Publications by authors named "M B Hautier"

Article Synopsis
  • In December 2016, a series of serogroup B invasive meningococcal disease cases were reported among middle and high school students in Côtes-d'Armor, France, prompting a vaccination campaign using the Bexsero® vaccine.
  • The campaign targeted approximately 8,884 individuals, with on-site vaccinations organized in schools and additional vaccinations provided by local general practitioners in the community between May and October 2017.
  • Despite varying coverage rates (43% for one dose and 34% for two doses), higher vaccination rates were seen in schools compared to the community, and there were no reports of severe adverse effects, indicating the campaign's effectiveness.
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The pre and intraoperative use of calcium channel blockers (CCB) has been suggested for the management of either eutopic or ectopic pheochromocytomas. We report our experience of 70 pheochromocytomas, operated between 1988 and 1996 and managed with CCB, especially nicardipine. 59 were hypertensive (84.

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The perioperative mortality related to cardiovascular complications has been almost completely eliminated in phaeochromocytoma surgery. The anaesthetic management has mainly evolved through refinements in haemodynamic control during the operation. Neither preoperative preparation nor general anaesthesia can totally prevent haemodynamic disturbances during surgical manipulation of the tumour or after removal of the tumour.

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74 patients underwent surgery for organic hyperinsulinism (51 cases) or for Zollinger-Ellison syndrome (23 cases). 20 minutes after removal of the specimen, quick intra-operative hormone measurements were done in the systemic and portal blood as well, with intra-operative secretin stimulation test for gastrinoma(s), to assess completeness of surgery. Results accurately predicted cure (all insulinomas) or non-cure (half of gastrinomas) of the disease.

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