OBJECTIVE To study the effects of closure of interatrial communications associated with a right to left shunt in patients with congenital heart disease (CHD) who had a biventricular repair. DESIGN Retrospective study. SETTING Tertiary referral centre. PATIENTS 15 patients with CHD with right to left shunt through an interatrial communication: three had repaired tetralogy of Fallot, five h...

INTRODUCTION A de-functioning loop ileostomy (LI) reduces the consequences of anastomotic leak following low anterior resection, but its construction as well as its closure can be associated with complications. The aim of the present study was to identify risk factors for postoperative complications and particularly to determine if operation performed by trainees carry a higher risk of complica...

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...

BACKGROUND To evaluate the intensity of pain, swelling and trismus after the removal of impacted lower third molars comparing two different suture techniques of the triangular flap: the complete suture of the distal incision and relieving incision and the partial suture with only one suture knot for closure of the corner of the flap and the closure of the distal incision, without suturing the r...

For any operator on integer-valued functions, we say that #P is closed under in context PF#P if, for every f 2 #P, f] belongs to PF #P. For several operators , it is shown that the closure properties of #P under in the above sense is closely related to the relationships between P #PP1] and higher classes such as PH PP and PP PP .

We study tight closure and test ideals in rings of characteristic p 0 using resolution of singularities. The notions of F -rational and F regular rings are defined via tight closure, and they are known to correspond with rational and log terminal singularities, respectively. In this paper, we reformulate this correspondence by means of the notion of the test ideal, and generalize it to wider cl...

OBJECTIVE We aimed to determine whether patent foramen ovale closure reduces the risk of stroke, also assessing some safety outcomes. INTRODUCTION The clinical benefit of closing a patent foramen ovale after a cryptogenic stroke has been an open question for several decades, so that it is necessary to review the current state of published medical data in this regard. METHODS MEDLINE, EMBASE...

INTRODUCTION In this study we compared the effects of two different surgical procedures for closure of adult atrial septal defect (ASD) on postoperative P-wave changes. METHODS Patients who underwent cardiac surgery for secundum type ASD closure were evaluated retrospectively. Seventy-two patients with primary repair of ASD and 29 patients with pericardial patch plasty repair were compared ac...

OBJECTIVES This study sought to compare the safety, efficacy and clinical utility of the Amplatzer septal occluder (ASO) for closure of secundum atrial septal defect (ASD) with surgical closure. BACKGROUND The clinical utility of a device such as the ASO can only be judged against the results of contemporaneous surgery. METHODS A multicenter, nonrandomized concurrent study was performed in ...

Deep sternal wound infection (DSWI) is a feared complication following cardiac surgery. This study describes clinical, microbiological, and treatment outcomes of DSWI and determines risk factors for complications. Of 55 patients with DSWI, 66% were male and mean age was 68.2 years. Initial sternotomy was for coronary artery bypass graft in 49% of patients. Sternal debridement at mean 25.4±18.3 ...