Influence of Deep Serratus Anterior Plane Block on Chronic Pain at 3 Months After Breast-Conserving Surgery: Prospective, Cohort Study.

Objectives: In 2015, we evaluated our practices regarding pain after breast-conserving surgery. Thereafter, we have adapted our practices by performing a systematic deep serratus plane block before the surgical incision. In 2019, we assessed the impact of these changes in terms of chronic pain.

Design of experiments in medical physics: Application to the AAA beam model validation.

Purpose: The purpose of this study is to evaluate the usefulness of the design of experiments in the analysis of multiparametric problems related to the quality assurance in radiotherapy. The main motivation is to use this statistical method to optimize the quality assurance processes in the validation of beam models.

Method: Considering the Varian Eclipse system, eight parameters with several levels were selected: energy, MLC, depth, X, Y and Y jaw dimensions, wedge and wedge jaw.

[The role of mortuary staff in dealing with families].

The mortuary is a hospital department dealing with people who die in the hospital and providing support to their friends and family. It therefore provides continuity of care. From the moment the deceased person's body arrives at the mortuary to the point at which it leaves the hospital, mortuary staff prepare the deceased's body before it is presented to his/her loved ones, and contribute to medical and technical tasks (samples, autopsies, etc.

Construction of an extended library of adult male 3D models: rationale and results.

In order to best cover the possible extent of heights and weights of male adults the construction of 25 whole body 3D models has been undertaken. Such a library is thought to be useful to specify the uncertainties and relevance of dosimetry calculations carried out with models representing individuals of average body heights and weights. Representative 3D models of Caucasian body types are selected in a commercial database according to their height and weight, and 3D models of the skeleton and internal organs are designed using another commercial dataset.

[Three cases of IgM monoclonal gammopathy with haemostasis dysfunction].

We relate three cases of IgM gammopathy with haemostatic dysfunction in the perioperative period. The acquired von Willebrand syndrome due to IgM gammopathy is rare and sometimes serious. Its different treatments and their efficiency are discussed: desmopressin, intravenous gammaglobulin, chemotherapy and plasmapheresis.

[Peri-operative anticoagulation with danaparoid for a patient with Budd-Chiari syndrome and heparin-induced thrombocytopenia].

We report a case of Budd-Chiari syndrome revealing a polycythemia vera and complicated by heparin-induced thrombocytopenia. A surgical porto-caval shunt was inserted with danaparoid as anticoagulant during the peri-operative period. The doses of danaparoid were as follows: a continuous intravenous infusion of 200 U/h with a target between 0.