Search

From a series of 50 thyroid cancers with lymph node metastases, the authors have conducted a topographical study of lymph node dissemination in the neck according to the topography of the primary cancer and its anatomopathological form. The prognostic aspects drawn from this casuistic study concern the anatomopathological form, the type of lymph node extension in the neck, and the type of lymph node dissection carried out for curative purposes. This study's main findings are that the anatomopathological element predominates over lymph node dissemination, and that conservative lymph node removal remains preferable to the classical total excision.

Closure of the lower third of the vagina using a TA 55 automatic suture forceps is an easy procedure which offers the best guarantee from a septic and haemostatic standpoint during the peroperative phase. We have used the technique on 50 occasions. In all cases, it gave a linear vaginal scar without granuloma. Used in association with sub-peritoneal suction drainage it brings about a reduction in the number of lymphoceles and their complications.