TY - JOUR. T1 - Clinical experience with silicon pharyngeal tube for pharyngocutaneous fistula and cervical esophagus stenosis. AU - Tomifuji, Masayuki. AU - Shiotani, Akihiro. AU - Takaoka, Takuji. AU - Mori, Yuko. AU - Fujimine, Takekatsu. AU - Ogawa, Kaoru. PY - 2006/6. Y1 - 2006/6. N2 - Total laryngectomy or laryngopharyngectomy are commonly performed for the treatment of laryngeal cancer or hypopharyngeal cancer. However pharyngocutaneous fistula and cervical esophageal stenosis have been reported as postoperative complications of these procedures. We used a silicon pharyngeal tube in cases that developed pharyngocutaneous fistula and cervical esophageal stenosis. The pharyngeal tube was useful for controlling aspiration pneumonia and for starting oral feeding in a case of pharyngocutaneous fistula after a total laryngectomy. It was also helpful for starting oral feeding in a case with cervical esophageal stenosis after total laryngopharyngectomy and free jejunum interposition. This patient ...

We report an extremely rare case of a migratory fish bone penetrating through the thyroid gland. A 56-year-old Japanese woman presented with a two-month history of a painless cutaneous fistula in her anterior neck with pus discharge. Endoscopic examinations showed no abnormality, but computed tomography revealed a bone-density needle-shaped foreign body sticking out anteroinferior from the esophagus wall, penetrating through her left thyroid lobe and extending nearly to the anterior cervical skin. A migratory fish bone was suspected, and the foreign body was removed under general anesthetic, combined with a hemithyroidectomy. The injured esophageal mucosa was sutured and closed. Our patients postoperative course was uneventful, and she was allowed oral food intake seven days after the surgery. No evidence of recurrence was seen over the postoperative follow-up period of 42 weeks. We should be aware that fish bone foreign bodies may migrate out of the upper digestive tract and lodge in the thyroid gland

A fistula is an abnormal pathway between 2 anatomic spaces or a pathway that leads from an internal cavity or organ to the surface of the body. A sinus tract is an abnormal channel that originates or ends in one opening.

Mr. FB is 65 year old male who presented with drainage from his anterior abdominal wall midline incision. Also has stool in his urine. Once CT scan was performed, this showed a colocutaneous fistula from the colorectal anastamosis out through the anterior abdominal wall incision. There was also a colocutaneous fistula into the dome of the urinary bladder indicating a colovesical fistula ...

The sudden appearance of intestinal contents draining from an abdominal incision is an emotionally devastating experience for both patients and surgeons. An enterocutaneous fistulas (ECF) is an abnormal communication between the bowel lumen and skin, often associated with fluid and electrolyte abnormalities, malnutrition, and sepsis. It is reported that spontaneous fistula closure rates vary from 15% to 71% after conservative treatment with wound care, control of infection, and nutritional support. Sufficient time should be allotted for the ECF to heal with conservative treatment, which also results in long-term discomfort.. Adjuvant use of fibrin glue (FG) in the fistula tract may promote healing in low-output ECF. Containing high concentrations of human fibrinogen and thrombin, FG have been used extensively in many surgical fields as a biological adhesive system for tissue adhesion or hemostasis. Different types of FG are now employed: commercially produced and homemade autologous adhesives. ...

In small low anal fistulas, first excise the fistula tract followed by application of Kshara and wait for 2 minutes. Later neutralize with Lemon juice and pack with Yastimadhu Taila. It is helpful for quick healing and avoids recurrence of fistula tract.. In high level fistulas, excision of fistulous tract was done partially followed by application of Kshara. Later Kshara Sutra is applied in remaining fistulous tract at anal sphincteric area. The excised fistulous tract heals completely with help of Kshara and remaining fistulous tract was cut by Kshara Sutra ligation. So that patient can be cured at less time and pain.. In this technique, after excision of fistulous tract and applying Kshara, leads to debridement of the fibrous tissue and at the same time remaining wound will be healed by its Scraping and Healing property of Kshara. In the mean time the Kshara sutra ligation at sphincteric area of fistulous tract leads to cutting and debridement and drainage of fistulous tract at the same time ...

Fistula Management Solutions: Advanced Treatments for a Severe Complication. As clinicians, its important to stay current on wound care concepts and technologies. Wound management education is becoming increasingly important. For this reason, Acelity cordially invites you to explore new fistula management technologies that may assist todays wound care professionals in the management of complex wounds in the acute or post-acute setting.. Join us as a group of expert presenters share their clinical experiences with several novel fistula isolation devices and techniques that may potentially extend dressing change intervals as well as facilitate wound healing for patients.. NOTE: Specific indications, contraindications, warnings, precautions and safety information may exist for Systagenix and KCI (Acelity companies) products. Please consult a healthcare provider and product instructions for use prior to application. Rx only.. ...

Utility of Removable Esophageal Covered Self-Expanding Metal Stents for Leak and Fistula Management. Annals of Thoracic Surgery. 2010 ...

PROCEDURE: A PARQ conference was held and written consent to proceed was obtained. The skin overlying the left lower abdomen was prepped in a sterile fashion. Subcutaneous lidocaine was injected for local anesthesia. A 5-French Kumpe catheter was advanced into a enterocutaneous fistula and contrast dye was injected to opacify the fistula tract. A wire was then passed into the jejunum through the tract. The tract was then sequentially dilated. A 22-French sheath was advanced over the wire and positioned in the jejunum. A 7-mm Cook enterocutaneous fistula plug was then deployed within the enterocutaneous fistula tract under fluoroscopy. 1 g Ancef was flushed into the sheath. The sheath was removed. The device was then sutured to the skin using resorbable Vicryl suture. The device was trimmed and a Molnar disk was attached ...

Objective: Post operative enterocutaneous fistula, in this environment, continues to excite interest because it runs a distressing course, and it is often associated with high mortality and morbidity. Determining the classification type best suited to suggest the outcome would be helpful in guiding the management of the condition. Setting: Ife Hospital Unit, Obafemi Awolowo Teaching Hospitals Complex, Ile - Ife. Outcome Measure: To determine the clinical pattern of post operative external enterocutaneous fistula and the classification method that best predict outcome of the condition. Methodology: Consecutive patients with clinical postoperative external enterocutaneous fistula seen between 1994 and 2006 were studied. The case files were retrieved and information on demographic data, type of initial surgery, source of referral, and characteristic of the fistula in terms of effluent per day and type of intestine involved were retrieved and analyzed. Patient with incomplete clinical information ...

Introduction Enterocutaneous fistulas, defined as an abnormal communication between the small bowel and skin, are among the most daunting problems for an intestinal surgeon. The impact of an enterocutaneous fistula on a patient varies from a minor inconvenience to fatal malnutrition and dehydration. Depending on the cause and output of the fistula and the comorbidity…

Enterocutaneous fistula following mesh repair of incisional hernia is usually due to mesh erosion of the underlying viscus and presents late. We describe an early enterocutaneous fistula due to an unusual but a potential mode of bowel injury during mesh fixation. This case is reported to emphasize the need for greater attention to the technique of mesh fixation. We suggest laparoscopic guidance to prevent this serious complication in lateral Incisional hernias with ill defined edges of the defect.

Enterocutaneous fistulas (ECF) are abnormal communications between the gastrointestinal tract and the skin. Although rare, they are associated with considerable morbidity and mortality. Death related to ECF remains disproportionately high when compared with other surgical conditions. Mortality rates for ECF vary from 6 - 33% [1-5].. The incidence and aetiology of fistula are highly dependent on the surgical experience and case load at particular institutions and on patient and disease related cofactors. Much of the published data relate to experience at specialised centres treating complex cases in particularly unstable patients[6]. St. Marks Hospital is a national and international referral centre for intestinal and colorectal disorders. It is one of two national intestinal failure centres in England. The Intestinal Failure Unit has a long standing interest in inflammatory bowel disease (IBD), and this is reflected in the high prevalence of IBD patients treated. A recently completed audit has ...

The outcome among 39 patients with enterocutaneous fistulae complicating Crohns disease has been reviewed. The patients were considered in two groups: (1) no disease - all were early postoperative fistulae (n = 9); (2) active disease (i) without abscess formation (n = 16), (ii) with abscess formation (n = 14). Postoperative fistulae with no evidence of active Crohns disease healed spontaneously. Fistulae in the presence of active disease did not heal even with prolonged medical management. The only effective treatment was excision of the diseased segment from which the fistulae arose and any distal obstruction. None of the fistulae closed surgically has recurred.. ...

Methods Our study collected information from 177 consecutive patients managed with enterocutaneous fistulae over 8 years (January 2003-June 2010). Statistical analysis was undertaken using Stata software programme.. Fistulae healing were measured on a binary scale. As a result of the binary nature of the outcome, all analysis was performed using logistic regression.. Univariate analysis was performed on variables: age, co-morbidity, body mass index, source of referral, time to referral, aetiology, fistulae origin, fistulae complexity, fistulae output, presence of laparostomy, albumin on presentation, number of previous operations, time of surgery, bowel defunctioning. Odds ratio was used to reflect odds of fistulae healing in each category relative to a baseline.. Multivariate analysis of the explanatory variables upon the outcomes was examined. The results were used to generate a scoring system for predicting fistulae healing. The scoring system was evaluated by comparing the predicted healing ...

Salvage surgery of the neck and upper aerodigestive tract in the era of chemoradiation is unfortunately associated with a greater incidence of major postoperative complications compared to primary surgery, with an increase in morbidity, mortality, duration of hospitalization and related costs [4-8]. In a recent article, in 24 patients previously treated with chemoradiation and subjected to total laryngectomy combined with total or partial pharyngectomy, Sewnaik et al. [3] reported a postoperative complication rate of 92%. Among early complications (within 3 months of operation), the most common were pharyngocutaneous fistula (50%), wound dehiscence (29%) and postoperative hemorrhage (21%), while among late complications dysphagia (25%) and stenosis of the tracheostoma were most frequent (21%).. In the literature, the reported rate of pharyngocutaneous fistula following total laryngectomy is around 16% after primary surgery [9], which increases to 19-50% after salvage laryngectomy [3, 10, 11]. ...

Objective. Pharyngocutaneous fistula is considered one of the major complications in the post-operative period after total laryngectomy/pharyngolaryngectomy, leading to a severe adverse impact for the patient and society. This study aimed to identify all the described pharyngocu-taneous fistula predictive factors and risk classifications.. Methods. Research was conducted to identify all the studies assessing predictive factors and risk classification for pharyngocutaneous fistula development published until April of 2012 (n=846). The included studies were analyzed and data regarding their identification, methodological quality and results were recorded.. Results. A total of 39 studies were included. The variables consistently reported as associated with fistula development were nutritional deficiency, American Society of Anesthesiologists (ASA) classification, high consumption of alcohol, anemia and hypoalbuminemia, co-morbidities, advanced N stage, location and extent of primary tumor, ...

During the last 12 years 400 renal allograft biopsies have been performed at this institution to facilitate the differential diagnosis of post-transplant renal dysfunction. Of these cases significant urological complications occurred in 3. In 1 patient a caliceal cutaneous fistula developed after an open surgical biopsy, which required nephrostomy drainage for 6 months. The other 2 patients had needle biopsies and, subsequently, anuria occurred from ureteral blood clots. The problem resolved spontaneously after 23 hours in 1 patient and after 30 hours in the other. The complications in these 3 patients are believed to have resulted from a deeper biopsy and consequent damage to the medullary vasculature and the pelviocaliceal collecting system. Because of these and other potential problems, renal transplant biopsies should be performed by experienced staff, after careful consideration of the risk/benefit ratio at each individual setting.

Int J Pediatr Otorhinolaryngol. 2018 Jan;104:14-18. doi: 10.1016/j.ijporl.2017.10.035. Epub 2017 Oct 29. Li W1, Xu H1, Zhao L1, Li X2. Abstract BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs. RESULTS: In this series, there were 51 males and 54 females. The age at the time of operation varied from 19 days to 13 years, and the mean age was 4.5 years. A total of 33 (31.4%) cases presented with first BAs, 13 (12.4%) presented with second BAs, and 59 (56.2%) ...

A strategy of drainage of acute sepsis, maintenance of nutritional support prior to surgery, and selective use of PS allows for primary closure in 80% of complicated ECF. Resection should be performed when feasible.

Case Reports in Surgery is a peer-reviewed, Open Access journal that publishes case reports related to all aspects of surgery. Topics include but are not limited to oncology, trauma, gastrointestinal, vascular, and transplantation surgery.

Médecins Sans Frontières, member of the Campaign to End Fistula, set up the Gitega Fistula Centre within the Regional Hospital of Gitega, Burundi, in 2009 to provide high quality, multi-disciplinary care, free of charge, all year round. This report aims to reflect on the experience of setting-up, running and handing over such a fistula project.. ...

International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.

Does using vascularized tissue from outside the radiation field reduce the risk of pharyngocutaneous fistula (PCF) following salvage total laryngectomies (STL)?. ...

A case of Crohns disease was complicated by enterovenous fistulization (ileum to superior mesenteric vein) with septic manifestations. The fistulization was di

Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided

Sinusitis Weliplex Tropfen, What is a Sinus Tract?,Sinus tract is an asymmetrical type of passageway that leads from within the bones to the surface of the skin

hey wouls anyone know how to code this: pt had subsequent fistulization between the prostate and urethra with subsequent Fournier and fistula to his g

I am a 27 years old woman who had weight loss surgery done 4 months back. After 2 days, one of the staples came off and I had peritonitis. I am tube fed and have an appratus that collects whatever my stomach drains, which is mostly saliva. Even though I am draining less now, the perforation doesnt seem to close even after 4 months. When I left the hospital I was draining 180 ml per day, which came down to 13 ml/day, but now it has increased to 50-60 ml/day again. I am taking Ensure and Isopure and the nutrients in these two are supposed to help the perforation close. Two days back, I had blood work done and everything was fine, except my albumin levels were low. |b|Is it essential that my albumin should be high in order to get the perforation closed?|/b|

Because I have now been pencilled in for my surgery date I thought I would explain what it is I actually have, and what they are going to do about it. I have mentioned that I have this complication but never went into real depth. At the end there is a youtube video of the same surgery i will be having, so if you are not too grossed out, take a look.. After having the proctectomy I stupidly thought that would be it for surgery and I could then get on with my life. I had been sewn shut ,so what could possibly go wrong ? Well there were plenty of things as it turns out. I noticed after about a month that there was fluid coming out from that area on to my underwear. It was watery and yellowish. I went to my GP who took a swab and it was an infection that needed antibiotics. I went on those for a few weeks but it didnt really do anything.. Off I went to see my surgeon when I could get in ( which wasnt very quickly). This had started in about December 2016, and I think it was roughly February at ...

Children aged 3-12 months: Minor procedures such as needle suture / insertion and surgery on local wounds. (The total amount should not exceed 2 g and the treated skin area should not be 2 more than 16 cm ...

Children aged 3-12 months: Minor procedures such as needle suture / insertion and surgery on local wounds. (The total amount should not exceed 2 g and the treated skin area should not be 2 more than 16 cm ...

This lesion looked weird from the start. I packed Ca(OH)2 for some time, and the sinus tract decreased in size, but never went away completely.

The current research aims to evaluate the risk factors of urethrocutaneous fistula after hypospadias surgery among the youth in China. One hundred twenty hypospadias patients were enrolled in our study. All of them were defined as Tanner 4 or 5. The information collected from the participants include age, urethral operation history, urinary comorbidities before operation, urine test before operation, body temperature before and after operation, type of surgical repair, chordee degree, urethral defect length and whether received vesicostomy after surgery or not. Independent t test, chi-square test and multivariate logistic regression were performed to evaluate the risk factor of urethrocutaneous fistula. Among the enrolled patients, 39 patients (32.5%) developed urethrocutaneous fistula after hypospadias repair. Our result showed significant association between the group with urethrocutaneous fistula and the group without urethrocutaneous fistula with respect to age, pyuria before operation, urethral

Brenner et al identified risk factors for recurrence of an enterocutaneous fistula (ECF) following surgical repair. Recurrence of a fistula is the primary determinant of mortality for patients with an ECF. The authors are from the University of California at Los Angeles.

Calcutta Cosmo Aid Clinic is the best center in Kolkata for hypospadias surgery. CALCUTTA COSMO AID (CLINIC) Plastic Surgery & Pediatric surgery Centre located at the heart of Kolkata, west Bengal, India. Dr. Nagwani is a Best Surgeon for hypospadias repair in Kolkata. It is one of the premier locations for cosmetic and pediatric surgery in Kolkata. Best Surgeon for hypospadias repair in Kolkata | Hypospadias repair - West Bengal - Health services, beauty services, West Bengal - 2575251

Basically, the management of this disgusting malady, described by Guillaume Dupuytren as an accidental anus, consists of trying to decreasing its output and waiting until the inevitable septic abdominal disaster settles down enough to do something surgically definitive. While waiting, one deals with abdominal collections, poor nutrition, eroding skin, angry relatives, and all manner of fluid/electrolyte bewilderment.

The VAC system has been used for chronic non-healing wounds (pressure ulcers, venous and arterial ulcers, diabetic ulcers), subacute non-healing wounds (dehisced incisions), acute and trauma wounds, meshed grafts and flaps, graft and donor flap sites, and other wounds such as burns, snake bite, spider bite, frost bite.7. The VAC system is thought to work by several different mechanisms. Active removal of excess interstitial fluids from tissues may decompress small blood vessels allowing incremental increases of blood flow and therefore improve supply of oxygen and nutrients for tissue repair. The increased blood flow speeds up granulation tissue formation by 63% over non-VAC treated wounds.5 Mechanical stress may also play a part by switching on a mechanism which increases cellular proliferation and angiogenesis similar to the Ilizarov technique.5 The VAC also leads to reduced bacterial colonisation by anaerobic organisms through increasing tissue oxygen concentrations. Neutrophils use the ...

Since there is no standardized oral intake protocol for patients with major cut throat injuries, we had to adapt from our experiences with laryngectomy patients. The usual protocol at Tata Medical Center for laryngectomy patients is, to start with spoonfuls of water as oral sips around the seventh day. If there is no aspiration and the patient is comfortable, oral intake is increased gradually. Barium swallows are not regularly done in all post-laryngectomy patients; instead, they are limited to only a few selected cases. The traditional method of carrying out a barium swallow before oral feeding has been challenged by several reports, White et al. [7], in a study of 259 laryngectomy patients, demonstrated a sensitivity of 26% and a specificity of 94% for barium swallows to predict pharyngocutaneous fistulas. Seven et al. [8] conducted a randomized controlled trial and concluded that early oral feeding on the first postoperative day is a safe practice with no relationship to fistula formation. ...

and Bianchis treatment [3]. eating) and omnivorous (eat flesh and vegetable). The herbivorous contains the longest little colon the carnivorous the shortest and omnivorous stay in the middle. Lack of an integral part of little colon R406 in human being makes the colon equal to carnivorous where carnivorous diet plan (tiger meals) is suitable is the book considering. Case 1 A 49-year-old man underwent colon resection in three phases because of mesenteric vascular occlusion abandoning around 15 cm of proximal jejunum and 5-7 cm of terminal ileum with undamaged ileo-caecal valve and entire colon [Desk/Fig-1]. He previously an anastomotic drip that he required TPN for 6 weeks. After closure from the enterocutaneous fistula he was presented with dental low residual diet plan. But he created diarrhoea that he was supplemented intermittent intravenous liquid. PPI and isabgole husk was added for reduced amount of gastric bile and acidity diarrhoea respectively. His weight decreased to 48 Kg from 88 Kg ...

TY - JOUR. T1 - Outcome of colonic fistula surgery in the modern surgical era. AU - Tam, M. S.. AU - Abbass, M.. AU - Tsay, A. T.. AU - Abbas, M. A.. N1 - Copyright: Copyright 2014 Elsevier B.V., All rights reserved.. PY - 2014/5. Y1 - 2014/5. N2 - Background: Various conditions lead to the development of colonic fistulas. Contemporary surgical data is scarce and it is unclear whether advances in surgical care have impacted outcome. The aim of the present study was to review the short- and long-term outcome of patients treated surgically for colonic fistula over an 8-year period at a tertiary institution. Methods: A retrospective review was performed, focusing on the type of operative interventions, short- and long-term complications, length of hospital stay, readmission rate, mortality rate, and fistula recurrence. Results: Forty-five patients were treated for colonic fistula. The most common etiology was diverticulitis (74 %). Fistula type was colovesical (58 %), colocutaneous (18 %) and ...

FOR DOCTORS - PART IV Grade II or Distal Hypospadias: The Slit-like adjusted Mathieu (SLAM) Technique The meatal-based flap technique of Mathieu is the most popular technique for distal hypospadias repair and has withstood the test of time. However, the major drawback of the original Mathieu technique is the final appearance of the meatus (a smiling meatus that is not very terminal). The Slit-like adjusted Mathieu (SLAM) helps to employ the Mathieu operation in all forms of distal hypospadias and gives a terminal, slit like meatus. This will include about 70 to 80 % of patients with hypospadias. The only contraindication is the presence of severe chordee distal to the hypospadiac meatus (very rare in distal hypospadias). Operative steps: The boundaries of the urethral plate are outlined. A U-shaped incision is outlined. The two parallel incisions at the glans region start along the true mucosal urethral plate to have large, wide glanular wings. At the distal end, the two incision converge as ...

Blood flow between the aorta and atrium is a rare but complex pathological condition, also known as aorto-atrial fistula (AAF). The exact incidence of this condition is unknown, as are the major precipitating factors and best treatment options. We carried out a systematic review of the available case report literature reporting AAF. We systematically reviewed literature on AAF formation and closure. Separate Medline (PubMed), EMBASE, and Cochrane database queries were performed. The following MESH headings were used: atrium, ventricle, fistula, cardiac, shunts, aortic, aorto-atrial tunnels and coronary cameral fistula. All papers were considered for analysis irrespective of their quality, or the journal in which they were published. Fistula formation from the ascending aorta to the atria occurred more often in the right atrium compared to the left. Endocarditis was the major cause of AAF formation, whilst congenital causes were responsible for nearly 12%. In a number of cases fistula formation ...

Diagnostic Accuracy of Abdominal wall Ultrasonography and Local Wound Exploration in Predicting the Need for Laparotomy following Stab Wound

Complications in hypospadias surgery are higher than other reconstructive procedures. The incidence of complications can be reduced if proper preventive measures are taken. The review aims to highlight incidences, causes, and preventive measures of a

There are many terms which are often confused due to some common name associated with them. A lot of us would assume when asked What is a sinus tract? is something related to our sinuses or sinus infection. But the fact is that it is not so. The sinus tract is an abnormal channel which opens in any structure of the skin in any part of your body and ends in bone marrows. This is a channel or a passageway which is often called fistula. This makes a kind of passage between the skin opening and bones.. Thus is laymans language what is a sinus tract is understood as a passage or an abnormal channel from skin of any part to the underlying bones. What cause sinus tract? This abnormal opening is a result of an infection or some other rare occurrences like fistulous rheumatism or due to a synovial joint in rheumatoid arthritis or classic fistulous rheumatism.. What is a sinus tract in septic arthritis? In septic arthritis there occurs some abnormalities where there are some fluid filled channels that ...

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According to Medline Plus, hypospadias surgery is a surgery that is done to correct the defect of the opening of the penis. […]. Read more ...

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A pancreatic fistula is an abnormal communication between the pancreas and other organs due to leakage of pancreatic secretions from damaged pancreatic ducts. An external pancreatic fistula is one that communicates with the skin, and is also known as a pancreaticocutaneous fistula, whereas an internal pancreatic fistula communicates with other internal organs or spaces. Pancreatic fistulas can be caused by pancreatic disease, trauma, or surgery. An external pancreatic fistula is an abnormal communication between the pancreas (actually pancreatic duct) and the exterior of the body via the abdominal wall. Loss of bicarbonate-rich pancreatic fluid via a pancreatic fistula can result in a hyperchloraemic or normal anion gap metabolic acidosis. Loss of a small volume of fluid will not cause a problem but an acidosis is common if the volume of pancreatic fluid lost from the body is large. First described by Smith (1953), and elaborated upon by Cameron et al. (1976), internal pancreatic fistulas can ...

Introduction: One of the most common complications following total laryngectomy is pharyngocutaneous fistula (PCF). Various methods have been proposed to treat this disorder in recent studies, including a range of simple and conservative treatments to more aggressive therapies, such as various surgical procedures. One of the most innovative and least developed methods is the use of plasma-rich compounds, such as fibrin glue. Case Report: The patient was a 55-year-old woman with a transglottic squamous cell carcinoma of the T3N0M0 stage and PCF development following total laryngectomy surgery with total thyroidectomy and bilateral elective cervical lymph node dissection level I-IV. In spite of conservative treatment, the fistula was not recovered after 3 weeks. It was decided to perform fibrin glue injection into the fistula tract via the endoscopic approach. One month after the fibrin glue injection, no evidence of contrast extravasation was observed on barium swallow test, and the fistula was

Keyword(s): 5 mm port, abdominal cavity, abdominal pain, abdominal wall, ABX, anastomosis, ascending colon, bladder, bleeding, case study, CD, cecal polypoid mass, colenteric fistula, colocolonic fistula, colonoscopy, colovaginal fistula, colovesical fistula, contamination, CR potpourri, Crohns disease, CT, cystogram, descending colon, diarrhea, diverticular disease, diverticulitis, drainage catheter, enterocutaneous fistula, fallopian tube, female, fistula tract, Foley catheter, hematuria, hemostasis, hepatic flexure, HPI, hydrosalpinx, ileocolic resection, imaging, inflammation, interloop abscess, IR, ISLCRS, lap management, leak, lymphoid follicles, male, medical management, mesentery, mesorectum, methylene blue, MR, multi loculated abscess, obstructive symptoms, ovary, pathonomonic, PE, pelvic abscess, pelvis, perc drain, perirectal abscess, perisigmoid abscess, phlegmon, pneumaturia, posterior rectus fascia, Prednisone, pt safety, pus, rectum, rectus sheath, retractor, RLQ, saline, SB, ...

First branchial cleft anomalies are uncommon and comprise 1%-8% of all branchial cleft anomalies.1 They often present in the first two decades of life and present a clinical challenge as they can easily be misdiagnosed and thus inappropriately treated. They are thought to arise as a result of developmental abnormalities of the branchial apparatus and may take the form of a cyst, sinus, or fistula.2. Clinically they may present with repeated episodes of infection of the lesion. This may manifest itself with a cystic swelling or discharge from a fistulous opening either pre-auricularly or post-auricularly, in the cheek, or high in the neck. A thorough otological examination should be performed in all cases and may reveal a pit visible in the external canal at the site of entrance of a sinus or fistula. Such a lesion may result in otorrhoea or otitis externa with infective exacerbations. The meatus may be found to be partially or completely obstructed by bulging of the canal wall because of a ...

List of Abbreviations CAN Colitis-associated neoplasia CD Crohns disease CI Confidence interval CMV Cytomegalovirus CRE Controlled radial expansion CT Computed tomography EBD Endoscopic balloon dilation ECF Enterocutaneous fistula EEF Enteroenteric fistula ELS Electrolyte solution EMR Endoscopic mucosal resection ES Endoscopic stricturotomy ESD Endoscopic submucosal dissection ETAS Endoscopy treatment-associated stricture EUA Examination under anesthesia GI Gastrointestinal…

Hypospadias is a defect in the opening of the penis, the urethra ends on the underside of the penis or bottom of the penis, or in the scrotum. Hypospadias is present at birth. Hypospadias repair is done most often between 6 months and 2 years old. The extra tissue of the foreskin may be used to repair the hypospadias during surgery. So the children with hypospadias should not be circumcised at birth. After surgery the penis will look almost or completely normal and function well. However if the hypospadias defect is complicated type, it may be need more operations to repair.. ...

At Children's Hospital of Pittsburgh of UPMC, doctors administer hypospadias repair surgery to fix the location of the opening in the penis. Learn more here.

Parents usually ask the Urologist that their child urinates finely and has bowel movements just fine. So why are we having the surgery done if it doesnt hurt him and he urinates just fine? Simple answer to these parents is Surgery is essential because Hypospadias can cause problems as he gets older. Problems are listed below: 1. Irregular urine stream .He would have to pee sitting down his whole life. 2. His penis would look different than other boys. 3. It could potentially create fertility issues. The opening of the penis is not close to the cervix as a result of which the sperm is not in the right place to cause pregnancy. 4. If the penis has chordee (downward curvature of the penis) it becomes very painful, difficult or even impossible to have intercourse as an adult.. If the hypospadias needs to be repaired, this is done by surgery. The aim is to repair and reconstruct the urethra. Depending on the degree of the hypospadias, the surgery can range from relatively simple to very challenging. ...

Trans-oral endoscopic approach to exposure of a type IV branchial cleft anomaly sinus tract in the left piriform recess and closure using cauterization and tisseel application. Contributors:Yi-Chun Carol Liu

In all, 214 consecutive children with distal hypospadias were identified who had had a GRAP repair, of whom 205 were suitable for further study. The position of the urethral meatus in these children is summarized in Table 1. While some children were admitted before surgery for social reasons, most operations, i.e. in 183 patients (89%), were undertaken as day cases.. Problems immediately after surgery were rare; seven children (3.4%) were admitted overnight with medical problems. Of these boys, two had difficulty in voiding, one of whom required catheter drainage of the bladder. Two patients with uncontrolled pain required analgesia, two had significant nausea and vomiting, and one had a penile haematoma. Fifteen children (7.3%) stayed for one night after repair, with no clearly documented clinical indication.. A fistula occurred in 15 patients (7%); of these, one is known to have healed spontaneously, eight have been corrected surgically on a day-case basis and one fistula was not initially ...

Purpose We describe our experience using a modified suture fistula technique for addressing tension in longer gap esophageal atresia (EA). Esophagoesophagopexy (EEP) is the tacking of the proximal and...

A fistula is an abnormal connection between two organs. Enteric fistulas are abnormal connections between the gastrointestinal tract and other abdominal organs, chest, or skin. Symptoms associated with fistulas depend on whether the fistula is proxim

Tears rolled down after seeing my baby in that position but the Doctor gave courage to handle that situation not only to me but also to my dad. Believe me he didnt gave me so many medicines as I thought. He prescribed pain killers for a week and an antibiotic ointment to apply there. He was genuine Doctor I have ever seen. After required reviews he suggested me to review it for once an year and am following it ...

A fistula is an abnormal communication between two internal organs, or from an organ to the outside of the body. Infection, inflammatory disease (e.g., Crohns disease), tumors, trauma, and surgery may lead to a fistula. The gastrointestinal tract (particularly the duodenum), pancreas, bladder, and female genital tract are particularly susceptible. Among the many places in the body where fistulas can occur are: ...

If your son has hypospadias, our pediatric urologists are experienced with hypospadias repair to restore functioning and appearance.

Pancreatic fistula Pancreatic fistulaClassification & external resources MeSH D010185 A pancreatic fistula is an abnormal communication between the pancreas

Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.

Fistula Foundation has just passed a major milestone: since adopting a global mission in 2009, support from generous donors like you has enabled the delivery of life-changing fistula surgery to 20,000 women!. In this short video, youll see some of the faces of women that you and our partners have helped to treat. Read more about how we reached this goal, and why this number is significant. ...

Selamat siang Dokt, Sy mau tanya, kurang lebih 2 tahun yg lalu sy operasi Fistula Ani, alhamdulillah semua berjalan lancar, tetapi akhir2 ini sekitar bekas operasi

Important note. Whilst the first film in this series is openly available because it only demonstrates basic principles, the subsequent films give specific and detailed surgical guidance. They are not intended, therefore, for general viewing but are being made freely available only to those medical professionals who already have specific experience of the surgery involved and who can thus benefit from the specialist techniques that these films demonstrate.. To view these films please register your name and professional status (you only need to register once and will then have repeated access). * required. ...

Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body ...

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