[The repair of extensive evisceration using an absorbable prosthesis]. / Vuzstanoviavane na obshirni evistseratsii s pomoshtta na absorbirashta se proteza.

The use of an absorbable material in the form of a permeable mesh of polyglactin 910 is proposed for the treatment of extensive evisceration regardless of etiology. Its strength and excellent tolerance by the body even in the presence of infection justify its intraperitoneal placement on the deep surface of the peritoneum, in contact with the viscera and in reconstruction of the parietal wall. Perfect retention of the viscera in place is assured and the reconstructed parietal wall seems solid and stable, the absorbable mesh being rapidly replaced by host connective tissue of good quality. This technique, applicable to all cases of evisceration, is valuable in the surgical treatment of such patients, which is frequently difficult at best.

[Retroperitoneal liposarcoma. Clinical, prognosis and therapeutic aspects apropos of 4 cases]. / Liposarcomes rétropéritonéaux. Aspect clinique, pronostique et thérapeutique à propos de 4 cas.

Four further cases of retroperitoneal liposarcoma are reported. Principal modes of revelation and diagnostic features are discussed, values of different complementary examinations evaluated, and prognostic factors and therapeutic elements of this serious affection outlined.

[Pelvic peritonization with a polyglactin 910 mesh]. / La péritonisation pelvienne par treillis de polyglactine 910.

The authors, who have a long experience of polyglactin 910 mesh advocate its use for pelvic peritonization in two different situations and with two different techniques. The "lower controlled peritonization" technique aims at obtaining rapid and satisfactory healing of the peritoneum in wide resections or resections in high risk patients. The "upper controlled peritonization" technique creates a "hammock" across the upper pelvic inlet, thus protecting intestinal loops against post-operative irradiations.

[Biliary hamartoma. Reflexions on a new personal case]. / Les hamartomes biliaires. Réflexions à propos d'un nouveau cas personnel.

In this study of a personal case of biliary hamartoma showing complete aplasia of the hepatic parenchyma as well as a cystic ectasy of the corresponding bile ducts, particular emphasis has been laid on the clinical, paraclinical and anatomo-pathological aspects of these dysgeneses. There seems to be an analogy between the radiographic, anatomical and anatomo-pathological studies made in this case and those that could have been made in pulmonary sequestration. As regards the pathogenesis of these complaints, the authors therefore put forward the same hypothesis for biliary hamartoma as for pulmonary sequestration and highlight the advantages of pre-operative angiography.

[Associated granular cell tumor and esophageal cancer (author's transl)]. / Association d'une tumeur à cellules granuleuses et d'un cancer de l'oesophage.

The first reported case of an association of Abrikossof's tumor and a cancer in the esophagus is described. After a general view of the published literature on these tumors, their clinical and pathological characteristics are outlined, and their histogenesis envisaged in relation to histochemical and ultrastructural findings. Therapeutic methods and means of follow-up surveillance are defined.

[Reflection on the use of the polyglactine 910 self resorbing mesh in the treatment of hernias and ventral ruptures (author's transl)]. / Réflexion sur l'utilisation du treillis résorbable de polyglactine 910 dans le traitement des hernies et des éventrations.

The long term results obtained by Polyglactine 910 mesh in the treatment of eviscerations has lead us to specify its conditions of use in the surgical treatment of wall ruptures. As it is self resorbing, it may not be used on its own. But its remarkable acceptance allowing it to be fitted in an intra-peritoneal position, with very lateral stitches, makes it a most outstanding material for top quality assisted sutures.

[Palliative oesophago-jejunal anastomosis for advanced carcinoma of the stomach (author's transl)]. / Anastomose oeso-jéjjunale palliative pour cancer gastrique étendu.

Palliative oesophago-jejunal anastomosis via a purely abdominal approach is proposed in the treatment of inoperable carcinoma of the stomach, and in which gastro-enterostomy is not possible. The latero-lateral nature avoiding any dissection of the oesophagus and the wide calibre of the anastomosis made possible by automatic suture clamps are factors in ensuring the reliability and effectiveness of the method, which considerably improves the living conditions of these patients.

[Retroperitoneal mesenchymomas. Remarks apropos of 19 cases]. / Les mésenchymomes rétro-péritonéaux. Réflexions à propos de 19 observations

The authors report 19 cases and review the literature. They analyse the pathological and clinical characteristics of retro-peritoneal mesenchymoma. The diagnosis of these tumours is facilitated by intravenous urography, barium enema, arteriography and bidimensional echography. Cavography is interesting to determine the venous risk. The unforeseeable course, which is always severe in these tumours, is characterised by the frequency of local relapse. The prognosis is very poor with only one 8 year survival in this series. Surgical removal is the only possible treatment, in spite of difficulty, especially during recurrences.