[Approach in the treatment of combined aorto-iliac and femoro-popliteal lesions].

Recognition of the hemodynamic importance of aorto-iliac and femoro-popliteal stenoses or occlusions is essential for correct vascular reconstruction. Non-invasive examinations, arteriography, pressure- and flow-measurements add their value to clinical judgment and surgical experience. Practical guides are given to decide for one-level-reconstruction, concomitant or delayed two-stage-repair, or a combination of balloon-dilation together with arterial reconstruction.

[Contribution of femoral hemodynamics (intra-arterial velocity, pressure) in indications for vascular reconstruction in ischemia of the lower limbs. Preliminary study].

The choice of the best operative procedure in vascular reconstructions for ischemic lower limbs, is mainly guided by clinical experience and by arteriography. Doppler wave analysis and femoral artery pressure measurements are new diagnostic tools. In those difficult cases of multiple-level-disease, the intra-operative measurement of the femoral artery pressure proved to be an important step for the operative decision.

[Organization and activities of microsurgery in Belgium].

Answering the question of indications and organisation in microsurgery in Belgium, a report is given of the microsurgical activities around the country. The benefit of the multicentered activity is stated and the necessity of a more pronounced organisation for emergency microsurgery is stressed.

Iatrogenic chylothorax. Etiologic and therapeutic considerations, with presentation of two clinical cases.

A case of mediastinal sclerosis after radiotherapy is presented as a curiosity in iatrogenic etiologies of chylothorax. After 7 weeks of conservative treatment, an operative pleurodesis was successful. In a second clinical case, the hazardous intra-thoracic coagulation of the chyle is illustrate.

[Review of 1,375 cases of vascular reconstruction for ischemic disorder of the lower limbs Statistical analysis of late postoperative thromboses with evaluation of the effect of an anti-platelet agent[tauthor's transl)]].

The authors are presenting 1.375 cases of arterial reconstruciton of the lower limbs, those patients having undergone 1.562 operatons between 1963 and 1974.