Persistent gastrocutaneous fistula after the removal of a gastrostomy tube is an unusual complication associated with percutaneous endoscopic gastrostomy (PEG). Surgical closure has been usually the treatment of choice. Several endoscopic methods have been previously attempted to close the fistula, usually with poor results. We report a successful case of percutaneous endoscopic suturing of a p...

Type III Acromio-Clavicular Joint dislocations can be treated successfully by surgical stabilisation in situ, with or without reconstruction of the coracoclavicular ligaments. The authors describe a simple and reliable mode of fixation, performed arthroscopically. The technique can be used for in situ fixation, or as part of an arthroscopically assisted Weaver and Dunn procedure. Using a metall...

This study was a retrospective chart review of the cases operated for maxillofacial trauma with plate osteosynthesis in Oral and Maxillofacial Surgery Unit of Khyber College of Dentistry Peshawar, Pakistan, and was designed to evaluate the frequency and various reasons for the removal of the stainless steel plates in maxillofacial trauma patients. It was conducted on patients who were treated w...

INTRODUCTION Leiomyosarcomas of the inferior vena cava are rare malignant tumors. A limited number of these cases have been described so far. Only few of them have intracardiac propagation and surgery is rarely undertaken for their treatment. CASE OUTLINE We present a 52-year-old female patient in whom leiomyosarcoma of the inferior vena cava with intracardiac propagation was diagnosed. The p...

Erosion is an uncommon but feared late complication of adjustable gastric banding for morbid obesity. A high index of clinical suspicion is required, since symptoms are usually vague and nonspecific. Diagnosis is confirmed on upper gastrointestinal endoscopy and band removal is the mainstay of treatment, with band revision or conversion to other bariatric modalities at a later stage. Duodenal e...

A method for securing closed suction drains in the neck is described where it serves to prevent leakage, slippage and accidental removal. This method involves passing a stay suture through the most proximal holes of the drain and suturing it to the skin and an overlying short length of the tube externally. Drains secured in this manner can be left in the wound for up to fourteen days with no as...

The surgical approach to hydatid cyst of the lung is based on complete removal of the parasite, and management of the residual pericyst cavity. For the latter, capitonnage is a recognized method, by which the walls of the evacuated pericyst cavity are approximated with multiple sutures. Capitonnage without suturing and ligation of bronchial openings individually may lead to postoperative air le...

We introduce a modified surgical technique for internal ureteroileal stenting to improve cosmesis in patients undergoing ileal neobladder. Internal ureteric stents are secured to the tip of the urethral catheter with nonabsorbable suture facilitating removal of the stents postoperatively 2 3 weeks along with the urethral catheter. This surgical modification was applied to 21 patients of whom no...

The Astigmometer is a simple accessory which is attached to a surgical microscope. It allows precise suturing of the cataract wound and reduced the amount of postoperative astigmatism at six weeks. This allowed rapid visual rehabilitation and more active patients. It obviated the removal of sutures in the postoperative period in most patients (90%). However, stable results after one year were o...

Introduction BioGlue (CryoLife Inc., Kennesaw, GA) is a commonly used surgical adhesive, designed to achieve haemostasis following large vessel cardiovascular operations. Report An 88-year-old female presents with an enlarging right sided neck mass 9 months after carotid endarterectomy with bovine pericardial patch repair which utilised BioGlue seal the patch suture line. Conclusion BioGlue...