Utero-vaginal anastomosis in women with uterine cervix atresia: long-term follow-up and reproductive performance. A study of 18 cases.

Background: Atresia of the uterine cervix is an uncommon Müllerian anomaly. Total hysterectomy remains the classical treatment of this malformation. The purpose of this study was to evaluate functional results and reproductive performance of women who had conservative surgical procedure.

[Diagnosis and treatment of intra-epithelial carcinoma of the uterine cervix. About 124 cases (author's transl)].

The means for diagnosis, treatment and long follow-up of intra epithelial carcinomas of the uterine cervix are assessed by the authors, about 124 cases seen at the Hotel-Dieu de Paris. The diagnosis is given by cytologic means and mostly by colposcopic examination. When the cylindro-pavimental junction (usual initial focus) is seen in totality, direct biopsies always gave an accurate diagnosis.

[Haemangiopericytomas of the uterus. 4 case histories (author's transl)].

The authors report four cases of uterine haemangiopericytoma. These vascular tumours develop at the expense of the pericytes of Zimmermann. They are very rare since only 64 cases have been reported.

[Surgical treatment of trophoblastic diseases].

Early diagnosis of a developing hydatidiform mole gives an opportunity to evacuate this by intrauterine suction. This atraumatic procedure which is sure in its outcome has considerably lowered the indications for curettage, for hysterectomy and for hysterotomies. On the other hand, when trophoblastic disease persists chemotherapy is indicated so long as the indications are strictly grounded on biological criteria.

[An original and effective technic for trachelorrhaphy. Preliminary note].

Extensive commissural tears in the region of the isthmus accompanied by incompetence of the cervix can be easily and successfully treated by an original procedure carried out through the vagina. The technique uses at the same time the general ideas and advantages of the freshening of the surfaces technique uses at the same time the general ideas and advantages of the freshening of the surfaces technique of Emmet, the repair of the isthmus technique of Lash and of Palmer and Shirodkar's cerclage technique for stitching the isthmus of the uterus.

[On some adverse effects of diathermocoagulation of the cervix uteri (pregnancy complications excluded)].

Diathermocoagulation is not a therapeutical procedure devoid of risk. Its indication should take into account potential drawbacks: infection episodes, haemorrhage and, first of all, sclerosing scarrs of the chorion that can give rise to pavimentous keratosis, stencsis, synechiae, cervicale sterility. A particular complication is the development of endometriosis: exocervical in the first place but that can also involve the uterosacral ligaments, the rectovaginal septum or even the uterus or pelvis.