Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera
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Ergot's derivatives are widely used in the treatment of migraine and in the prophylaxy of deep venous thrombosis in association with heparin. Clinical ergotism is rarely observed and can affect all the arteries, especially of the inferior limbs. Vasospasm of the peripheral arteries and collateral formation are specific findings on angiography. ⋯ Under iv sodium nitroprusside and peridural analgesia the spasm resolved in 24 hours. The control Duplex sonography confirm the normality of the lower limb arteries. This examination modality allow a non-invasive diagnosis and evolution control of arteriospasm.
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To define the minimally necessary preoperative evaluation and preparation of an emergency patient of a surgical ward. ⋯ The management of any emergency case is demanding and needs experienced physicians. A schematic procedure adapted to the local possibilities and facilities is helpful for an effective and often life-saving team work between the resuscitation team and surgeons.