Outcomes following oesophageal stent insertion for palliation of malignant strictures: A large single centre series.

Background: Self-expanding metal stents (SEMS) are an accepted intervention for malignant dysphagia. Stents vary in ease of insertion, removability, migration and occlusion rates. This series reports the complications, morbidity and mortality associated with several SEMS.

15 years of litigation following laparoscopic cholecystectomy in England.

Objective: We aimed to analyze trends in litigation following laparoscopic cholecystectomy (LC) in England and compare our findings with data from the United States.

Background: Several studies from the United States have highlighted the medico-legal repercussions of complications following LC. In 2007-2008, litigation claims cost the National Health Service in England over 660 million Great British Pounds (GBP) (1.

The British-flag technique of mesh insertion in transabdominal preperitonial laparoscopic inguinal hernia repair.

Imaging of early postoperative complications after mesh repair has shown "foldings" of the prosthetic mesh, leading to displacement and associated hernia recurrence. A rectangular two-dimensional mesh introduced into the abdomen and fitted into a concave three-dimensional cavity does not lie evenly and is susceptible to crumpling. Hence, we propose to introduce a geometrically corrected mesh design that would allow easier placement and compliment the anatomic shape of the abdominal cavity.

Radiofrequency ablation of liver tumours: systematic review.

Thermal ablation by use of radiofrequency energy can be used to achieve necrosis of liver tumours, and increased availability of this technique is leading to more widespread use. Much of the impetus for the use of radiofrequency ablation has come from cohort series that have provided an evidence base for this technique. Here, we give an overview of the current status of radiofrequency ablation for liver tumours, including its physical properties, to assess the characteristics that make this technique applicable in clinical practice.

Small-Bowel Obstruction Secondary to Subcutaneous Small-Bowel Entrapment: A Late Complication of Laparostomy for Necrotizing Pancreatitis.

Laparostomy is a well recognized strategy for the management of patients who have necrotizing pancreatitisand may require multiple re-intervention. The open wound can be left to heal through a process ofgranulation and contraction. This article describes intestinal obstruction secondary to entrapment of a loopof small bowel within the cicatrix of the contracting cutaneous scar.