In a 28-month-period 100 consecutive carotid operations were performed on 91 patients under locoregional anaesthesia. The indications were 37 TIAs, 16 recovered strokes, 12 cases presenting with amaurosis fugax, eight with vertigo and 27 patients with severe but still asymptomatic stenosis. In 20 cases a shunt had to be used. Twice a transient neurological syndrome developed, two strokes occurred. One stroke patient died in the postoperative course. Carotid surgery under locoregional anaesthesia seems to be a safe method with advantages for the patient and the surgeon.

A prospective randomized study was performed to compare different periods of bandaging after varicose vein surgery. No difference was found from wearing an elastic support for 1, 3 or 6 weeks after surgery.

Recognition of the hemodynamic importance of aorto-iliac and femoro-popliteal stenoses or occlusions is essential for correct vascular reconstruction. Non-invasive examinations, arteriography, pressure- and flow-measurements add their value to clinical judgment and surgical experience. Practical guides are given to decide for one-level-reconstruction, concomitant or delayed two-stage-repair, or a combination of balloon-dilation together with arterial reconstruction.

The choice of the best operative procedure in vascular reconstructions for ischemic lower limbs, is mainly guided by clinical experience and by arteriography. Doppler wave analysis and femoral artery pressure measurements are new diagnostic tools. In those difficult cases of multiple-level-disease, the intra-operative measurement of the femoral artery pressure proved to be an important step for the operative decision.

A case of idiopathic membranous obstruction of the inferior vena cava (MOVC) is reported. Varicose veins of both lower limbs associated with dermatitis and venous ulceration were the presenting symptoms. Diagnosis was made by cavography after phlebography of both legs had revealed a normal deep system. Ultrasonography demonstrated a 4 mm thick membrane in the inferior vena cava just above the level of the hepatic veins. Stripping of the greater saphenous vein and ligation of incompetent perforating veins was performed to partially correct the venous insufficiency of the most affected limb. The patient refused further treatment of the MOVC. Concise review of the literature. Up to date therapeutic possibilities are discussed.

Acute pulmonary embolism with major hemodynamic derangement may be treated by thrombolysis or surgically by direct pulmonary embolectomy under cardiopulmonary bypass or by a transvenous method with a steerable aspiration catheter unit. The key to success in massive pulmonary embolism is a quick and correct diagnosis while the vital haemodynamic parameters are maintained by supportive means.

Between 1958-1978 a total of 19 patients, 11 men and 8 women, were treated for pheochromocytoma. Their age varied between 9 and 67 years (overage 39 years). In all cases with unilateral tumor located in the adrenal gland a lateral approach was preferred. When not certain of the tumor location or when presumed outside the adrenals a laparotomy was deemed necessary. Fourteen thoraco-abdominal lateral approaches and 5 laparotomies were performed. Due to minimal manipulation, especially with the lateral approach, peroperatory hypertensive crises could be reduced to a minimum. Sofar no recurrence has been seen. There was no operative mortality.

We describe the method of manual bronchussuture, used from 1968 until new, which gave us complete satisfaction. Many of the important factors are discussed. The results are analysed and concluding we expose the reasons why we found manual bronchussuture better than any automatic stapling device.