[Intestinal intussusception in pregnancy with obstruction, caused by benign neurilemmoma. Role of abdominal echocardiography in the preoperative diagnosis].

A rare case of intestinalm obstruction caused by intussusception of the small bowel due to an intraparietal benign neurilemmoma (synonym: benign schwannoma) in a patient 35th weeks pregnant is reported. It is assumed that intestinal intussusception during pregnancy is a rare complication and the diagnosis is made difficult due to the pregnancy itself, delaying the onset of symptoms and treatment. The echography was the determining factor for the diagnosis.

[Surgical treatment of extrahepatic biliary lithiasis and Kehr's tube. Indications].

The paper outlines the indications for the use of Kehr's tube in the surgical management of extra-hepatic biliary lithiasis by reporting the authors' personal experience relating to the period 1988-1992. In line with data reported in the literature the paper emphasizes the value of Kehr's tube not only in those cases where it is necessary to prevent choledochotomy and radiological control, but above all were the postoperative possibility of removing any residual calculi using litholytic, endoscopic or lithotripsic methods, is of prime importance.

[Recurrent inguinal hernia. The surgical procedure and technic].

The authors describe two years and six months of personal experience in the treatment of recurrent inguinal hernia with polypropylene mesh. There was a follow-up with controls every 6 months with excellent results. From the data of the operation we programmed a further control 1'after 5 and 10 years.

[Video laparoscopic cholecystectomy. An analysis of our initial experience].

The paper analyses the authors' initial experience of video laparoscopic cholecystectomy, outing the difficulties and incidence of morbidity in the preliminary group of 38 patients. The details of complications and their pathogenesis are also reported.

[Inguinal hernia repair with marlex mesh in a preperitoneal site using the classical inguinal access].

Following a brief review of the main method of prosthetic repair used for inguinal hernia: Lichtenstein, Stoppa, Rives, etc, the authors propose an original technique consisting in the placement of a marlex patch below the trasversalis fascia, in a pre-peritoneal site, using a classical inguinal access route. The prosthesis is fitted round the spermatic funicle and fixed with a single stitch to the pubis and with a few others, in resorbable material, to the posterior face of the trasversalis fascia. Above it, plastic surgery is performed to bring the triple stratum closer to the reflexio of the inguinal ligament.