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…
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…
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…
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…
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…
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…
Religion Mean ISS Type of injury Case of injury (%) Mortality (%) Jehovah’s Witnesses 10.3 ± 9 (NS) Blunt (82) MC (39) 11.0 (NS) Catholic 10.3 ± 11 Blunt (68) MVC (39) 6.9 Baptist 8.9 ± 10…
Fig. 9.1 The assistant grasps the fundus cephalad and retracts this toward the patient’s right shoulder. This reduces redundancy in the infundibulum and exposes the cystic duct. A second grasper retracts…
Fig. 20.1 Leak demonstrated on UGI 2 weeks after laparoscopic sleeve gastrectomy Of note, many practices obtain routine UGI as part of postoperative algorithm for management, whether the patient is or is not…
Fig. 21.1 Full-thickness ischemia of stoma While edema and venous engorgement in the immediate postoperative period is common, this was a case of stoma necrosis, which is one of the more…
