[Treatment of an inguinal hernia by the midline preperitoneal approach using a dacron patch]. / La cure de la hernie de l'aine par voie médiane prépéritonéale avec une plaque de Dacron.

The authors report a series of 128 inguinal hernias operated by a mid line extra peritoneal incision with using Dacron Tulle material, and with a 3 years minimal follow up. The spetical risk in this series is about 0.78 percent. Not any prothesis had be removed. Relapse level was about 3.9 percent at 3 years. More of them, occur during the first year at our experience starting period. We can improve this number into less than 1 percent with experimented surgeons. The mid line way in the case of multirelapsing hernias allows an easier cleaving of the subparietal spaces, and putting in place prothesis largely over-stepping weakness zone.

[Early surgical treatment of acute cholecystitis]. / Le traitement chirurgical précoce de la cholécystite aiguë.

Correlations between anatomic and clinical findings were absent in a series of 214 cases of acute cholecystitis, and there was a high percentage of severe forms (58 p. 100). Early operation (between 48 and 72 hours) is therefore the most logical treatment and demonstrates comparable morbidity and mortality, if not lower figures, than with delayed surgery. Diagnosis can usually be made on clinical grounds and results of ultra-sound imaging and allows surgery to be performed after intensive care and preoperative antibiotic therapy. Total surgery with perioperative cholangiography is usually possible (95 p. 100 cases).

[Villous tumor of the doudenum (author's transl)]. / Tumeur villeuse du duodénum. Mise au point à propos d'une observation.

Villous tumors of the duodenum are rare, but treatment may be problematic because of their association with invasive adenocarcinoma. One case of villous tumor of the duodenum is described and 44 others reported cases are reviewed. Diagnosis may be made by radiographic barium contrast evaluation of the duodenum, especially with the addition of air contrast hypotonic studies and by fibro-optic endoscopy with biopsies. 32 p. cent of villous tumors of the duodenum are associated with adenocarcinoma. Local excision is the treatment of choice for benign lesions. Duodenectomy or pancreatico-duodenectomy are recommended for tumors which include invasive carcinoma.