Collateral damage of COVID-19 pandemic: The impact on a gynecologic surgery department.

Objective: This study focuses on changes in gynecologic surgical activity at Hospital Foch, Paris, France during the first French COVID lockdown in 2020. Additional goals include the evaluation the extent of the postponement suffered for each type of surgery and estimate the possible negative impact for patients.

Study Design: Single-center, retrospective, chart-review cohort study in the gynecology department of Hospital Foch.

Serous Borderline Ovarian Tumor Diagnosis, Management and Fertility Preservation in Young Women.

Borderline ovarian tumors (BOT) represent about 10 to 20 percent of all epithelial tumors of the ovary. They constitute intermediate lesions between benign ovarian cysts and invasive carcinomas. They often occur in young women of reproductive age, and, albeit with a favorable prognosis, it may recur on the ipsilateral or contralateral ovary.

Managing a Department of Obstetrics and Gynecology in Times of COVID-19 Outbreak: The Foch Hospital Experience.

Departments of Gynecology and Obstetrics, as other departments, were faced with a major challenge at the outbreak of the COVID-19 pandemic. Fast restructuring was necessary in order to provide the means for COVID-related care. In this article we share our 1-year experience in reshaping our activities, managing healthcare workers and securing a pathway for pregnant patients, including potential, and confirmed COVID-19 cases.

Sacrospinous ligament fixation: medium and long-term anatomical results, functional and quality of life results.

Background: To evaluate the medium and long-term anatomical results of sacrospinous ligament fixation (SLF) and its impact on quality of life (QoL).

Methods: We conducted a retrospective and observational single centre study. Fifty-nine patients were interviewed using the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire and underwent physical examination using POP-Q several years after SLF.

Risks factors FOR wound complications after cesarean section.

Objective: The primary outcome was to determine risks factors for wound complications after cesarean section. Secondary outcome was the management of these complications.

Study Design: We performed a retrospective cohort study of consecutive cesarean deliveries performed at a secondary care facility between June 2017 and June 2019.

Revisiting the management of term breech presentation: a proposal for overcoming some of the controversies.

Background: The debate surrounding the management of term breech presentation has excessively focused on the mode of delivery. Indeed, a steady decline in the rate of vaginal breech delivery has been observed over the last three decades, and the soundness of the vaginal route was seriously challenged at the beginning of the 2000s. However, associations between adverse perinatal outcomes and antenatal risk factors have been observed in foetuses that remain in the breech presentation in late gestation, confirming older data and raising the question of the role of these antenatal risk factors in adverse perinatal outcomes.

Segmental and Discoid Resection are Preferential to Bowel Shaving for Medium-Term Symptomatic Relief in Patients With Bowel Endometriosis.

Objective: To evaluate and compare medium-term clinical outcomes and recurrence rates in the laparoscopic surgical management of bowel endometriosis comparing 3 different surgical techniques (shaving, discoid, and segmental resection).

Design: Retrospective study (Canadian Task Force classification II-2).

Setting: Endometriosis tertiary referral center.

Impact of Laparoscopic Surgical Management of Deep Endometriosis on Pregnancy Rate.

Study Objective: To evaluate the impact of laparoscopic excision of lesions on deep endometriosis-related infertility.

Design: Retrospective study.

Setting: Endometriosis tertiary referral center (Canadian Task Force II-2).

Step-by-step Type C Laparoscopic Radical Hysterectomy With Nerve-sparing Approach.

Study Objective: To show the laparoscopic technique to perform type C radical hysterectomy with a nerve-sparing approach and pelvic lymphadenectomy.

Design: Educational video with step-by-step explanation of the technique using videos and pictures to highlight the anatomic landmark that guides the procedure.

Setting: The goal of this procedure is to enlarge the resection of the paracervix at the junction with internal iliac vascular system, leaving the neural part of the structure under the deep uterine vein untouched.

Employing laparoscopic surgery for endometriosis.

Endometriosis is a chronic, multifactorial disease, which can impact significantly on a women's quality of life. It is associated with pelvic pain, dyspareunia and intestinal disorders, and can lead to infertility. The use of laparoscopic surgery in the management of endometriosis is well documented; however, the optimal management of women with deep infiltrating disease remains controversial.