[Repair of inguinocrural hernias with subperitoneal prostheses]. / La riparazione delle ernie inguino-crurali recidive con protesi sottoperitoneali.

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.

[Internal hernia through an orifice of the broad ligament of the uterus]. / Ernia interna di un orificio del legamento largo dell'utero.

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.

[Rupture of the pericardium caused by closed thoracic injuries]. / Rottura del pericardio da trauma chiuso del torace.

Rupture of the pericardium due to closed thoracic trauma is a very rare event which is hard to diagnose. It occurs in the form of two main clinical pictures: 1) severe chest trauma with massive haematoma requiring surgery and which permits diagnosis, and 2) precordial pain and clinical signs of pericardiac origin. Surgery is essential in view of the risk of lethal complications from cardia luxation. Operation consists of closure of the pericardiac lesion.

[Endoscopic control of patients subjected to vagotomy and drainage for duodenal ulcer. Personal experience]. / Controllo endoscopico in pazienti operati di vagotomia e drenaggio per ulcera duodenale. Nostra esperienza.

The usefulness of endoscopic examination of patients subjected to vagotomy and drainage for duodenal ulcer is stressed, since it permits recurrences and ineffective treatment to be detected, along with the control of other parameters, such as the appearance of the mucosa, the performance of gastric drainage, the features of peristalsis and gastric tone, and the performance of the cardial sphincter. Data from a series of 43 endoscopies performed after 192 vagotomy and drainage operations carried out between 4-1973 and 5-1976 are presented.

[Hemobilia caused by rupture of a false aneurysm of the left branch of the hepatic artery]. / Emobilia da rottura di falso aneurisma del ramo sinistro dell'arteria epatica.

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.

[Benign tumors of the stomach]. / I tumori benigni dello stomaco.

Personal experience in cases of benign tumour of the stomach is presented. Diagnosis cannot be based on the clinical evidence alone, but must be supported by radiological examination and, more particularly, by endoscopic biopsy. Endoscopic resection and continuous follow-up examinations provide an alternative to radical surgery and gastrotomic resection.