[Results of laparoscopic treatment of morbid obesity: about 27 cases]

Prevalence of obesity is increasing steadily. It exposes the patient to numerous complications and represents a serious public health issue. Various treatments were tried. Surgery is actually a credible alternative. Many techniques can be made by laparoscopic approach. To evaluate early and late results of laparoscopic treatment of morbid obesity by two techniques: gastric banding adjustable and gastric by-pass. From May 2001 to July 2007, 27 patients were laparoscopically operated on for severe obesity in our department. Twenty four patients were treated with a gastric banding and 3 patients with gastric bypass. The primary endpoint was: excessive weight loss [EWL], BMI variations and patients' satisfaction. The secondary endpoints were mortality, morbidity and conversion. The mean age was 36 years. There were 4 males and 23 females. The mean preoperative weight was 122, 4kg [range: 87-152] and the mean body mass index [BMI] was 42.5 kg/m2 [range 36,5 -52 kg/m2]. The mean hospital stay was 4.76 days [range: 3-8]. There were no postoperative deaths. Early complication was present in 3 patients. Late complications were present in one patient. No conversion to laparotomy was necessary. BMI decreased from 42.9 to 31 kg/m2 and EWL reached 43%.The results of our experience are encouraging with an acceptable complication rate and no death. Laparoscopic treatment can be done with good results

[Lateral nail squamous cell carcinoma: case report]

Squamous cell carcinoma [SCC] of the lateral nail fold is rare, it has been suggested that trauma, roentgen radiation, arsenic exposition, dyskeratosis and infections [HPV] are risk factors for the development of these carcinoma.This tumour is mostly a slow growing and low grade malignancy which rarely metastasis.Early diagnosis by biopsy, especially in patients with predisposing factors, may lead to treatment and prevent the tumour from metastasizing. Report of new case. We report one case of [SCC] of the lateral nail fold of the thumb in a 66 year old man, treated with local excision; function and cosmetic results are more acceptable. A review of the literature was made in order to precise the epidemiological, diagnostic and therapeutic characteristics

[Buschke lowenstein tumor: unusual bilateral localization]

The tumor of buschke lowenstein or giant condyloma acuminata is a pseudo-epitheliomatous profileration bilonging to verrucous carcinoma group due to their aggressive local evolution.A malignant change as mic invasive carcinoma or epidermoiz keratinizing carcinoma well-differentiated was reported.Diagnosis and surgical treatment represents an efficient alternative at the moment that must be precocius and large due to the frequencies of local recurrences and malignant change. We present in this stady an observation of an unusual localization of buschke Lowenstein tumor with review of literature 50 year-old men presented with bilateral tumours it the battock area whose diagnosis of buschke Lowenstein tumour h been clinically suspected and confirmed by biopsy and histopathologic study .The cover has been achieved by VY fasciocutaneous flaps of the muscle gluteus maximus