Background. Traditionally, the common bile duct (CBD) is closed with T-tube drainage after choledochotomy and removal of CBD stones. However, the insertion of a T-tube is not without complication. Aim of Work. This randomized study was designed to compare the use of T-tube and primary closure of choledochotomy after laparoscopic choledochotomy to determine whether primary […]
Purpose: We present a unique case of large sliding paraesophageal hiatal hernia, intrathoracic stomach and achalasia in a 54 year old male. Due to the concomitant paraesophageal hiatal hernia and intrathoracic stomach, and the need for surgical treatment, endoscopic management for achalasia was not attempted. The patient underwent laparoscopic paraesophageal hiatal hernia with reduction of […]
IntroductionLarge caliber inferior mesenteric arteries (IMA) are thought to be responsible for type II endoleaks following endovascular abdominal aortic aneurysm repair (EVAR). IMA ligation has been successfully employed to treat this condition. However, limited data exist regarding laparoscopic IMA ligation prior to EVAR. We describe a positive outcome with this technique in a patient at […]
Abstract: Accidental ingestion of foreign bodies is common in patients with altered mental status. Course of these foreign bodies can range from spontaneous uncomplicated passage from GI tract to perforation of intestine. Intoxicated patients and Morbid obese patients with obstructive sleep apnea will have delay in realization of complications secondary to foreign body ingestion and […]
Introduction: Though gastrointestinal (GI) bleeding is rare in patients with HIV infection, it has been an important cause of mortality and morbidity in these patients. The course of human immunodeficiency virus (HIV) disease has changed dramatically since the development of antiretroviral therapy in the mid 1990s. There is a significant change in the pattern of […]