[Effect of improved surgical anesthesiologic factors on the results of treatment of aneurysms of the abdominal aorta].

The purpose of this study was to compare the recent results of the abdominal aortic aneurysm (AAA) surgery, with the results for the patients operated ten years ago, and to identify the factors influencing the operative results. Two groups of patients were selected using a retrospective case series study. First group of patients (A) consisted of 32 cases operated in the period between 1984 and 1986, and the second group (B) consisted of those operated ten years later (from 1994 to 1996).

[War injuries of the arteries].

The experience with military vascular injuries in the recent war in Crotia is reviewed. From April 1991 to October 1995, 197 wounded persons with 231 injuries of arteries were admitted to the University Hospital Rebro. The most common injuries were of lower extremity arteries (54.

[Surgical treatment of war injuries of the veins].

Between April 1991 and December 1995, 118 patients were treated for wartime venous injuries. There were 108 (91.5%) venous injuries combined with arterial ones, and 52 (49%) with bone fractures.

Arteriovenous fistula of the internal mammary artery (combat injury): transcatheter intravascular coil occlusion.

A case of arteriovenous fistula of the left internal mammary artery occluded by Gianturco coil is reported. A 26-year-old male suffered multiple explosive injuries. Right heart failure developed postoperatively.

[Non-occlusive mesenteric ischemia].

Critical survey of functional anatomy of the upper mesenteric artery, patophysiology of the mesenteric ischemia, and the diagnostic procedures are assessed from the viewpoint of possibilities of operative correction and the author's hitherto experience in the upper mesenteric surgery. Comparison of diagnostic with operative management in two patients points to common causes of the disease, as well as to some of the preoperative misunderstandings. The indication for revascularization of the upper mesenteric artery and consequent amelioration of postoperative course in the patient with non-occlusive mesenteric ischemia is explained.

[Surgical reconstructive treatment of blood vessels in the popliteal region].

Severe occlusive disease frequently includes the popliteal artery and origin of the trifurcation vessels with reconstruction of one or more of the crural arteries. We made femorocrural bypass 23 times. Our indications for operation continue to be relief of pain or salvage of extremity.

[Blood vessels injuries in intra-articular and para-articular fractures].

The authors reviewed the problems of vascular injuries with fractures in the nearness of joints. They have pointed out the period from injuries to the operations. Particularly they accentuated importance of team work between bone and vascular surgeons.

[Anesthesia in surgery of the veins].

Patients with varicose complex of low extremities do not present any special problem in anaesthesiology. Method recommended is inhalational anaesthetic, eadly mobilisation of patient and infusion of low molecular dextran, during and immediately after operative procedure. During thrombectomy from deep venous system there is real danger of pulmonary embolism.