OBJECTIVE To describe patient selection criteria, surgical technique and early outcomes in patients undergoing reoperative coronary artery bypass surgery (RECABG) through a left thoracotomy without cardiopulmonary bypass (CPB). METHODS Eight patients with patent grafts to the anterior interventricular branch of left coronary artery (four of which had also patent grafts to the right coronary a...

INTRODUCTION The Royal College of Surgeons of England (RCS) has issued guidance regarding the use of reoperation rates in the revalidation of UK-based orthopaedic surgeons. Currently, little has been published concerning acceptable rates of reoperation following primary surgical management of orthopaedic trauma, particularly with reference to revalidation. METHODS A retrospective review was c...

eurpaSe To analyse anatomical and functional results of retinal detachment swery in cases complicated by proliferative vitreoretinopatby in childhood. M&Q& Thirty six consecutive cases of retinal detachment complicated by PVR stages Cl and more in childhood were analysed retrospectively. All the cases associated scleral buckling, pars plana vitrectomy, complete membrane peeling, injection of li...

BACKGROUND Above-the-knee amputations (AKA) and below-the-knee amputations (BKA) are commonly indicated in patients with ischemia, extensive tissue loss, or infection. AKA were previously reported to have better wound-healing rates but poorer rehabilitation rates than BKA. OBJECTIVES To compare the outcomes of AKA and BKA and to identify risk factors for poor outcome following leg amputation....

The number of reoperations for prosthetic valve replacement has increased in recent years due to the steady increase in life expectancy. However, reoperations are complex and require experience and skills. We report the case of a 69-year-old female with severe right heart failure who underwent tricuspid valve re-replacement 28 years after the initial tricuspid valve replacement. Cardiopulmonary...

BACKGROUND: Degenerative disease of the lumbar spine (DLS) is a common condition for which surgery can be beneficial in selected patients. With recent surgical trends toward more focused subspecialty training, it is unclear how characteristics of the surgical consultant may impact on treatment and reoperations. Our objective was to understand the relations between surgeon factors (who), surgica...

HYPOTHESIS Perioperative complications of laparoscopic antireflux operations are infrequent and treatable and do not cause permanent disability. DESIGN Retrospective review of all patients with laparoscopic antireflux operations for the management and outcome of all complications. SETTING University medical center. PATIENTS All 538 patients who underwent operation from January 20, 1993, t...

OBJECTIVES The Ross procedure is the preferred aortic valve replacement (AVR) choice in small children. Nonetheless, it is a complicated surgery and there are concerns that subsequent cardiac reoperations are exceptionally complex and associated with high morbidity and mortality. We examine the surgical spectrum and report outcomes of cardiac reoperations in patients who had undergone the Ross ...