[Bleeding gastroduodenal ulcer: indications for surgical intervention].

The best chance for a patient with a bleeding gastroduodenal ulcer is: "a diligent doctor and a reluctant surgeon". It is necessary to evaluate clinical and endoscopic elements and to check haemodynamic and general conditions of the patient. A better prognosis is ensured by prompt initiation of therapy.

[Traumatic rupture of the diaphragm].

A survey based on 122 personal observations of traumatic rupture of diaphragm, involving stomach and spleen herniation into the chest, is presented. The importance of clinical symptoms for proper diagnosis and treatment is discussed, in relation to the different trends in the literature.

[A case of hernia of the liver following a traumatic lesion of the diaphragm].

The authors describe a case of liver -hernia ensuing a right diaphragmatic rupture. This is a rare event. However, the difficult diagnosis and possible ways of surgical access are discussed.

[Gallstone ileus, observations on 13 cases].

The authors expose some considerations about clinical features of this unusual condition. Thirteen cases of gallstone ileus are reported. The medium age was 70 years.

[Cystic dilatation of the choledocus].

Choledochal cyst is an uncommon congenital lesion of the pancreatobiliary system. The pathologic features are cystic dilatation of the common bile duct, normal liver parenchyma, a normal intrahepatic biliary system and partial obstruction of the terminal common bile duct. More than 1400 cases have been reported in tre literature, 83 per cent of which have been diagnosed in patients below the age of 30.

[Surgical therapy of recurrent varicocele].

In the surgical treatment of recidivous varicocele, has been adopted in eight patients a personal technique that varies in some points from the Ivanissevich's one. Large dissection and resection of the spermatic vein in peritoneum back zone for 6-8 cm. length, prier ligature of all possible collaterals.

[Diagnosis and therapy of splenic injuries].

The purpose of this work is a critical revision of spleen traumatism treatment. We have examined 46 patients which we treated by total splenectomy. We examined the recent literature on spleen functions and we tried to punctualize the newest methods for conservative treatment of the spleen.

[Biliary drainage in neoplastic obstructive icterus].

The authors consider the use of endoscopic or transhepatic bile drainage to regress jaundice and cholestasis before surgical treatment (radical or palliative) or like an alternative to it.

[Open and closed injuries of the abdomen (review of 107 surgically treated cases)].

The authors relate about 107 cases of multiple injuries observed from 1975 to 1984. The causes of trauma, the different injuries caused by trauma, the association of different injuries intra and extra abdominal are examined; the diagnostic procedure, the results obtained, mortality, complications. The studied patients are divided on the basis of the trauma occurred.

[Liver lesions in abdominal traumatology].

Hepatic traumas are one of the most common sequelae of abdominal injuries. The Authors report 24 cases of hepatic traumas about a casuistry of 104 patients, that, in the decade '74-'84, had an abdominal traumatism. The quality of injuries, the therapeutic actions, and results are described.

[Acute pancreatitis: retrospective study on the treatment of 45 cases observed in a general surgery department].

The Authors have developed a retrospective study of 45 patients, suffering from acute pancreatitis and hospitalized at a general surgery Departement during a period of two years. The purpose of the study was to evaluate the validity of the classification of acute pancreatitis in three degrees (slight, moderate, serious), suggested by Hollender to prognostic and therapeutic aims.

[Total parenteral nutrition in the treatment of acute pancreatitis].

The authors refer their experience in the treatment of the acute pancreatitis by total parenteral nutrition. The study has been carried on twelve patients selected on the basis of prognostic factors of gravity by Ranson. The total parenteral nutrition proved to be useful as a therapy of support, causing the functional rest of the gland and assuring to the patient a caloric and proteic contribution strict necessary to overcome the serious hypercatabolic state which is determined.