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Resume But Decrire la vessie rectale a basse pression de Ghoneim dont les auteurs ont simplifie la technique en ne faisant ni la valve colocolique, ni la colostomie. Methode Trente-six patients ont ete operes selon cette technique simplifiee. Resultats La simplification de la technique n’a pas ete source de complication. Elle a diminue le temps operatoire et a evite un acte chirurgical secondaire (fermeture de colostomie).

Description of the Ghoneim's low pressure rectal bladder, without colo-colic valve and colostomy.Thirty-six patients underwent this simplified technique.The simplification of the technique did not increase the complication. The operating time has been lessened. The closing colostomy was avoided.

The authors report a case of benign pseudosarcoma of the bladder and emphasize the endoscopic features of the tumour, which were highly suggestive of malignancy, leading to the decision to perform cystectomy. The diagnosis was corrected by endoscopic resection and histology. Treatment usually consists of partial cystectomy, but can sometimes be limited to one or several endoscopic resections.

The technique and results of endoscopic resection of submucosal uterine myoma performed in a series of 42 cases are presented. Following hysterography and hysteroscopy, endoscopic resection is carried out through a dilated cervix and under glycol infusion. The technique is very simple and the duration of the operation never exceeds 30 minutes. The postoperative period is short, and the average length of stay in hospital varies from 24 to 48 hours. Resection of submucosal myoma usually enables treatment with progestins to be discontinued. Moreover, when the submucosal myoma is not very large and solitary this technique offers an alternative to hysterectomy.

Eighteen patients with severe, acute ischemia of the lower limbs were treated with an arterial perfusion of the ischemic leg with Urokinase. This was associated, in thirteen patients, with a limited attempt of revascularization. The result of this treatment was an immediate improvement in twelve cases, which lasted, more than six months, in six patients. The authors insist on the interest of the arteriography performed after the fibrinolytic treatment in order to complete the revascularization.

The authors report 3 cases of acute complicated duodenal ulcers occurring during the course of Listeria meningitis. These three adults (2 females and 1 male) suffered from localised neurological involvement and, in 2 cases neurovegatative disorders an altered level of consciousness. The ulcers were situated in the duodenal cap, and in each case there were at least 2 large excavated ulcers. These ulcers were the site of late complications on the 13th and 15th days after the onset of neurological disease. In two cases the major symptom was haemorrhage, whilst in the third it subsided leaving a syndrome of peritonitis due to perforation. Treatment in all three cases consisted of vagotomy with pyloroplasty (the ulcers being excised or sutured). All the patients recovered from their digestive complications without relapse despite the persistence 6 and 10 months later of the same neurological problems in two of them. All these facts would be in favour of a neurogenic aetiopathogenesis, via the vagal nerve. Thus acute late duodenal ulcers in patients with neurological disease from a separate enity within the context of stress lesions.

This involves a supple metal prosthesis placed in the posterior urethra to relieve cervico-prostatic obstruction whilst allowing for normal function of the striate sphincter as well as satisfactory bladder drainage with normal continence. Easily inserted under local anesthesia and without morbidity, with a perfect functional result in the great majority of cases provided indications are complied with, i.e. essentially prostatic hypertrophy with retention. This prosthesis is designed for use in patients with temporary or permanent contraindications to surgery. Compliance with the very precise technique for insertion, under optical and televisual control, as well as with surgical contraindications (neurological bladder, cerebral arterial sclerosis, concomitant bladder lesion), ensures a good result. This prosthesis thus avoids the need for an indwelling catheter.