Uncategorized
The Management of the Entero-Atmospheric Fistula (EAF)
Fig. 25.1 Budding mucosa (arrow) below the VICRYL mesh in an open abdomen In this clinical presentation, the fistula presented is termed an “entero-atmospheric fistula” (EAF). It is a fistula without…
The Planning for the “Planned Ventral Hernia”
Fig. 19.1 Flow diagram representing the 3-staged approach to abdominal closure. Reproduced with permission from Dicocco et al. [7] Fig. 19.2 Pinching the split-thickness skin graft from the underlying viscera, indicating the…
Soft Tissue Necrotizing Infection Due to Perforated Colon
Gram + aerobic Gram − aerobic Anaerobic Marine vibrio Fungi Group A streptococcus Escherichia coli (cirrhosis) Bacteroides sp. (DM) Vibrio vulnificus (cirrhosis) Candida (immunosuppression) Group B Streptococcus (DM) Pseudomonas aeruginosa…
Acute Necrotizing Pancreatitis
Severity in acute pancreatitis: original versus revised Atlanta classification 1993 2013 Mild acute pancreatitis Mild acute pancreatitis Absence of organ failure Absence of organ failure Absence of local complications Absence…
Small Bowel: Aortoenteric Fistula
Fig. 12.1 a Anterior displacement of the duodenum by tortuous aortic graft placement resulting in aorto-duodenal fistula (b) The fistulas are usually all characterized structurally as being stuck to the aorta…
The Complex Splenectomy
Fig. 17.1 CXR showing elevated left hemidiaphragm with permission from Kadian et al. [9, Fig. 2] The clinical management of a bleeding splenic injury in a complicated surgical patient should, as in…
