Outcome of major liver resection in gastroenterology and hepatology teaching hospital review of nine cases

Major hepatectomies consider one of the most challenging procedure and did not become commonplace until the dramatic improvement in periopertive care in the 1980s. Review the outcome of liver resection performed recently in Gastroenterology and Hepatology Teaching Hospital. From June 2008 to March 2011, nine major anatomic hepatic resection was performed. Enucleation, Non-anatomic or wedge resection was excluded from this study. There were 4 men, 4 women and one child. Age range between 5-43 years median age 40 years. Nine major resection was done this include; extended right hepatectomy 1 patient, right hepatectomy 2 patients, left hepatectomy 3patients, left lateral lobectomy 2 patients, right anterior sectionectomy one patient. The inflow pedicle was controlled either by extrahepatic approach in 6 patients or intrahepatic pedicle ligation by vascular stapler in 3 patients. Post-operative hospitalization was 3-16 days, median 8 days. There were no mortality. Two patients developed bile leak in form of biloma which was treated by percutaneous drainage under ultrasound for 2weeks. Two patients develop intra-operative hypothermia that led to stop the operation for one hour until warming of the patient. Major liver resection can be performed in our hospital with acceptable morbidity rate

Shoelace darn repair of abdominal incisional hernias

Abdominal incisional hernias are a common condition in practice. Numerous surgical procedures have been used to repair them with different results. This study aims to find the place of shoelace darn in the repair of incisional hernias. One hundred patients with abdominal incisional hernias have been managed by a shoelace darn repair. The details of the operative technique have been described. Shoelace darn repair was an easy procedure associated with some complications, and followed by recurrence in 4 patients. The age, sex, clinical presentation, the type of previous surgery, the type of incisional hernia, the body built of the patients were discussed. Shoelace darn repair have got a good place in managing abdominal incisional hernias