Gynécologie, obstétrique & fertilité
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Assessment of pregnancy outcomes after bariatric surgery and analysis of follow-up particularities of such pregnancies. ⋯ Bariatric surgery improves obstetric and neonatal prognosis. Improvements have to be developed in the multidisciplinary follow-up in order to avoid nutritional deficiencies or important weight gain pregnancy in case of GB.
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Gynecol Obstet Fertil · Mar 2013
[Infected hematoma of Douglas pouch: a specific complication of the surgical excision of deep endometriosis involving the vagina].
Surgical management of deep pelvic endometriosis may be responsible for various complications, such as infected pelvic haematic collection of the Douglas pouch. The aim of this study is to describe this unfavourable outcome and to estimate its frequency in the series of women managed by our team. ⋯ Inflammatory syndrome associated with infected haematic collection of the Douglas pouch is a postoperative complication of the surgical removal of deep endometriosis involving the posterior vagina. Surgical removal of the haematic collection allows rapid and definitive favourable outcomes.
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Gynecol Obstet Fertil · Jan 2013
[A policy of selective episiotomy in a ward: an example of medical professional assessment].
To reduce the episiotomy rates, according to the Clinical Practice Guidelines, of 2005, from the French College of Obstetricians and Gynaecologists. ⋯ Theses procedures have led to a positive impact on practices thanks to the work group and because of the politics of the perinatal network in favour of an episiotomy reduction. We hope these results could be improved in the future.
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Gynecol Obstet Fertil · Jan 2013
[Female sexuality after surgical treatment of symptomatic deep pelvic endometriosis].
The aim of this study is to assess the impact on sexuality of the surgical treatment in patients with symptomatic deep pelvic endometriosis. ⋯ Surgical management of deep pelvic endometriosis in symptomatic patients improves sexual life at the long term follow-up. Deep dyspareunia pain decreases significantly, although other conditions are involved in the improvement of sexual function.
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Gynecol Obstet Fertil · Nov 2012
Review Comparative Study[Realizing systematic cavity margins in conservative breast cancer surgery].
The quality of surgical margins in lumpectomy are strong criteria to define risk of locoregional recurrence when conservative treatment is undertaken. Intraoperatively, the limits of adequate resection are sometimes difficult to define. This is why some teams propose the realization of systematic cavity margins during the excision of lumpectomy during the same operation. We expose the potential benefits of this type of practice using data from the literature.