[Treatment of rectal prolapse with elastic circling of the anus: Perspectives of utilization]. / Cure du prolapsus rectal par cerclage élastique de l'anus. Perspectives d'utilisation.

The Thiersch technique for treatment of rectal prolapsus has been largely abandoned because the metallic or non-resorbable wire is poorly tolerated and non-extensible. Silastic can fulfil these requirements and was used in 11 patients, including two who underwent reoperations. Good results were obtained in 9. This technique is simple and can be proposed when the general status of the patient does not allow surgical cure of the prolapsus.

[Endometriosis and diaphragmatic defect in catamenial pneumothorax]. / Endométriose et brèche diaphragmatique dans le pneumothorax cataménial.

Two cases of catamenial pneumothorax are reported, a rare condition characterized by its sudden occurrence in a female patient between the ages of 30 and 40 years, always at the onset of the menstrual cycle. Its exact origin is unknown, but the frequent co-existence of endometriosis and a defect in the diaphragm suggests that endometriosis may be important in the etiology both of the pneumothorax and the diaphragmatic lesion. Pelvic endometriosis was present in both our patients, one of whom also had diaphragmatic endometriosis. The treatment of the pneumothorax in both our cases consisted of pleural decortication with excellent results so far.

[Three cases of solid and papillary tumors of the pancreas in black women]. / Trois cas de tumeurs solides et papillaires du pancréas chez la femme de race noire.

Three cases of solid and papillary epithelial neoplasm of the pancreas are presented. These tumors occur more commonly in young patients with a predilection for young black females. They have a good prognosis allowing conservative surgery. The histological study of the specimens strongly suggests an endocrine tumor but all histological and immunocytochemical endocrine stains are negative. The ultrastructural study of these tumors has revealed the existence of borderline forms between these tumors and endocrine tumors.

[Anatomic pecularities of the inguinal canal in West Indians. Influence on the management of inguinal hernia]. / Particularités anatomiques du canal inguinal chez l'Antillais. Incidences sur la cure de hernie inguinale.

Inguinal and umbilical hernias are much more frequent in the black and half-breed than in the white population. We have observed anatomical differences in the inguinal region between Whites and Blacks. The latter have a vertical, wide subcutaneous ring and a smaller conjoined tendon, and it is hardly possible to reconstruct the fascia of the obliquus externus abdominis anterior to the cord in them. For Black patients, we propose the suture of the conjoined tendon to the crural arch, like in the Bassini procedure, and the suture of the fascia of the obliquus externus to the arch, but in a retrofunicular position. This technique allows, so to speak, duplicating the caudal connection of the conjoined tendon to the arch by means of the extensive suture of 2 tissues of similar nature, ie. the fascia of the obliquus externus and the crural arch.

[Endometriosis and ureteral stenosis. Apropos of 4 cases]. / Endométriose et sténose urétérale. A propos de quatre observations.

If endometriosis is particularly well known by Gynecologists, ureteral complications of this disease are very rare. We have had the occasion to observe four cases of ureteral stenosis by extrinsic compression of a pelvic endometriosis, and about these four cases, we have reviewed one hundred and fifty six cases in literature. We have emphasize that the fibrosis provoked by endometriosis can look like a neoplastic lesion, and get involved in very heavy therapeutic gestures. We insist on the fact that every endometriosis discovered should be on surgery of kidneys and ureters.

[Umbilical hernia and appendectomy]. / Hernie ombilicale et appendicectomie.

Results of 334 appendectomies carried out through the umbilical orifice are reviewed. Failures of treatment and complications of the method are reported while emphasizing that only 4 major complications occurred. When compared with the classical incision of right iliac fossa this procedure does not appear to provoke more risks and presents obvious esthetic advantages.