Objectives: Recently, the model for End-Stage Liver Disease (MELD) was proposed for the prediction of survival in transjugular intrahepatic portosystemic shunt (TIPS) patients. We therefore compared the prognostic accuracy of the MELD model and the Child-Pugh score, in an unselected cohort of TIPS patients followed long-term. Methods: A retrospective chart review and statistical analyses were done on 120 patients consecutively admitted for portal hypertension from 2009 to 2013 in the Jinling hospital (Nanjing, China). Results: The survival rate for all patients was 95.8% at 3 months, 90% at 1 year, and 85.8% at 3 years. Significantly lower survival rates were found in patients with MELD scores of 15 or more in comparison to those with MELD scores of 15 or less (p<0.001).There was no significant difference in survival rate between patients with Child-Pugh classifi cation A and those with Child-Pugh classifi cation B, while the patients with Child-Pugh classification C has a signifi cantly lower survival rate than those with Child-Pugh classification A and B (p<0.001). The discrimination powers of MELD (c statistics: 0.772, 0.680, 0.647 for 3-month, 1-year, and 3-year survival) were not signifi cantly different from the discrimination powers of Child-Pugh score at the same time points (c statistics: 0.795, 0.732, 0.678).

Background: Renal failure is a systemic disorder and has destructive effects among all organs including cardiovascular system. The development of postoperative acute kidney injury has been recognized as one of the strongest risk factor for mortality in patients undergoing cardiac surgery. Aim/Objective: To investigate postoperative course of acute on chronic renal failure after cardiac surgery and define perioperativerisk factors for predicting postoperative acute renal failure (ARF) development. Materials and Methods: From January 2006 to December 2014, data of 3038 patients undergone cardiac surgery was retrospectively reviewed. Data of 42 chronic renal failure (CRF) patients who undergone dialysis at early postoperative period (=30 days after cardiac surgery) were selected and evaluated. Group 1 (n=18) was consisted of patients who have preoperative dialysis dependent CRF and undergone dialysis after cardiac surgery, while Group 2 (n=24) was consisted of patients who have preoperative dialysis nondependent CRF and undergone dialysis after cardiac surgery. Preoperative clinical characteristics and demographics, operational data of patients as well as postoperative outcomes of patient groups were analyzed, hereby a comparison of two groups was performed.

Vascular injury during total hip replacement is a rare condition with the incidence varying between 0.1% and 0.3%. However when develops, it has a potential of serious complications such as extremity loss and even death. Prompt identification and appropriate surgical management of this condition are crucial and may decrease the rate of morbidity and mortality. In this report, we presented a case of iatrogenic iliac vein injury during total hip replacement and its successful surgical management.