Failure of conservative methods of control of gross obesity has led to the adoption of surgical measures. In our experience intestinal bypass, though resulting in significant weight loss, is associated with a number of unpleasant complications. For this reason our programme now involves the use of 90% gastric bypass. The results in our first 39 patients undergoing this operation are presented, with a six‐month to three‐year follow up. Weight loss has been satisfactory. Although it is a more major procedure than intestinal bypass, the lack of major metabolic sequelæ makes gastric bypass the more acceptable form of management.
In order to define the place of hepatic resection in the treatment of severe liver trauma, a clinical survey was carried out in the Auckland area. In the first 10 years no cases were treated by liver resection, and the mortality was 37%. In the more recent period since resection has been employed the mortality has been 7'7%. Case reports are presented to illustrate the type of patients suitable for resection. The theoretical basis for resection in trauma is outlined. Preoperative resuscitation, points of operative technique and the special problems in the after‐care of these patients are discussed.
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