BACKGROUND Diaphragmatic rupture can be seen in up to 5% of car accidents, and 80%-100% of diaphragmatic hernias are associated with other vital organ injuries. Brain, pelvis, long bones, liver, spleen, and aorta are some other organs that can be severely damaged and need different anesthetic managements. CASE REPORT A 37-year-old male victim of a head-on collision who was suffering diaphragmat...

Endoscopic retrograde cholangiopancreatography has been part of clinical practice for over 35 years. The procedure itself carries risks. Most complications associated with the procedure have been described in the literature. Splenic injury is an extremely rare complication after endoscopic retrograde cholangiopancreatography and only nine such cases have been reported to our knowledge since 198...

Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in pat...

EXTENSIVE ItEPATECTOMY has always been a challenge to both the surgeon and the anaesthetist. Even today, peroperative and post-operative mortality is as high as 30 per cent to 40 per cent. ~-7 Although the surgical techniques have been greatly improved by Quattlebaum, I Pack, 2 McDermott, 3 Longrnire 4 and others, the operative complications remain numerous. Sudden, massive and uncontrollable h...

We report an 86-year-old woman with a large tracheal laceration caused by tracheal intubation at cardiopulmonary arrest who underwent a successful stent procedure. Tracheal laceration developed in the membranous portion longitudinally 6 cm in length to 2 cm above the carina. Following 9 days' tracheal intubation, a Y-shaped silicon stent was inserted over the lacerated trachea. Four months afte...

A 67-year-old patient underwent robotic-assisted laparoscopic radical prostatectomy and experienced right ureteral lesion. The laceration was recognized intraoperatively and immediately repaired over the ureteral double J stent. The wire and the stent were first advanced distally to the bladder. Then the wire was pulled with its soft end, cranially through one of the side holes of the proximal ...

A IRWAY control is one of the most important tenets of anesthetic practice. Asphyxia and tracheal laceration in infants are extremely rare, but life-threatening, complications. Despite many reviews in the literature regarding tracheoesophageal fistula (TEF) and esophageal atresia, 4 no case of tracheal injury following the aberrant passage of a gastrostomy catheter has been reported. The presen...