The feasibility and outcome of laparoscopic vesicovaginal fistula repair as a minimally invasive technique: a retrospective descriptive monocentric study.

Introduction: vesicovaginal fistula (VVF) is the most common type of urogenital fistula. The laparoscopic approach to VVF repair offers the advantage of minimally invasive surgery with similar principles to the open trans-abdominal approach. The purpose of our study was to evaluate the transperitoneal laparoscopic approach as a minimally invasive tool for VVF repair.

[The psychological impact of cancer in the medium and long term].

More than one in two people recover from cancer after five years. But before claiming victory, they go through a period of remission, a time of uncertainty and convalescence during which they will have to learn to reinvest their body and their identity in order to fully take charge of their life by integrating the awareness of their fragility.

[The management of cancer and its chronicisation, a major challenge for our health system].

The successive cancer plans mobilize health professionals by emphasizing personalized medicine that is accessible to all. This individualization of therapeutic care, along with major innovations in therapeutic tools, leads to the chronicization of certain cancers. A new situation that requires support for people affected by the disease during their treatment and also after in order to preserve autonomy, continuity and quality of life.

[Cooperation between healthcare professionals, a renewed and simplified system].

To be part of a protocol of cooperation between health professionals aims to meet the needs of the population. The interlinking of medical and paramedical skills is based on an approach in which trust and expertise combine to guarantee quality and safety thanks to a defined framework. This cooperation system supports the need for coherent and sometimes innovative collective work.

[Corneal sampling at the heart of cooperation between professionals].

Initiated in 2009 by the Hospital, Patients, Health and Territories Act, the system of cooperation protocols between healthcare professionals aims, for patients, to reduce delays in accessing certain specific types of care. Paramedical staff, particularly nurses, trained to carry out certain activities in this context, hitherto exclusively performed by doctors, are developing increased skills and original career development opportunities. Three nurses from the Verdun/Saint-Mihiel hospital centre (55), involved for several months in a cooperation protocol in the field of corneal sampling, share their experience here.

[Assessing a patient's pain].

Pain assessment has taken a predominant role in nursing practice. In day-to-day care, the way a patient in pain is approached and the assessment of their pain are sometimes subject to extensive questioning. The subjective part of pain is still often emphasised when the quantified assessment and the nurse's clinical observation are contradictory.

[Pain assessment in the postanaesthesia recovery room].

Pain assessment is an important activity in nursing care. Postanaesthesia recovery rooms are specialised care units. Pain assessment must form part of a global approach, beyond an objective of care.