[Assessment of prognostic factors in patients with liver cirrhosis with emphasis on the usefulness of peritoneoscopy].
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Liver involvement in multiple myeloma has been known to be common in autopsied series. However, since its clinical significance is uncertain yet, invasive procedure confirming plasma cell infiltration of the liver has been rarely performed. We report a case with multiple myeloma which had plasma cell infiltration of a liver. A peritoneoscopic biopsy of the liver for the purpose of disclosing the nature of the aggravating liver function in a carrier of the hepatitis B virus showed infiltration of lymphoreticular cell which were identified later as lambda-light chain producing primitive plasma cells by immunohistochemical stain.
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From 1989 to 1991, 50 male patients presenting with reducible oblique lateral inguinal hernias were treated with a technique consisting in the insertion of a prosthetic Prolene patch (60 x 110 mm) interposed between the muscular wall and the peritoneal pouch. The prosthetic material was introduced and positioned anterior to the peritoneum using a laparoscope, after creating a pre- then a retropneumascos. This technique is a new application of non-invasive endoscopic surgery.
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