Surgical reconstruction in benign strictures of bile duct

Reconstructive biliary surgery is mandatory in obstructive jaundice due to benign causes. Twenty five patients operated upon due to stricture in the common bile duct and/or common hepatic duct after cholycystectomy operation during the period from 1982-1988. Operations performed were choledchoduodenostomy for stricture of the common bile duct and hepaticojejunostomy using a Roux-en- Y loop of the jejunum for stricture of the common hepatic duct. The results were good with minimal complications and one mortality. In severely ill patients, percutaneous transhepatic biliary drainage improved the condition preoperatively

Rectal prolapse: a review of twenty patients

Twenty patients with complete rectal prolapse were operated upon with mobilization of the rectum suturing of the puborectalis muscles to each other and to the rectum anteriorly and posteriorly, fixation of the rectum to the puboroctalis on each side and simple rectopexy to the presacral tissues using a non absorpable sutures. No major complications and no mortality reported. No recurrence occurred in the period of the follow up which varied from eight to one year