Sam Slutzki

Pseudoaneurysm of the dorsalis pedis artery

Two cases of post-traumatic pseudoaneurysm of the dorsalis pedis artery are presented. Both were managed by resection and vascular reconstruction with a successful result. It is suggested that this, rather than resection and ligation, is the preferred treatment in these cases.

Coumadin‐induced Skin Necrosis

ABSTRACT: Two women developed coumadin‐induced skin necrosis. A 16‐year‐old woman sustained necrosis on the leg after a single dose of the drug, and a 59‐year‐old woman developed gangrene of most of her left breast.

The laparoscopic second look for ischemic bowel disease

AbstractBackground: Survival after acute vascular ischemia depends on a second look laparotomy to detect extending bowel compromise and to verify the integrity of the anastomosis. In a series of five consecutive patients with acute ischemic bowel desease, we used laparoscopic technique to determine if a formal laparotomy could be avoided. Methods: following the resection of ischemic bowel in five consecutive patients, two laparoscopic trocars were inserted in the lower abdominal quadrants and covered by sterile gloves. Forty-eight to 72 h following the primary operation, the abdomen was inflated via a trocar and secondary assessement done by laparoscopy. Results: In all patients, the integrity of the anastomosis and viability of the remaining bowel was accurately assessed by laparoscopy. Conclusions: Using mininally invasive techniques, a second look laparotomy was avoided in 5 patients with ischemic bowel disease.

Laparoscopic endocorporeal mobilization followed by extracorporeal sutureless anastomosis for the treatment of carcinoma of the left colon

Surgery has become progressively more reliant on technology. The technique of colonic anastomosis utilizing the biofragmentable anastomotic ring (BAR) is one such example. The benefits of therapeutic laparoscopy have been applied to the arena of colorectal surgery. A case is presented that combines these two modalities in a patient with colon cancer, laparoscopic mobilization of the large bowel, exteriorized resection, and BAR anastomosis.

Homologous cryopreserved saphenous vein for construction of a Jump' arterioarterial access for hemodialysis: a case report

An alternative technique enabling vascular access for hemodialysis is de scribed. A forty-year-old man suffering from end-stage renal failure underwent a radioradial arterioarterial jump bypass. This was done successfully by using a cryopreserved venous homograft, which remained patent and functional for twenty-two months.

Intra – and Retroperitoneal Bleeding Associated with Anticoagulant Therapy

Intra- and retroperitoneal bleeding may be associated with anticoagulant therapy and presents the gastroenterological surgeon with a diagnostic and therapeutic dilemma. Although these rare types of bleeding may be spontaneous, minimal trauma cannot be ruled out. In the case of retroperitoneal hemorrhage, conservative management may suffice, but in the case of intraperitoneal bleeding, urgent laparotomy may be required. It is not possible to elicit causal factors, and elderly patients on anticoagulant therapy should be carefully monitored on the appearance of any abdominal complaints.

A Simple Surgical Procedure for Relief of a Combined Ileo- Femoral Arterial Occlusion:

An unconventional procedure of endarterectomy of the external iliac and deep femoral arteries, in combination with bougienage dilatation of the superficial femoral artery, was used to relieve severe claudication in a 35 year old patient. This obliviated the need to perform a double graft bypass.