[Single-layer digestive sutures (manual and mechanical). Observations after 20 years]. / Suturile digestive monoplane (manuale si mecanice). Observatii dupa 20 ani.

The experimental study (on rabbits and dogs) and the clinical study followed one layer sutures performed with eversing or inversing separate stitches, with ordinary or nontraumatic needles or mechanical sutures. Sutures were performed on oesophagus, stomach, small and large bowel. Excepting the oeso-jejunal or ileo-colic anastomosis (termino-lateral), the majority of sutures were used to accomplish termino-terminal anastomosis. The results were improved using high-quality materials (resistant, nonhygroscopical, resorbable threads), on correctly evacuated digestive tract, under antibiotic protection, avoiding perioperative hemodynamic fluctuations, with a complex postoperative care and a gradual renutrition.

[Multiple colonic cancers: simultaneous and successive]. / Cancerele colice multiple: simultane si succesive.

The authors attempt an approach of a controversial problem of contemporary surgery and stress the following significant aspects:--the frequency of multiple colon cancers is of 3%, approximately 25% of the cases being associated with benign proliferative lesions:--the intra-operatory diagnosis of multiple colon cancers is difficult (3 out of 12 cases); intrasurgical exploration may give rise to problems in connection with the insufficiency of the exploration, or the inaccessibility of unique tumors, thus existing the risk of leaving in place a developing tumor, that can be discovered at a new intervention (one case); the operability of multiple colon cancers is similar to that of the unique malignant lesions, depending on the extension, the variety and the focal distribution of the neoplastic lesions.