Inguinal hernia mesh repair is one of the most frequent operations performed worldwide. The Lichtenstein technique and its various modifications are the most popular operations for groin hernia repair. The rate of surgical site infection (SSI) following inguinal hernia repair ranges between 0 and 14% in various series. Most of these infections developed early postoperatively. The incidence of l...

Case 1. A 60year old man was admitted with symptoms and signs of a perforated duodenal ulcer. At operation a perforated duodenal ulcer with widespread peritoneal contamination was found. The ulcer was oversewn and covered with an omental patch. A tube drain was placed in the subhepatic space and exteriorized in the right hypochondrium. On the fifth postoperative day he developed cellulitis arou...

The relationship between liver disease and ammonia toxicity has been known since the discovery of meat intoxication in Eck fistula dogs (1-4). The similarity between this syndrome and clinical hepatic coma stimulated the study of ammonia toxicity in humans. This proceeded from oral administration (5-10) to intravenous infusion (11, 12) and finally to the development of an "ammonia tolerance tes...

BACKGROUND AND OBJECTIVES Tracheobronchial tree injuries are uncommon however severe complications after intubation or bronchoscopy. This report aimed at calling the attention to the difficult selective intubation, which has led to bronchial rupture associated to pneumomediastinum and hypertensive pneumothorax, with airway deformation and death by systemic inflammatory response. CASE REPORT M...

Congenital   aortocaval   fistula in association with complex congenital heart disease has never been described before. We represent an adult with tetralogy of fallot and an undiagnosed subclavian artery to superior vena cava fistula in previous catheterisms. He underwent surgical correction, successfully. After 8 months post operation he was doing well with improved functional capacity and no ...

1. Santa Casa de Porto Alegre, Porto Alegre (RS) Brasil. 2. Departamento de Radiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro (RJ) Brasil. A 55-year-old man underwent right upper lobe resection after sustaining a chest injury in an automobile accident. An air leak persisted for 5 days after the surgery. On the fifteenth postoperative day, the patient was referred to our emergen...

Bronchial fistulae in communication with atmospheric pressure can be identified by the presence of a squeaking sound heard over the chest wall during a Valsalva maneuver. Furthermore, these leak sounds can help identify the size, location, and communications of the bronchial fistulae. The size of the leak can be inferred by the pitch of the leak sound. Large leaks produce low pitched sounds, sm...