Pulmonary complications are 57% with TTE 27% with THE ( SKF 409)
Anastomotic leak 16% TTE and 14% THE ( not significant) subclinical leak slightly more in THE
Option D is correct
Cardiac complications, Vocal cord paralysis , wound infection, chyle leak are all more with TTE
Blackmon et al. published a propensity-matched analysis comparing outcomes between side-to-side stapled anastomosis, end-to-end circular stapled anastomosis, and handsewn, with no significant difference in leak rate noted. ( SKF page 475)
Q) Which surgery would be preferred to be done in young unmarried female with steroid refractory Ulcerative colitis and 15 bloody bowel movements per day?
The risk of infertility following IPAA was estimated to be approximately 50% compared with 15% among medically treated patients.
Given these data, many surgeons advocate for a three-stage procedure in which subtotal colectomy with end ileostomy is performed and IPAA is deferred until childbearing is
completed.
Q. Which of the following is not a histologic feature of acute phase in caustic injury of the esophagus? a) Thrombosis b)Liquefaction Necrosis c) Sloughing d) Bacterial and lymphocyte infiltration