A tool for transhepatic stenting.

A modified method for transhepatic tube stenting is presented. The use of a No. 25 gauge music wire (1.

Anaplastic adenocarcinoma of the thyroid gland: a study of ten cases.

Anaplastic carcinoma of thyroid gland, while rare, is the most common cause of death from thyroid cancer. Ten cases from a teaching department of surgery have been reviewed, with two-year follow up. Steps in pathological behaviour and management of this lesion are discussed.

[Experimental intrauterine surgery: the creation of a congenital diaphragmatic hernia in a sheep fetus].

Up to 50% of the neonates operated during the first hours of life for a congenital diaphragmatic hernia die. The presence of a severe lung hypoplasia, which is at the origin of hypoxia, acidosis, increased pulmonary vascular resistance and right to left shunt, explains the poor clinical results, in spite of surgical success and intensive therapy. A modern approach to the problem includes treatment with pulmonary vasodilator drugs, whose effects are still discussed.

[Radiological and clinical considerations on the behavior of the interposed jejunal loop in partial and total gastric resection].

A personal series of 102 cases (in five years) where the interposed loop was employed in gastric and duodenal surgery is presented. The behaviour of the transposed jejunal segment is discussed on the basis of radiological study using direct videography.

[Tumors of the head of the pancreas. Echographic diagnosis].

The diagnostic possibilities in cancer of the head of the pancreas offered by radiography, angiography, isotopic and endoscopic investigations (with respective accuracy percentages) are examined and a new technique based on the use of ultrasounds is presented. Echography exploits the different structures of tissues by reflecting the ultrasound beam which strikes them in a different way, providing a bidimensional tomographic picture of the surface explored with echostructural profiles and characteristics of the organs. The personal series, together with pictures and percentages of correct diagnosis, is presented.

[Isolated obliteration of the popliteal artery. Angiographic, functional and surgical considerations].

31 patients suffering from isolated obliteration of the popliteal artery were selected for reporting from a series of 1500 peripheral angiographies. It is pointed out that the lesion is due principally to a segmentary localization of atherosclerosis. A case of adventitial cyst and one of muscular pincer syndrome have also been encountered.

[Surgical trend in the treatment of chronic venous insufficiency and in the post-phlebitis syndrome].

Experience in the management of the complications of varicose diseases is described. The series consists of 173 patients with chronic venous insufficiency (including 30 with post-phlebitis syndromes). In 90% of cases, interruption of the communicating vessels according to Linton gave final cure of ulcere and eczematous dermatitis.

[Interposition of the jejunal loop in the surgical treatment of gastroduodenal ulcer, postprandial syndromes and gastric cancer].

50 cases of interposition of jejunal loop (32 for gastric cancer and 18 for ulcerous pathology) carried out over the last 3 years are reported. From a technical point of view and as an alternative to degastroenteroanastomosis, interposition of the loop is preferred in partial oral end-to-end on the stomach. In neoplastic lesions, Mouchet-Camey type reconstruction was adopted as a routine measure.