Abdominal Pregnancy [about 4 cases]

The epidemiology, diagnosis and prognosis of abdominal pregnancy are discussed based on four cases seen from 1992 to 2000. Surgery is obligatory and its difficulty is dominated by hemostasis during the extraction of the placenta which also limits the laparoscopic surgery treatment of early abdominal pregnancies. The abdominal pregnancy is of very bad fetal prognosis and at high risk for the pregnant woman

cancers de l'ovaire [experience de 5 ans]

This work includes 93 observations of ovary cancer, operated between 1991 and 1995 in gynecology obstetrics service at soussi maternity, Rabat. This study reveals multiple difficulties that this disease poses. The age of the patients varies between 15 and 75 years with an average of 52,5 years the most frequent cause of consultation is pelvian ache in 80,64% of the cases, followed by an increase of the volume of abdomen in 15,61% of the cases. Echography is a routine exam, it may help diagnosis. Surgical act remains the essential time on diagnostical as well as therapeutic level of the extension of lesions 85,28% of the patients are classified at stages III and IV according to FIGO. The malignant nature of the tumor is confirmed only by a histological women. As adjuvant treatment, chemotherapy gains more and more ground versus radiography. The improvement of the prognosis of ovary cancer requires a precocious diagnosis and a detection in highly risky populations