[Emergency surgery of a case of perforated gastroduodenal ulcer].

Surgical treatment of acute perforated gastric and duodenal ulcer is connected to high postoperative lethality. By emergency procedure it has to be decided between performing a simple closure or performing initially a definitive operation to control the peptic disease. The therapeutic options at our institution are based on a severity score which includes patient's age, associated pathology, grade of the peritonitis, delay between the onset of symptom and surgery, history of ulcer disease.

[Prosthetic cement: a vital risk?].

This study analyses the causes of early death among 17/702 patients which received a hip endoprosthese following a fracture of the femoral neck. Among other patients we conducted 25 endoesophageal cardiac ultrasonographies during elective total hip replacement. There is only a bad correlation between the occurrence of embolies and using of cement.

[Is implantation of a unipolar femoral endoprosthesis obsolete?].

The authors are presenting a retrospective study of the long-term results of 702 femoral cephalic endoprostheses (451 unipolar and 251 bipolar prostheses). The mean age of the patients at operation was 80.1, in the majority of the cases the indication was a fracture of the femoral neck.

Pressure sore carcinoma: a late but fulminant complication of pressure sores in spinal cord injury patients: case reports.

The development of a pressure sore carcinoma in scars of spinal cord injury patients is a rare event (less than 0.5%) and occurs late (more than 30 years after the spine injury) but the prognosis is very poor. Five cases are reported and different aspects are reviewed: anamnesis, clinical features, and follow-up studies.

The single-layer continuous suture for gastric anastomosis.

The single-layer continuous suture technique has proven to be safe for all intestinal anastomoses of intraperitoneal small and large bowel segments. Since 1985, this technique has also been increasingly applied for gastroduodenostomy and gastrojejunostomy following partial gastrectomy. Through December 1989, we performed 96 gastroenteric anastomoses with the single-layer continuous suture technique.