[Preliminary results for intraperitoneal chemotherapy in abdominal cancers]. / Date preliminare despre chimiohipertermia intraperitoneala (CHIP) în cancerele organelor intraabdominale.

The paper presents a review of the the last 20 years experience of some important oncologic and surgical centers all over the world on IntraPeritoneal Hyperthermic Chemotherapy (IPHC) applied by well known specialists in this domain: Sugarbaker P. (SUA), Takeshi S. (Japan, Elias D. (France), Deraco M. (Italy) and others. Then 20 cases of abdominal cancers with or without peritoneal metastases are presented, in which IPCH was applied using a Romanian apparatus of drainage - lavage with hyperthermic solutions of 5 Fluorouracil, alone or combined with cisplatin, over a 3 years period. The results are encouraging although the follow-up of this group is in progress.

[The role of intraoperative ultrasound in the diagnosis and treatment of hydatid liver disease]. / Rolul ecografiei intraoperatorii in diagnosticul si tratamentul bolii hidatice hepatice.

Liver hydatid disease still represents a frequent condition in Romania, especially among population of Dobrogea County, which may lead to life-threatening complications. To assess the role of intraoperative ultrasound (IOUS) in the diagnosis and treatment algorithms of liver hydatid disease. We could not find any similar studies in the literature in order to compare the results. The paper represents a retrospective study of IOUS performed for liver hydatid disease on a group of 43 patients admitted in the 2nd Clinic of Surgery - Clinical Emergency Hospital of Constanta. IOUS was intraabdominal (36 cases), transdiaphragmatic (7 cases) and was able to diagnose infected liver HC (7 cases), locate bilio-cystic fistulas (6 cases), hydatic cysts (18 cases) or relation with important anatomic elements (12). Ultrasound-guided frenotomy was performed in 5 cases and ultrasound-guided puncture in 9 cases. In 26 out of 43 patients (60.47%), IOUS influenced decision making during surgery. These data recommends IOUS in managing hydatid disease, allowing a complete diagnosis and optimal treatment, thus reducing postoperative morbidity.

[The use of Sono-Surgery in breast cancer surgery]. / Utilizarea Sono-Surg-ului în chirurgia neoplasmului de sân.

THE AIM: Of this research is presenting the using of Sono-surg as a technic possibility in breast cancer surgery. MATERIAL AND METHODS: Are presented and analyzed cases of mastectomy and laparoscopic oophorectomy in which since 1999, was used like element of hemostasis Sono-surg. RESULTS: In 23 cases of laparoscopic oophorectomy using Sono-surg, was reduce the time of intervention, incidence or usually complications. The idea of using Sono-surg in mastectomy too, make sure a perfect hemostasis even if the time of the intervention is longer. CONCLUSION: Introducing Sono-surg in surgical treatment of breast cancer is a therapeutic solution which may be used with postoperative profits.

[The anal incontinence-- study on 20 operated cases]. / Incontinenta anala--studiu pe 20 cazuri operate.

The authors present 20 cases operated for anal incontinence. Two techniques were performed: direct repair (18 cases) and Musset-Cottrell procedure (2 cases). The results were excellent in 12 cases, good in 5 cases and satisfactory in 3 cases. The method of choice seems to be the direct repair of the anal sphincter after a proper local and general preparation.

[Urinary complications after anorectal surgery]. / Tulburari urinare postoperatorii în chirurgia ano-rectala.

The prevalence of urinary complications after various anorectal operations was studied in a group of 273 patients. The overall prevalence of urinary complications was 26.7%; most of these complications affected men between 41 and 50, mainly after hemorrhoidectomy. In 10.6% of patients, bladder catheterization was needed. These urinary complications result from nervous reflexes originating from the anus and determined by the operative trauma and/or rectal distinction. In the treatment of these urinary complications, the role of the muses is essential for reassuring the patients. Parasympathomimetic drugs are often efficient. Urinary catheterization must be delayed until the 18th hour. Fluid restriction may be useful to prevent urinary retention.