OBJECTIVE To report on the original surgical management of a patient with severe trauma of both legs involving anastomosis of an omentum free flap with an emergency vascular bypass. METHODS After stabilization of the knee with an external fixator, a femoral-tibial bypass graft was performed to revascularize the leg with the contralateral great saphenous vein. Ten days later, an omentum free f...

OBJECTIVES A prospective audit of all patients undergoing laparoscopic surgery with the intention of primary colonic left-sided intracorporeal stapled anastomosis to identify the clinical anastomotic leak rate on an intention to treat basis. METHODS All patients undergoing laparoscopic colorectal surgery resulting in left-sided stapled anastomosis were included. All operations were conducted ...

The authors describe the technique to perform a mechanical biliodigestive anastomosis after pancreatoduodenectomy that could be able to reduce the time of surgical intervention and the major systemic postoperative complication especially in elderly patients. Pancreaticoduodenectomy (PD) is considered to be the most effective procedure for the treatment of tumors of the pancreatic head and peria...

Background: One stage primary resection and anastomosis of left sided colonic obstruction with on-table antegrade colonic lavage is in vogue, to reduce the risk of postoperative infective complications and anastomotic dehiscence. The purpose of our study was to evaluate the safety of single-stage resection and anastomosis for acute left-sided colonic obstruction due to acute sigmoid volvulus, w...

AIM Micro-vascular anastomosis is a difficult art. It can be learnt and perfected only by practice using vessels of small animals in the laboratory. The purpose of the study was to practice various anastomotic techniques using rat femoral vessels and study the patency rates. MATERIAL AND METHODS Sixty-four Sprague-Dawley rats were used in the study. The following procedures were conducted on ...

The fungus Pseudocercospora griseola is the causal agent of angular leaf spot, a common bean (Phaseolus vulgaris L.) disease. The successful development of angular leaf spot-resistant cultivars depends on understanding the levels of variability in pathogen populations. P. griseola shows great pathogenic and genetic variation using inoculation on differential bean cultivars and molecular markers...

The proximal anastomosis of the apicoarotic bypass is technically demanding. We describe our novel surgical technique to reinforce the proximal anastomosis of the apicoaortic bypass. After moving circular muscle of the left ventricle (LV) under ventricular fibrillation, an inverted tube graft is inserted into LV through the opening of the apex. Then, end-to-end anastomosis is made with horizont...

OBJECTIVE Mechanical suture (stapler) has been in use for bowel anastomosis since the second half of the 20th century, however, it became popular since it was used widely by the United States of America in the late 1960. Since it is more expensive than the conventional method, a local experimental assessment was introduced to compare stapler with conventional methods. METHODS Eighteen local d...

Here we report a case of moyamoya disease in which cortical veins reddened after superficial temporal artery (STA) to middle cerebral artery (MCA) anastomosis, following postoperative hyperperfusion. A 37-year-old man with moyamoya disease suffered cerebral infarction in his right hemisphere. Single photon emission computed tomography (SPECT) showed impaired cerebral blood flow (CBF) in both ce...