RESUMO
Personal experience of the intra-operative use of oesophageal manometry in cases of hiatus hernia is presented. Using this system the pressure in the air cushion surrounding the L.E.S. can be adjusted to avoid any complications due to overtight or overlax surgery. Various types of post-operative tests confirm the value of the technique.
Assuntos
Hérnia Diafragmática/cirurgia , Hérnia Hiatal/cirurgia , Esofagoscopia/métodos , Esôfago/fisiologia , Tecnologia de Fibra Óptica , Humanos , Cuidados Intraoperatórios , Manometria , PressãoRESUMO
Experience with biliodigestive anastomosis in biliary surgery is reported. About 40 operations, subdivided into hepatojejunostomy, choledochojejunostomy, choledochoduodenostomy, hepaticojejunostomy, cholecystoejunostomy, etc. were performed in the period between 1970 and 1978. Indications for these operations are reported and the techniques adopted described. Complications and results are reviewed for each. A choledochoplasty operation using the serosa of an ansa in Roux fashion and transhepatic drainage is reported.