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Full-Text Articles in Medicine and Health Sciences
Treatment Of Rectal War Wounds, O J. Van Waes, J A. Halm, J Vermeulen, Vivian C. Mcalister
Treatment Of Rectal War Wounds, O J. Van Waes, J A. Halm, J Vermeulen, Vivian C. Mcalister
Vivian C. McAlister
Treatment strategies for penetrating rectal injuries (PRI) in civilian settings are still not uniformly agreed, in part since high-energy transfer PRI, such as is frequently seen in military settings, are not taken into account. Here, we describe three cases of PRI, treated in a deployed combat environment, and outline the management strategies successfully employed. We also discuss the literature regarding PRI management. Where there is a major soft tissue component, repetitive debridement and vacuum therapy is useful. A loop or end colostomy should be used, depending on the degree of damage to the anal sphincter complex.
Reuse Of Liver Grafts Following Brain Death Of The Initial Recipient, Hideaki Tanaka, Vivian C. Mcalister, Mark Levstik, Cameron Ghent, Paul Marotta, Douglas Quan, William Wall
Reuse Of Liver Grafts Following Brain Death Of The Initial Recipient, Hideaki Tanaka, Vivian C. Mcalister, Mark Levstik, Cameron Ghent, Paul Marotta, Douglas Quan, William Wall
Vivian C. McAlister
AIM: To determine if there is a reasonable prospect of success of a re-use liver transplantation.
METHODS: We systematically searched for reports of liver graft re-use using electronic searches of PubMed and Web of Knowledge. We performed hand searches of references lists of articles reporting re-use of grafts.
RESULTS:A systematic review of the literature reveals 28 liver transplantations using previously transplanted grafts. First and second recipients ranged in age from 4 to 72 years and 29 to 62 years respectively. Liver disease in the first recipient was varied including 5 (18%) patients with fulminant liver failure who died subsequently of …