circumcision: is it an insignificant act?

The circumcision is one of the most frequent interventions practised to a male child; it is defined as surgical removal of the prepuce for a religious or traditional reasons. The surgical removal of the prepuce, is carried out either in emergency in case of paraphimosis, or normally case of phimosis. The complications of the circumcision are frequent and varied; haemorrhage and infection are described as early complications while generaly the urological complications are known as late complications. Those are even more frequent when the circumcision is performed in a traditional way or by non professional [paramedical agents, hajjamas...] without a rigorous asepsis and in unfavourable material conditions. If the ritual circumcision is uncertain, the circumcision performed in surgical conditions remains a benign intervention

[Percutaneous endoscopic gastrostomy in children]

The Percutaneous endoscopic gastrostomy is currently the way initially of reference for the prolonged enterale food. The simplicity and the speed of the technique, the evolution of the materiel make that the pediatre and the surgeon pediatre are solicited and that the instalation is accessible to any endoscopist. The respect of the contre-indication and the rigour in the realization of the procedure are the key of the success of the endoscopic gesture, of the weak rate of morbidity and mortality