Thrombosis of the superior vena cava due to a Hickman catheter: successful management by rt-PA thrombolysis.

Introduction: Venous thrombosis is a frequent complication of long-term venous access. Its management is well defined in most cases, but some specific clinical situations have not yet been definitively standardized.Thrombosis may occur at the catheter tip and involve the superior vena cava (SVC) and/or the right atrium (RA).

Fistulotomy with end-to-end primary sphincteroplasty for anal fistula: results from a prospective study.

Background: Fistulotomy plus primary sphincteroplasty for complex anal fistulas is regarded with scepticism, mainly because of the risk of postoperative incontinence.

Objectives: The aim of this study was to evaluate safety and effectiveness of this technique in medium-term follow up and to identify potential predictive factors of success and postoperative continence impairment.

Design And Setting: This was a prospective observational study conducted at a tertiary care university hospital in Italy.