L'hydatidose sous-peritoneale

A.frequent affection in Morroco, where it is an endemic disease, the under peritoneal hydatic cyst is relatively scarce we have recorded 18 cases for ten years. Renal and Retro peritoneal cysts had not been considered for this study. The frequency of male cases is very high - clinical manifestations alike the localizations of the hydatic diseasses are manily of painful phenomena and marked signs. There are of the pelvic or hypogastic lumps - The missing of the identification sign makes the diagnosis difficult when one does not take heed of

tuberculose urogenitale en milieu militaire Marocain

This is the report of the experience of the writers with urogenital tuberculosis in Moroccan army. The writers underline the non reliability of the identification of the tuberculosis bacillus in urine and advocate the usefulness of detecting a lesion which allow an easy biopsy the only way to carry out a diagnosis by the mean of an histopathology exam. They point out the strictness to be observed while selecting new soldiers. Two therapeutic schemes are offered: - A triple association during 3 months followed by a double association during 24 months. - A triple association during 12 months

Les plaies de l'urethre par projectiles de guerre [a propos de 10 cas]

The war wounds of men urethra belong to the category of traumatisms caused by wounding of little dimensions and high initial speed. Their gravity is caused by the second characteristic. The lesions induced in the urogenital crossing lay down different problems. - From the clinical point of view, because the particular environment of war surgery. - From the histopathological point of view, - From the therapeutic strategy point of view because of the frequency of associated lesions. - And from complications and after effects point of view. This work drawn from the experience of 19 cases provides the different aspects of the above problems

plaies genito urinaires en pratique de guerre

The various elements that have been studied throughout this day - time [which has been wholly devoted to war surgery and to catastrophies] enable us to draw out quite an appreciable of lessons. The problem of war surgery was tackled at the outset bearing in mind the experience of the health service for the last ten years whether:- In the middle east, - In Zaire, - Or in the Sahara. The emphasis has been put on the specification of this "polymorphic trauma " which requires a "polyvalent" training. A parallel to the medical branch-which deals with catastrophes has been outlined. Then, owing to the up - to - date provided items of ballistics, the anatomo - pathological lesions " caused by war shrapnels, the blast and the " therapeutical - anatomo - clinical " results that derive from all these, we have been reminded of all of these aspects The importance lying in the " medicalized " evacuating operations at the front battle line towards the rear where the injured patient is to be found at the " H.G.A ", has been previously mentioned. To this second level, the " hinge - role " makes medical surgery the nucleus point where about the most important decisions - that are the heaviest as far as consequences are concerned - such a " role chaniere " has been depicted stressing the point that the " sorting-out requires a swift and sure diagnosis. The "facial sores" which are usually the natural accompaniments to war shocks with all their "after-effects" the "broken - muzzies" have been the topic of a talk built on the experience of the Hematology Department in MOHAMED V [H. M. 1.]. The neurological traumas, as them, have been split up into two sections: The first category is devoted to the "medullar - vertebra wounds" which have to be dealt with at the back. The second section is devoted to the "skull and brain injuries" and requires an early surgery. As for the "shattered limbs ", which are also of paramount importance, appertaining to this kind of surgery, the call for a "parage" is seen as necessary and as such must be perfect using the "outer-expanders ", the simplification of the medical care that usually follows surgical operations and the movements likely to be performed when mascular wounds are there. For the "uro-genital" lesions, if the emergency diagnosis of wounds-connected with the outer side of genital organs - is evident, the check - up concerning these lesions, therefore, needs a "U.I.V", with a "twice-timed" surgery. The prognosis is worse when faced with a " poly - trauma ". The shocks concerning the chest and the abdomen are common as well, the partnership " chest - abdomen " is always derogatory especially for the colic sore. The experience of the department of surgery in MOHAMED V H.M.I, has been brought in. The reanimation staff has participated in the debate so as to bring to mind the "reanimation" of the "scorched" patients of the first forty eight hours. As a matter of fact, the "burn" seeks to become one of the most recurring lesions when in time of conflict. The "burn" needs specific means that should be brought into practice at the start. The position that "reanimation procedures" take up in war surgery is there at all levels whether at the back or the front [and this has been mentioned previously]. The "reanimation procedure" is absolutely essential, both at the front-through the use of sensible rescue actions and for the H.C.A. level thanks to the bringing in of modern techniques for the sake of a deep and thorough medical care. The various discussions have been followed up by a warm debate mainly focusing on the contribution of the experience of war surgery through civilian practice. In the field of "medicine of catastrophes ", the devising of a "medicalied" transport service - the SAMU kind - fitting the realities of the country seems to be quite necessary. The F. A. R, health service collaboration whose experience has been brought to light during this day-time, seems to be basic seen under such an angle