[Vaginal flap urethroplasty in the treatment of urethral destruction of obstetric origin]

Objective: Urethral destruction of obstetric origin is frequent in North Africa. The objective of this study was to evaluate the results of urethral repair by vaginal flap in women affected by urethrovaginal fistulae

Patients and Methods: From January 1998 to December 2001, five patients were subjected to urethroplasty by vaginal flap mobilized from the anterior vaginal wall. The patients' age ranged from 30 to 45 years; all were primiparous with obstetric urethrovaginal fistulae revealed by permanent urinary leakage. The closures were realized in two continuous sutures of PDS 4/0 on a urethral catheter of 16 Fr. The ablation of the catheter was practised on the 10th postoperative day

Results: Urinary continence was achieved in four patients. The remaining patient had stress urinary leakage corrected by colposuspension. Recovery with good results was noted in 80% of the cases

Conclusion: This technique allowed us to achieve an improvement of the quality of urethral repair. Being an easily performed technique, it allows at the same time to achieve elegant, effective and reliable results

Fibrose hepatique congenitale a propos de 2 cas

Congenital hepatic fibrosis is a hepatorenal affection that often expresses itself by portal hypertension, sometimes by angiocholitis and rarely by both associated. Renal lesion is most often latent, but can express itself by renal hypertrophy or characteristic tubular ectasy and rarely by cysts. We report here two cases of congenital hepatic fibrosis with portal hypertension seen in child. Diagnosis is made in the first case on urographic aspects of precalicial tubular ectasy and in the second case on the association of portal hypertension, renal hypertrophy and fibrosis pressing intrahepatic biliary ducts. We remember here the nosologic problem and clinical, evolutive and prognostic aspects of the affection

Synovrep osteochondromatosis of the elbow in a woman 60 years old

The authors report the observation of a 60 years old woman with a synovial osteochondromatosis of the elbow treated by total synovectomy. The result is a good as for all symptoms. They discuss about etiology, pathogeny, diagnosis and therapeutical treatment

pied lepreux chirurgical

Through 29 cases of leprous foot, the authors study various therapy methods of the leprous neuritis and its after-effects. They insist on the prophylactic role of the early neurolysis and underline the complexity of the after-effects surgical treatment

Defense and limits of orthopedic treatment in fracture of leg bones. About 103 cases

Authors give us a list of one hundred and three cases of breaking of legs' bones. Seventy closed breaking and thirty three opened breaking. They describe their therapeutic attitude and analyse their results. The orthopedic treatment which is spread out over the conventional limits has given good health in most cases. But this attitude is not the only one. However, the authors think that the conservative treatment stays basic therapeutical of leg's breaking

Villonodual synovitis of knee and hip. About 3 cases

The authors report three observations of the patients with a vilonodular synovitis treated by synovectomy. The result is good for all symptoms. They discuss about nosology, pathology, etiology, diagnostic and therapeutical problems