Subject(s)
Hernia/complications , Intestinal Obstruction/etiology , Aged , Humans , Intestinal Obstruction/surgery , Intestine, Small , MaleABSTRACT
An original technique for the repair of recurrent inguinocrural hernia destruction of the inguinal ligament is presented. A prosthetic lamina is applied in the subperitoneal space against the deep fascia of the inguinocrural musculature. It is held in place by intra-abdominal pressure and ordinary stitches. The subumbilical median route is used and the peritoneum and hernia sac are stripped from the abdominal wall.
Subject(s)
Hernia, Femoral/surgery , Hernia, Inguinal/surgery , Prostheses and Implants , Humans , Peritoneal Cavity , Polyethylene Terephthalates , Surgical MeshABSTRACT
Reference is made to personal experience in affirming that the treatment of perforated duodenal ulcer should set out to resolve both the perforation and the ulcer at the same time. Troncular vagotomy combined with pyroloplasty is put forward as an effective way of achieving this, and long-term results on a par with those obtained electively are described.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Perforation/surgery , Pylorus/surgery , Vagotomy , Duodenal Ulcer/surgery , HumansABSTRACT
A case of hernia-induced occlusion of the small intestine through an orifice of the broad ligament of the uterus is reported. After reviewing the literature, the pathogenetic aspects are considered, with reference to the congenital or acquired origin of the defect. Clinically, the most significant factors for diagnosis are the patient's multipara condition, previous obstetrico-gynaecological operations, signs of mechanical type intestinal occlusion and palpation of a parauterine mass. Surgical treatment involves straightforward mechanical ileus with repair of the occluding orifice.
Subject(s)
Adnexa Uteri , Broad Ligament , Hernia, Inguinal/complications , Intestinal Obstruction/etiology , Uterine Diseases/complications , Female , Humans , Middle AgedABSTRACT
Personal experience with two cases of symptomatic occlusion of the subclavian artery treated with axillo-axillary by-pass is reported. The operating technique, in which the second portion of the axillary artery and a dacron blood conductor are employed, is described and the various transthoracic and extrathoracic operations that have been proposed are reviewed along with the advantages and disadvantages of each. It is concluded that axillo-axillary by-pass is a simple solution for a complex haemodynamic, clinical and therapeutic problem.
Subject(s)
Axillary Artery/surgery , Subclavian Steal Syndrome/surgery , Blood Vessel Prosthesis , Humans , Male , Middle Aged , Polyethylene TerephthalatesABSTRACT
The pathogenetic and diagnostic features of false aneurysm of the left branch of the hepatic artery are discussed in the light of a personal case. It is felt that ligation of the vessel constitutes the treatment of choice, whereas hepatic resection should be undertaken in the case of very peripheral aneurysms.
Subject(s)
Aneurysm/complications , Bile Ducts , Hemorrhage/etiology , Hepatic Artery , Adult , Aneurysm/surgery , Biliary Tract Diseases/etiology , Humans , Male , Rupture, SpontaneousABSTRACT
Personal experience in intrahepatic biliojejunal anastomosis is described, along with the operative tactics and techniques now employed. Stress is laid on the importance of peroperative cholangiography in the division of patients into two groups with respect to drainage of intrahepatic bile, depending on whether or not a wide pathway exists between the two halves of the liver. The strategy to be used for each group is explained.
