End vein-side artery anastomosis is associated with longterm patency and lower rate of venous hypertension in hand,[9] but in our study, we found that
side-to-side anastomosis had more patency rates.
A variation of this procedure involves an end-to-side (piggyback technique) or
side-to-side anastomosis, thereby leaving the recipient IVC intact (Figure 1B).
Arterial inflow is reliable, and a
side-to-side anastomosis to the median antebrachial vein or an end-to-side anastomosis to the communicating vein allows dialysis access both in the upper arm and, in a retrograde fashion, in the forearm.
It was shown that smoking (p=0.015) and jejunoileal anastomosis (p=0.002) were significantly closely correlated to increased risks of recurrence, whereas laparoscopy (p=0.039),
side-to-side anastomosis (p=0.018), and anastomotic stoma wider than 3 cm (p=0.024) were significantly closely correlated to reduced risks of recurrence.
Previous case reports indicating more typhoid ileal perforations, albeit in relatively younger patients, indicate different surgical approaches: a case of 25 perforations involving the distal jejunum and entire ileum successfully treated with single-layer closure [22]; a patient with 24 ileal and caecal perforations treated with bowel resection and ileotransverse
side-to-side anastomosis with proximal ileostomy [23]; and a child with 27 ileal and colonic perforations necessitating hemicolectomy [24].