ABSTRACT
This study was carried out to compare mini-laparotomy technique of aortofemoral bypass with the conventional surgical procedure. Six cases of aortobifemoral bypass performed using a mini-laparotomy incision [6 cm] between year 2007 and 2009. The mean aortic cross-clamp time was 10.6 +/- 3.5 minutes and the mean duration of the operation was 95.7 +/- 28.9 minutes. In all cases, bowel sounds appeared at 4 to 10 hours postoperatively and oral nutrition was started after 24 hours. The mean hospital stay was 4.4 days. Mini-laparotomy technique is safe and effective for aortobifemoral bypass operations; with the advantages of short operation time, optimal aortic exposure, easy and safe aortic cross-clamping, limited postoperative pain and scar tissue, early mobilization and resumption of intestinal functions, and short hospitalization
Subject(s)
Humans , Male , Female , Iliac Artery/surgery , Surgical Procedures, Operative/methods , Postoperative Complications , Pain, Postoperative , Early Ambulation , Length of StayABSTRACT
This study presented experiences in the palliative treatment of advanced pancreatic carcinoma. During the last 7 years, 33 patients with unrespectable pancreatic tumor underwent combined biliary and gastric bypass. It was found that cholecystojejunostomy is the simplest option, but followed by the highest incidence of recurrent jaundice. Both choledochoduodenostomy and choledochojejunostomy can be carried out with reasonable safety and remain useful options for patients with potentially resectable tumors. Hepaticojejunostomy had the best results and can be used if the expected time of palliation is relatively long. Gastric bypass does not increase the operative morbidity and offers the best chance of avoiding re-operation
Subject(s)
Humans , Male , Female , Choledochostomy , Palliative Care , Gastric Bypass , PancreaticojejunostomyABSTRACT
This prospective study was done on 316 patients to compare the results of two techniques using continuous sutures and interrupted sutures in closing abdominal mid-line incisions. The suture material employed was polyglycolic acid [vicryl N/O]. The rates of the overall infection, dehiscence, chronic sinus and incisional hernia of both methods of closure in the continuous vs. interrupted group were 6.2% vs. 5.8%, 2.5% vs. 3.1%, 2.7% vs. 5% and 5.4% vs. 7.1%. Continuous closure was recommended, as it was more economic, easier, less time consuming, caused less tissue necrosis and resulted in less chronic sinus and incisional hernia than the interrupted sutures