Les herniorraphies inguinales par voie pre-peritoneale utilisant la crinoplaque

During a period of 5 years, 314 patients with 427 inguinal hernias were operated. 80 males with bilateral inguinal hernia recurrent, or not, were operated with an insertion of a Crinoplaque by a preperitoneal approach. The operative time was 65 +/- 26 minutes. 10 patients [12,5%] had by the same incision a concomitant pelvic procedure [9 varicoceles, 1 benign prostatic hypertophy]. 4 patients [5%] developed minor parietal complications. After 1 to 4 years of follow-up, 1 patient [1.25%] showed one side recurrence, in the beginning of our experience. In conclusion, we consider the preperitoneal Crinoplaque insertion as a treatment of choice for bilateral recurrent, or not, inguinal hernia for its simplicity and its lower complication rate

Lymphome primitif du sein. A propos d'un cas

The authors report a case of a primary breast lymphoma [P.B.L.]. A 23 years old female patient presented with a primary lymphoma of the left breast, pleural effusion and a biological syndrome of spontaneous tumor lysis. She had salvage mastectomy then chemotherapy. The issue was rapidly fatal, the day after the induction of chemotherapy. P.B.L. are uncommon. Less than 300 cases are found in the literature. These lymphomas are classified in 2 types: The first, the burkitt type lymphoma, usually bilateral, rapidly fatal, and affects pregnant or lactating women. The second, unilateral, unilateral, afflict patients at any age