Sex Trafficking in New York City and Vulnerabilities to Re-Trafficking.

Human trafficking occurs in a cycle of coercion and exploitation of vulnerable people; yet, little is known about those who are trafficked more than one time (re-trafficked). Our study sought to describe the trafficking experiences and explore vulnerabilities to re-trafficking in an urban, majority immigrant, population. This study is part of a parent cohort study that enrolls patients at the EMPOWER Center in New York City, which provides trauma-informed obstetric and gynecologic services to victims of sexual- and gender-based violence.

Open repair of chronic post-traumatic aneurysms of the aortic isthmus: the value of direct aortoaortic anastomosis.

Purpose: This report presents our experience with open repair of post-traumatic aneurysms of the aortic isthmus using recent surgical techniques, including distal aortic perfusion and the preferential use of direct aortoaortic anastomosis without interposition of prosthetic material.

Methods: From 1990 to 2004, the senior author (EK) patients (21 men; mean age, 40.3 years) who presented with post-traumatic aneurysms of the aortic isthmus were treated operatively, either with (20 patients) or without (3 patients) distal aortic perfusion, or endovascularly with a stent graft (3 patients).

Total laparoscopic bypass for aortoiliac occlusive lesions: 93-case experience.

Objectives: We describe our experience with a new technique of total laparoscopic bypass surgery to treat aortoiliac occlusive lesions.

Material And Methods: From November 2000 to December 2003, 93 total laparoscopic bypass procedures were performed to treat TASC (TransAtlantic Inter-Society Consensus document) grade C or D aortoiliac occlusive lesions. We also reimplanted 2 inferior mesenteric arteries, and performed 3 prosthesis-superior mesenteric bypasses and 2 suprarenal aorta endarterectomies.

Videoscopic approach to femoral bifurcation.

Femoral artery exposure can lead to local complications, which can compromise the postoperative course of effective arterial reconstruction. We report a new technique of vascular reconstruction in which a videoscopic approach to the femoral bifurcation is used. To our knowledge, the videoscopic approach to the femoral bifurcation has not been previously described.

Combined infrarenal aorta and carotid artery reconstruction: early and late outcome in 152 patients.

Between January 1, 1985 and December 31, 1998, we performed combined infrarenal aorta and carotid artery reconstruction in 152 consecutive patients. The mean age of these patients was 65.4 +/- 8.

Retrograde aortomesenteric bypass with tunneling behind the left renal pedicle.

This report describes a new technique for revascularization of the superior mesenteric artery (SMA) which creates a retrograde bypass tunneled behind the left renal pedicle. The procedure can be performed by the left retroperitoneal or transperitoneal route, alone or in association with reconstruction of the infrarenal aorta. Proximal anastomosis is retrograde on the left side of the infrarenal aorta or aortic prosthesis.

Embolic risk of the different stages of carotid bifurcation balloon angioplasty: an experimental study.

Purpose: Embolic events during carotid angioplasty are a challenging problem. This experimental study was undertaken to determine the embolic risk after each stage of carotid angioplasty procedure.

Methods: Five ex vivo carotid artery balloon angioplasties were performed on fresh carotid specimens.

Treatment of vascular graft infection by in situ replacement with cryopreserved aortic allografts: an experimental study.

Purpose: The purposes of this study were to prove the efficacy of cryopreserved aortic allografts to treat an established vascular graft infection by in situ replacement in an animal model and to evaluate the role of the antibiotics normally used to decontaminate the allografts.

Methods: Twenty-three dogs underwent infrarenal aortic replacement with a gelatin-sealed knitted polyester graft contaminated in vitro by Staphylococcus epidermidis RP-62. One week later, the 18 surviving animals underwent reoperation for graft removal and were randomized into three groups for in situ replacement: group I (control, n = 6) received a new gelatin-sealed graft; group II (n = 6) received a non-antibiotic-treated cryopreserved allograft; and group III (n = 6) received an antibiotic-treated cryopreserved allograft.

Single-stage management of abdominal aortic aneurysm and colon carcinoma.

We report two cases in which concurrent abdominal aortic aneurysm and colon carcinoma were treated in the same surgical procedure. In the first case both lesions were detected preoperatively but were uncomplicated. Single-stage treatment was undertaken electively.

Anastomosis over a stent for heavily calcified arteries.

In this report we describe the use of an indwelling stent for end-to-end anastomosis of an arterial prosthesis. Designed as an alternative to conventional suturing in patients with heavily calcified arteries harvested from human cadavers. After the prosthesis is introduced into the artery, an angioplasty balloon catheter is inflated to expand the Palmaz stent and press the prosthesis against the calcified wall of the popliteal artery.

Lateral approach to femoral bifurcation.

Femoral bifurcation can be approached through a lateral incision in the femoral triangle, passing behind the sartorius muscle and thus leaving undisturbed the femoral lymphatic network. The principal advantage of this route is it limits the local complications that occasionally result in infection of the operative site. This lateral approach is indicated primarily for infrainguinal revascularizations originating from the common femoral artery in patients at high risk for local infection.

Heparin-related thrombocytopenia and adrenal hemorrhagic necrosis following aortic surgery.

Adrenal hemorrhagic necrosis is one of several possible complications of heparin-related thrombocytopenia. We report a case in which adrenal hemorrhagic necrosis developed after aortofemoral bypass. This serious complication remains difficult to diagnose in the absence of a high index of suspicion.

[Supracoeliac aortic clamping. Technique and indication in traumatic abdominal pathology].

Supracoeliac occlusion of the aorta was performed in two patients with visceral and vascular lesions due to blunt abdominal trauma. In both cases, aortic occlusion was required due to peroperative hypovolaemic shock. The first case was a 30-year-old man hospitalized for blunt thoracic and abdominal trauma.

[Surgical strategy in the association: aneurysm of the abdominal aorta and colonic lesion].

An association of an aneurysm of the abdominal aorta and a lesion of the colon raises an important question as to the correct sequence to follow. A simultaneous operation raises the major risk of infection and most authors prefer a sequential approach, treating either the aneurysm or the lesion of the colon first depending on the initial clinical situation or complications. In our first patient, both pathologies were known before surgery and simultaneous procedures were deliberately programmed.