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Displaying all articles - ( Showing 1 to 10 of 220 )
Julie Brittenden, Bruce Campbell and Dan Carradice discuss the various treatment options available for varicose veins, and their associated quality of life outcomes and cost-effectiveness.
Value of orientation training in laparoscopic cholecystectomy. Click here to watch the video (Supporting Information) and read the article.
Anastomotic failures in laparoscopic colorectal surgery
Prosthesis-free repair of pectus chest deformity. Click here to watch the video (Supporting Information) and read the article.
This patient was admitted because of a tender irreducible perineal mass. He had an abdominoperineal resection for rectal cancer 9 years previously. The pelvic floor was reconstructed with a gluteal muscle flap. CT shows herniation of small bowel below and behind the sacral bone. At laparotomy, 150 cm of gangrenous small bowel was resected with primary anastomosis. The perineal defect was closed with a biological mesh (porcine collagen). Posterior perineal hernias are only seen as a surgical complication.
Randomized clinical trial of fibrin sealant versus titanium tacks for mesh fixation in laparoscopic umbilical hernia repair. Click here to watch the video (Supporting Information) and read the article.
This woman had polyacrylamide injection breast augmentation 5 years previously. Ultrasound examination revealed large areas of liquid under the breast. At operation, around 200 ml yellowish gel-like substance was squeezed and sucked out from each breast through an areolar incision. Polyacrylamide had been used legally as a human soft tissue filler in China from December 1997 to April 2006, affecting more than 300 000 people. The Chinese government banned the use of polyacrylamide for this application in 2006.
Transanal specimen extraction in robotic rectal cancer surgery. Click here to watch the video (Supporting Information) and read the article.
Transgastric appendicectomy. Click here to watch the video (Supporting Information) and read the article.
This 75-year-old man complained of severe anal pain. He had undergone resection of his rectum for cancer 9 years previously. The picture shows three thumb tacks in the rectum. These were deployed to control presacral venous bleeding during resection of the rectal cancer. Thumb tacks are useful when all else fails to control venous bleeding from sacral veins at proctectomy. Although these tacks are expected to remain at the site of deployment, they have migrated through the rectal wall to enter the lumen in this patient, resulting in intense anal pain. The patient was completely pain-free after removal of the thumb tacks.
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