Incidence and risk factors of postpartum anal incontinence: a prospective study of 503 cases.

Background: Background: Anal incontinence is a devastating functional postpartum complication. it can cause deep deterioration in the quality of life.

Aim: To assess the incidence of postpartum anal incontinence (PPAI) and the major risk factors predisposing for it in the short and middle terms.

[Laparoscopic management of ovarian masses during pregnancy].

Background: The diagnosis of an adnexal mass associated with pregnancy is increasingly common with the routine use of ultrasound during prenatal care.

Aim: To assess the feasibility, advantages and limiting factors of laparoscopy in the management of ovarian masses during pregnancy.

Methods: Rretrospective study of a series of 34 pregnant women operated by laparoscopy for adnexal masses during a period of 14 years.

[How to predict spontaneous resolution of early pregnancies?].

Background: Assessment of early pregnancy is indicated in women with suspected abnormalities. It is based on biochemical assessment and on trans vaginal sonography .

Aim: To identify clinical, biological and ultrasonographic parameters that are predictive of spontaneous pregnancy resolution.

Does the mode of delivery affect neonatal morbidity and mortality in very low-birth-weight infants ?

Background: Despite the great advances made in neonatal intensive care, one of the greatest challenges in perinatology today, remains the management of very low-birth-weight infants (VLWB).

Aim: To evaluate the impact of the mode of delivery on very lowbirth- weight infants' survival and their outcome.

Methods: We performed a retrospective comparative study in the department "B" of gynecology-obstetrics in collaboration with the neonatology department of the same centre during a 12-month period.

Prediction of ectopic pregnancy in early pregnancy of unknown location.

Background: Women having pregnancies of unknown location (PUL) can be defined as those having positive pregnancy test when no pregnancy is visualized on transvaginal ultrasound (TVS).

Aim: To identify diagnostic parameters which are predictive of ectopic pregnancies in women with early pregnancies of unknown location.

Methods: We undertook a prospective observational study of pregnant women with suspected early pregnancy complications.

[Evaluation of different techniques for vaginoplasty in the treatment of Mayer-Rokitansky-Kuster-Hauser syndrome].

Background: Rokitansky syndrome is an utero-vaginal aplasia with a frequency of 1 / 5000 female births. To correct this anomaly whose prognosis is mainly functional and psychological numerous surgical techniques have been described.

Aims: To report our experience about 13 patients with Rokitansky syndrome and having benefited from a vaginoplasty between 1993 and 2008 and to evaluate the results of the various anatomical techniques.

[Pregnancy of unknown location].

Background: A pregnancy of unknown location is a descriptive term that can be defined after performing trans vaginal ultrasound. This situation includes patients with a positive pregnancy test but with no evidence of intra or extra uterine pregnancy on transvaginal sonography.

Aim: To discuss different aspects of management of women with pregnancy of unknown location.

[Prospective study of the contribution of hydrosonography in the exploration of the uterine cavity].

Background: Recent developments in ultrasound have led to a new exploration technique: hydrosonography.

Aim: To evaluate diagnostic performance of hysterosonography in the assessment of the uterine cavity, by comparing it with standard transvaginal ultrasound and particularly with diagnostic hysteroscopy.

Methods: This is a prospective study over a period of nine months from 1st January to 30 September 2009.

[Safety of Magnesium sulfate in severe preeclampsia].

Background: Several observational studies and randomized trials have described the use of various regimens of magnesium sulfate to prevent or reduce the rate of seizures and complications in women with severe preeclampsia.

Aim: To assess the validity of a service protocol in the management of severe pre-eclampsia all specifying the benefits, complications and side effects of magnesium sulfate .

Methods: We have performed a retrospective descriptive study over two years (2009-2010) concerning 150 patients affected with severe preeclampsia in the department "B" of gynecology and obstetrics of the "Rabta" at the Centre of Maternity and Neonatology of Tunis (third level maternity).

[Status of zinc and copper in pregnant women and their changes during preeclampsia].

In order to evaluate the status of zinc and copper in pregnant women and in preeclampsia, we conducted a prospective case-control study. It involved 56 pregnant women compared with 30 non-pregnant women selected as controls. For pregnant women, serum levels of zinc, copper and ceruloplasmin were determined quarterly.

[Hysteroscopic myomectomy].

Background: Hysteroscopic resection of submucous myomas is a safe alternative to conventional surgery.

Aim: To evaluate the anatomical and functional results of endoscopic resection of submucous myomas and to present the principle complications of this technique.

Methods: This is a retrospective study performed in the department "B" of gynecology and obstetrics in maternity center of Tunis "La Rabta".

Primary leiomyosarcoma of broad ligament.

Background: Primary broad ligament leiomyosarcoma (LMS) is an extremely rare tumor with few well-documented cases. We are aware of 15 previously reported observations.

Aim: Report of a new case.