Sex differences in left ventricular geometry in aortic stenosis: impact on outcome.

Objective: This study of surgical aortic stenosis characterized sex differences in left ventricular (LV) geometry and outcome.

Materials And Methods: We examined 92 women and 82 men who underwent echocardiography before valve replacement for aortic stenosis.

Results: Women had a smaller cavity size (LV end-diastolic diameter 48.

Sex differences in evaluation and outcome of unstable angina.

Context: The existence of sex bias in the delivery of cardiac care is controversial, and little is known about the association between sex and delivery of care and outcomes at an early point in the diagnostic sequence, such as when patients present for the evaluation of chest pain.

Objective: To test the hypothesis that female sex is negatively associated with care delivered to and outcomes of persons diagnosed as having unstable angina.

Design: Inception population-based cohort study with an average of 6 years of follow-up.

Hysteroscopic metroplasty for septate uterus and repetitive abortions: reproductive outcome.

Objectives: The aim of this study is to assess fertility outcome and obstetrical prognosis of 63 patients after hysteroscopic section of uterine septa.

Materials And Methods: This is a retrospective study about 63 patients consulting for septate uterus and repeated pregnancy loss or abnormal fetal presentation between January 1988 and December 1996 in La Conception hospital in Marseille. Septal lysis was performed with microscissors or resectoscope.

[Evaluation of two methods for endometrial sampling during diagnostic hysteroscopy].

Objective: To compare two endometrial sampling devices, pipelle and vacurette, performed during hysteroscopy, based on the quality of material obtained and pain during the sampling.

Patients And Methods: During the period from 01.03.

[The disinfection of non-autoclavable hysteroscopes in gynecology. Proposition of a protocol and organization of its management].

Iatrogenic infections may result from diagnostic hysteroscopy in case of non autoclavable equipment (such as fibrohysteroscopes) and because of new infectious agents (such as HIV, hepatitis, ...

Sex differences in the epidemiology and outcomes of heart disease: population-based trends.

We examined trends in heart disease (HD) mortality and the delivery of cardiac in Olmsted County, MN. Between 1979 and 1994, women experienced 51% of the total number of HD (ICD9 codes 390-398,402,404-429) deaths (3095). Age-adjusted HD mortality rate declined from 123 per 100,000 (95%CI 102, 144) in 1979 to 81 (67,95) in 1994.

Long-term prognostic value of positive peritoneal washing in colon cancer.

Background: We examined the potential prognostic value of free malignant cells in the peritoneal cavity of patients with colon adenocarcinoma.

Methods: In 1991 and 1992, 88 patients underwent peritoneal washing with cytologic analysis immediately before elective colon resection for adenocarcinoma with no evidence of peritoneal metastases. Peritoneal washing fluid was collected before abdominal exploration, centrifuged immediately, and stained with the May-Grünwald-Giemsa and Harris Shorr methods.

Trends in heart disease deaths in Olmsted County, Minnesota, 1979-1994.

Background: Although age-adjusted heart disease mortality has declined since the 1960s, this decline may not have applied equally to all subgroups.

Objective: To examine recent trends in heart disease mortality, specifically in women and in the elderly.

Methods: Age- and sex-specific heart disease mortality (International Classification of Diseases, Ninth Edition, Clinical Modification [ICD-9-CM] codes 390-398, 402, 404-429) in Olmsted County, Minnesota, between 1979 and 1994 were studied.

[Impact of adenomyosis on results of endometrial ablations].

The authors report the results of a retrospective series concerning 121 patients who presented abnormal uterine bleeding resistant to progestogen therapy. These patients were adenomyosis carriers and who underwent loop endometrial ablation. Over a maximum period of 8 years, the success rate was 56% following one endometrial resection and 67% following one or two resections.

[Vaginal hysterectomy for non-prolapse uterus].

Vaginal hysterectomy in the treatment of non prolapsed uterus without malignant disease is a well codified technique. Per operative complications, post operative morbidity are less frequent and less serious than by abdominal surgery and convalescent time is less extended. Financial cost is lower compared with laparoscopic hysterectomy.

Laparoscopic surgery in gynecology: randomized prospective study comparing pneumoperitoneum and abdominal wall suspension.

Objective: To compare laparoscopic surgery using insufflation of carbon dioxide gas with laparoscopic surgery using abdominal wall retractor in gynecology.

Setting: University hospital.

Design: Prospective randomized study.

Brachytherapy and vaginal hysterectomy for low-stage uterine cervix carcinoma.

Objective: The aim of this study was to assess safety and efficiency of a limited vaginal hysterectomy after brachytherapy in patients with early uterine cervix carcinoma without unfavorable prognostic factors. All tumors were less than 1.5 cm in diameter.

[Stress echography].

Although stress echocardiography was introduced in the beginning of the 1980s, it has only been widely used since the appearance of digital technology. This technique has undergone rapid development for the evaluation of coronary artery disease because of its diagnostic and prognostic contribution.

Prognostic value of treadmill exercise testing: a population-based study in Olmsted County, Minnesota.

Background: The prognostic value of treadmill exercise testing (TMET) has been studied in selected populations. The generalizability of these data to different populations and to women is uncertain.

Methods And Results: A retrospective, population-based cohort study of all persons (1452 men and 741 women) who underwent TMET in years 1987 to 1989 in Olmsted County, Minnesota, was undertaken.

[Hysteroscopic myomectomy. Functional results with an average follow-up of 6 years].

Objective: In 1995, we presented our experience in hysteroscopic resection of hemorrhagic submucous fibroids in 196 patients. The objective of the present work was to analyze functional outcome three years later.

Patients: One hundred ninety-six patients with abnormal uterine bleeding were treated between 1987 and 1993.

Dobutamine stress Doppler hemodynamics in patients with aortic stenosis: feasibility, safety, and surgical correlations.

Objectives: This study was designed to describe the experience of our center with the safety and feasibility of dobutamine stress echocardiography (DSE) in aortic stenosis (AS), to characterize the hemodynamic response to dobutamine infusion, and to examine the hemodynamic response in relation to the anatomic evaluation of the valve among patients who underwent valve replacement.

Background: The diagnosis of the hemodynamic severity of AS can be difficult when the cardiac output is reduced and the gradient is low, but the effective valve area calculates to be small. DSE has been proposed as a means of assessing the severity of AS in this setting.

[Hysteroscopic surgery and fertility].

In the treatment of uterine lesions associated with infertility, such as septate uterus and synechiae, hysteroscopic surgery has replaced conventional abdominal surgery. Hysteroscopic metroplasty improves obstetrical prognosis in patients with septate uterus. Advantages of hysteroscopy are low morbidity rate, decreased hospitalization time, and absence of hysterotomy.

[Treatment of congenital dilatation of the bile ducts. Apropos of 3 cases].

Congenital dilatation of the bile duct is an uncommon lesion requiring surgical treatment. Complete excision of the diseased bile duct prevents development of carcinoma of the bile duct. We report three cases of congenital dilatation of the biliary three, each illustrating a particular aspect of the therapeutic strategy.

[Role of diagnostic hysteroscopy in the exploration of postmenopausal metrorrhagia].

Diagnosis: Diagnostic hysteroscopy is an effective method for identifying the causes of postmenopausal bleeding. It evaluates the uterine cavity and visualizes pathologic conditions such as endometrial polyps, submucous fibroids, and focal endometrial abnormalities including adenocarcinoma and its precursors.

Further Information: With directed biopsy, diagnostic hysteroscopy also ensures the recognition of these lesions.

[Contribution of hysteroscopic surgery for the treatment of postmenopausal metrorrhagia].

Objectives: Determine the effectiveness of hysteroscopic surgery in persistent postmenopausal bleeding.

Patients And Methods: Transcervical resection was performed in 176 women between the ages of 46-74 years. A benign cause was noted in 135 cases (polyps in 80 and submucous fibroids in 55); 37 patients had no significant disease and 4 had endometrial atypical hyperplasia missed in the preoperative evaluation.

Gender differences in use of stress testing and coronary heart disease mortality: a population-based study in Olmsted County, Minnesota.

Objectives: We sought to examine the utilization of exercise stress testing in relation to age and gender in a population-based setting.

Background: The utilization of noninvasive procedures has been shown to be associated with the subsequent use of invasive procedures. Yet, there are no population-based data on the utilization of stress testing; in particular, although gender differences in the use of invasive procedures have been reported, the use of noninvasive procedures has not been examined in relation to gender.

[Vaginal myomectomy].

The authors present a retrospective study of 26 patients who have benefited from vaginal myomectomy after culdotomy in the Conception hospital in Marseille between 1992 and 1997. The myomectomy whom technic is described, was performed unically through the vagina or laparoscopically assisted. The mean operating time was 94 mn.

[Birth after two cesarean sections: the role of trial of labor].

Objective: To study the management of labor following two cesarean sections, we evaluated maternal and neonatal morbidity subsequent to this attitude.

Patients And Methods: A retrospective study was conducted over a 6-year period (1-1-1990 to 31-12-1995) in 184 women presenting two uterine scars. Trial of labor was allowed in 96 cases with cephalic presentation and a normal pelvis.