[Surgical approaches to hysterectomy].

Objectives: this study aims to assess the frequency, complications and advantages of each of the three principal approaches to hysterectomies: abdominal, vaginal, and laparoscopic.

Patients And Method: this prospective study analyses a consecutive series of 78 hysterectomies for benign disease (myomas and precancerous lesions of the cervix) in the gynaecological surgery department of Libreville Hospital Centre from March 1, 2006, to November, 2010. We excluded cases of genital prolapsus, invasive uterine cancer, and hysterectomy during pregnancy or delivery.

[Osteo-articular tuberculosis and postpartum: a casual association?].

Introduction: Most cases of active tuberculosis in France are due to a recurrence of latent tuberculosis. It seems that immunorestitution during the postpartum can contribute to the return of latent tuberculosis.

Exegesis: We report three observations of Mycobacterium tuberculosis osteo-articular infections (two Pott's diseases and one sterno-clavicular arthritis) occurring during the postpartum of women non infected by HIV.

[Leiomyoma of the female urethra].

The authors report a case of leiomyoma of the female urethra and review the literature concerning this disease. This is a rare tumour that only exceptionally involves the urethra and is therefore difficult to diagnose. Urethral leiomyoma can present in the form of urinary tract infections, detrusor instability, haematuria, dyspareunia, and, more rarely, dilatation of the proximal urinary tract.

[Pregnancy after adjustable gastric band for morbid obesity: specific features of follow-up].

Objective: To give pregnant women treated with an adjustable gastric band specific information on pregnancy and fetal outcome.

Material And Method: Case report and discussion of the main complications and specific features follow-up during pregnancy.

Results: In our patient the gastric band was adjusted to prevent first trimester vomiting.