Laparoscopic management of obstructive hepatoduodenal adhesions after open antireflux procedure.

The case of a 3-year-old child who underwent open antireflux surgery for severe gastroesophageal reflux is presented. One month after the procedure, the child presented with abstinence from feeds, and vomiting after food intake. Esophagogastroscopy ruled out pathology in the area around the wrap.

Advantages of fibrin glue spray in laparoscopic liver biopsies.

Fibrin glue has been shown to be a highly effective adjuvant in surgical repair. We present the case of a 14-year-old boy, who was operated on a right side abdominal neuroblastoma at the age of 4 years. The regular follow-up examinations later on were uneventful; however after 10 years, focal lesions were observed on the surface of the liver, which were confirmed by computer tomograms.

Delayed three-stage closure of giant omphalocele using pericard patch.

The management of giant omphaloceles in a single operative approach is quite difficult. If performed as a single-stage procedure, postoperative complications are encountered, which are usually related to significant changes in intra-abdominal pressures, compromise of interior venous blood return ,and hemodynamic and respiratory instability due to diaphragmatic elevation. We report the case of a giant omphalocele that required a three-stage delayed closure and was managed using bovine pericard patches.