Thoracoscopic treatment of pulmonary hydatid cyst in children: a report of 25 cases

Open surgery is the standard option for the treatment of hydatid pulmonary cysts. Surgeons are able to replicate the principles of conventional surgery using minimally invasive techniques ,in particular thoracoscopy. However, there are few reports about this subject in children. To our knowledge, this is one of the biggest pediatric series ever reported in the literature.The purpose of this study was to determine the best indications of the thoracospic surgery for the treatment of the pulmonary hydatid cysts in children. We report a series of 25 cases with pulmonary hydatid cysts treated using the thoracoscopic approach from 2005 to 2009. We retrospectively analyzed the patients' sex, age, symptoms, biological data, characteristics of hydatid cysts [location, number and size] and the medical treatments. Pulmonary hydatid cyst diagnosis was performed on Chest x-ray, abdominal ultrasound and biological data in all the cases. Tomography was not systematic. All patients underwent video-assisted surgery. A conversion to thoracotomy was conducteded in 2 cases. All the patients had a chest tube and received an antibio-prophylaxy, without Albendazol . A concurrent hydatid cyst at the opposite lung or in the peritoneal cavity was treated later

[Lips' benign tumors and pseudotumors - about 122 cases]

The observation of a lip's lesion in the dental office often let the dentist asking himself some questions: Is it a traumatic ulceration, or a pseudo-tumor, or a benign tumor or worse

[Oral and cutaneus dermatosis, a comparative study]

The authors examinate in a retrospective study, released in the dermatology department, the characteristics of the buccal manifestations of dermatosis occurring in hospitalized patients with skin lesions. The study has revealed clinical and epidemiological specificities of oral lesions. The authors report that we have to adjust our clinical attitudes specially to deal with this results

Evolution et pronostic de l'infarctus du myocarde

1000 patients with myocardial infarction between 1975 and june 1991 were admitted in the cardiac unit at the university hospital in Sfax. The mean age is 60 years, with a masculine predominance [86%]. The time between, onset admission is long, 47.4% were admitted within 24 h after onset and 16.5% within 6 h after onset. The site of MI was more often in anterior region [58.6%] against 36% in the posterior region Evolution was favorable in 34.7% of cases, 36.5% cases of left cardiac failure were noted, and 11.7% of cardiogenic shock rythme disorders were noted in 34.6% of cases [under estimated] and conduction disorders were noted in 22% of cases. Early mortality is about 17.4% occuring more often during the first 3 days