Objectives: Laparoscopic surgery of deep endometriosis, including uterosacral ligament and rectal localisation, generally induces postoperative urinary disorders, caused by sacral plexus nerve lesions. However, during presurgical consultation, patients with these symptoms frequently present some urinary disorders. Our objective was to prospectively evaluate the reality of pre-existant urinary disorders by performing urodynamic tests.
View Article and Find Full Text PDFStudy Objective: Whether, after laparoscopic hysterectomy (LH), selected patients may be safely and comfortably discharged on postoperative day 1 (day after surgery) using specific anesthesia and analgesia protocols that included Post Anesthetic Discharge Scoring System.
Design: A prospective feasibility pilot study (Canadian Task Force classification II-3).
Setting: A French tertiary care hospital.
Gynecol Obstet Fertil
April 2007
Objectives: To investigate the role of sentinel lymph node biopsy for microinvasive ductal carcinoma in situ of the breast.
Patients And Methods: From January 2001 to January 2006, lymphatic mapping was performed using radiocolloid and/or blue dye technique. Full axillary lymph node dissection was accomplished systematically in 10 instances at the beginning of the study, and furthermore when the sentinel node was involved (macrometastatic or micrometastatic disease).
J Gynecol Obstet Biol Reprod (Paris)
December 2006
Ovarian remnant syndrome is defined as residual ovarian tissue non intentionally left in place by the surgeon during a bilateral salpingo-oophorectomy. Patients present various symptoms usually including chronic pelvic pain, pelvic mass, bowel obstruction, hydronephrosis due to ureteral compression. We report a case of adenocarcinoma arising in such an ovarian remnant revealed by vaginal bleeding 5 years after total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids.
View Article and Find Full Text PDFGynecol Obstet Fertil
September 2004
Objective: To compare the mode of delivery in two groups of patients selected by their response after induction of labour with mifepristone.
Patients And Methods: We studied retrospectively 89 cases of labour induction with viable children after 41 weeks of gestation. Bishop scores were less than 6.