BACKGROUND AND OBJECTIVES We sought to develop a simulation model that accurately replicates the challenges of the thoracoscopic intrathoracic anastomosis. This model is intended to serve as a teaching tool during the introduction to, and development of, the skills required to perform a thoracoscopic intrathoracic anastomosis during an Ivor Lewis minimally invasive esophagectomy. METHODS The ...

In the 20-year period ending December 31, 1973 we operated on 105 patients for palliation of tricuspid atresia (TA) with reduced pulmonary blood flow. Pott's anastomosis (85), Blalock-Taussig anastomosis (19), intrapericardial aorta (Ao)-to-right pulmonary artery (RPA) (18), Glenn procedure (3) and miscellaneous shunts (2) have been used. Of patients undergoing operation more than 15 years ago,...

BACKGROUND Successful vascular anastomosis is essential for the survival of transferred free tissue. Arterial anastomosis is typically uncomplicated because the lumen is easily maintained and the vessel walls have elasticity. Venous anastomosis, however, is more time consuming because the vessel walls are thin and extensible. This article describes, reviews, and compares 3 currently used venous...

coronary artery disease is the leading cause of death worldwide. in this study, we compared two surgical methods of left internal mammary artery (lima) anastomosis on left anterior descending (lad) artery in patients with severe diffuse lesions. a total of 40 patients were included in our study and randomly assigned into two groups. in group a, after a long arteriotomy on lad, the posterior sur...

in this theoretical study, the effect of various types of bypass graft angles on the flow field, has been investigated specially on the temporal wall shear stress (wss) on the toe, heel and some locations on the bed of the left anterior descending (lad) artery at the anastomoses areas in the aorto-coronary (ac) and coronary-coronary (cc) bypasses. flow fields in both bypasses with angles of 20º...

PURPOSE Coronary artery bypass graft (CABG) surgery represents the standard treatment of advanced coronary artery disease. Two major types of anastomosis exist to connect the graft to the coronary artery, i.e., by using an end-to-side or a side-to-side anastomosis. There is still controversy because of the differences in the patency rates of the two types of anastomosis. The purpose of this pap...

We focused on abdominal aorta, clamped and transected bellow renal arteries, and aortic termino-terminal anastomosis created in Albino male rats. We suggested stomach cytoprotection theory holding endothelium protection and peptidergic anti-ulcer cytoprotection therapy to improve management of abdominal aorta anastomosis and thrombus formation. The stable gastric pentadecapeptide BPC 157 (GEPPP...

Abstract Venous anastomosis with a coupler device is an effective alternative to the hand-sewn technique. Twist in veins following troublesome complication that needs revision of venous anastomosis. The author proposes simple technique reduce incidence this complication. This particularly useful head and neck reconstruction for beginners initial part learning curve.