[Idiopathic segmental infarction of the great omentum. Value of celioscopy]. / Infarctus idiopathique segmentaire du grand épiploon. Intérêt de la coelioscopie.

Segmental infarction of the great omentum is a possible aetiology of acute abdominal pain. The diagnosis was difficult before operation and, generally the patient was operated upon with the diagnosis of appendicitis, or less often by laparotomy. The laparoscopy appears to be nowadays the ideal way of diagnosis, as this was the case in two of our patients. The treatment is also possible by laparoscopy (one of our patients). Generally speaking the laparoscopy should be of great help in the diagnosis of some acute abdominal pain, and could reduce the number of the so called non specific abdominal pain.

[Cholecystectomy by laparoscopic approach. A trial for evaluating the biliary risk]. / Cholécystectomie sous coelioscopie. Essai d'évaluation du risque biliaire.

Owing to the wide diffusion of the coelioscopic cholecystectomy some problems are worth studying. From a technical standpoint they are important changes: use of monopolar current for coagulation, suppression of intra-operative cholangiography, absence of suture of the gallbladder bed, systematic retrograde dissection. Theoritically these modifications are important enough to increase the biliary risk. As a matter of fact, comparison with traditional cholecystectomy data as well as results of preliminary studies on coelioscopic cholecystectomy does not confirm such a risk. This operation appears safe, at least if indications are limited to non complicated cholelithiasis.

[New method of hysteroscopy: instrumentation and technics]. / Une nouvelle méthode d'hystéroscopie: instrumentation et technique.

PIP: A new technique and instrumentation for hysteroscopy are described. After careful vagino-cervical antisepsis, the cervix is grasped pneumatically with the cannula at a negative pressure of 450 g. The cervical canal is dilated by insufflation of carbon dioxide, and the hysteroscope is advanced into the uterine cavity. (Cervical hemorrhage is avoided by dilation with gas.) The area of the tubal orifices is easily explored. It is expected that this method will be particularly useful in the diagnosis of uterine lesions and neoplasms.^ieng