[Value of the combination of propofol-alfentanil and vecuronium for the anesthesia of laparoscopy in ambulatory patients]. / Intérêt de l'association propofol-alfentanil-vecuronium pour l'anesthésie des coelioscopies en hôpital de jour.

Laparoscopy without an important surgical act was executed in twenty patients. Anaesthetic protocol associated propofol, alfentanil and vecuronium. This protocol meet conditions for ambulatory patients. Only three were not suited to leave hospital six hours after coelioscopy.

[Chronic and severe respiratory insufficiency and pregnancy. A new way of treating it]. / Insuffisance respiratoire chronique sévère et grossesse. Nouvel essai thérapeutique.

Severe chronic respiratory distress accompanied by pregnancy is not rare. It means that the fetus is at risk of being born prematurely and with intra-uterine growth retardation and the mother, apart from the obstetric complications that she is likely to suffer, has the chance of becoming decompensated as far as her cardiac and respiratory systems are concerned. There is therefore a very real need for assisted respiration. The authors report a case of chronic severe restrictive respiratory function and pregnancy in which the outcome was successful for the mother and for the fetus but where the mother had to be ventilated by a new procedure. This consisted of intermittent positive pressure ventilation using a nasal mask at home. The efficiency of this method has been proven and it is a method that must be preferable to tracheotomy.

[Multiple hydatidosis: hepatic, splenic, peritoneal and gynaecologic locations (author's transl)]. / Hydatidose multiple: hépatosplénique, Péritonéale et génitale.

We report the case of a young Algerian female with a voluminous abdominal tumour suggestive of a hydatic cyst of the liver. Complementary examinations (radiography of adjacent organs, ultrasonography, coelio-mesenteric arteriography, hepatic scanning) revealed two additional abdominal cysts. Furthermore, gynaecologic examination and ultrasonography revealed one intra-uterine hydatic cyst. At laparotomy however, the surgeon removed sixteen abdominal and five pelvic cysts, all of them containing brood capsules. It should be noted that one eleven centimeters-diameter splenic cyst was discovered only at operation. The authors point out the rarity of the uterine location of hydatidosis and stress the difficulty of the preoperative localization of all the cysts. In these widespread forms of the disease, complementary flubendazole treatment could be useful.