Endovascular Management of Isolated Spontaneous Superior Mesenteric Artery Dissecting Aneurysm.

Objectives: The aim is to present the technique of successful management of a superior mesenteric artery (SMA) dissecting aneurysm by a purely endovascular approach.

Methods: This was a single centre case report.

Results: Isolated spontaneous SMA dissecting aneurysm is rare, and previously was usually treated by an open or hybrid approach.

Three-in-one protocol reduces mortality of patients with haemodynamically unstable pelvic fractures-a five year multi-centred review in Hong Kong.

Purpose: The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review the results of management of haemodynamically unstable pelvic fracture patients in Hong Kong over a five year period.

Predictive model integrating dynamic parameters for massive blood transfusion in major trauma patients: The Dynamic MBT score.

Background: Currently existing predictive models for massive blood transfusion in major trauma patients had limitations for sequential evaluation of patients and lack of dynamic parameters.

Objective: To establish a predictive model for predicting the need of massive blood transfusion major trauma patients, integrating dynamic parameters.

Design: Multi-center retrospective cohort study.

Improvement in institutional protocols leads to decreased mortality in patients with haemodynamically unstable pelvic fractures.

Background: The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. In recent years, angioembolisation and pelvic packing have been introduced as part of a multimodality treatment for these patients. Protocol-driven management has been shown to improve outcomes.

Endovascular management of aortoduodenal fistula arising from recurrent mycotic aneurysm in an aortic stump.

Background: We present a case of successful endovascular exclusion of an aortoduodenal fistula using an endovascular graft iliac plug. This treatment modality of aortoduodenal fistula arising from a recurrent mycotic aortic aneurysm stump has not yet been described in the literature.

Case Report: An 80-year-old man underwent emergency repair of a ruptured infrarenal mycotic aortic aneurysm with an axillobifemoral vascular bypass.

Early outcome after emergency gastrectomy for complicated peptic ulcer disease.

OBJECTIVE. To analyse outcomes of patients who underwent emergency gastrectomy for complicated peptic ulcer disease. DESIGN.

Retroperitoneal pelvic packing in the management of hemodynamically unstable pelvic fractures: a level I trauma center experience.

Background: Our objective is to evaluate the mortality and outcomes of hemodynamically unstable patients with pelvic fractures treated with a protocol that directs the patient to either early pelvic angiography or early retroperitoneal pelvic packing.

Method: This is a retrospective review of prospectively collected database at a local trauma center. Hemodynamically unstable pelvic fracture patients received treatment according to our hospital protocol during two different time periods.

Oesophago-gastro-duodenoscopy for foreign body ingestion: is it necessary for everyone?

Objective: To identify the possible predictive factors for positive identification of a foreign body by oesophago-gastro-duodenoscopy (OGD).

Methods: A series of 343 patients who underwent OGD in 2008 at Queen Elizabeth Hospital, Hong Kong were studied retrospectively.

Results: Foreign bodies were identified and removed by OGD in 80 patients (23.

Radiofrequency ablation for hepatocellular carcinoma: a survival analysis of 117 patients.

Background: Hepatocellular carcinoma (HCC) is one of the most common malignancies in the world especially in Asia. Radiofrequency ablation is now commonly use as either first line or in combination with other treatment modality for patients with HCC. It is the objective of this article to report our experience in a tertiary referral hospital.