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Laparoscopic ligation of the cisterna chyli at the level of the aortic hiatus was performed in a 69-year-old woman with post-lobectomy chylothorax refractory to 3 weeks of conservative therapy and one repeat thoracotomy with attempted ligation of a leaking lymphatic channel. This laparoscopic procedure was successful, and resolution of the chylothorax was… (More)
Two patients presented several years after Nissen fundoplication with dysphagia and/or hemorrhage. In both, the fundoplication was intact in the original relationship to the cardia but herniated gastric wall was found between the fundic wrap and the distal end of the esophagus. The diagnosis and alternatives for preventing this problem are presented.
This is the 31st report of spontaneous transanal evisceration of small bowel. This case is unique because a rectal prolapse had been repaired previously and at the time of evisceration, there was no evidence of recurrence. Inherent or acquired weakness of the anterior rectal wall combined with a sudden increase in intra-abdominal pressure appears to… (More)
BACKGROUND Laparoscopic surgery has become the standard of care for benign gallbladder disease. PATIENTS AND METHODS We treated two middle-aged women having acute exacerbations of chronic gallbladder disease with laparoscopic cholecystectomy. A cholecystoduodenal fistula was diagnosed intraoperatively in each case. These fistulae were repaired… (More)