Effect of anterior highly selective vagotomy with posterior truncal vagotomy versus highly selective vagotomy on gastric secretion

Of forty patients with uncomplicated chronic duodenal ulcer 20 underwent anterior highly selective with posterior truncal vagotomy and the other 20 patients were treated by highly selective vagotomy. Insulin test was performed at the end of the first postoperative months; all patients had negative results. Gastric acidity, six months after anterior highly selective with posterior truncal vagotomy was reduced by 66.02% in basal acid output, and by 62.39% in the maximal acid output. In the mean time, gastric acidity after highly selective vagotomy was reduced by 63.85% in basal acid output and by 50.46% in maximal acid output

Anterior highly selective with posterior truncal vagotomy versus highly selective vagotomy for treatment of duodenal ulcer

Anterior highly selective with posterior truncal vagotomy, a relatively new procedure for treatment of duodenal ulcer is presented. The results of 20 patients operated upon by this procedure are analyzed and compared with the results of the conventional highly selective vagotomy that was done for another group of patients. Patients were assessed clinically, radiologically, endoscopically and by laboratory tests. The rationale and advantages of this procedure were discussed

use of preperitoneal approach and of fascia transversalis for the repair of recurrent inguinal hernias

This study included 30 patients suffered from recurrent inguinal hernias. The majority of the recurrences occurred within the first year after the original operation. Recurrent hernias were indirect in 26 cases and direct in 4 cases. The preperitoneal posterior approach was applied for all cases. 8 cases showed sound posterior walls of the inguinal canals and repaired by normalisation of internal inguinal ring only. Plication of the fascia transversalis was done in 12 cases in which mild redundancy of the posterior wall was noticed, and pectineal ligament repair was done in 10 cases in which marked redundancy and thinning out of the fascia transversalis was present

Part IV - spontaneous ventral hernias study of the etiology and treatment in the view of certain anatomical, clinical and operative observations in 104 cases

One hundred cases of herniae of the linea alba [midline spontaneous ventral herniae] were studied. Out of these we had 32 cases of paraumbilical hernlae which we regarded as defects in the lhiea alba nearest to the umbilicus. We believe that these herniae were due to protrusions of the extraperitoneal-fat through vascular lacunae. Vertical repair with imblication of the linea alba in its extent above the umbilicus was done using stainless steel wire. This technique proved very efficient in almost all cases. Two cases of spigelian herniae were presented and described. We had one more case of spontaneous lateral ventral hernia, due to congenital muscular deficiency