RESUMO
Among the numerous operations proposed for the treatment of inguinal hernia, the authors utilised Shouldice's method of hernioplasty in over 400 cases of non-recurrent hernia. After drawing attention to a few anatomical type specifications regarding the inguinal canal structures, the "Canadian" surgical technique is described in detail. The authors analyse the various methods of hernioplasty now used and conclude that Shouldice's method should be considered elective in the treatment of primary direct inguinal hernias and voluminous indirect hernias in adults.
Assuntos
Hérnia Inguinal/cirurgia , Adulto , Humanos , Canal Inguinal/anatomia & histologia , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
Two cases of Ménétrier's disease are presented. Gastric resection was adopted due to necessity in one case, and total gastrectomy in the other. Gastric and digestive exploration, particularly gastroscopy, are regarded as indispensable diagnostic steps. Total gastrectomy is the treatment of choice. This prevents further protein loss and possible malignant degeneration.