Publications by authors named "Jean Philippe Estrade"

Objectives: To study the impact of endometriosis on women's partners and evaluate the partners' perceptions and experiences.

Study Design: Between January 21 and 28, 2020, a prospective cross-sectional web-based survey was conducted among partners of women suffering from endometriosis. The investigated sample group (n = 100) was taken from a targeted population among the Ipsos Access panel that collects data from 235,171 French subjects.

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  • - This study explored the medical experiences and quality of life of French women affected by endometriosis, focusing on their symptoms and treatment journey from onset to management.
  • - A web-based survey conducted in early 2020 gathered responses from 1,557 women, revealing an average diagnostic delay of 7 years, with many experiencing severe symptoms and pain before receiving treatment.
  • - The findings highlight the significant negative impacts of endometriosis on women's daily lives, underscoring the need to reduce diagnostic delays and establish specialized treatment centers for better management of the condition.
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  • 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.
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The Heavy menstrual bleeding: Evidence-based Learning for best Practice (HELP) Group developed an educational website about heavy menstrual bleeding (HMB). The "HMB improving Outcomes with Patient counseling and Education" (HOPE) project examined the website's impact on women's knowledge, confidence, and consultations with healthcare providers (HCPs). HOPE was a quantitative online survey of gynecologists and women with HMB in Brazil.

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Heavy menstrual bleeding (HMB) has an estimated prevalence of 18-32% but is known to be under-reported due to poor recognition and estimation of menstrual blood loss (MBL). HMB can negatively impact quality of life, affecting social interactions, work productivity and sexual life. Abnormal menstrual bleeding may have an underlying structural or systemic cause, such as endometrial and myometrial disorders; however, for some, there is no identified pathological cause.

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Objective: In order to be able to develop surgical training of residents through simulation, we carried out a descriptive study, evaluating the satisfaction of participating residents and the benefit of the workshops offered during the 4 th Junior Master Class, free annual training organized in 2017 in Lille University Hospital. It is dedicated to ob-gyn residents in France, overseas departments and territories.

Material And Methods: During two days, plenary sessions and practical workshops on animal models or simulators were organized in laparoscopy, diagnostic and operative hysteroscopy, vaginal surgery and robotic surgery.

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  • Sacropexy is a surgical treatment for pelvic organ prolapse in women, but variations in techniques create challenges in evaluating its effectiveness.
  • The study aimed to assess the surgical practices of French surgeons performing sacropexy by distributing a questionnaire to various medical professionals.
  • Results showed that most surgeons prefer laparoscopic methods and use polypropylene mesh, but there is significant variability in the use of additional procedures, like posterior mesh placement and hysterectomy.
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Introduction: Well-being and quality of life (QoL) in the workplace have become a priority in all professions. Both academic studies and the media seek to assess how physicians feel. Nonetheless, few studies have focused on the specific situation of surgeons in terms of their work/life balance and their satisfaction at work.

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Objective: To evaluate the feasibility of laparoscopic supracervical hysterectomy (LSH) by single port access (SPA) with transcervical morcellation.

Study Design: Observational study conducted between September 2010 and March 2012 in two departments of Gynaecology. Forty women who required hysterectomy underwent LSH by SPA with transcervical morcellation.

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With earlier diagnosis and more effective treatments, more and more women are receiving fertility-preserving cancer therapy. Approximately 10% of breast and gynecological cancers occur in women under 40, and more than 5 000 French women under 45 develop breast cancer each year. While hormonal contraception is contra-indicated for women with a history of breast or endometrial cancer, it seems to have a protective effective in ovarian cancer.

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Background: The study was conducted to compare the effectiveness of ropivacaine and lidocaine as paracervical analgesia for elective abortion by vacuum aspiration.

Study Design: This single-center double-blinded randomized study tested two different agents for paracervical analgesia in elective abortions: lidocaine (n=57) or ropivacaine (n=57). We assessed intra- and postoperative pain according to both a visual analogical scale rated from 0 to 10 and postoperative analgesic requirements.

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