Nine cases of delayed mediastinal tamponade occurring between the 6th and 20th days after operation are described. AM patients were on anticoagulant therapy at the time tamponade occurred. Tube drainage of the medlastinum and wide drainage of the medisstinum into the pleural space did not prevent this complication. Eight of the nine cases were managed successfuUy by medi8stinal drainage through...

Vacuum-assisted closure (VAC) has recently been adopted as an acceptable modality for management of sternotomy wound infections. Although generally efficacious, the use of negative pressure devices has been associated with complications such as bleeding, retention of sponge, and empyema. We report the first case of greater omental hernia as a rare complication of vacuum-assisted closure of ster...

In a series of 2,175 patients delivered by caesarean section a dehiscence of the abdominal wound occurred in 50. Wound dehiscence was eight times more common with a vertical incision than with a low transverse incision of the abdominal wall; with the vertical incision the incidence of partial and complete dehisence was 2.94% and with the low transverse incision no complete dehiscence occurred a...

Subarachnoid pleural fistula (SPF) following injury to the vertebral column is an extremely rare complication and is usually described after blunt trauma. We report the first case of SPF with pneumocephalus due to a gunshot wound to the spine.

53 year old female patient with left food critical limb ischaemia underwent CT-angiography investigation. The CT angio­graphy confirmed sub-occlusion of the abdominal aortia. lesion was treated from femoral and radial artery access two balloon-expandable Bentley BeGraft successfully, without complication. wound has been healed after procedure remained asymptomatic.

OBJECTIVES Nylon sutures and skin staples are used commonly in total knee arthroplasty (TKA) surgical wound closure. However, there is no study that compares the wound healing efficacy and patient satisfaction scores of both techniques in the same knee. METHODS We randomised 70 patients who underwent primary TKA into two groups. In one group of 34 patients, the skin at the upper half of the w...

Giant cell arteritis (GCA), the most common form of systemic granulomatous vasculitis in adults, preferentially involves large and medium-sized arteries. Scalp necrosis is a rare complication and can be the presenting feature. This report presents two patients of GCA with severe scalp necrosis as the presenting symptoms. Both the patients were treated successfully with selective debridement, lo...

Objective Deep sternal wound infection following coronary artery bypass grafting is a serious complication associated with significant morbidity and mortality. Despite the substantial impact of deep sternal wound infection, there is a lack of specific risk stratification tools to predict this complication after coronary artery bypass grafting. This study was undertaken to develop a specific pro...