Queries 5

• sengstaken blakemore tube
• hernia mesh rejection symptoms
• fissurotomy
• lasix sandwich
• anal+fissurotomy
• sengstaken blakemore
• empyema necessitans
• sengstaken-blakemore
• Space of Bogros Bhernia
• anal fissurotomy
• esophageal varices
• shalyajanya nadi vrana
• penetrating neck carotid artery
• pilonoidal sinus
• gatorade spleen
• urinary+tract+surgery
• CHRONIC INTESTIONAL PSEUDOOBSTRUCTION
• rocky davis incision
• urinary tract trauma
• caput medusae dilated veins
• spleen injury with blood behind heart
• bleeding caput medusa
• hernia mesh neuroma
• neuroma+hernia
• mesh rejection
• emphysema necessitans
• Infant Testicle
• blakemore+tube
• spleen injury

Surgical Infectious Disease. Management Of Surgical Infections

MANAGEMENT OF SURGICAL INFECTIONS

21. What is the drug of choice for the treatment of an abscess?

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A knife. Surgically drain the abscess. Abscesses have no circulation of blood within them to deliver an antibiotic. The antibiotic, even if injected directly into the abscess, would be worthless because the abscess contains a soup of dead microorganisms and white blood cells (WBCs). Even if the organisms were barely alive, they would not be reproducing and incorporating the antibiotic. The drug most likely would not work at all at the pH and pKa conditions of the abscess environment.

Liver Transplantation. Controversies

CONTROVERSIES

12. Should liver transplants be performed in individuals with alcoholic liver disease?

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Transplant centers have strict criteria that alcohol-induced liver transplant recipients must undergo extensive psychological testing and abstain from alcohol before being placed on the waiting list. The recidivism rate (i.e., transplant patients who start drinking again) remains low. Financially, the cost is comparable, if not lower, than continued medical management of end-stage liver disease. We currently do provide care for other self-inflicted medical problems, such as cigarette smokers. The public must realize that people are not being pulled off bar stools and taken to the hospital for their transplant.

Tracheoesophageal Malformations

85 TRACHEOESOPHAGEAL MALFORMATIONS
Denis D. Bensard M.D., David A. Partrick M.D.

1. What are tracheoesophageal fistula (TEF) and esophageal atresia (EA)?

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The trachea and esophagus appear as a ventral diverticulum arising from the primitive foregut during the third week of gestation. The trachea and esophagus undergo separation by the ingrowth of ectodermal ridges during the fourth week of gestation. Failure of separation results in anomalous connection of the trachea to the esophagus (i.e., TEF) with or without incomplete formation of the esophagus (i.e., EA).