International journal of surgery
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Comparative Study
Isolated roux loop pancreaticojejunostomy vs single loop pancreaticojejunostomy after pancreaticoduodenectomy.
Pancreatic anastomotic leaks are a major cause of morbidity and mortality following pancreaticoduodenectomy, and no single technique of reconstruction has shown to be superior. The aim of this study was to review the experience of single loop versus isolated Roux loop pancreaticojejunostomy in a series of patients undergoing pancreatic head resection. ⋯ There does not appear to be a significant difference in the rates of pancreatic fistula following either method of reconstruction. However, performance of an isolated Roux loop pancreaticojejunostomy entails a prolongation of operative time and more intraoperative requirement of blood transfusions.
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To study the management of complete renal artery occlusion in multiple trauma patients so as to develop a management algorithm. ⋯ Conservative management is advised in the treatment of unilateral complete blunt renal artery thrombosis. These patients need close follow-up for the risk of hypertension. Blunt renal artery thrombosis in multiple trauma patients indicates severe injury. Surgeons should critically assess the added risk of mortality against chances of recovering the renal function.