Immediate and delayed results in complicated cancer of the colon.

In 34 patients operated on in emergency for complications of cancer of the colon (CC) it was found that complications prevailed in stage III of disease and were mainly represented by occlusions which were more frequent in left colon cancer. Radical surgery proved preferable to the palliative one. The mean survival time in months after emergency surgery for complications of CC was longer for right colon localizations and after radical surgery.

Immediate and late results in the surgical treatment of gastric cancer.

The study of 248 patients mostly males, aged over 50 years, operated on for gastric cancer (GC) has shown that the majority were in stages III and IV of disease. The antral localization of the tumor was the most frequent. In 6.

Immediate and late results in the surgical treatment of gastric ulcer.

The study of 205 patients showed that complicated gastric ulcer (GU) (55.57%) is followed by a high postoperative morbidity (8.78%) and mortality (1.

The prevention of postoperative thromboembolic complications with small heparin doses.

For the prevention of postoperative thromboembolic complications (TEC) in patients with thromboembolic risk, heparin was administered subcutaneously in small doses, adapted to each patient. The efficiency of each method was confirmed clinically by the absence of TEC, verified by the administration of labelled fibrinogen and by the anatomopathologic examination. In contrast, in the control group there were 3.

[The "open abdomen" method of treatment of postoperative peritonitis].

The authors stress the therapeutical difficulties encountered in patients with severe postoperative peritonitis, necessitating multiple interventions for the solution of viscero-peritoneal problems, and of the abdominal wall. The authors' personal experience is presented with the method of the "opened abdomen", which is applied abroad under the improper name of "coeliostomy". The authors describe their procedure, and also describe a complementary method, of the socalled "semi-open abdomen", which is in fact a narrowing of the surgical wound with threads of inxodable wire.

[Duodenal biliary ileus].

A clinical observation is presented, of a patient that underwent emergency surgery for biliary ileus located in the duodenum. The particularity of the case consisted in the presence of a double bilio-digestive fistula: between the cholecyst and the stomach, and between the cholecyst and the duodenum. The rarity and the clinical characteristics of this syndrome described by Bouveret are stressed.

[Choledochal lithiasis caused by non-absorbable sutures after biliary surgery].

The authors present two clinical observations of biliary calculi that developed upon the non-resorbable threads placed in the vicinity of the biliary pathways, or on the cystic stump, on the occasion of a previous intervention. A review is also presented, of the data in the literature and the process of development is discussed, of these calculi. The personal experience of the surgeon should be the decisive factor in making the right choice for such cases.

[Cystic dilatation of the common bile duct with cholangitis, jaundice and cholestatic cirrhosis].

The authors present a clinical observation of a patient aged 60 years with an asymptomatic cystic dilatation of the choledochus up to the age of 56, and in whom hepatic cirrhosis was detected, with biliary cholestasis, and a slow, torpid evolution. The authors performed cystoduodenostomy of necessity. A review of the literature over the last 20 years allows for a discussion of the clinical, etiopathogenic, and especially of the therapeutical aspects of this malformation.

[Possibilities of early detection of postoperative venous thromboses].

The use of labelled fibrinogen in 106 patients with thromboembolic risk led to the detection of thrombosis of deep veins of lower limbs in 25 patients (23,58%) as compared with a single patient (0,94%) who showed all the clinical signs. The thromboses were identified more frequently (in 60% of the cases) in patients whose age was above 60 years. In 80% of the cases the thromboses were detected in the first 24 h after surgery.

[Spontaneous sigmoido-vesical fistula].

The colo-vesical fistula, most frequently of diverticular origin, usually occurs at a later age, when the diverticular disease is complicated by local and peri-sigmoidal processes. A characteristic of this disturbance is the fact that, although the causal affection is colical, the manifestation, at least initially, is mostly at the level of the urinary bladder, under the form of repeated bouts of cystitis of an apparently undetermined origin. Such manifestations should prompt, besides exploration of the urinary apparatus, also an exploration of the colon.