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

Grupos selecto, estrechamente vinculados con la comunicación colectiva latinoamericana y cort sus aspiraciones, están diseminados por todos los países de la región. Se trata de los ex-becarios de CIESPAL, organizados en asociaciones sólidamente constituídas, copartícipes de las enseñanzas y del espíritu de la Institución y vinculados a ella por lazos que no han perdido su fuerza por el tiempo y la distancia.

In the course of current research on Hodgkin's dísease, the authors indicated exploratory laparotomy with splenectomy and liver and ganglionic biopsis, i'n32 patients, 21 of wham had never been treated and 11 presented evolution. In the first group they found modification of the stage established by clinical andparaclinical procedure.s in 13 cases, the majority in a more advanced state than expected, but also (2) in a less advanced stage of the disease. In the secondgroup, active foci were found, which had not appeared when ordinary procedures had been employed. Results obtained in each of the abdominal sectorsstudied ( spleen, ganglia and live.r) are analyzed in this paper and compared with those resulting from élassic procedures. It should be noted that: 1) themajority of splenic lesions could not have been suspected with clinical methods; 2) there was high incidence of Hodgkin-type adenopathies in locations outside thelymphographic area which it would have been impossible to detect by classic methods; 3) this study confirms that Jiver involvement is rare when ther-e is no splenic localization.In view of the importance .of arriving at a correct definition of the stage of the disease for the purpose of deciding upons the therapy to be applied -as well as the fact that splenectomy is the most efficien( type of treatment far this localization- the auhors favour sysematic application of laparotomy and splenectomy far the three first stages of Hodgkin's disease.

Analyse des deux principales méthodes de décompresion gastrointestinale post-opératoire: l'Intubation gastrointestinale et la ga,strostomie temporaire.La premiere e'st utile mais son efficacité est variable et peut provoquer éventuellement des complications si son application se prolonge.La G.'I'. permet un drainage plus effectif, elle est mieux tolérée et cause moins de complications respiratoires surtout chez les enfants, les vieillards et lesmalades dont l'état général est déficient ou qui souffrent d'affections respiratoires chroniques . Nous dénombrons les cas ou nous considérons qu'elle doit étre plus précisément préconsisée, tout en mettant l'accent sur ceux qui demandent une intubation postopératoire prolongés. Enfin nous précisons quelques détails technique et de conduite post-opératoires qui peuvent contribuer a éviter des complications.

The case material includes 4 patients with occlusive lesions in the popliteal artery and arterial trunks of the lower limbs in their proximal sectors. By-pass ofdistal posterior femoro-tibial artery with saphena magna, was performed. In two patients distal sapheno-tibial distal anastomosis was located midway along the leg, and in thecase of the other two, near the ankle. The. authors insist on the ímportance of femoral arteriography, with sufficiently slow focussing to permit visualization of arterial vessels in the leg in their distal segments. Distal anastomosis of posterior fomero-tibial by-pass is preferently located in the upper part of the heelbonesulcus, where the artery is easy to approach and is situated in a superficial position. In three patients the by-pass is still permeable. after 26, 24 and 14 months. 

Pathogeny of hemocholecysts is analyzed; they may be primitive in the gall bladder or secondary to a haemobilia of hepatic or pedicular origin. In the sevencases treated by the authors they found lithiasis of the gallbladder in all cases and in five of thethere was ohstruction of the cystic duct. Furthermore, in four cases there was cancer of the gall bladder. In two cases hemoperitoneum and haemobilia occurred. The latter does not always appear since often the gall bladder is excluded due to obstruction of thecystic duct.

A case of Vavernous Limphangiome of the spleen in a 13 years old boy is recorded. It was discovered in an operation due to hydatic cyst of the liver. References are reviewed, recognising its place in the classification of splenic cysts and remembering its etiology, pathology anatomy and clinical features.

The use of peritoneal drainage is analyzed, evaluating its advantages and disadvantajes. It ,should be utilized cautiosly since it is not inocous. The paper revises its general indications as a guidelíne for particular cases. The advantages of the rubber tube are pointed out. General aspects in its technique and employment  are hased in the anatomical characteristics of the peritoneum and in the physiological cariations of its tension system.

The authors present two cases of hydatid peritoneum with heterotopic gall bladders, coexisting with insheating membrane. 'I'his strange type of parasitosis hasnot been described in the existing bibliography.