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Genital peritonitis is rare in daily surgical practice in Congo-Brazzaville. Clandestine abortions are incriminated. The purpose of the study is to analyze the epidemiological, etiological, diagnostic and therapeutic aspects of genital peritonitis. A retrospective and case series study was realized in departments of Digestive Surgery and Gynecology-Obstetrics of the University Hospital of Brazzaville. The inclusion criteria for the diagnosis of peritonitis were abdominal pain, fever, transit disturbances and signs of peritoneal irritation. The parameters studied were: age, etiological circumstances, anatomical lesions, type of surgical treatment and evolution. During the study period (July 1, 2015-December 31, 2017), 306 patients were admitted to both departments for acute generalized peritonitis. Among them, a genital cause was incriminated in 18 (5.9%) patients. The mean age was 27.6 ± 3.1 years. At the parity and gestational level, 93% of patients had at least two pregnancies, but not more than the second trimester. In addition, 50% of the patients had an induced miscarriage, due to uterine and intestinal lesions. Induced miscarriages accounted for half of etiological circumstances. Physical examination of the abdomen revealed abdominal contracture in 61.1% of cases. Main visceral lesions were uterine perforation (55.5%) followed by rupture of tubo-ovarian abscess (38.9%). The operative follow-up was simple in 83.33% of cases. In conclusion, genital peritonitis remains unfrequented. Median laparotomy has been the main therapeutic approach in our context where emergency laparoscopic surgery is not yet common.

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Purpose: The purpose of this study was to investigate the influence of the soccer pitch area during small-sided games (SSG) in prepubertal children on physiological and technical demands, and to compare them, for the physiological demands, to high-intensity interval training (HIIT). Methods: Ten young soccer players (13.0 [0.3] y) performed a HIIT and 3 SSG of various field sizes (30 × 20 m, 42 × 38 m, and 51 × 34 m). Each SSG was performed with 5 players per team, during 4 × 4-minutes interspaced with 1 minute of passive recovery in between. HIIT also followed a 4 × 4-minute protocol with running speed set on an individual basis. Heart rate (HR) was continuously monitored during training sessions. For each exercise modality, time spent above 90% of HRmax (T≥90%,HRmax) was calculated, and technical actions were quantified during SSG by video analysis. Results: T≥90%,HRmax was similar between the 3 SSG (∼587 [276] s; P > .2) but 24% to 37% lower than during HIIT (826 [140] s, P < .05). Coefficients of variations in T≥90%,HRmax were 2.3 to 3.5 times larger in SSG compared with HIIT. For technical actions, greater number of possessions (21 [6] vs ∼14 [4]), and lower ball touches per possession (2.4 [0.6] vs ∼2.9 [0.6]) were found in the small SSG compared with larger SSG, respectively (P < .05). Conclusion: The 3 SSG led to lower acute stimulation of the aerobic metabolism, suggesting a lower potential for chronic aerobic adaptations, compared with HIIT. Moreover, interindividual variability in the physiological response was substantially greater in SSG compared with HIIT, indicating increased heterogeneity among players performing the same training protocol.