Use of omental pedicle for treatment of Buerger's disease affecting the upper extremities. A modified technique.

We present a report of a 58-year-old male patient who suffered from Buerger's disease of the upper extremities verified by microscopy and angiography. Despite medical treatment and repeated thoracic sympathectomy he developed gangrene at the tip of his right thumb and index finger. Pedicled omentum was prepared through midline laparatomy, placed through subcostal incision to the subcutaneous space of the forearm and affected fingers.

Treatment of postpneumonectomy empyema and associated bronchopleural fistula. Experience of 100 consecutive postpneumonectomy patients.

Experience in the management of 100 consecutive patients with postpneumonectomy empyema is presented. Open-window thoracostomy was used for treatment of the empyema in all cases. The patients were grouped according to surgical procedure after this treatment.

Recurrent small bowel obstruction caused by a benign tumor. A report of two cases.

Two cases of primary small bowel tumors causing an acute intussusception are presented. In one case two polyps were found and in the other case a lipoma in the wall of the jejunum. In both cases there were symptoms of recurrent bowel obstruction for several months before the acute condition.

Esophageal signs after resection of the gastroesophageal junction: endoscopic follow-up study.

A follow-up examination was performed on 15 patients who had undergone esophagogastric resection or total gastrectomy for cancer an average of ten years earlier. Endoscopy was done in each case. None of the patients who had the esophagogastrostomy high in the esophagus had esophagitis.

Repair of stricture and fistula of the antethoracic oesophagogastrostoma using a reversed pectoralis skin pedicle flap.

A 68-year-old male patient with oesophageal cancer was treated by oesophageal resection and the antethoracic reconstruction was made by using the ventricle. The oesophagogastrostoma developed a necrosis and later a 5 cm stricture and a gastrocutaneous fistula. Both the stricture and the fistula were treated by plastic surgery using a reversed pectoralis skin pedicle flap and free skin graft.

Use of omental pedicle for treatment of bronchial fistula after lower lobectomy. Report of two cases.

Postoperative bronchopleural fistula in two patients was successfully closed by omental pedicle flap. The primary operation in both cases was left lower lobectomy for bronchiectasis. The technique of the operation is described and the cases are reported.

Use of pectoralis skin pedicle flap for closure of large bronchial fistula connected with postpneumonectomy empyema.

In 4 patients, the postpneumonectomy empyema was connected with a large bronchopleural fistula. The empyema was in all cases treated by a permanent open window thoracostoma. The fistulae were closed later with pedicle flaps made of the pectoralis muscle and the adjoining skin.