[The "open abdomen" method of treatment of postoperative peritonitis]. / "Abdomenul deschis"--metoda de tratament al peritonitelor postoperatorii.

The authors stress the therapeutical difficulties encountered in patients with severe postoperative peritonitis, necessitating multiple interventions for the solution of viscero-peritoneal problems, and of the abdominal wall. The authors' personal experience is presented with the method of the "opened abdomen", which is applied abroad under the improper name of "coeliostomy". The authors describe their procedure, and also describe a complementary method, of the socalled "semi-open abdomen", which is in fact a narrowing of the surgical wound with threads of inxodable wire. Four of six patients hospitalized in an extremely serious condition have been recovered.

[Duodenal biliary ileus]. / Ileusul biliar duodenal.

A clinical observation is presented, of a patient that underwent emergency surgery for biliary ileus located in the duodenum. The particularity of the case consisted in the presence of a double bilio-digestive fistula: between the cholecyst and the stomach, and between the cholecyst and the duodenum. The rarity and the clinical characteristics of this syndrome described by Bouveret are stressed. The aspect and the extension of the lesions found during surgery have made necessary to apply an exceptional surgical solution which consisted in cholecystectomy and antrectomy with gastro-jejunal anastomosis, excluding the sutured duodenum from the digestive pathway.

[Choledochal lithiasis caused by non-absorbable sutures after biliary surgery]. / Litiaza coledociana pe firc neresorbabile dupa interventii pe caile biliare.

The authors present two clinical observations of biliary calculi that developed upon the non-resorbable threads placed in the vicinity of the biliary pathways, or on the cystic stump, on the occasion of a previous intervention. A review is also presented, of the data in the literature and the process of development is discussed, of these calculi. The personal experience of the surgeon should be the decisive factor in making the right choice for such cases.

[Cystic dilatation of the common bile duct with cholangitis, jaundice and cholestatic cirrhosis]. / Dilatatia chistica a coledocului cu angiocolita, icter si ciroza colostatica.

The authors present a clinical observation of a patient aged 60 years with an asymptomatic cystic dilatation of the choledochus up to the age of 56, and in whom hepatic cirrhosis was detected, with biliary cholestasis, and a slow, torpid evolution. The authors performed cystoduodenostomy of necessity. A review of the literature over the last 20 years allows for a discussion of the clinical, etiopathogenic, and especially of the therapeutical aspects of this malformation. In spite of the current trend to perform exeresis of the cyst according to American and Japanese surgeons, the authors of the present study consider the internal derivation with the aid of a jejunal loop "àla Roux" may result in durable recoveries in at least two-thirds of the interventions, with a minimal surgical risk. If this type of interventions fails there is still possible to carry out iterative extirpation.

[Late results (10 years) after complete arterialization of the cirrhotic liver]. / Rezultate tardive (10 ani) dupa arterializarea integrala a ficatului cirotic (comentarii pe baza a 2 cazuri).

The authors present the results obtained after 10 years in two patients with hepatic cirrhosis in whom arterialization was carried out, of the liver, in association with a portocaval, or as an isolated intervention. These 2 cases represent the longest post-operative follow-ups of a group of 29 patients in whom hepatic arterilization was performed. The authors have used an original procedure of arterialization through the re-permeabilized ombilical vein. In the paper are given indications on the method on the basis of the experience acquired between 1965 and 1976.