1. DIFFUSE UNDIFFERENTIATED ADENOCARCINOMA THAT WIDELY INFILTRATES THE GASTRIC WALL

The stomach becomes a rigid leather bag easily recognizable to radiology.
Linitis infiltrates diffusely all wall layers and all the regions of the stomach.
It is recommended to total gastrectomy, including parts of the esophagus and duodenum.


2. PROCEDURES IN SPECIFIC CASES OF INTESTINAL OBSTRUCTION

Volvulus distortion, intussusception reduction, stenosis correction, drainage intracavitary abscess, removal of intraluminal foreign bodies, internal or external intestinal bypass and manual extraction of fecal impaction.


3. SURGICAL MANAGEMENT OF GASTROSCHISIS RETURNING THE VISCERA TO PERITONEAL CAVITY AND THE CLOSURE OF THE ABDOMINAL WALL DEFECT

One option is the primary insertion of a silicone bag which base has a flexible ring.
In the absence of this device, an alternative is the use of female condom washed and sterilized which is placed around the viscera without suturing and maintained in a horizontal position for guiding the reduction of handles by gravity.
The definitive closure of the abdominal wall is left for a second surgical procedure.


4. THE PROTRUDING TISSUE SWELLS AND CUTS OFF THE BLOOD SUPPLY TO THE LOOP OF INTESTINE WITHIN

Caused by acute incarceration through a narrow hernia ring it difficult to return the herniated content.
Strangulation causes intestinal obstruction and may lead to ischemia.
If not treated immediately, progresses to necrosis and gangrene of the herniated content.


5. TOTAL SPLENECTOMY FOR TRAUMATIC INJURY

In cases with severe fragmentation of the spleen, extensive lesion of the pedicle, unable to stop the bleeding.
The removal of the organ imposes on patient at increased risk of early death from sepsis and thromboembolic disorders.