Overview and Historical Perspective Amputation is thought to be one of the oldest surgical procedures. The earliest artificial limb dates from the Samnite wars of 300 bc . Until the time of Ambroise Paré (1510–1590), the techniques for amputation surgery…
With an increasing number of endovascular interventions replacing open vascular reconstruction, the management of open surgical complications may become less familiar to surgeons currently finishing training. Complications after aortoiliac and peripheral arterial reconstruction often develop and progress rapidly to produce…
Open vein harvest (OVH) for coronary artery bypass grafting (CABG) and infrainguinal bypass procedures is associated with increased patient morbidity and postoperative wound complications. In the limb salvage population, patients exhibit severe peripheral arterial occlusive disease, marginal distal perfusion, poor…
Central venous access is required for temporary or permanent hemodialysis in many situations. It is estimated that several million central venous catheters (CVCs) are inserted annually in the United States. This widespread use has been accompanied by a concomitant abundance…
Chyloperitoneum and chylothorax are unusual but morbid conditions that were first recognized in the 17th century as complications of trauma. Each is caused by the formation of a fistula between the lymphatics and the peritoneal cavity or thoracic cavity, and…