Symptomatic lower limb varices secondary to Castleman's disease.

Although lower limb varices are very frequent, their association with Castleman's disease is extremely rare. We report a case of Castleman's disease involving the right inguinal lymph nodes with subsequent development of the symptoms caused by the compression of the great saphenous vein's gulf. The patient underwent surgical extirpation of the right inguinal mass, which successfully eliminated all the symptoms.

[Latero-lateral portocaval anastomosis in the surgical treatment of portal hypertension: evaluation of a mean follow up of 14 years].

After the enthusiasm given by the new treatment techniques of complicated portal hypertension (sclerotherapy, TIPS and liver transplantation), various authors in the literature are considering the role of derivative surgery in the treatment of this affection, due to their consolidated experiences and with a long term follow-up. The authors analyse their own long experience, regarding 104 side-to-side porto-caval shunt. It has been done a complete follow-up, of 71 patients, for a period lasting from 4 to 20 years from the operation.

[The role of the environment in postoperative infections].

The infections are a common complication after surgical procedures, ranging from wound to peritoneal infections. The authors compared the results, in terms of wound infection, of the same equipment in two hospitals, one of which of modern concept. They analysed 1202 operations equally distributed between the two hospitals classifying them in four kinds of operations: I (clean), II (clean-contaminated), III (contaminated), IV (septic).