The most feared complication following intestinal resection is anastomotic leakage. In high risk areas (esophagus/rectum) where neoadjuvant chemoradiation is used, the incidence of anastomotic leaks remains unacceptably high (≈ 10%) even when performed by specialist surgeons in high volume centers. The aims of this study were to test the hypothesis that anastomotic leakage develops when pathoge...

INTRODUCTION Intrathoracic anastomotic leakage following oesophagectomy is a crushing condition. Until recently, surgical re-exploration was the preferred way of dealing with this life threatening complication. However, mortality remained significant. We therefore adopted endoscopic stent implantation as the primary treatment option. The aim of this study was to investigate the feasibility and...

Postanastomotic complications of the gastrointestinal tract, including leakage and bleeding, are rare but critical conditions requiring prompt treatment. Most anastomotic problems are managed surgically [1], but endoscopic therapy is considered as the first choice of treatment for bleeding and treatment of an incomplete anastomotic dehiscence with no peritoneal involvement [1,2]. Here we report...

BACKGROUND The objective of this prospective observational study was to evaluate the association between the airflow and intrapleural pressures digitally recorded during the immediate postoperative period after lobectomy and their ability to predict the risk of subsequent prolonged air leak (PAL). METHODS A total of 145 consecutive patients underwent pulmonary lobectomy in two centers. All pa...

Objective. Epidural blood patches (EBP) are rarely performed at the cervical levels, primarily due to fear of neurological complications such as spinal cord compression. We reviewed the literature to provide an evidence-based review of performance of cervical EBPs, with a specific focus on indication, technique, safety, and efficacy. Design. A comprehensive electronic literature search was done...

Introduction Ventilation parameter data from patients receiving home mechanical ventilation can be collected via secure data cards and modem technology. This can then be reviewed by clinicians and ventilator prescriptions adjusted. Typically available measures include tidal volume (VT), leak, respiratory rate, minute ventilation, patient triggered breaths, achieved pressures and patient complia...

Highlights • real-time deflation experiments and analysis of the structural behavior thin membrane inflatable semi-empirical formulation a single leak, passive porous leakage active area coefficient load curves geometric changes structure's surface with photogrammetry collapse modeling space structure an implicit explicit fea We propose methodology for multi-objective characterization light, la...

At our high-volume university bariatric center, the leak rate is 2.7% for primary VG and around 7% for corrective VG as a second procedure. We have made a special effort to implement a leak treatment algorithm based on our experience of more than 1100 cases, and we believe that leak treatment should be uniform and a combination of medical, radiological, endoscopic and surgical treatments. In ou...