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Forum members and moderators are responsible for their own posts.Please refer to our Terms of Service for more information.Moreover, the extended indications of PD in case of tumors associating hepatic artery (HA) variants or invading the mesentericoportal axis (borderline resectable pancreatic head adenocarcinomas) [11], as well as the importance to achieve R posteromedial resection margins (in adenocarcinomas and main duct-intraductal papillary mucinous neoplasms-MD-IPMN) [12], led to the development of so called “artery first” approaches [13].Notable amongst these is an early right posterior approach to the superior mesenteric vessels, with mesopancreas (MP) dissection close to the origin of the SMA.THEREFORE IF THERE IS NO REMARKS NEXT TO THE PRICING, PLEASE FACTOR A RANGE BETWEEN 10-20% INCREASE S ON THE PRICESI can't help but smile when I read all the questions asking about prices for LV stuff, especially when there is a comprehensive post on the price list just above. LV also has a dedicated telephone line for queries on prices.U get instant results, no need to wait for a kind soul in this forum to answer....might not even be accurate (no offense meant) since most of us do not work in LV. Don't mean to be rude, but do people actually read previous postings on this thread?While performing pancreaticoduodenectomy, early neck division may be impossible or inadequate in case of hepatic artery anatomic variants, suspected involvement of the superior mesenteric vessels, intraductal papillary mucinous neoplasm, and pancreatic head bleeding pseudoaneurysm. Thirty-two had hepatic artery anatomic variant and 2 had bleeding pancreatic head pseudoaneurysm.Our work aims to highlight a particular hind right approach pancreaticoduodenectomy in selected indications and assess the preliminary results. We describe our early hind right approach to the retropancreatic vasculature during pancreaticoduodenectomy by mesopancreas dissection before any pancreatic or digestive transection. The hepatic artery variant was preserved in all cases out of 2 in which arterial reconstruction was performed.

I was on a beach vacation with my kids too, so my hands were exposed to salt water, digging in sand, and scrubbing dishes as there was no dishwasher.

It was about a week and a half before my nails really needed a new manicure.

The residual polish was easily removed with regular polish remover. I'm just short of a week now and still perfect.

Just a thought I can't help but smile when I read all the questions asking about prices for LV stuff, especially when there is a comprehensive post on the price list just above. LV also has a dedicated telephone line for queries on prices.

U get instant results, no need to wait for a kind soul in this forum to answer....might not even be accurate (no offense meant) since most of us do not work in LV.