[Femoro-popliteal bypass with reversed saphenous vein. Experience in a General Surgery Department]. / Bypass femoro-poplitei in safena invertita. Esperienza di una divisione di chirugia generale.

Femoro popliteal bypass with reversed saphenous vein are "the gold standard" for revascularization of lower extremities with femoro popliteal occlusion. This form of therapy is usually performed in a Vascular Surgery Department. We report the experience of a General Surgery Department, with patency of 90% at two years.

[Crural hernia after inguinal hernia repair. A technical note]. / Ernia crurale dopo plastica per ernia inguinale. Note di tecnica.

A case of femoral hernia following repair of an inguinal hernia with the Shouldice method is presented. The authors discuss the pathogenesis, suggest the use of ultrasound for a precise preoperative diagnosis, and propose the "plug" technique of Lichtenstein as the method of choice for the repair. This method offers a minimally invasive approach, without disturbing the previous inguinal repair and it is very simple to perform.

[Infected pseudoaneurysms of the upper limb. A case re-evaluation]. / Pseudoaneurismi infetti dell'arto superiore. Rivalutazione di un caso.

The authors report a case of infected pseudoaneurysm of the brachial artery in a drug addict, treated with aneurysm excision and brachio-brachial bypass with inverted saphenous vein. They review the literature on the subject and management options.

[The Knight-Griffen technique in colorectal surgery]. / La tecnica di Knight-Griffen nella chirurgia colorettale.

The use of stapling devices has changed the practice of colorectal surgery. The authors report their experience with the "double stapling" technique introduced by Knight and Griffen in 1980 for the performance of low colorectal anastomosis. They treated 42 patients, with a mean age of 63.2 years. In 34 surgery was performed for rectal adenocarcinoma, while 8 patients were being reoperated on for closure of a colostomy after Hartmann's operation. In one patient a diverting colostomy was fashioned because of poor bowel cleansing, secondary to a stenosing rectal carcinoma. Mortality was nil. There were no clinical anastomotic leaks. There were 2 cases of late postoperative anastomotic stenosis that responded to endoscopic pneumatic dilatation.

[Local anesthesia in anal surgery. Technical note and immediate results]. / L'anestesia locale nella chirurgia anale. Note di tecnica e risultati immediati.

The authors report their experience with the use of local anesthesia in anal surgery (hemorrhoids, anal fissures and fistulas). They describe their technique in detail, stressing the importance of thorough knowledge of the neuroanatomy of the anal canal and of a stepwise blockage of all sensory and motor fibers to the area. They report their results on 300 anal procedures performed under local anesthesia, with good patient acceptance.

[Calculosis of the cystic duct]. / Calcolosi del confluente biliare.

The authors report on three cases of cystic duct syndrome, a fairly uncommon complication of cholelithiasis, consisting in migration of a large gallstone from the gallbladder to the common bile duct, resulting in the formation of a common cavity between cystic, hepatic and common bile ducts. They review the pathogenesis of this entity, as well as the diagnostic modalities best suited to a precise diagnosis. They stress that surgical therapy must be chosen on a case by case basis, trying to restore a functional extrahepatic biliary tree.