The authors describe their experience with 40 patients operated upon during the last five years because of pathological processes of the large blood vessels of the neck. In seven cases pathological conditions unrelated to the systematic diseases of the arteries (birth defects, the results of injuries and tumours) existed, while the remaining 33 patients suffered from arteriosclerotic lesions most commonly located on the carotid artery. The localization of the pathological process and the number and extent of the neurological lesions are described. The authors particularly stress the importance of the period which elapses from the first signs of ischemic lesions to the moment of surgical intervention. The aim of surgical intervention is primarily to prevent ischemia and simultaneous cerebral apoplexy, and only after this to prevent the progressions of the existing ischemic changes. Patients with temporary attacks of ischemia without neurological attacks are ideal cases for surgical intervention. Good results can be achieved on patients with apoplexy within the first six hours from the moment at which the attack occurs. Intervention after a longer period gives uncertain results. Good results can be expected only when the diagnosis and localization of the vascular changes are exact and the neurological and general condition of the patient is precisely evaluated. This demands team work by the roentgenologist, the neurologist and the vascular surgeon.

Adolescent↗

PubMed1976

[Esophageal diverticula].

The authors describe the etiopathogenesis and diagnosis of Diverticuli of the oesophagus. The method of choice in the surgical treatment of this condition is resection of the diverticulum with suturing of the wall of the oesophagus. In cases with small traction -- diverticuli, freeing the wall of the oesophagus or an invagination procedure using a circular suture is sufficient. The authors discuss a series of thirteen such cases, and analyse the anatomophathological forms, clinical pictures, diagnoses, and postoperative results.

Adult↗

PubMed1976

[Personal method in gastro-jejuno-jejuno-duodeno and jejuno-jejuno anastomoses in extended and high gastric resections--early surgical results--].

It is often prooved that high gastric resections for various pathologic conditions, although effective in treatment, are not without serious immediate, and delayed complications that greatly endanger postoperative course, and impair operative results. That is the reason why attempts are being made to find better operative solutions following a subtotal gastrectomy which could prevent, or significantly improve some of the postgastrectomy sequences. With the above in mind, the author explains his particular method of Gastro-Jejuno, Duodeno-Jejuno, and Jejuno-Jejuno Ante, or Retrocolic Anostomosis. These anastomosis are performed following radical and high Gastric Resections for ulcers or neoplasms. Eight cases and the results of such treatment are reviewed.

Adult↗

PubMed1976