Outcomes after Partial Endograft Explantation.

Background: To evaluate the aneurysm-related complications and device issues in patients who underwent partial endograft explantation during late conversion of endovascular aneurysm repair (EVAR) to open repair.

Methods: A retrospective analysis was performed on patients who had partially explanted endografts during late conversion between 1999 and 2012. Medical records were reviewed for patient demographics, subsequent operations, and aneurysm-related complications.

Late graft explants in endovascular aneurysm repair.

Objective: With more than a decade of use of endovascular aneurysm repair (EVAR), we expect to see a rise in the number of failing endografts. We review a single-center experience with EVAR explants to identify patterns of presentation and understand operative outcomes that may alter clinical management.

Methods: A retrospective analysis of EVARs requiring late explants, >1 month after implant, was performed.

Late conversion of aortic stent grafts.

Objectives: The frequency of late removal of endovascular abdominal aortic repair (EVAR) parallels the rise of endovascular aortic repair. Evaluation of outcomes for EVAR explants may identify risks for complications and alter clinical management.

Methods: A patient database was used to identify EVAR patients requiring explant >1 month after implant.

Severe cutaneous adverse drug reaction due to fluconazole.

Fluconazole is a rare cause of severe cutaneous adverse drug reactions. A case of a diffuse, exfoliative eruption due to fluconazole is presented. Convincing arguments for a diagnosis of both widespread bullous fixed drug eruption and toxic epidermal necrolysis are made.

Psoas abscess rarely requires surgical intervention.

Background: Surgeons are increasingly encountering psoas abscesses.

Methods: We performed a review of 41 adults diagnosed and treated for psoas abscess at a county hospital. Treatment modalities and outcomes were evaluated to develop a contemporary algorithm.

Breast abscess bacteriologic features in the era of community-acquired methicillin-resistant Staphylococcus aureus epidemics.

Hypothesis: Increasing rates of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infections have also affected the microbial profile of breast abscesses.

Objective: To update the decade-old bacteriologic description of breast abscesses to improve the choice of initial antibacterial drug therapy.

Design: Retrospective case series.

Review of technique for combined closed incisional hernia repair and panniculectomy status post-open bariatric surgery.

Background: After open bariatric surgery, many patients develop incisional hernia. Patients who were once morbidly obese provide a unique challenge to hernia repair, given the larger nature of their fascial defects and the concomitant problem of extreme amounts of abdominal wall laxity. We reviewed a technique for surgical repair of incisional hernias combined with panniculectomy.