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This retrospective study reviews 211 patients having sustained a bilateral groin hernia repair during a 3 year period. The procedure was the same for all the patients: via a Pfannensteil approach, a pre peritoneal prosthetic repair is performed, using two ePTFE patches, after resection of the hernial sacs and closure of the parietal gaps. The mean follow up was 2 years. During the post operative course, thirty seven of 211 patients sustained 10 local complications, 9 urethral catheter related complications and 11 residual pain. No prostheses infection or testicular atrophy was observed. Nine patients had recurrences (2.2% of 422 repairs). All the recurrences were due to incorrect technique, eight were successfully re operated on--Expanded PTFE is a reliable prosthetic material, easy to handle and well adapted to preperitioneal hernia repair.

The authors report two cases of cystic adventitial disease of the popliteal artery. Both patients complained of calf claudication and presented a thrombosis of the popliteal artery. In one case, magnetic resonance imaging exhibited a specific preoperative diagnosis. In both cases, at least one communication between the cysts and the capsule of the knee joint was demonstrated, supporting the congenital hypothesis of the disease. The two cases have been treated by vein graft replacement of the occluded popliteal arteries. Both patients have remained asymptomatic and the two grafts have remained patent during the ninth and twelfth month follow-up periods.

The great diversity of injuries after abdominal wound, need an adapted treatment. When laparotomy is indicated in uncontrollable hemorrhage, peritoneal lavage associated with C.T. scan seems to be interesting in the management of hemoperitoneum with a moderate injury severity score and stable arterial and venous pressures. Three patients were recently managed non operatively with good results. The authors draw up these three cases with inclusion criterias and limits of the method.

Wounds of perineal rectum represent an emergency by reason of immediate and secondary seriousness, their ultimate sequelas (15%). From their experience, review of the literature, the authors define a surgical attitude available for civilian injuries: terminal colostomy, large drainage, cautious surgical treatment of rectal injury.

Summary A vascular clinical study of 107 young men was performed in the “Ecole interarmee des sports” of Fontainebleau. The Doppler recordings made on the posterior tibial artery showed a decrease or stop of arterial flow in 50% of athletic subjects and in 30% of the non athletic control group. The greater muscular volume in athletes could explain the entrapment of distal arteries. Doppler could be used for the early detection of the popliteal artery entrapment syndrom.

Fifteen cases of severe fractures of the pelvis associated with vascular complications are reviewed. The operational strategy remains controversial when faced with these life threatening traumatic lesions. The chief cause of mortality of these fractures is subperitoneal or retroperitoneal expanding hematoma, the natural course and evolution of which are presently well known and better explored thanks to modern imaging technology. Early-phase intensive care and intervention radiology are partly responsible for a change in the immediate therapeutic attitude. Nonetheless, in hemorrhagic poly-traumatic patients, surgical treatment is still required and remains a method non devoid of pitfalls.

Popliteal entrapment syndrome is not so rare if usually researched by clinical examination. But it is very unusual to find a bilateral aneurysm when you first examine your patient. One of them was complicated by a rupture. The surgical management with bilateral venous grafts is described.