[Surgery of leprous neuritis (a 16 mm colour-sound film--35 minutes (author's transl)]. / Chirurgie directe de la névrite lépreuse (film 16 mm en couleur de 35 minutes commentaire sonore en français titrage bilingue français--anglais.

When medical treatment is not sufficient, surgery may still improve leprous neuritis by:--opening of osteo-fibrous tunnels where is an external compression fixing the level of physiological blockade: the elbow for the cubital nerve, the wrist for the median nerve, the peroneal neck for the peroneal nerve, the instep for the tibial nerve;--opening the thickened and consequently inextensible epineurium, inducing a release of the compression acting upon the nervous bundles and permitting their recovery if they are not yet destroyed. The film describes the various techniques immediately effective in hyperalgic neuritis and giving valuable recoveries in forms showing already a functional impairment.

[Place and importance of specific surgery in a national program for control of leprosy (author's transl)]. / Place et importance de la chirurgie "spécialisée" dans un programme national de lutte contre la lèpre.

In order to get a representative sample of the population, a survey was conducted in an rural district of the Republic of Mali. The data collected give evidence that the number of specific surgical indications can be correctly evaluated not from the number of leprosy patients numbered, but by applying a ratio of 5,5 per cent to the whole population. This easy evaluation is important for the management of any public health programme.

[Present evaluation of hansenian treatment by association of chemotherapy and immunostimulation (author's transl)]. / Bilan actuel du traitement de la lépre par chimiothérapie et immunostimulation associées

I.--Treatment with BCG and DDS in lepromatous or borderline patients. II.--Value of BCG added to a prior and long-continued treatment with DDS or rifamipicine. III.--Value of various immunostimulants given previously to a treatment with BCG and chemotherapy. IV.--Value of lysate of Neisseria perflava as an immunostimulant associated with DDS in an initial treatment of lepromatous and borderline patients. V.--Results of a seventeen months treatment of lepromatous and borderline patients with a lysate of Neisseria perflava associated with DDS. The various therapeutic trials reported in these 5 papers demonstrate that hansenian nevritis conventionnally treated may show improvement when an immunostimulant (BCG or bacterial lysate or levamisole) is given either previously or in association with DDS or rifampicine or after such a treatment. It has still been observed that two immunostimulants given simultaneously have no good effect and that this association must be discarded.

La neurolyse fasciculaire dans la lepre 20 ans apres (1957-1977) / ?

A better knowledge of the pathological and physiopathological nervous involvement in leprosy and a more extended experience of fascicular neurolysis have proved the value of this procedure proposed by Carayon in 1957. The opposed opinions are discussed and the authors give the strict rules required for a good indication and a good surgical technic according to the kind of damage and to the nerve concerned

[Tarsal tunnel syndrome. Apropos of 15 "pure" cases and 100 cases "combined" with leprosy or diabetes mellitus]. / Syndrome du canal tarsien. A propos de 15 cas "purs" et de 100 cas "associés" à la lèpre ou au diabète

The authors have observed 15 cases of the tarsal canal syndrome: the 14 cases operated on showed compression of the nerve by bone fragments resulting from trauma by local varices, by a muscular anomaly, or as a result of enclosure by post-trauma fibrosis. Surgery resulted in 10 cures and considerable improvement in 2 other cases. In addition to these 15 "pure" cases the authors report their experience of neurolysis of the posterior tibial nerve and of the plantar nerves of the tarsal canal in the treatment of perforating plantar lesions in leprosy (88 cases) and diabetes (12 cases). The good results in these cases indicate the value of extending this therapy to the treatment of perforating plantar lesions in cases of large nerve neuritis.