7. Panfilov DE. Augmentative phalloplasty. Aesthetic Plast Surg 2006;30:183e97. 8. Shaeer O, Shaeer K. Penile girth augmentation using flaps ‘‘Shaeer’s augmentation phalloplasty’’: a case report. J Sex Med 2006;3:164e9. 9. Perovic SV, Byun JS, Scheplev P, et al. New perspectives of penile enhancement surgery: tissue engineering with biodegradable scaffolds. Eur Urol 2006 Jan;49:139e47. 11. Ande...

Pseudoaneurysm (PA) following vascular reconstruction is a complication of bypass surgery. Historically, the mainstay of treatment was an open repair; the surgical management consisted of resection of the initial graft with reimplantation of a new bypass either into the original arteriotomy or to a more distal target. Placement of a stent graft to exclude the PA is a viable option. We present a...

PURPOSE To evaluate the efficacy of porous expanded polytetrafluoroethylene (e-PTFE, Goretex) containing large pores made with a 21-gauge needle as a graft for the correction of lower lid retraction. METHODS e-PTFE grafts were implanted between the tarsus and lower lid retractor via a transconjunctival approach with/without amniotic membrane transplantation, or via a transcutaneous approach. ...

Surgeons should be aware of diaphragmatic hernia in obese patients who have undergone coronary artery bypass grafting (CABG) using a gastroepiploic artery graft (GEA), even if the antegastric route is utilized.We report a case of diaphragmatic hernia, which occurred 88 months after initial CABG. A 64-year-old obese man underwent surgical repair of a diaphragmatic hernia. At initial surgery, the...

Vascular access is the life-line of chronic haemodialysis patients. Its complications play a major role in morbidity and mortality [1]. Vascular access infection remains the leading cause for access failure when cuffed silicone catheters are used for long-term access and is the second most common cause of graft failure when polytetrafluoroethylene (PTFE) grafts are used [2]. Most reports deal w...

Systemic-to-pulmonary artery shunts using polytetrafluoroethylene (PTFE) (modified Blalock-Taussig shunt) are being used successfully in palliation of cyanotic congenital heart diseases. Graft thrombosis is by far the most common complication of the procedure. Persistant serum leakage through PTFE graft causing perigraft seroma is a rare but devastating complication resulting in increased durat...

We report a hybrid surgery including endovascular aneurysm repair and debranching procedures to treat a patient with a complex right subclavian artery aneurysm. The patient was a 70-year-old woman who presented with dry cough and hoarseness. The aneurysm was characterized by the absence of a proximal neck, and involvement of the origin of the right vertebral artery. She underwent carotid-verteb...

Application of sutures between expanded polytetrafluoroethylene (ePTFE) dural substitutes and the dura mater is often frustrating in posterior fossa surgery because of the difficulty in holding the elastic graft in a deep and narrow field. To resolve this problem, we have developed a boat-shaped graft made from a triangular ePTFE sheet by pinching each angle using a suture. Formation of standin...

A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged ...