Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Success of treatment depends on early diagnosis. Treatment is based on the etiogenic concept of this disease which Prof. Bado blames on the muscle. Genetic and hereditary muscular dysplasia affects certain muscular groups -above all psoas and adductors- and through growth, determines cervical and epyphiseal alterations and secondary alterations of cotyloid cavity (acetabulum) which, in turn, lead to spontaneous thigh displacement. Disease is evolutive andmay appear at different periods of the child's life, in ny stage of evolution. Consequently, we find a diversity of anatomoclinical situations that cannot be solvedby one single therapeutic formula. Ideally, the patient should be treated during the very early stages. The thigh should be adjusted and positioned correctly, maintaining it so during all the time necessary. Before the age_ of three months, surgery is not generally required; a splint, or plaster cast, followed by a splint, is all that is required. Between the. ages of 3 to 6 onths, we find two types of situations: Easy adjustment and positioning: non-surgical treatment; plaster cast or splint adjustment: surgical treatment, abscission of adductors and psoas and, if so required, capsule, followed by plasetr cast and/or splint. After the age_ of 6 months, treatment is generally surgical followed by plaster cast and/or splint.After the age of one year, adjustment is surgical and is followed, one month later, by derotating varus osteotomy. Walking is allowed 2 months after osteotomy. 

Diagnosis can be considered "early'.' when established befare the age of six months for the following reasons:1) Beca use congenital thigh displacements constitute progressive lesions and consequently can be treated in the early stages. 2) Because the younger the patient, the faster thegrowth potential. 3) Beca use thus it is possible to start treatment befare the child begins to walk. Diagnosis is established through clinic and radiology. Clinic alerts us, X-rays confirm it. Clinic alerts us through good anamenesis -family history with respect to thigh or other displasias, personal history, breech deliveries, difficulty in separating muscles- andcorrect examination which also evidences other malformations and limitation of muscle abduction or Ortolani's sign. Radiology is of limited value during the first twomonths. Roof obliquity or methaphyseal separation may be caused by physiological factors or defects in technique. When faced with the slightest clinical suspicion a radiological study should be performed between the ages of 2 to 6 months. Clinics and radiology enable us to establish an early diagnosis and start an early treatment.

Experimental work on technical aspects of auxiliary liver transplants comprises technique for donor's hepatectomy and for hypothermal perfusion of liver.Graft is invariably placed on right iliac fossa; there are, however; variants in vascular connections. The one that proved most satisfactory is anastomosis ofrecipient's right iliac artery tQ an aortic cylinder of graft. Cava-aava terminolateral anastomosis and mesenterir- porta termino-terminal anastomosis are performed. Drainage of biliary tract is external for prolonged survival of animals used in the experimental work is not one of its aimes.

There is an etyologic classification of infantile coxa vara which permits a relatively easy approach to the different manifestations of this syndrome. Present knowledge is as yet insufficient and it has not been established whether this disease is of congenital or acquired origin. A roentgenogram is conclusive in a diagnostics. The vertical cartilage is characteristic and it has both a diagnostic or a prognosis value. The radiographic aspect of the head and hip are normal in the first stages. In seroius cases sorne secondarydisturbances of the hip may appear. The treatment must be made early. In severe cases valguisante osteotomy Scaglietti type is indicated; in mild cases, epiphyseodesis of the great.er trochanter as performed by Langenskii:ild. 

The objective of this paper is to assist in early diagnosis and give sone guidelines for treatment of Perthes' disease. Clínica! aspects consist in the associationbetween pain and claudication; characteristic elements of each of these symptoms are analyzed, stressing the limitations in interna! rotation and abduction ofthigh. X-rays constitute an essential complement to clinic, permitting a detailed identification of each of the four evolutive stages of the disease: suspicion,certainty, correction and cure. Structural cure is indefectible, this is not the case with anatomical cure. Our present knowledge only enables us to attempt morphological repair of epiphysls; this can be done in two ways: 1) Degravitation of joint. 2) Positioning of epiphysis

Description of right hepatic lobectomy due to serious open traumatism of liver. The paper analyzes its evolution.

Before going into the fundamental topics of this Table, we want to make a brief memory, anatomical, schematic and practical at the same time. The heart and great vessels are located inthe mediastinal space, between both pleural cavities.

The different presentations have focused on specific points within the great chapter of benign anoretal processes, and we believe that these presentations have been complete and specific. The completion of a final summary is therefore a relatively easy task. We hope that it is not a repetition of what was said in each presentation, and we will try to make a synthesis of some general aspects of the subject and other particular ones, which we understand should be highlighted as fundamental concepts. They are for the most part principles that govern the therapeutic behavior of anorectal processes.

In our setting, late complications and sequelae of anal surgery due to benign conditions are happily not very frequent (38), but they do not stopbe important, as some are very difficult or even impossible to cure.

The symptoms of cardio-pericardial wounds are extremely varied; Between the classic clinical form of cardiac tamponade to the absolutely inapparent forms, there is a wide range of symptoms that the clinician and fundamentally the general surgeon, who is the one who ultimately must assume maximum responsibility, must know in depth in order to reach a diagnosis. accurate.