[Applicability of the Adnex score in predicting the malignancy of ovarian cysts].

Objective: Ovarian cancer screening is a difficult problem due to the anatomy of the ovaries. Only histology allows a definite diagnosis. Our objective was to study the contribution of the Adnex score in the histological characterization of adnexal images for adequate management.

What are the prognostic factors in the delivery of the second twin?

Objective To evaluate the prognosis of the second twin according to different criteria (presentation, mode of delivery , term, weight, weight difference between twins ,twin to twin delivery time interval, studying the Apgar scores at birth and neonatal morbidity and mortality. Materials and Methods This is a retrospective study of 183 parturients carrying twin pregnancies collected at the department of Obstetrics-Gynecology in Mahmoud Matri Hospital (Ariana) over a period of 9 years ( 1st January 2001 to 31st December, 2009 ) . Results We recorded 357 live births ( 181 J1 and J2 176 ) and 9 stillbirths .

[Delivery in breech presentation: what way should we choose?].

Background: The breech delivery is considered dangerous because of the higher rates of perinatal mortality and morbidity which become attached to it, consequences of obstetric traumas bound to the obstetric operations. What way of delivery is it necessary to privilege? What are the arguments which we have to support our choice?

Aim: To assess the maternal and fetal outcome according to the way of delivery.

Methods: In this retrospective study, 194 women with a singleton pregnancy in a breech presentation delivered at term in our maternity unit in Ariana's Hospital from January 2007 to December 2009.

Selective salpingography and tubal catheterization in infertile women.

Background: Use of selective salpingography (SS) and fallopian tube catheterization (TC) has revolutionized the diagnosis and treatment of proximal tubal infertility.

Aim: To evaluate results of women treated for proximal tubal obstruction by selective salpingography and tubal catherization.

Methods: Selective salpingography was performed in women with proximal bilateral tubal obstructions.

[Ovarian drilling for the treatment of infertility with dystrophic ovaries].

Background: Dystrophic ovaries represent the main cause of female infertility in Tunisia.

Aim: To assess the contribution of ovarian drilling in the treatment of infertility in patients with ovarian dystrophy.

Methods: A retrospective study of 23 patients with dystrophic ovaries that have benefited through their subfertility of laparoscopic ovarian drilling, in the gynecology-obstetrics hospital Mahmoud EL Matri, Ariana, Tunisia.

Maternal and fetal outcomes of large fetus delivery: a comparative study.

Aim: To review the deliveries of macrosomic babies, weighing over than 4000g and their obstetrical and neonatal outcomes.

Methods: Retrospective study involving a total of 209 deliveries at term of macrosomic babies between Marsh 2006 and February 2007 in the Maternity Hospital of Mahmoud ELMATRI, Tunis. The study concerned risk factors, mode of delivery and the incidence of maternal and perinatal complications.

First trimester diagnosis of Pallister-Killian syndrome in a fetus with suggestive abnormalities.

Background: Pallister-Killian Syndrome is a rare, sporadic chromosomal disorder characterized by a tetrasomy 12p often in mosaic. It is only in 2000 that the first case of PKS was diagnosed in the first trimester further to an increased nuchal translucency.

Aim: Report a new case.

[Immature teratoma of the ovary and pregnancy].

Background: Composing of less than 1% of all ovarian cancers, immature teratoma is a malignancy that mainly affects the young. Immature teratoma of the ovary together with pregnancy is rare. To our knowledge, this association was reported only in twelve cases.

[Prenatal diagnosis and management of fetal megacystis].

Background: Prenatal diagnosis of fetal megacystis particularly in the first trimester requires assessement of pronostic and aetiologycal criteria.

Aim: Report a new case.

Case: we report a case of severe megacystis in female fetus diagnosed at 23 weeks of gestation.

[Premature rupture membrane at term with unfavourable cervix].

Background: Between expectant attitude in hospital and labour induction, management of and premature rupture membrane at term stay controversial.

Aim: The aim of our study was to evaluate the management rupture of the membranes at term with unfavourable cervix.

Material And Methods: We conducted a retrospective study.

[Effects of drilling on ovarian volume and follicle count in polycystic ovary syndrome].

Aim: To evaluate the effects of drilling on the reduction of the ovarian volume and on the count of antral follicles in case of resistance to clomifene citrate induction,

Methods: We carried a prospective study over two years (2004-2005) in Antoine Beclère hospital. We compared two groups of patients, the first, including 20 patients with PCOS and undergoing an ovarian drilling, the second group involving 19 patients with PCOS and without any medical help to procreate.

Results: From our study, the ovarian drilling seems to reduce the number of antral follicles, as well as the ovarian volume.