Trifurcation stenting using two guide catheters.

Trifurcating coronary artery disease is a complex atherosclerotic process involving the origin of one or more of three side branches arising from a main trunk. The approach to treat trifurcation lesions has not been standardized. We describe a technique to percutaneously treat this lesion using routine day-to-day hardware and a unique two guide catheter technique.

Tubularized trapezoid flap neoumbilicoplasty--simple technique for umbilical reconstruction in bladder exstrophy.

Objectives: Umbilical preservation or reconstruction of a neoumbilicus has now become a part of exstrophy repair. We describe an easy method of umbilicoplasty concurrent with the initial bladder closure or at subsequent stages and present our experience with this technique in 36 patients during the past 5 years.

Methods: Umbilical reconstruction using this technique was done in 36 patients (23 boys and 13 girls), with mean age of 1.