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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0972-2823
Vol. 56, Num. 4, 2010, pp. 332-332

Journal of Postgraduate Medicine, Vol. 56, No. 4, October-December, 2010, pp. 332

Letter

Authors' Reply

1 Department of General Surgery, General Hospital of Larissa; Department of Cardiovascular and Thoracic Surgery, University of Thessaly, Larissa, Greece
2 Department of Cardiovascular and Thoracic Surgery, University of Thessaly, Larissa, Greece
3 Department of General Surgery, General Hospital of Larissa, University of Thessaly, Larissa, Greece

Correspondence Address: D Karangelis, Department of General Surgery, General Hospital of Larissa; Department of Cardiovascular and Thoracic Surgery, University of Thessaly, Larissa, Greece, dimoskaragel@yahoo.gr

Code Number: jp10096

DOI: 10.4103/0022-3859.70931

Sir,

With regard to our Meckelostomy article, [1] we would like to provide the following answers.

First of all we are thankful to Yagnik [2] for his kind remarks on our method.

As far as the presence of ectopic tissue is concerned, a first-line, basic, macroscopic control was performed through intraoperative inspection and palpation of the diverticulum. So, the probability of such a case was kept to a minimum.

In addition, in the case of presence of an ectopic tissue, the related complications would be minimized due to the short life expectancy of the patient.

Finally, as we emphasized in the article itself that it was a method based on improvisation during the operation. The decision to perform it was based on the data available at that moment, such as condition and age of the patient, need for a short, uncomplicated operation, intraoperative anatomic findings, etc. The method is not recommended for every similar case; however, it could be useful as an alternative when palliative interventions are considered.

References

1.Karangelis D, Tagarakis GI, Drakos A, Giaglaras A. What Johann Friedrich Meckel did not think of when he named the diverticulum. J Postgrad Med 2010;56:40-1.  Back to cited text no. 1  [PUBMED]  Medknow Journal
2.Yagnik VD. Comments on the Meckelostomy procedure. J Postgrad Med 2010;56:332.  Back to cited text no. 2  [PUBMED]  Medknow Journal

Copyright 2010 - Journal of Postgraduate Medicine

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