODS In a 10 year period 126 patients with primary esophageal cancer underwent esophageal resection in our Department. Surgical procedures were 57% two-phase subtotal oesophagectomy, 23% transhiatal, 9% stripping, 10 three...

An accurate study of blood flow is associated with an accurate vascular pattern and geometrical properties of the organ of interest. Due to the complexity of vascular networks and poor accessibility in vivo, it is challenging to reconstruct the entire vasculature of any organ experimentally. The objective of this study is to introduce an innovative approach for the reconstruction of a full vasc...

Abstract
 Popliteal artery occlusion is a rare vascular complication after blunt knee trauma and may lead to limb loss if diagnosis delayed. Development of collateral pathways misguide the surgeon in planning surgeries for defect reconstruction. We report case patient with popliteal resulting from dislocation fall height, which developed anteromedial ankle following orthopedic surgery. Aft...

Background: The purpose of this study was to introduce a technical tip for the preparation of tibial tunnel in a posteriorcruciate ligament (PCL) reconstruction to reduce the chance of popliteal artery injury and duration of the surgery.Methods: This study included 18 patients who underwent PCL reconstructions at Imam Khomeini University Hospital,Tehran, Iran, between 2016 and...

DEAR EDITOR The radical surgery for fungating inguinal lymph nodes is commonly done in patients with penile and vulvar cancers, creating complex groin defects. These defects are managed most commonly with either pedicled ipsilateral anterolateral thigh (ATL) flap or tensor fascia lata (TFL) flap. The reconstruction with complex flaps provide durable coverage and prevent scar contractures, which...

When flap failure occurs in bilateral breast reconstruction, surgeons need to deal with the situation effectively in order to optimize the prosthetic reconstruction and to make the bilateral reconstruction successful [1]. A 46-year-old woman underwent bilateral mastectomy for breast cancer. Axillary dissection, a skin graft from the abdomen, and postmastectomy radiotherapy were also performed o...

Contrast enhanced magnetic resonance angiography enables one to visualize the vascular system of the human body. Typically, using conventional measurement techniques, one three-dimensional volume of the vascular system can be measured during the passage of the contrast agent. More recently, medical doctors desire time-information of the blood-flow, or want to scan time-dependent phenomena. To e...

OBJECTIVES To assess the frequency with which various methods of cardiac risk assessment are used prior to major vascular surgery and the way in which patients considered to the "high" risk are managed. DESIGN Questionnaire survey. SETTING Great Britain and Northern Ireland. MATERIALS Vascular Surgeons who are current members of the Vascular Surgical Society of Great Britain and Northern ...