The consequences of a major bile duct injury during laparoscopic cholecystectomy.

Bile duct injury is perhaps the most feared complication of laparoscopic cholecystectomy. The focus of this study was on the immediate and short-term outcome of patients who have undergone repair of major bile duct injuries with respect to hospital stay, perioperative interventions, and reoperations. The records of patients who underwent surgery at three academic hospitals in Philadelphia (Hospital of the University of Pennsylvania, Thomas Jefferson University Hospital, and Graduate Hospital) from 1990 to 1995 for repair of a major biliary injury following laparoscopic cholecystectomy were reviewed.

A correlation of air plethysmography and color-flow-assisted duplex scanning in the quantification of chronic venous insufficiency.

Purpose: Air plethysmography has been useful in assessing patients who have chronic venous insufficiency. Limb reflux times determined by color-flow-assisted duplex scanning have been shown to correlate with the severity of chronic venous insufficiency. The purpose of this study was to compare air plethysmographic measurements with reflux times obtained by color-flow-assisted duplex scanning in patients with chronic venous insufficiency.

Analysis of American College of Surgeons trauma consultation program.

Objective: To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification.

Methods: Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria. Each report was studied for deficiencies, frequency of deficiencies, and relationship to verification.

Barium intravasation during an upper gastrointestinal examination: a case report and literature review.

Barium ingestion is a routine practice in the radiologic examination of the alimentary tract. Barium intravasation is a rare complication, often resulting in the rapid onset of hypotension and death. The literature on this type of complication is sparse.

Management of anomalous rotation in adults.

Rotational anomalies of the gut are infrequently encountered in the adult population. Management of this population is debatable because of a few anecdotal reports and small patient series. We present the successful surgical correction of a patient with symptomatic nonrotation and review our experience with six asymptomatic patients with anomalous rotation discovered incidentally at laparotomy for another disease process.