[Results of elective open surgery for juxtarenal aortic aneurysms]. / I risultati del trattamento elettivo in open surgery degli aneurismi juxtarenali dell'aorta.

Review of the most significant surveys (data base: Pub Med on September 2003) of elective open surgery for Juxtarenal aneurysms and personal results of 106 cases (9.3% of AAA consecutively operated in the last 11 yrs.) are reported. Mortality and morbidity are discussed related to: technique of aortic cross-clamping; protective measures on splanchnic and renal perfusion; risks from previous CAD and chronic renal failure. Over all, the main predictive factor is the accuracy of the selected technique, without any difference among different approaches, and the same results of infrarenal aneurysms can be obtained.

[Bilaterally strangulated bilateral obturator hernia. Plastic surgery, using the round ligaments]. / Ernia otturatoria bilaterale bilateralmente strozzata. Plastica mediante i legamenti rotondi.

An unusual case of bilateral obturaptor hernia with double ileal strangulation is reported. An account is given of obturator hernia, its pathogenesis, and surgical management. Of the various possibilities that exist in this respect, the simplest and most resolutive, it is submitted, is that in which the ligamentum teres uteri is employed to close the hernial porta.

[Esophagocolonoplasty in the palliative treatment of cancer of the esophagus]. / L'esfagocolonplastica nel trattamento palliativo delle neoplasie dell'esofago

Treatment of cancer of the upper and middle thirds of the oesophagus is discussed. Should the condition be handled in radical or palliative fashion? In the light of the discouraging results obtained by most workers with radical therapy, palliative measures are favoured. Possible operations are listed and a personal case of palliative ileocolonesophagoplasty of about a year's standing and another operated on only two months previously are reported and preoperative and postoperative documentation given.