[Late results (30 years) after bilateral simultaneous lung resection for chronic bronchiectasis]. / Rezultat foarte îndepartat (la 30 de ani) dupa rezectie pulmonara bilaterala simultana pentru bronsectazii cu supuratie hipercronica.

The author present a patient operated in 1971 for bilateral bronchiectasies, with bilateral simultaneous pulmonary resections with 11 1/2 pulmonary segments resected, at 13 age. After 30 years the patient is very well with ex. C.T. and pulmonary functions quasi normal.

[Congenital transdiaphragmatic hernia with a late manifestation]. / Hernie transdiafragmatica congenitala cu manifestare tardiva.

A case of diaphragmatic pathology is presented consisting in transdiaphragmatic penetration of abdominal viscera. It raised problems of differential diagnosis with other intrapleural pathology. X-ray aspects should not be interpreted without including them into the general clinical and laboratory data in order to avoid errors of diagnosis and treatment.

[The pathogenetic and therapeutic problems of spontaneous pneumothorax]. / Contributii la problemele patogenice si terapeutice ale pneumotoraxului spontan.

The author analyzes a number of 1,off cases of spontaneous pneumothorax, admitted to the hospital and treated. The term of spontaneous pneumothorax is not the best one, as the cause generating he it is almost always revealed, but it entered the medical language and is still used. The differential diagnosis is sometimes difficult, especially with the giant pulmonary emphysema, different from it by clinical and radiological aspects. The author recommends the following therapeutic attitude: aspiratory drainage (the flow and magnitude of the aspiration are led in terms of the flow of bronchial communication), with introduction of irritating substances through the drainage tube. In relapsed pneumothorax, or in cases in which the healing does not appear after a correct and well-conducted aspiratory drainage the surgery is required (Prof. C. Coman's procedure).

[Our experience in the surgical treatment of pleural empyema by thoracopleuroplasty]. / Experienta noastra privind tratamentul chirurgical al empiemelor pleurle prin toracopleuroplastie.

An analysis is presented, of the experience acquired in the Clinic for Thoracic Surgery from Bucharest in the surgical treatment of thoracal empyema by the Andrews type thoracopleuroplastia. The advantages of the surgical technique are stressed, after the modifications introduced by the authors, in contrast with other surgical techniques used, such as successive-type thoracoplastia, topographical thoracoplastia, plastron removal, etc. Careful preoperative preparation is recommended, and surgical indications are indicated and the major technical and tactical principles of the intervention are described. The Clinic's experience is based on 281 interventions. Of these 206 cases were of bacillary origin and 75 were non-bacillary. The etiologic forms of these empyemas are also analyzed. In such interventions the mortality was under 1%. Recidives were noted in approximately 1% of the cases and postoperative complications were solved without raising particular difficulties. These results recommend the thoracoplastia type intervention as the choice technique in a large number of thoracic empyemas.