[Our experience in the treatment of imperforate anus. Anterior (Mollard's technic) versus posterior approach (Stephens' technic)]. / Onze ervaring met de behandeling van anus imperforatus. Anterieure (techniek volgens Mollard) versus posterieure toegangsweg (techniek volgens Stephens).

The present series concerns the method of treatment for anus imperforatus as it was performed at the Academic Hospital Ghent (Belgium) between 1971 and 1980. Two different technics are confronted one with the other: the anterior perineal approach according to Mollard and the posterior transsacral approach according to Stephens. In agreement with the recent literature the anterior way of acceding to the puborectalissling has undeniable advantage. Even with a very short follow-up period the number of children with supralevatoric localization of anus imperforatus treated by the technic of Mollard and showing a proven continence is now already outnumber.

[Parenteral nutrition "à la carte" in major abdominal surgery with mixtures of Totamine concentrate and Vintène. A clinical study based on nitrogen balance]. / Parenterale voeding "à la carte" in maieure abdominale heelkunde met gebruik van Totamine concentre en Vintène. En klinische studie aan de hand van de stikstofbalansen.

The authors present a series of thirty patients who underwent major abdominal surgery. Each patient received preoperative total parenteral nutrition (TPN) during bowel preparation. After the operation the TPN was continued immediately, even if reanimation was necessary. The dosages of nitrogen and calories were individually adapted in function of the daily calculated nitrogen-balances. So the authors were able to administer a TPN "à la carte" using eight solutions mixed in a single bag, containing amino-acids (varying between 6 and 20 g of nitrogen), glucose (ad 150 Kcal/gN) lipids (constituting 40% of the calorie-intake), ions, vitamins and oligoelements. With a follow-up of minimum 10 days, the study proves the possibility of creating positive nitrogen-balances in 87% of the cases and an acceptable deviation in the daily measured glycemia and plasma-ionograms.

[The use of nutritive mixtures in a surgical unit (author's transl)]. / Het gebruik van nutritieve mengsels in een chirurgische eenheid.

Fifty patients in whom different nutritive mixtures were used are presented. Eight solutions with increasing caloric and nitrogen contents were used. The purpose of the study was to improve the nutritional status of patients prepared to major surgical interventions. A daily nitrogen balance was made to find out in what measure a positive balance could be attained. The presence or absence of complication was of utmost importance in the evaluation.