[Combination of endovenous laser treatment and a surgical approach for venous disease].

The aim of our study was to report our experience with endovenous laser treatment (EVLT), initiated with an exclusively US-guided approach, but then combined with a surgical approach. Over the period from September 2003 to December 2005 in the Sondrio Hospital General Surgery Unit 61 patients were submitted to EVLT. In the first 13 cases the procedure was performed under ultrasonographic guidance, whereas later we opted for a combined technique in which the use of the laser was preceded by high ligation of the saphenous vein ("crossectomy") together with complete sectioning of the venous collaterals (48 cases).

[Laparoscopic Nissen-Rossetti fundoplication: intermediate and long-term outcomes].

The aim of this study was to report our personal experience with laparoscopic antireflux surgery using the Nissen-Rossetti fundoplication technique and to analyse the clinical and functional outcomes. From 1994 to 2002, 52 patients with gastro-oesophageal reflux disease underwent laparoscopic surgery after previously being submitted to endoscopy, gastro-oesophageal pH-metry and oesophageal manometry. A Nissen-Rossetti total fundoplication (short and floppy) was performed in all patients, even in those with defective peristalsis.