521 results match your criteria: "university hospital of Caen[Affiliation]"

Objectives: The objective is to compare the learning curves between two pioneer and three second-generation surgeons for RAPN in terms of WIT, CD and positive surgical margins.

Materials And Methods: The charts of consecutive RAPNs of three centres were reviewed from the UroCCR prospective database. The experience was assessed by a regression model for each group.

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Background: More real-world data are needed to complement existing phase III studies on the efficacy and safety of recombinant factor IX Fc fusion protein (rFIXFc) in people with haemophilia B.

Objectives: We report final data from the B-SURE study, evaluating the real-world usage and effectiveness of rFIXFc in France.

Methods: Previously treated patients (all ages/severities) received on-demand or prophylactic rFIXFc during B-SURE.

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Psychometric Validation of the Hemophilia Functional Ability Scoring Tool (Hemo-FAST).

Thromb Haemost

January 2025

Centre de Ressources et Compétences des Maladies Hémorragiques Constitutionnelles, CHU Clermont-Ferrand, Estaing Hospital, Clermont-Ferrand, France.

Background:  The Hemophilia Functional Ability Scoring Tool (Hemo-FAST), consisting of a patient-reported outcome (PRO) part and a clinician-reported outcome (ClinRO) part, was developed as a rapid and effective tool to assess functional mobility in clinical practice. This study (NCT04731701) aimed to validate the psychometric properties of Hemo-FAST for assessment of joint health in people with haemophilia (PwH).

Methods:  PwH A or B aged ≥18 years completed questionnaires including the PRO part of Hemo-FAST and the short-form 36 health survey (SF-36) during one study visit.

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Objective: Many patients with ruptured intracranial aneurysms (RIAs) underrepresented or excluded from previous randomized controlled trials (RCTs) comparing surgery with endovascular treatment (EVT) are still considered for surgical clipping, but the best management of these patients remains unknown.

Methods: The International Subarachnoid Aneurysm Trial-2 was a randomized trial comparing surgical versus EVT of RIAs considered for surgical clipping, despite the results of previous RCTs, and also eligible for EVT. The primary endpoint was death or dependency according to the modified Rankin Scale score (mRS score > 2) at 1 year.

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Familial History in Ovarian Teratomas Is a Frequent Event: 22 Years' Experience at a Single Center.

Pediatr Blood Cancer

January 2025

Department of Pediatric Surgery, Urology and Transplantation, Hôpital Universitaire Necker-Enfants Malades, APHP, Université de Paris Cité, Paris, France.

Background: Ovarian mature teratoma represents the most common benign neoplasm among pediatric germ cell tumors. This study reports the prevalence and characteristics of familial forms identified in a single center over 22 years in order to better understand possible familial predispositions to ovarian teratoma.

Methods: The records of all patients who were surgically treated for ovarian teratoma between 2000 and 2022 were retrospectively reviewed.

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Balloon atrioseptostomy for transposition of the great arteries in Europe: characteristics and outcomes.

Rev Esp Cardiol (Engl Ed)

January 2025

Pediatric Cardiology Department, M3C National reference center, Hospital Necker- Enfants Malades, Assistance Publique-Hôpitaux de Paris, University Paris Cité, Paris, France.

Introduction And Objectives: Balloon atrial septostomy (BAS) improves oxygenation in neonates with transposition of the great arteries (TGA) and restrictive foramen ovale. Currently, there is a global shortage of dedicated BAS catheters, while new unmarked catheters have recently become available at some European centers. This study aimed to characterize BAS outcomes using the currently available BAS catheters in Europe.

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Objective: The aim of this study is to test the feasibility of a custom 3D-printed guide for performing a minimally invasive cochleostomy for cochlear implantation.

Study Design: Prospective performance study.

Setting: Secondary care.

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Neuro-ophthalmological changes have been reported after prolonged exposure to microgravity; however, the pathophysiology remains unclear. Furthermore, several countermeasures have been suggested to counteract the side effects of microgravity. The objectives of the present study were twofold: (1) to assess the neuro-ophthalmological impact of 60 days of head-down bed rest (HDBR) and (2) to determine the potential effects of an antioxidant cocktail.

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Background And Aims: Primary lung tumors (PLTs) in children are rare, and surgery remains the key to ensure remission. Here we describe the PLTs clinical characteristics, their management, and the pulmonary outcome following surgery.

Methods: We carried out a French national cohort of pediatric PLTs from 2013 to 2023 from the FRACTURE rare pediatric tumors national database.

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Surgical Management of Intracerebral Hemorrhage: New Light on the Horizon?

Stroke

February 2025

University of Lille, INSERM, CHU Lille, U1172- Lille Neuroscience and Cognition, France (C.C.).

After 30 years of disappointment, 2 randomized controlled trials investigating the effect of neurosurgical treatment on functional outcome in patients with intracerebral hemorrhage were published in 2024. The ENRICH trial (Early Minimally Invasive Removal of Intracerebral Hemorrhage) studied the efficacy of early minimally invasive hematoma removal in patients with lobar or anterior basal ganglia intracerebral hemorrhage, whereas the SWITCH trial investigated the effect of decompressive craniectomy without hematoma removal in severe deep intracerebral hemorrhage. In this critique article, we will discuss the main findings of these trials, their implications and future perspectives.

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Background: Medulloblastoma (MB) is one of the most prevalent embryonal malignant brain tumors. Current classification organizes these tumors into four molecular subgroups (WNT, SHH, Group 3, and Group 4 MB). Recently, a comprehensive classification has been established, identifying numerous subtypes, some of which exhibit a poor prognosis.

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Article Synopsis
  • Dry eye syndrome is a complex condition that affects quality of life and is a significant global health issue.
  • Research at the University Hospital of Caen involving 43 patients showed that treatment with autologous serum-based eye drops resulted in a 44% improvement in quality of life and reduced daily eye drop use by 65.4%.
  • The success of treatment was influenced by the initial severity of the condition and the presence of corneal ulcers, highlighting the importance of a comprehensive approach that considers both clinical exams and patient well-being.
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Capsular tension ring and toric lens: Better stability?

J Fr Ophtalmol

November 2024

Department of Ophthalmology, Normandy university, UNICAEN, University Hospital of Caen Normandy, 14000 Caen, France; Research Unit UMR-S 1075 Inserm-UNICAEN, Normandy University, UNICAEN, University Hospital of Caen Normandy, 14000 Caen, France.

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Article Synopsis
  • The study investigates the relationship between socioeconomic status (SES) and time to diagnosis (TTD) in childhood cancer, noting that a clearer connection has been observed in adults.
  • A retrospective analysis involving 854 children revealed a median TTD of 28 days, with variations based on tumor type but no significant link between SES factors and TTD.
  • Initial treatment by non-specialized professionals was associated with longer TTD, while overall, TTD did not appear to influence children's survival or relapse rates, indicating a need for further research on individual SES impacts.
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Article Synopsis
  • - This study aimed to investigate how social health inequalities might affect the treatment of adolescent idiopathic scoliosis in the French healthcare system by analyzing the care pathway from diagnosis to post-surgery.
  • - Researchers reviewed data from 883 patients who underwent surgery for scoliosis between 2009 and 2019, focusing on factors like Cobb angle measurements, brace compliance, and surgical outcomes, using regression models to assess socioeconomic influences.
  • - The findings indicated that socioeconomic deprivation had a limited impact on treatment management, with significant effects only observed at the first consultation and on postoperative correction, highlighting the need for improved screening practices and further research on socioeconomic factors.
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Article Synopsis
  • Chest pain is common in pediatric emergencies, with most causes being benign; however, chest x-rays (CXR) are frequently ordered despite low rates of abnormalities.
  • A study reviewed medical records of 599 children to assess the adherence of physicians to guidelines for CXR usage, finding that 57.1% followed the recommended algorithm and only 8.2% had abnormal CXR results.
  • The findings suggest the need for improved guidelines for CXR prescriptions based on specific clinical indicators of chest pain, as current practices may overuse this test despite its limited diagnostic value.
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Expert consensus on workflow of PET/CT with long axial field-of-view.

Eur J Nucl Med Mol Imaging

February 2025

Department of Nuclear Medicine, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, P.R. China.

Purpose: Positron emission tomography/computed tomography (PET/CT) imaging has been widely used in clinical practice. Long axial field-of-view (LAFOV) systems have enhanced clinical practice by leveraging their technological advantages and have emerged as the new state-of-the-art PET imaging modalities. A consensus was conducted to explore expert views in this emerging field to comprehensively elucidate the proposed workflow in LAFOV PET/CT examinations and highlight the potential challenges inherent in the workflow.

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Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study.

Tech Coloproctol

November 2024

Department of Digestive, Oncological, Endocrine, Hepato-Biliary and Pancreatic Surgery, and Liver Transplantation, Colorectal Surgery Unit, Trousseau Hospital, University Hospital of Tours, Avenue de la République, 37044, Tours, France.

Background: Acute right colic diverticulitis (ARD) is less frequent in Western countries than acute sigmoid diverticulitis (ASD). We aimed to compare the management of ARD and ASD operated on in emergency.

Methods: All consecutive patients who had emergency surgery for ASD and ARD (2010-2021) were included in a retrospective, multicenter, cohort study.

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Article Synopsis
  • Most patients with acute ischemic stroke and large vessel occlusion are initially evaluated at non-thrombectomy centers before being transferred to specialized facilities for treatment, leading to potential delays and worse outcomes.
  • The review highlights that changes in clinical and radiological status during transfers vary among patients and can affect their recovery, emphasizing the need for better care during this critical time.
  • It also explores potential strategies, like penumbral protection, to minimize damage during transfer and outlines important factors to consider when designing clinical trials aimed at improving patient outcomes.
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Background: Postoperative rectovaginal fistula leads to a loss of patients' quality of life and presents significant challenges to the surgeon. The literature focusing specifically on postoperative rectovaginal fistulas is limited. The objective of the present study is to identify factors that can enhance the success of the management of this postoperative rectovaginal fistula.

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Predominantly antibody deficiencies have an estimated prevalence of >1 in 25 000. Their classical phenotype entails the association of autoimmune manifestations with increased susceptibility to infections. Up to 8% of these patients ultimately develop immune thrombocytopenic purpura (ITP).

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Review of definition and treatment of upper rectal cancer.

Surg Oncol

December 2024

Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, France. Electronic address:

While the treatment of locally advanced lower and middle rectal cancer with total mesorectal excision (TME) after neoadjuvant therapy is now well defined, the treatment of locally advanced upper rectal cancer (LAURC) remains controversial. Although most teams and academic societies recommend upfront surgery (US) with partial mesorectal excision (PME), as this appears to be sufficient for these tumors, the literature remains conflicting regarding the additional use of neoadjuvant therapy and TME. Current recommendations for the treatment of LAURC do not reflect actual clinical practice.

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