[The prognostic elements in the surgical treatment of ruptured aneurysms of the subrenal aorta]. / Gli elementi prognostici nel trattamento chirurgico degli aneurismi dell'aorta sottorenale in rottura.

Personal experience and conclusions are reported after a review of the literature on rupturing aneurysms of the abdominal aorta. After considering some clinical data, which are features of this pathology, particularly prolonged hypotension, anuria and infarction of mesentery as negative prognostic elements, the diagnoses calling for hospitalisation, the causes of death, the interval between onset of symptomatology, admittance and surgery are examined and pointers sought with a view to improving results.

[Reconstructive surgery in high-risk arteriopathic patients]. / Chirurgia ricostruttiva nei pazienti arteriopatici ad alto rischio.

The authors refer on 24 patients over 65 years of age suffering from obliterating arteriopathy of the lower limbs undergoing reconstructive surgery no matter the high surgical risk. These patients represent 12.3% of all vascular patients treated in five years of activity. The following risk factors are considered: 1) Heart disease; 2) Altered lipid metabolism; 3) Diabetes; 4) Arterial hypertension; 5) Hyperuricaemia; 6) Obesity; 7) Renal or hepatic insufficiency. Immediate results were excellent in 23 cases; one patient suffering from aortic barrage died of acute haemorrhagic pancreatitis. Follow-up results also remained good; only one patient had to be re-operated two years later (disobliteration of branch of prosthesis) with a happy outcome. Two other patients died because of non vascular causes. The authors do not consider age amongst risk factors and prefer the extraperitoneal approach in disobliterating operations and refer using the transperitoneal route without problems in aortobifemoral bypasses. The authors state that risk factors did not alter neither the short nor the long-term follow-up results possibly because of medical correction of associated pathological states.

The problem of lower limb revascularization in III and IV stage arteriopathies.

With reference to our statistical data, we discuss the revascularization of the profound femoral artery and the importance, in some cases, of the superficial femoral artery in IV stage arteriopathies. We refer to the obtained results with attention to some technical particularities.

[Indications and results of colon-rectoplasty using the modified soave method in surgical treatment of megacolon in adults]. / Indicazioni e risultati della colonrettoplastica s. Soave modificata nella terapia chirurgica del megacolon dell'adulto.

Variations of Soave's operation for the correction of dolichocolon are described. The indications for this form are explained and a personal series is described. Reference is made to the complications observed and the advantages and disadvantages associated with the method which, it is hoped, will be more widely employed.