Publications by authors named "A Astruc"
Background: The global increase in caesarean sections (CS), currently at 21.1% of all deliveries, has led to a rise in uterine scar defects, or 'niches', at the hysterotomy site. These niches, detectable in 13%-84% of cases via transvaginal ultrasound (TVS) and 42%-84% through sonohysterography (SHG), may contribute to gynaecological complications, including abnormal uterine bleeding, chronic pain and secondary infertility.
View Article and Find Full Text PDFThe SYNAPPH Study: Uterine Synechiae Prevalence After a Postpartum Hemorrhage, a Pilot Study.
J Minim Invasive Gynecol
October 2024
Article Synopsis
- The study aimed to assess how common intrauterine synechiae (scar tissue) are after women undergo medically-treated postpartum hemorrhage (PPH) and how different treatment methods might influence this condition.
- Conducted at Angers University Hospital, the study involved 83 women who experienced PPH, with diagnostic hysteroscopy performed 12 weeks after delivery to check for synechiae.
- Findings showed that 24% of participants had mild synechiae, with second manual uterine examinations and bimanual massage identified as key risk factors, indicating a need for more research on the long-term effects of these complications.
Article Synopsis
- - Cervical ectopic pregnancy is a rare condition, making up less than 1% of all ectopic pregnancies, and the case highlighted involves a successfully managed instance at 9 weeks gestation.
- - The management involved minimally invasive techniques, including uterine artery embolization and the administration of methotrexate, with no complications observed during follow-up.
- - After treatment, the patient's β-hCG levels normalized by Day 104, and the uterine cavity fully recovered within 6 months, along with a literature review on cervical ectopic pregnancy.
Article Synopsis
- Uterine innervation is crucial to female reproductive health and has significant implications for conditions like endometriosis; recent histological advances have revealed its complex structure and role in these disorders.
- This review summarizes current research on uterine innervation, focusing on its effects on endometriosis and associated pain, using a systematic approach to analyze relevant studies.
- The review identified 45 studies that highlighted a trend towards increased nerve fiber density in ectopic endometrial tissue, suggesting a link between this heightened innervation and the chronic pain seen in endometriosis patients.
Colorectal cancer is the third most common cancer in France, and the second regarding mortality with almost 17,100 deaths each year. When screened at an early stage, the five-year survival is around 90 %. Since 2008, a screening program has been introduced in France with the fecal occult blood test.
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