[Conservative treatment of splenic injuries in the adult].

Because of the risk of overwhelming post-splenectomy infection, the current trend favors conservative treatment for splenic trauma. Out of a total of 70 cases of splenic trauma in adults seen over the last 5 1/2 years, 19 spleens were preserved, 13 with, 6 without operations. Ten operated spleens were examined by Duplex-sonography, on average 38 months after surgery.

[Carcinoma of Vater's ampulla and precursor states].

Treatment of periampullar carcinoma is known to be more rewarding than that of the cancer of pancreas. Operative mortality however remains high, and five-year survivors are a minority. Diagnosis of precancerous lesions should improve the prevention of these tumours.

[Prognosis of iatrogenic and accidental vascular trauma].

The prognostic of vascular trauma does not only depend on the associated lesions and time before treatment. Without obvious symptoms, serious vascular lesions can be overlooked. A preexisting arteriosclerosis explains the different outcome in geriatric patients.