1 H idradenitis suppurativa is an apocrine adenitis characterized by infection of hair follicles, which causes painful induration, sloughing, and pus drainage. Fistula formation caused by reeruptions leads to refractory and chronic disease. Although surgical treatment is considered the best option for advanced hidradenitis suppurativa,1,2 a high rate of recurrence has been reported even with wi...

Introduction. The best pancreatic anastomosis technique after pancreaticoduodenectomy (PD) is still debated. Pancreatic fistula (PF) is the most important complication but is also related to postoperative bleedings and pancreatic remnant involution. We support pancreaticojejuno anastomosis (PJ) advantages describing our technique with brief technical considerations. Materials and Methods. 89 co...

A 67-year-old woman was admitted for radiofrequency catheter ablation (RFCA) of paroxysmal atrial fibrillation. She had underwent patch closure of atrial septal defect 7 years before. Her arterial blood oxygen saturation level was 94.6% without any oxygen supplement. Her electrocardiogram, chest X-ray, and echocardiogram were within normal limits. She underwent cardiac computed tomography for t...

Streptococcus milleri (SM) is a heterogeneous group of Streptococci, which is a recognized cause of purulent infections of the mediastinal and pleural spaces. These infections are notoriously resistant and require aggressive surgical management. We present our experience with a 60-year-old patient, who developed necrotizing fasciitis of the chest wall after initial bedside drainage of a SM empy...

This is the case of a 56-year-old male who presented at our Emergency Room complaining of severe epigastric pain that radiated towards the left shoulder and neck. Pneumopericardium was diagnosed with plain chest X-rays, which indicated a gastropericardial fistula. A contrast X-ray film was taken using a water-soluble contrast. A full gastrectomy was performed with esophagojejunostomy reconstruc...

In June 2000, vancomycin-intermediate Staphylococcus aureus (VISA) was isolated from a 27-year-old home health-care patient following a complicated cholecystectomy. Two VISA strains were identified with identical MICs to all antimicrobials tested except oxacillin and with closely related pulsed-field gel electrophoresis types. The patient was treated successfully with antimicrobial therapy, bil...

OBJECTIVES To report the outcomes of graft take and wound healing in the first reported series in which fibrin sealant was used as a tissue glue in the reconstruction of complex genital skin loss. METHODS Between July 2001 and July 2005, 18 men requiring complex genital reconstruction underwent repair by two surgeons at our medical centers. Skin graft reconstruction was required in 6 men. Com...

PURPOSE The early and long-term outcomes of bony chest wall reconstruction with expanded polytetrafluoroethylene (Gore-Tex) soft tissue patch remain a concern. No clinical study has reported the shrinkage of Gore-Tex following reconstruction to date. METHODS Thirty-seven patients who underwent bony chest wall reconstruction from 1994 to 2012 were retrospectively reviewed. Postoperative chest ...

A 10 years old insulin dependent diabetic male child presented with gradual blackening of penis and ketoacidosis after incision and drainage of abscess at penile shaft under penile ring block with xylocaine with adrenaline. Patient was managed for diabetes, debridement and SPC was done but process of gangrene continued; finally whole penis slough out. Perineal urethrostomy was done and patient ...

Surgical management of acute aortic infection is challenging, including excision of the infected segment and reconstruction either through extra-anatomical bypass or in situ graft replacement with higher risk of re-infection. Here in, we present a case of delayed paralysis developed after an extra-anatomic (axillary-bifemoral) bypass of infected thoracic aorta in a 51 year old Caucasian male. R...