[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.

[Chronic duodenal stasis after gastric resection. Clinical contribution (author's transl)]. / La stasi duodenale cronica dopo gastroresezione. Contributo clinico.

On the basis of two cases of chronic duodenal stasis following Billroth I and Billroth II the Authors analyse this syndrome not very frequently described in literature. They disagree with those who state that chronic duodenal stasis after gastric-resection is to be considered solely as a complication of gastric surgery, but rather tend to think that is misunderstanding may be a cause of considerable therapeutic failures.

[Significance of serum alkaline phosphatase in secondary hepatic localizations (author's transl)]. / Significato della fosfatasi alcalina serica nelle localizzazioni epatiche secondarie.

The Authors analysed 292 patients with tumours particularly liable to hepatic metastatization, excluding from a wider set of cases all those which on grounds of age, bone localisations and other kinds of hepatic disease might have falsified the serum A. Ph. values. Analysis of their results led to exclusion of any direct relationship between hyperphosphatemia and degree of hepatic metastatization. It is also concluded that pathological observation of this enzyme, in the absence of semeiological data indicating secondary hepatic pathology, must be considered as grounds for fuller diagnostic investigation.

[Total parenteral nutrition in a general surgery department. Our initial experience]. / La nutrizione parenterale totale in un reparto di chirurgia generale. Nostra prima esperienza.

The Authors refer on their first experiences on the use of TPN with brief considerations on the results. A few precautions for the avoidance of the most common complications are reviewed.