Publications by authors named "P Descamps"
Article Synopsis
- A study was conducted to evaluate the effects of a training program for oocyte retrieval (ORSTP) on the clinical performance of medical residents.
- Residents who completed the ORSTP showed similar rates of successful oocyte retrieval compared to those who did not receive the training.
- Although the training did not enhance the actual performance metrics, it was found that those who underwent the training experienced less stress and had greater confidence in their oocyte retrieval abilities.
Clues to revising the conventional diagnostic algorithm for endometriosis.
Int J Gynaecol Obstet
January 2025
Endometriosis is a complex gynecologic disorder characterized primarily by symptoms of pelvic pain, infertility, and altered quality of life. National and international guidelines highlight the diagnostic difficulties and lack of conclusive diagnostic tools for endometriosis. Furthermore, guidelines are becoming questionable at an increasingly rapid rate as new diagnostic techniques emerge.
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- The article outlines a transvaginal radiofrequency ablation of myomas (TRAM) procedure in 10 key steps aimed at treating a 38-year-old woman suffering from heavy menstrual bleeding and chronic anemia due to a large cervical myoma.
- Following a failed embolization, TRAM was chosen because of its minimal invasiveness and the patient's desire for future pregnancies.
- The authors conclude that while TRAM is a promising alternative to traditional surgical methods, there are concerns about its safety regarding infertility and pregnancy, as current devices are not recommended for women who wish to conceive.
Study Question: Is increasing the intensity of high-intensity focused ultrasound (HIFU) by 30% in the treatment of rectal endometriosis a safe procedure?
Summary Answer: This study demonstrates the safety of a 30% increase in the intensity of HIFU in the treatment of rectal endometriosis, with no Clavien-Dindo Grade III complications overall, and namely no rectovaginal fistulae.
What Is Known Already: A feasibility study including 20 patients with rectal endometriosis demonstrated, with no severe complications, a significant improvement in digestive disorders, dysmenorrhoea, dyspareunia, and health status, although the volume of the endometriosis nodule did not appear to be reduced.
Study Design, Size, Duration: A prospective multicentre cohort study was conducted between 2020 and 2022 with 60 patients with symptomatic rectal endometriosis.