Post-partum relapse in women with multiple sclerosis after neuraxial labour analgesia or neuraxial anaesthesia: A multicentre retrospective cohort study.

Background: The proportion of women with multiple sclerosis experiencing a relapse in the post-partum period after neuraxial labour analgesia or neuraxial anaesthesia remains uncertain. This study aimed to assess the association between neuraxial labour analgesia or neuraxial anaesthesia and the occurrence of relapse during the first three months post-partum.

Methods: In this retrospective cohort study, cases of women with a diagnosis of multiple sclerosis delivering between January 2010 and April 2015 were analysed.

Laparoscopic adnexectomy under regional anaesthesia: It is possible!

At present, the majority of laparoscopic operations are performed under general anaesthesia, as it controls surgical pain and improves patient comfort using pneumoperitoneum and the Trendelenburg position. However, some laparoscopic procedures, such as adnexectomies, can potentially be performed under epidural anaesthesia with a purposefully selected and motivated patient managed by prepared surgical and anaesthesia care teams working together effectively. This study reports the case of a 63-year-old female patient with major respiratory failure who underwent laparoscopic bilateral adnexectomies under epidural anaesthesia.

Does programmed intermittent epidural bolus improve childbirth conditions of nulliparous women compared with patient-controlled epidural analgesia?: A multicentre, randomised, controlled, triple-blind study.

Background: Epidural analgesia may change the mechanics of childbirth. These changes are related to the concentration of the local anaesthetic used epidurally but probably also to its mode of delivery into the epidural space.

Objective: To determine whether the administration of programmed intermittent epidural boluses (PIEB) improves the mechanics of second-stage labour compared with patient-controlled epidural analgesia (PCEA) with a background infusion.

Transcultural adaptation and French validation of the Pain Sensitivity Questionnaire.

Purpose: To validate a French translation of the Pain Sensitivity Questionnaire (PSQ), which is a valuable tool to predict an individual's natural disposition to feel pain that could be used after surgery.

Methods: We studied content validity, internal consistency, convergent validity (anxiety, depression and catastrophism) and test-retest reliability of the French version of the PSQ (PSQ-F) in 146 patients either before scheduled surgery or during pregnancy; then, convergent and concurrent validity in 85 healthy volunteers submitted to nociceptive tests.

Results: Internal consistency of the PSQ-F was found to be excellent, with Cronbach's α at 0.

Effects of low intraperitoneal pressure and a warmed, humidified carbon dioxide gas in laparoscopic surgery: a randomized clinical trial.

Laparoscopic surgery technology continues to advance. However, much less attention has been focused on how alteration of the laparoscopic surgical environment might improve clinical outcomes. We conducted a randomized, 2 × 2 factorial trial to evaluate whether low intraperitoneal pressure (IPP) (8 mmHg) and/or warmed, humidified CO (WH) gas are better for minimizing the adverse impact of a CO pneumoperitoneum on the peritoneal environment during laparoscopic surgery and for improving clinical outcomes compared to the standard IPP (12 mmHg) and/or cool and dry CO (CD) gas.

Ovarian thrombosis and uterine synechiae after arterial embolization for a late postpartum haemorrhage.

Background: We report two unusual separate complications after uterine artery embolization for a late postpartum haemorrhage. This report appeared important to us in view of the apparent absence of any other publications on this topic.

Case Presentation: We report the case of a 25-year-old woman, gravida 3, para 1, admitted for uterine bleeding 7 days after a spontaneous delivery at term, in our university hospital.

Placenta accreta: management with uterine artery embolization in 17 cases.

Purpose: To report on the management of placenta accreta with uterine artery embolization (UAE) and to analyze the outcomes.

Materials And Methods: A retrospective study was performed over a 128-month period of all women with placenta accreta who underwent UAE in a single center. Seventeen patients were included, and they were further divided into two groups: a preventive group (diagnosis was made in the prenatal period, n = 6) and a curative group (diagnosis was made during delivery, n = 11).