Youssef's syndrome, a rare complication of caesarean section: A case report.

Introduction And Importance: Youssef's syndrome or vesico-uterine fistula is an abnormal communication between the bladder and the uterus. It complicating of dystocic delivery, caesarean section and uterine rupture. The prevalence is globally 1-4 % of all obstetric fistulas.

Prolonged abdominal pregnancy incidentally discovered during cesarean section: a case report.

Background: Abdominal pregnancy is a rare medical condition that is still missed in developing countries due to inadequate medical facilities. The clinical indicators manifest in various forms and are nonspecific, making it challenging to diagnose and often leading to delayed detection. However, obstetric ultrasound serves as an essential tool in early detection.

Textiloma complicating myomectomy: A case report.

Introduction And Importance: Textiloma or gossypiboma is a rare complication of pelvic surgery. It can mimic both, clinically, and radiologically an abscess, or a tumor, thus, making its diagnosis difficult and late. It can lead to a high morbidity and mortality rate for the patient and engages the surgeon's civil liability.

Bicornuate uterus and pregnancy: ambiguity diagnosis (a case report).

The frequency of uterine malformations is estimated in the general population to be between 1 and 4%. The bicornuate uterus accounts for about half of uterine abnormalities. The conception of a pregnancy and its evolution to term on this uterine abnormality is rare.

[Prognosis of pregnancy among married child students in Niamey, Republic of Niger].

Introduction: the purpose of this study was to determine the frequency and to evaluate maternal and perinatal prognosis during pregnancy and childbirth among married child students in the city of Niamey.

Methods: we conducted a case-control study of gestants and parturients at the Issaka Gazobi Maternity Hospital in Niamey over the period January 2018-December 31, 2018. Child students (<18 years) were compared to students aged 18-27 years.

[Immunological aspects of ovarian cancer: Therapeutic perspectives].

Ovarian cancer is recognized by the immunological system of its host. Initially, it is effective to destroy and eliminate the cancer. But gradually, resistant tumor cells more aggressive and those able to protect themselves by inducing immune tolerance will be selected.

Sublingual misoprostol versus standard surgical care for treatment of incomplete abortion in five sub-Saharan African countries.

Background: In low-resource settings, where abortion is highly restricted and self-induced abortions are common, access to post-abortion care (PAC) services, especially treatment of incomplete terminations, is a priority. Standard post-abortion care has involved surgical intervention but can be hard to access in these areas. Misoprostol provides an alternative to surgical intervention that could increase access to abortion care.

Maternal mortality in Niger: a retrospective study in a high risk maternity.

Objective: This study analyzes maternal deaths in a tertiary maternity in Niamey, Niger.

Methods: This is a retrospective study covering the period of one year, from January 1 to December 31 2007. The setting for this study was the Maternity Issaka Gazobi, a tertiary maternity referral centre in the city of Niamey, Niger.

[Comparative study of the LIFT and the TVT procedure in the surgical treatment of female stress urinary incontinence].

Aims: The purpose of the study was to compare a polyester mesh coated with silicone (LIFT, Cousin) to a polypropylene mesh (TVT, Gynecare), in terms of results, and short and middle term complications.

Material And Methods: We have performed a retrospective study concerning 140 patients between 2000 and 2002 (71 LIFT and 69 TVT operated for stress incontinence with or without vaginal surgery (prolapse surgery or hysterectomy). We noticed per- and postoperative complications.

[Abruptio placentae. Management in a reference Nigerien maternity. Prospective study about 118 cases during one year].

Objective: Placental abruption is a syndrome, which occurs in the third trimester of the pregnancy or during labour. It is the main cause of pregnancy last term bleeding and is also responsible for a high stillbirth rate. The objective is to describe the epidemiological, clinical, paraclinical and therapeutic characteristics in order to decrease the fetal and maternal mortality and morbidity.

Tissue resistance of the tension-free procedure: what about healing?

The aim of our work was to objectify and quantify the mechanical benefits of healing with regards to tearing meshes off of tissues and maximal resistance after cicatrization. In vivo, we tested the mechanical gain in resistance by healing after implantation of a Prolene mesh. We measured the value of forces when traction was exerted until mobilization at different stages of cicatrization.

[Tubal choriocarcinoma: a case report and review of the literature].

The authors describe a case report of a tubal choriocarcinoma occurring in women of 32 years old, 2 years after her last pregnancy. The patient was treated by laparoscopic salpingectomy and polychemotherapy. Metastatic pulmonary micronodules were diagnosed at thoraco-abdomino-pelvic tomodensitometry.

[Tissue resistance: what about tension-free?].

Objectives: The purpose is to quantify objective tissue resistances before healing of prostheses used in pelvic floor surgery.

Patients And Methods: We measured tissue resistances offered to five types of meshes by four classical surgical routes. We also tested the incidence of the modification of the width of meshes on tissue resistance.

[Uro-genital schistosomiasis with S. haematobium and infertility in Niger. Prospective study of 109 cases].

Schistosomiasis represents the second most endemic diseases following malaria. It is now endemic in 76 countries of the world, and it is estimated that more than 200 million persons are infected. The objective of this work is to help in the improvement of knowledge about Female Genital Schistosomiasis (FSG) effects on the women reproductive.

[Uterine horn rupture at 23 weeks gestation: a case report].

Bicornuate uterus with rudimentary horn is a rare disability. Pregnancy can accidentally settle inside the rudimentary horn; in this case, it becomes apparent by uterine rupture generally in the second trimester. Bicornuate uterus should be diagnosed early, before pregnancy if possible.

[Acceptability of intrauterine levonorgestrel delivery system (Mirena 52mg) after estrogen-progesterone oral contraception: results of a prospective multicentric study of 211 patients aged 25-35 years].

Introduction: Use of an intrauterine levonorgestrel (SIU-LNG) delivery system (Mirena 52mg has become popular in recent years, particularly among younger women. Mirena is currently the contraceptive method of choice used as an alternative to classical copper-containing intrauterine devices after oral contraception. The purpose of this study was to evaluate patient satisfaction among young women during the first year of use of the intrauterine hormonal system.

[Intra-uterine arteriovenous malformations].

Intra-uterine arteriovenous malformations are a possible etiology of persistent metrorrhagia especially in the event of a history of miscarriages, cornuale pregnancy, molar pregnancy or gravidic trophoblastic diseases. We report 4 cases of patients having an intra-uterine arteriovenous malformation. The diagnosis of such lesions calls upon first intention Doppler echography.

[Haemostatic hysterectomies in developing countries: A vital act. Prospective study in a reference Nigerian maternity].

Objective: The purpose of our prospective study was to determine the frequency, the main indications and difficulties of coverage of the peripartum haemostatic hysterectomy in a developing country. The secondary purpose was to assess the maternal forecast and suggest suited management and to estimate the necessary material and human means to reduce the incidence of this surgery.

Patients And Methods: We realized a forward-looking monocentric study in the Issaka Gazobi maternity of Niamey, between January 1st, 2003 and December 31st, 2003.

Management of multicentric lesions of the lower genital tract.

Objectives: To report management and outcome of multicentric lesions of the lower genital tract. To define risk factors of recurrence.

Study Design: Retrospective review of multicentric dysplasias treated in our colposcopic clinic between 1996 and 2003.

[Acute per-partum feto-fetal transfusion. A case study on two sets of twins].

Description of acute per-partum feto-fetal transfusion. The risk of twin-twin transfusion syndrome in monochorionic twin pregnancies is well known. This pathology starts in the second trimester and has a chronic course.

[Management of ectopic pregnancy in developing countries: example of a Nigerian reference maternity].

Objective: We report 143 cases of ectopic pregnancy (EP) treated in the Issaka-Gazobi maternity of Niamey between January 1st, 1999 and April 30th, 2001 (28 months). The objective of this study was to estimate the epidemiological, diagnostic and therapeutic aspects to propose actions, which could lead to the improvement of the prognosis of EP.

Patients And Methods: The frequency of ectopic pregnancy was 2.

[Epidemiological and histological aspects of gynecologic and breast cancer in the pathology department of Niamey's Health Faculty, Niger].

Introduction: The aim of this study is to identify the epidemiological and histological aspects of gynaecologic and breast cancer for a best care of patients.

Methodology: A restropective and descriptive study have been realised in the Histopathologic laboratory of Niamey's Health faculty department, Niger. During 9 years (01 January 1992 to 31 December 2000), we brought up all cases of gynaecological and breast cancer.

[Spontaneous intrauterine depression skull: myth or reality?].

In spite of the fact that there are many articles considering that intrauterine depressed skull fractures are caused essentially by instrumental extraction, literature is scarce about spontaneous foetal head injuries. Here, we report the case of two depressed skull fractures and one of linear fracture not associated with any known trauma during the pregnancy or delivery. The etiological process leading to the idiopathic character of such lesions, the aetiology, the treatment and the prognostic will be discussed.

Prolapse of neovagina created with labia minora: a case report.

Prolapse of a neovagina created in patients with congenital vaginal aplasia is rare. A 55-year-old woman with a neovagina was referred for management of complete prolapse and stress urinary incontinence. At the age of 19 she had undergone surgery for creation of a neovagina using the labia minora.