Ostomy patients are dependent on the integrity of their peristomal skin to maintain a normal lifestyle. Peristomal skin problems are thought to be common and may interfere with the use of ostomy pouching systems. This is a specialist area not commonly seen by dermatologists. This article seeks to provide an overview of the topic for the general dermatologist. A systematic literature search was ...

Introduction. Necrosis of the rectum is an uncommon finding due to abundant collateral vasculature. Its management remains challenging, without clear consensus in the literature. Case Report. We describe a case of a 53-year-old woman with multiple medical comorbidities that presented in septic shock and hematochezia. Colonoscopy revealed ischemic colitis. Conservative management was instituted....

Marking the optimal location for a stoma preoperatively enhances the likelihood of a patient's independence in stoma care, predictable pouching system wear times, and resumption of normal activities. Urologists and certified ostomy nurses are the optimal clinicians to select and mark stoma sites, as this skill is a part of their education, practice, and training. However, these providers are no...

Purpose: Laparoscopic common bile duct exploration (LCBDE) has traditionally been accompanied by T-tube drainage. However, patients must carry it for several weeks and often suffer problems related to the T-tube. So, primary closure of CBD has been proposed as a safe and effective alternative to T-tube placement after laparoscopic choledochotomy. The aim of this study was to compare primary clo...

Several studies have shown the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) as a minimally invasive treatment options for choledocholithiasis. Use of T-tube or biliary stent drainage tube placement after laparoscopic choledochotomy for common bile duct (CBD) stones is still under debate. This study tried to confirm the safety of spontaneously removable biliary ste...

ment of a T-tube, which is a common procedure following exploration of the common bile duct, has been extended to the management of large duodenal perforations/injuries as well as esophageal perforations when primary repair is considered inappropriate [1–3]. In addition to providing controlled drainage (enterocutaneous fistula), the rationale behind this use of the T-tube is to reduce suture li...

The use of a T-tube to drain the biliary tree after choledochotomy has been a common surgical practice. Inadvertent fracture of the T-tube limb during removal is a rare occurrence which can lead to several complications. We report a case of cholangitis caused by a T-tube fragment retained in the common bile duct 36 years after cholecystectomy.

INTRODUCTION The Montgomery silicone tracheal T-tube (Safe-TTube) has gained a role in laryngeal and tracheal reconstruction and revision by providing patients a longterm, indwelling stent that allows voice production and swallowing. Montgomery designed the tracheal T-tube in 1968.l The T-tube is made of silicone and therefore relatively inert and resistant to tissue reaction.2 It can be used f...

PREDICTION OF FEEDING DIFFICULTIES IN NEONATES Alexandra R. Adler, B. Joyce Simpson, Karen A. Diefenbach, and Richard A. Ehrenkranz. Section of Pediatric Surgery, Department of Surgery, Yale University, School of Medicine, New Haven, CT and Section of Pediatric Surgery, Nationwide Children’s Hospital, Columbus, OH. The purpose of this study was to determine whether feeding difficulties in post-...