Publications by authors named "Peter von Theobald"

Objectives: To estimate the prevalence of menorrhagia in women in Reunion Island using the Higham score, to evaluate self-reporting as an alternative diagnostic method, and to study women's level of knowledge about menorrhagia and its impact on their quality of life.

Methods: This was a descriptive, cross-sectional observational study involving 185 adult women with menstrual periods living in Reunion Island. Women volunteered to answer an online self-questionnaire proposed by healthcare professionals from January to May 2023 in Reunion Island.

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Study Objective: To describe the surgical management and risks of postoperative complications of patients with urinary tract endometriosis in France in 2017.

Design: Multicenter retrospective cohort pilot study.

Setting: Departments of gynecology at 31 expert endometriosis centers.

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  • The study investigates the socio-residential factors linked to extremely and very preterm deliveries in non-level 3 maternity units in France from 2012 to 2014.
  • It found that young maternal age and living more than 30 minutes from a level 3 unit significantly increase the risk of delivering in less equipped facilities.
  • Insights from the research aim to improve healthcare strategies for managing at-risk populations, enhancing early intervention and support during pregnancies.
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  • Neuraxial analgesia (NA) rates during labor in Reunion Island are lower than in continental France, prompting a study to assess patient satisfaction and the reasons behind this difference.
  • A multicenter observational study was conducted involving 497 patients, with 303 valid satisfaction questionnaires collected, revealing that 88% of those who had NA reported satisfaction compared to 84% of those who did not.
  • The study found no significant satisfaction difference between the two groups, with many women opting for a natural birth and others unable to access NA due to rapid labor progression.
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Study Objective: To compare the probability of postoperative pregnancy in infertile women with ovarian endometrioma larger than 3 cm in diameter, managed by either ablation using plasma energy or cystectomy.

Design: A multicentric case-control study (Canadian Task Force classification II-2).

Setting: Six surgical departments, affiliated with 4 university hospitals and 2 private facilities.

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Zika virus (ZIKV) has recently spread widely and turned into a major international public health threat. Réunion appears to offer conditions particularly favourable to its emergence and therefore prepared to face possible introduction of the virus. We designed a scaled surveillance and response system with specific objectives, methods and measures for various epidemiological phases including a potential epidemic.

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We aimed to assess the prevalence of hospitalization for endometriosis in the general population in France and in each French region and to describe temporal trends, rehospitalization rates, and prevalence of the different types of endometriosis. The analyses were carried out on French hospital discharge data and covered the period 2008-2012 and a population of 14,239,197 women of childbearing age. In this population, the prevalence of hospitalization for endometriosis was 0.

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Background: Focusing on the current context of national and international recommendations, techniques development to evaluate and preserve fertility and patients' claims, this study aims to make a survey about the management of patients' breast cancer regarding oncofertility.

Methods: Retrospective and analytic study of medical practices at Bergonié Institute of health professionals (medical oncologists, surgical oncologists, nurses) dedicated to the care of non-disseminated breast cancer patients younger than 37, needing medical treatment.

Results: The number of participants was 230.

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Introduction And Hypothesis: The use of mesh at the time of anterior vaginal wall repair reduced the risk of recurrent anterior vaginal wall prolapse. The aim of our video is to demonstrate our dissection technique focusing on the main anatomical landmarks in the pelvis and present an overall safer system to correct pelvic floor prolapse.

Methods: The video demonstrates correction of cystocele with the EndoFast Reliant™ system (IBI Israel Biomedical Innovations, Caesarea Industrial Park South, Israel).

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Article Synopsis
  • Uterine preservation during uterine prolapse treatment is increasingly common, with options for surgical approaches including vaginal, abdominal, or laparoscopic techniques.
  • The video details a specific surgical technique called sacro-hystero-pexy, originally described in 2001, adapted for use with Single Port Laparoscopy (SPL).
  • Findings indicate that SPL is a safe and effective method for performing sacro-hystero-pexy without significantly increasing operation time.
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Objective: Persistent pelvic pain after vaginal mesh surgery is an uncommon but serious complication that greatly affects women's quality of life. Our aim was to evaluate various procedures for mesh removal performed at a tertiary referral center in cases of persistent pelvic pain, and to evaluate the ensuing complications and outcomes.

Study Design: A retrospective study was conducted at the University Hospital of Caen, France, including all patients treated for removal or section of vaginal mesh due to pelvic pain as a primary cause, between January 2004 and September 2009.

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  • The study investigates the role of estrogen receptors in pelvic organ prolapse (POP) in pre- and post-menopausal women, finding increased expression of ERα in post-menopausal women.
  • While the results on the effect of selective estrogen receptor modulators on POP are inconsistent, higher ERα and an elevated ERα/ERβ ratio were found in women with POP across all groups.
  • The research suggests that estrogen receptor expression changes over a woman's lifetime may influence the risk and progression of POP, indicating potential avenues for treatment development.
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In this review, I aim to establish the place of vaginal pelvic organ prolapse surgery with mesh, drawing on personal experience. Physiopathologic justifications for the use of synthetic implants are described, and reasonable indications are highlighted. Major recommendations for the insertion are made.

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Introduction And Hypothesis: EndoFast Reliant system is a novel technology for pelvic organ prolapse (POP) repair that attaches mesh directly with metal fasteners.

Methods: This was a prospective multicenter study in 20 women who underwent vaginal POP repair to evaluate safety and efficacy. The patients were followed for 12 months, using POP-Q measures, questionnaires on symptoms (PFDI), and sexual function (FSFI).

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Objectives: : Surgery for pelvic organ prolapse (POP) is common with increasing high-quality evidence to guide surgical practice. Yet many important basic questions remain, including the optimal timing for POP surgery, the optimal preoperative evaluation of urinary tract function, and the postoperative outcome assessment. This manuscript reviews traditional surgical approaches for POP.

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Introduction And Hypothesis: The objective of the study was to reveal the way we treat vaginal mesh complications in a trained referral center.

Methods: This is a retrospective review of all patients who underwent surgical removal of transvaginal mesh for mesh-related complications during a 5-year period.

Results: Eighty-three patients underwent 104 operations including 61 complete mesh removal, 14 partial excision, 15 section of sub-urethral sling, and five laparoscopies.

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Introduction And Hypothesis: The aims of the study were to evaluate the per- and post-operative complications and outcomes after cystocele repair with transobturator mesh.

Methods: A retrospective continuous series study was conducted over a period of 3 years. Clinical evaluation was up to 1 year with additional telephonic interview performed after 34 months on average.

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Context: Surgical site infections prolong hospital stays, are among the leading nosocomial causes of morbidity, and a source of excess medical costs. Clinical studies comparing the risk of nosocomial infection after different hand antisepsis protocols are scarce.

Objective: To compare the effectiveness of hand-cleansing protocols in preventing surgical site infections during routine surgical practice.

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