[Segmental pancreatic lesions after partial or total splenectomy in rabbits]. / Lésions pancréatiques segmentaires après splénectomie partielle ou totale chez le lapin

Previous experiments on compensatory hypertrophy of the splenic parenchyma after partial splenectomy, permitted us to observe lesions of the part of the pancreas in contact with the spleen. This part of the gland is supplied only by the splenic artery and suffers from some degree of ischemia during splenectomy. The object of this research was to seek, as a routine, pancreatic disease after splenectomy. 32 adult rabbits were used. Partial splenectomy carried out in 15 cases, removed about 2/3rds of the spleen and involved ligature of 4 or 5 splenic and mesenteric arterio-venous pedicles. Total splenectomy, carried out in 17 cases, included ligature of the splenic arteriovenous trunk and 3 or 4 spleno-gastric and spleno-mesenteric arterio-venous pedicles. These operations were followed by more or less intense stasis extending to the splenic part of the pancreas. The animals were examined one week and 8 months afterwards. All the rabbits, except one, had pancreatic lesions. The most severe and extensive lesions, including large areas of cytosteato-necrosis with, in 11 cases, pseudo-cysts, with caseation, followed total splenectomy. Partial splenectomy gave rise to 6 pseudocysts including 2 containing blood and 9 cases with milder lesions including involution, rarefaction and sometimes disappearance of the gland which had suffered from ischemia. In these splenectomies, ligature of the splenic arterio-venous pedicles supplying the pancreas were responsible for pancreatic disease.

[Late ileal metastases from a skin melanoma with mainly hemorrhagic symptoms. Report of one case (author's transl)]. / Métastases iléales tardives d'un mélanome cutané périphérique. Manifestations hémorragiques prédominantes. A propos d'un cas.

Intestinal metastase from a malignant melanoma are rare and raise difficult diagnostic problems especially when far from the initial tumour. Although acute intussusception is the usual clinical presentation, one should recognise the possibility of atypical symptoms: e.g. repeated digestive hemorrhage or resistant anemia. A sutdy of past history may lead to the discovery of a malanoma. Treatment is unfortunately surgical and palliative to releave the complication.

[Spontaneous perforation of the hepatic duct during biliary lithiasis complicated by acute pancreatitis]. / Perforation spontanée du canal hépatique au cours d'une lithiase biliare compliquée de pancréatite aiguë

The association of perforation of the common bile duct, cholecystitis and acute pancreatitis, should be emphasized. Physiopathology of perforation of the bile duct may be compared with that of pancreatitis. Repair of the bile duct may be delicate requiring hepatico-jejunostomy on an isolated loop.

[The repair of inguinal hernia by insertion of prosthetic material with tunnelisation of the spermatic cord (author's transl)]. / Cure des hernies inguinales par mise en place d'un matériel prothétique avec tunnelisation du cordon spermatique.

A mersilene plate, cut according to the technique of Zagdoun, usually fixed to the conjoint tendon (in front of the latter) and to the inguinal ligament, is turned in front of the spermatic cord in the form of a cuff attached to itself and the aponeurosis of the obliquus externus. Thus strengthens the deficient deep and superfical anatomical layers in cases of large or recurrent inguinal hernia.

[Surgical problems. (Apropos of reoperations in abdominal surgery)]. / Les problèmes chirurgicaux. (A propos des réinterventions en chirurgie abdominale)

Out of 1,500 laparotomies carried out between january 1970 and december 1973, 49 patients, i.e. 3.2 p. 100 underwent 61 reinterventions: one out of three patients died. Almost 60 p. 100 of these patients who had undergone operations had essentially parietal complications. The authors analyze the different syndromes which had led to the reintervention while making a special place for parietal problems.