Journal of medicine and life
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Patients with extensive burns (TBSA over 45%) can benefit from treatment with split thickness skin allotransplants (skin bank or honorific donors). In this study, we present our protocols for the surgical treatment by using allografts. ⋯ The treatment includes a serial excision grafting with simple grafts or the sandwich method, which implies the covering of the wound with a widely meshed autograft (6:1). This layer is covered by a 1,5:1 or 3:1 expanded mesh allograft.
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Anastomotic dehiscence (AD) is the "Achilles heel" for resectional colorectal pathology and is the most common cause of postoperative morbidity and mortality. AD incidence is 3-8%; mortality rate due to AD two decades ago was around 60% and at present is 10%. This paper analyzes the incidence of AD after colorectal resection performed both in emergency and elective situations, depending on the way it is done: manually or mechanically. ⋯ Mechanical suture technique is not ideal for making digestive sutures. With the exception of low colorectal anastomoses where mechanical sutures are preferable, we cannot claim the superiority of mechanical anastomoses over those manually made, for colorectal neoplasia.