Traitement chirurgical du cancer du col uterin [a prepos de 113 CAS]

We report in this study 113 cases of the cancer of uterine neck operated in obstetric gynecology [professor OSTOWAR] at the Souiss maternity of Rabat over a period from January 1st, 1970 to December 31st, 1990. 88 cases [77,88%] of our patients are multiparas.Average age is 41 with extremes of 20 and 70 years. [57,29%] are in a period of genital activity.30 cases [26,55%] are in a period of menaupose. The most frequent recealing sign is metrorrhagia, it is observed in 102 cases [90,27%]. The lack of precocions detection, of prophylaxy and hygiene make that the majority have come to consult at a late stage. Thus, almost half of them [49,56%] have come at stage IIB Budding and ulcero-budding forms are the most frequent 100 cases [88,50%] underwent surgical treatment of EIGS type. The other patients, 7 cases [6,19%] underwent a Weir theim and 6 cases [5,30%] did a hysterectomy. Prognosis is good in the majority of the cases, the number of cure is 93 cases [82,30%]. Yet, post-operation complications are especially ureteral 10 cases [8,85%]. Recurs are not rare: -12 cases of local recur-3 cases of for metastases

Procidence du cordon umbilical [a propos de 198 cas]

Our work is a retrospective study about 198 cases of the umbilical cord prolapses during five years observed in Rabat Maternity [C.H.U] from 1985 till 1989 We drew the following conclusions: -Incidence of the percentage of this accident was Estimated at the rate of 0,36%. The most frequent causes are as follow: 'Type of presentation: the risk rate of prolaps of the umbilical cord is multiplied by 18 for breech presentation, and by 7 for the cephalic presentations which are deflexed [Brow and face], and by 32 for the transverse lie presentation with regard to the vertex presentation; Multiparity: the risk rate is multiplied by 2; The low-birth weigth: the risk rate is multiplied by 2 when the foetus weighs less than 2.500 g; Twin gestion: the risk rate is multiplied by 2,5 with regard to simple gestation. The foetal Prognosis: 77 cases of foetus was reanimed either 39%, among 18 cases was transfered to the infantry remimation. The perinatal mortality rate corrected is 8,08%. The prognisis is better when we are near complete cevical dilatation. The extraction foetal by cesarean section practiced in our study in 54,04% of the cases

Les Cancers et lesions precancereuses de la vulve [a props de 100 CAS]

We report here the results of a retrospective study of 100 vulva cancer and pre existant vulva dystrophic lesions. The cancer of vulva is a rare affection accruing often in old menopaused and multiparous women The diagnosis of certitude is based on the histologic study often vulvar biopsy, and invasive epidermoide carcinoma is the most frequent histologic type. Ideal treatement is total vulvectomy with bilateral inguinal currage in monobloc, because lymphatic extension is precocious and frequent. Prophylactic treatement of vulva cancer lies in cares of corporal hygiene, the destruction of viral lesions especially of condylomas and the treatement of vulva dystrophic lesions