Mind the vein length…
So you need to use a vein as a graft for a bypass. Definitely, it must not be long as it may kink leading to …
Continue ReadingClose this abdomen now!!!
So, everything went well, and it is time now to close the abdomen. What an issue? Piece of cake. Is it so? Abdominal incisions are …
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Repair of iliac vein or IVC tear: the invisible hole
So, we are talking about venous intra-abdominal bleeding. From an iliac vein or inferior vena cava injury. If this is from a visible point check …
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How to do a lower limb embolectomy on an obese patient
Can you think of a really fat person presenting with acute lower limb ischemia? Think of someone whose thigh is twice as normal size. Of …
Continue ReadingRepair of iliac vein or IVC tear: the visible hole
An iliac vein or worse an IVC (inferior vena cava) tear can be a nightmare. The patient may bleed heavily, and quickly the patient’s situation …
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Basilic vein transposition for AVF
Do you need to use the basilic vein for an autologous arteriovenous fistula (AVF)? This is really a good idea. Autologous vein, no synthetic graft …
Continue ReadingGet distal control on a ruptured AAA
So you have dived into a lake full of blood from a ruptured AAA. And you have proximal control. Great! What you need now is …
Continue ReadingHow to get proximal control on a ruptured AAA
On an open repair of a ruptured abdominal aortic aneurysm (AAA) the main issue is the proximal control. How will the surgeon clamp quickly and …
Continue ReadingRoof-top approach for a type IV thoracoabdominal aneurysm
We operated on a 68 year-old male patient who presented with a symptomatic type IV thoracoabdominal aortic aneurysm (TAAA). He had a history of a …
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