[SPIC: a training simulator for coelioscopic interventions with gynecologic purpose].

There is much demand for laparoscopy training. We have developed a training simulator for initial training in gynecological laparoscopy. The simulator includes a mannequin with 3 located trocars, a PC and software for managing the graphical part of the training protocol.

[Value and limits of complementary investigations in cases of toxoplasmosis seroconversion during pregnancy. A case report and review of the literature].

We report a case of acute toxoplasmosis during the first trimester of pregnancy in which antenatal diagnosis was negative. Except for non-specific signs of liver failure, assessment by repeated ultrasound scans, testing of fetal blood for toxoplasmic specific antibodies and competitive PCR to isolate the parasite, had ruled out fetal infection. In spite of early treatment with spiramycin, and although the infant was assumed to be non-contaminated, severe hydrocephalus was noted at 3 and half months of life, arising soon after therapy had been stopped.

[Vaginal delivery of monochorionic, monoamniotic twins. Clinical case].

Monochorial-monoamniotic female twins were delivered by the vaginal route with no particular problem after 37 week gestation. Cephalic presentation for both infants was not hindered by a tangled cord with a knot.