[Urogenital fistulas: etiopathogenic and therapeutic aspects at the University Hospital Center of Brazzaville].

Introduction: The urogenital fistulas continue to be a dangerous complication of the childbirths dystociques in Africa and especially to Congo.

Objectives: To analyze the étiopathogénic and therapeutic aspects of the urogenital fistulas in order to suggest preventive measures. SICK AND METHODS: It is about a retrospective survey achieved in the service of urology of the univertery hospital center of Brazzaville of January 2001 to December 2005 concerning 34 patients hospitalized for urogenital fistulas.

[A case of isolated tuberculosis of the appendix at the University Hospital Center in Brazzaville, Congo].

Since the outbreak of human immunodeficiency virus (HIV) infection, extrapulmonary tuberculosis has become increasingly frequent in developing countries. The purpose of this report is to describe a case of isolated tuberculosis of the appendix diagnosed following generalized peritonitis in a 53-year-old man. The appendix is the least frequent gastrointestinal location of isolated tuberculosis.

[The ilioinguinal and iliohypogastric nerves. The anatomic bases in preventing postoperative neuropathies after appendectomy, inguinal herniorraphy, caesareans].

Study Aim: To identify danger areas in surgical incisions (appendectomy, inguinal and Pfannenstiel incisions) by mapping the course of ilioinguinal and iliohypogastric nerves.

Material And Methods: The courses of the ilioinguinal and iliohypogastric nerves from 37 unembalmed adult cadavers were mapped from their lateral emergence on the internal obliquus nerve to their midline termination in reference to anatomic landmarks (anterior superior iliac spine, midline, upper border of the pubic symphysis). With use of a mapping technique, the standard courses of both nerves were compared with sites of standard abdominal surgical incisions.

[Lymphatic drainage of intertracheobronchial lymph nodes. An anatomical study by injecting diaphragmatic pleura of foetuses and adult cadavers].

The aim of this anatomical study was to determine lymphatic efferents from intertracheobronchial lymph nodes. The diaphragmatic vessels of 57 adult cadavers and 23 foetuses were injected with a modified Gerota's medium to permit, through diaphragmatic lymphatic efferents, intertracheobronchial lymph nodes and its lymphatic efferents to be visualised and then dissected. Each stage of the dissection was described and photographed.

[Left colic cancer at Brazzaville Teaching Hospital. Results from surgical treatment].

Aims: to examine the results from the surgical treatment of left colic cancer.

Patients And Method: It is about a retrospective study which has been undertaken in the digestive surgical unit of Brazzaville teaching hospital from January 1999 to October 2001. 18 patients who had a left colic cancer have undergone operated.

[Results of the surgical treatment of hemorrhoids according to Milligan and Morgan technique - report of 56 cases].

Aim Of The Study: To study the results of the surgical treatment of haemorrhoid disease according to Milligan and Morgan technique.

Material And Method: It is about a retrospective study in the unit of the digestive surgery of the teaching hospital of Braszaville. From March 1992 to february 2002, 56 patients who had hemorrhoid disease have undergone a pedicular hémorroïdectomy of Milligan and Morgan type.

[Voluminous right scrotal inguinal hernia: interest in treatment of the hernia without tension according to Lischtenstein technique--an observation].

We report the observation of right scrotal ingino hernia (tropical hernia) on a young subject of 31-years-old. Tropical hernia have become rare and are faced with a therapeutic taking charge of problem. This tropical hernia has been treated by the settlement of a prosthesis without tension according to Lichtenstein technic.

[Systematization of proper lymphatic vessels of the diaphragm].

The aim of this study was to demonstrate lymphatic vessels of the diaphragm, its connexions with mediastinum and abdominal cavity in order to better understand propagation of neoplasic or infectious processes. Diaphragmatic pleura of 30 adult cadavers and 12 fetuses, unscathed of any cardiopulmonary pathology, were injected with modified Gerota's medium to permit lymph vessels and nodes to be visualized and then dissected. Each stage of dissection was described and photographed.

Lymphatic drainage of the diaphragmatic pleura to the peritracheobronchial lymph nodes.

Non-small cell lung cancer invading the visceral pleura is characterized by a particular richness of mediastinal lymph node (LN) metastases. This may be due to subpleural lymphatic drainage of tumor cells. The aim of this study was to determine mediastinal LN lymphatic drainage from the diaphragmatic pleura.