[Urinary calculi in the Surgical Departments of the National Hospital Center and the University of Cotonou]. / La lithiase urinaire dans les services chirurgicaux du Centre National Hospitalier et Universitaire de Cotonou.

The authors review renal stone disease in the National University Hospital of Cotonou on the basis of 109 cases observed over a period of 18 years. The mean frequency was 6.11 cases per year with a marked male predominance (sex ratio of 3.73). Infection and diseases of the lower urinary tract play an important aetiological role, hence the numerical importance of cases of lower tract stones (60.95%).

[The African and Malagasy Council for higher education: objectives and programs]. / Le conseil africain et malgache pour l'enseignement supérieur: objectifs et programmes.

The African and Malgach Council for University Education is an inter-african institution. The anthors remind its organisation and show its aim and basic programms: recognition and equivalence of the degrees--teaching of the traditional medication--establishment of inter-african comettees--organisation of concors for associated professors in laws and medicine.

[Anal fistula: value of the fistulectomy technic combined with endoanal suture using chromium catgut. Reflections apropos of 25 cases]. / Fistules anales: intérêts de la technique de la fistulectomie associée à la suture endo-anale au catgut chromé. Réflexions sur 25 cas.

Results of treatment of 25 cases of anal fistula demonstrate that these lesions can be treated by combined fistulectomy and endoanal suture whatever their anatomic type, if the technique is carried out patiently and strictly. It ensures successful relief in 100% of cases of fistula treated by first intention. Satisfactory results were obtained after recovery surgery in 3 of 5 cases (60%) the 2 patients failing to respond having been treated by Arnous' method. Its advantage is total conservation of anal sphincter, avoiding postoperative sphincteric complications and other local sequelae.

[Ambulatory surgical treatment of uncomplicated inguinal hernia with minimal local anesthesia]. / Traitement chirurgical ambulatoire des hernies de l'aine non compliquées avec anesthésie locale à minima.

At a time when scientific progress is to the forefront in the field of anesthesia, by the increased knowledge and use of anesthetic drugs and their antidotes, and by the increasing sophistication of anesthetic and intensive care apparatuses, it could appear absurd to wish to make local anesthesia in treatment of uncomplicated inguinal hernia a commonplace procedure. However, confronted with the usual risks of general anesthesia and the minimal incidence of accidents after local injection of 2% xylocaine, the authors have developed a technique of infiltration of certain key-zones to ensure maximum effectiveness of 4 to 6 cc of the compound. Results are reported of the use of the method in 100 ambulatory patients, age range 15 to 70 years, of both sexes. A full discussion on the procedure adopted follows a brief summary of the anatomy and nerve supply of the inguinal region.

[Urethral mucosal prolapse in children at the National Hospital and University Center of Cotonou. Apropos of 13 cases]. / Le prolapsus muqueux uréthral de l'enfant au CNHU de Cotonou. A propos de 13 observations.

The authors report 13 cases of prolapse of the urethral mucosa. This is a benign lesion of the terminal portion of the urethra, seen above in black girls aged from 6 to 10 years. The usual presentation is vulval bleeding. The lesion is recognised by inspection and urethral catheterisation. Resection of the prolapse with muco-mucosal suture, not followed by the insertion of an indwelling catheter, is adequate and may be performed in a day hospital.