Search

Based on the experience accumulated in the treatment of 35 cases of iterative occlusions through adherences and perivisceritis the authors present the advantages and the disadvantages of the different operatory techniques employed (total or partial Noble procedure, Raymond technique, Child-Phillips method, C. Andreolu and I. Vintilă procedures). The various factors are stressed (such as local and general conditions of the patients) that preside over the selection of the operative procedure.

In 19 cases of benign tumors of the stomach (representing 4,8% of a total of 417 cases of gastric tumors hospitalized between 1969 and 1975) the authors stress the difficulties of the early diagnosis, the non-characteristic symptomatology, as well as the fact that the patients are hospitalized mostly for acute complications (upper digestive hemorhages). The type of expresis depends on the location and the extension of the tumors.

In a group of 71 patients with traumatic lesions of the colon 14 deaths were recorded, representing 19.7% of the total. In 27 patients with isolated colon lesions surgery successfully solved all the cases without any death. Death-rates increased when traumatic lesions of the colon were associated with those of other abdominal organs. From the etiological viewpoint the lesions of the colon were due in 45 cases to pointed weapons, in 4 cases to firearms and in 22 cases to abdominal contusion. Three patients died during surgery, in whom attempts were made far the repair of associated visceral lesions far more severe than the colon lesion. In 68 patients the following surgical interventions were made: 51 primary sutures with peritoneal drainage; 10 colectomies followed by immediate recovery of the transit (4 right hemicolectomies, 4 sigmoidectomies, 2 colectomies of the tranverse); 4 interventions of the Hartman type; one exteriorisation of the sigmoid; one suture associated with transverse caecostomy and exteriorization of the ends.