[Video-assisted thoracoscopic thymectomy--preliminary results]

Video-assisted thoracoscopic surgery (VATS) provides a new approach to thymectomy. From April 1999 to December 1999, we performed a total of 10 video-assisted thoracoscopic thymectomies for myasthenia gravis (MG). There were one male and nine female patients with ages ranging from 8 to 59 years. Thymoma was present in one of the ten patients. We considered that complete thymectomy was accomplished in all cases by examination of the thymic bed and of the resected specimen. There was no mortality or intraoperative complications. The median postoperative hospital stay was 4 days. Clinical improvement was observed in all patients after this short follow-up. Compared with a similar historical group of patients with MG who underwent transsternal thymectomy, the VATS group was associated with significantly less analgesic requirement and shortened hospital stay. We conclude that VAT thymectomy is technically feasible and is associated with a favorable postoperative course compared with the transsternal approach. We believe that complete thymectomy can be achieved by this approach. Further investigation with long-term follow-up is needed to further clarify the role of VAT thymectomy in thoracic surgery.

Human rights and mental health among Latin American women in situations of state-sponsored violence. Bibliographic resources

A Task Force of the American Psychological Association Division 35, Psychology of Women, has been collecting resources that address issues of human rights and mental health among Latin American women living in situations of war and/or state-sponsored violence. This work is being conducted primarily by women's groups, progressive organizations, and individual women in these contexts of institutionalized political violence. This paper describes our reflections on themes that emerged from our reading of this work. We discuss the false dichotomy between public and private violence, the silencing of women as an inevitable consequence of state-imposed violence, and the collective efforts of women to resist violence and heal its effects. These themes suggest that extreme violence against women can be most adequately understood and responded to within a psychosocial and cultural framework. We examined three issues that emerge from the material gathered by the Task Force that suggest how some Latin American psychologists and activists have begun to articulate such a framework: (a) exile within and outside of one's country of origin; (b) torture, the most extreme form of state-sponsored violence; and (c) nontraditional, culturally appropriate interventions that are alternatives to Anglo-Saxon theory and practice. The work of Latin American individuals is described here as a resource for all who are engaged in the struggle to achieve justice for women.