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Acellular Fish Skin Graft Use in Open Abdomen Management.
Surg Technol Int
September 2023
Department of Preventive Medicine, School of Medicine, University of Rochester, Rochester, New York.
Introduction: Open abdomen (OA) management post damage control laparotomy (DCL) is common in complex abdominal trauma and intra-abdominal catastrophe (IAC). Use of polyglactin 910 mesh (VICRYL™, Johnson & Johnson, New Brunswick, New Jersey) to cover the intra-abdominal contents and wound vacuum-assisted closure (VAC) is current practice in the management of temporary abdominal closure (TAC). This may have complications and requires two to three weeks for granulations to be ready for skin grafting.
View Article and Find Full Text PDFImpact of Robotic Approach on Post-Anastomotic Leaks After Esophagectomy for Esophageal Cancer.
Am Surg
October 2022
Division of Upper GI and General Surgery, Department of Surgery, 12223University of Southern California, Los Angeles, CA, USA.
Introduction: Although mortality rates after esophagectomy have decreased over the last 30 years, anastomotic leaks still commonly persist and portend significant morbidity. Previous studies have analyzed patient and perio-perative risk factors for leaks, yet data describing the association of leaks and an open or minimally invasive approach are lacking. The purpose of this study was to evaluate the impact of operative approach on leak rates and subsequent management of the leaks.
View Article and Find Full Text PDFBackground: Anastomotic leakage (AL) is one of the dreaded complications following surgery in the digestive tract. Near-infrared fluorescence (NIRF) imaging is a means to intraoperatively visualize anastomotic perfusion, facilitating fluorescence image-guided surgery (FIGS) with the purpose to reduce the incidence of AL. The aim of this study was to analyze the current practices and results of NIRF imaging of the anastomosis in digestive tract surgery through the EURO-FIGS registry.
View Article and Find Full Text PDFImportance of monitoring and treatment of failed maturation in radiocephalic arteriovenous fistula in predialysis: Role of ultrasound.
Nefrologia
December 2017
Servicio de Nefrología, Hospital General Universitario Reina Sofía, Murcia, España.
Article Synopsis
- The study evaluated the outcomes of radial-cephalic arteriovenous fistulas (RC-AVF) in patients before starting dialysis, focusing on their maturation and treating primary failures.
- A total of 127 RC-AVF procedures were analyzed, with specific criteria for maturity based on blood flow and vein diameter; the findings showed that a significant number of immature cases had lesions, mainly in the post-anastomotic vein.
- After six months, the study noted primary and secondary patency rates of 59% and 78%, respectively, emphasizing that effective monitoring through ultrasonography led to 80% of patients commencing dialysis with suitable distal AVF configurations.
A novel classification system for autogenous arteriovenous fistula aneurysms in renal access patients.
Vasc Endovascular Surg
September 2015
Department of Vascular Surgery, King's College Hospital, Denmark Hill, London, United Kingdom.
Introduction: Arteriovenous fistulae (AVFs) constructed for hemodialysis access are prone to aneurysmal degeneration. This can lead to life-threatening sequelae such as aneurysmal rupture. The literature includes various guidelines on the management of certain aspects of access-related aneurysm formation; however, no classification system exists to guide reporting or prognostication.
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