Publications by authors named "Hortense Baffet"
Update on the management of endometriosis-associated pain in France.
J Gynecol Obstet Hum Reprod
November 2023
Article Synopsis
- The French National College of Obstetricians and Gynecologists updated their guidelines in 2018 to manage endometriosis pain, now incorporating new therapies and research up to 2021.
- A new diagnostic approach using patient questionnaires and saliva analysis may help identify pelvic pain issues without the need for surgery.
- Dienogest (DNG) is recognized as an effective first-line treatment for endometriosis pain, and new oral GnRH antagonists are expected to hit the French market soon, offering rapid results with easier administration compared to existing treatments.
Article Synopsis
- The objective of the guidelines is to standardize the pelvic clinical exam for gynecology and obstetrics, ensuring practices are evidence-based.
- A committee of 45 experts, including patient representatives, developed these guidelines independently, focusing on high-quality recommendations using the GRADE® system.
- They formulated 40 questions into a PICO format, yielding 27 recommendations, with differing levels of agreement, while highlighting the need for more research in areas lacking evidence.
Objectives: The aim of this study was to assess the feasibility, performance, and complications of a non-surgical, minimally-invasive procedure of deep contraceptive implant removal under continuous ultrasound guidance.
Methods: The ultrasound-guided procedure consisted of local anesthesia using lidocaine chlorhydrate 1% (10 mg/mL) with a 21-G needle, followed by hydrodissection using NaCl 0.9% (9 mg/mL) and implant extraction using a Hartmann grasping microforceps.