www.thelancet.com Published online July 16, 2015 http://dx.doi.org/10.1016/S0140-6736(15)60687-0 1 In The Lancet, Eva Deerenberg and colleagues’ prospective, multicentre, double-blind, randomised controlled STITCH trial shows that the rate of incisional hernia is lower with small tissue bites than with large bites. This fi nding contradicts what surgeons have thought and been taught for many de...

INTRODUCTION Congenital tracheoesophageal fistula (TEF) is a common anomaly, occurring in one of every 2,500 live births. Greater than 90% of cases involve esophageal atresia (EA). The most common form of TEF with EA is the upper esophagus ending as a blind pouch and TEF connecting to distal esophagus a few millimeters above the carina. The exact cause is not yet completely understood. In recen...

BACKGROUND Skin adhesives provide an alternative to sutures for skin closure. The use of octyl-2-cyanoacrylate in blepharoplasty has been reported by some authors, but difficulties in applying the product and the real benefits of its use are still controversial. OBJECTIVE The purpose of this study is to show a simple technique for closing the upper incision in blepharoplasty with octyl-2-cyan...

OBJECTIVE To evaluate the clinical utility of GORE® DUALMESH (GDM) in the staged closure of large congenital abdominal wall defects. MATERIALS AND METHODS Data of patients with congenital abdominal wall defects managed with GDM was analyzed for outcome regarding complete fascial closure; mesh related complications; and post-discharge gastrointestinal surgery. RESULTS GDM was placed in 34 (g...

A sensitive bilobed stigma is thought to assure reproduction, avoid selfing and promote outcrossing. In addition, it may also play a role in pollinator selection since only pollinators with the appropriate body size can trigger this mechanism. However, no experimental study has investigated how the sensitive stigma responds to different pollinators and its potential effects on pollination. Mazu...

BACKGROUND The success of damage-control surgery (DCS) for the treatment of trauma has led to its use in other surgical problems such as abdominal sepsis. Previous studies using direct peritoneal resuscitation (DPR) for the treatment of trauma have yielded promising results. We present the results of the application of this technique to patients experiencing abdominal sepsis. METHODS We enrol...

with the introduction of the use of seatbelts in cars, mortality following motor vehicle crashes has decreased significantly. however, two patterns of injuries, the ‘seatbelt sign’ and ‘seatbelt syndrome’ have emerged. injuries may consist of traumatic abdominal wall disruption. we present two cases of severe abdominal wall disruption caused by a seatbelt injury and treated with primary repair....

BACKGROUND Closure of a loop ileostomy is a relatively simple procedure although many studies have demonstrated high morbidity rates following it. Methods to reduce the number of complications, such as timing of closure or different surgical closure techniques, are investigated. The aim of this study was to evaluate the experience of the Abdominal Surgery Center at Vilnius University Hospital (...

Stomatal control of water loss was studied in a low pressure environment by using detached leaves of Crassula argentea Thunb., Peperomia obtusifolia (L.) A. Dietr., and Setcreasea pallida Rose cv. ;Purple Heart.' The transient behavior of temperature and rate of mass loss were determined. A model based on free molecule gas flow was developed and used to predict mass loss to within the same orde...