[Feasibility of laparoendoscopic single-site surgery in gynecology with conventional laparoscopic instruments]. / Faisabilité de la cœliochirurgie gynécologique par mono-trocart avec instruments droits standards.

OBJECTIVES: To describe the safety and efficacy of single-port access for laparoscopic surgery in gynecology with conventional laparoscopic instruments. PATIENTS AND METHODS: In this prospective study, we report our experience with 90 patients who underwent Single Port Access (SPA) laparoscopic surgery for gynecologic pathology with the use of the SILS(®) Port Multiple Instrument Access Port (Covidien(®), Mansfield, MA). RESULTS: We realised 15 ovarian cystectomies, 30 salpingo-oophrectomies with 14 one side, 9 lysis of adhesions, 7 distal tubal repairs, 6 salpingectomy, 8 other procedures. The mean surgical time is 47 min (25-120). One conversion to conventional laparoscopy and one in laparotomy were performed. The mean duration stay is 2 days [1-3]. DISCUSSION AND CONCLUSION: SPA in gynecology is feasible with conventional laparoscopic instruments. SPA surgery represents the newest frontier in minimally invasive surgery.

[Xantho-granulomatous pyelonephritis. 3 cases (author's transl)]. / La pyélonéphrite xantho-granulomateuse. A propos de 3 observations.

Amongst infective lesions of the kidney, xanthogranulomatous pyelonephritis has a place of its own. Whilst some consider it to be a distinct entity, others classify it within the broad group of the pyonephroses. From a clinical standpoint, lithiasis is common and urinary infection quasiconstant. Radiological appearances and the therapeutic approach differ according to whether it is, as is most common, a generalised form or the much rarer localised form. On the basis of 3 cases, the authors review the principal features of this curious condition.