Revue francaise de gynecologie et d'obstetrique最新文献

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[Endoscopic gynecologic surgery in Africa. Luxury of necessity?]. 非洲的内窥镜妇科手术。奢侈品还是必需品?
O Pambou, B Guyot, J M Antoine, J Salat-Baroux
{"title":"[Endoscopic gynecologic surgery in Africa. Luxury of necessity?].","authors":"O Pambou,&nbsp;B Guyot,&nbsp;J M Antoine,&nbsp;J Salat-Baroux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Per- and postoperative mortality remain high in black Africa, with rates of the order of 30 to 40% according to teams. Three essential causes are generally reported: infection, hemorrhage and anesthetic complications. There can be no doubt as to the advantages of celiosurgery over open surgery: low postoperative morbidity, less than 1% serious complications, real savings in treatment costs by shortening of average hospital stay and time off work. Celio-surgery is technology-dependent and operator-dependent. The cost of equipment remains prohibitive and its maintenance delicate and expensive, potentially hampering the implantation and spread of this new technique in Africa, which also lacks specifically trained staff as well as an appropriate technical infrastructure. Nevertheless, the experience of teams in Cameroon and Gabon are encouraging with 110 and 220 patients respectively treated by celio-surgery without complications. A veritable journeyman-apprentice approach is necessary for the learning of these new techniques by teams in developing countries, in several possible ways (locally or abroad), in order that the population as a whole can enjoy the benefits of the reproducible therapeutic and diagnostic advances of new techniques (celio-surgery, MAP, antenatal diagnosis, medical imaging).</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 3","pages":"174-7"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18784646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Coexistence of a partial hydatiform mole and a viable twin pregnancy. A case seen at the Sokode regional hospital (Togo)]. [部分葡萄胎和可存活的双胎妊娠共存。在索科德地区医院(多哥)见1例]。
K Akpadza, G Napo-Koura, S Baeta, A K Hodonou
{"title":"[Coexistence of a partial hydatiform mole and a viable twin pregnancy. A case seen at the Sokode regional hospital (Togo)].","authors":"K Akpadza,&nbsp;G Napo-Koura,&nbsp;S Baeta,&nbsp;A K Hodonou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case was seen of partial hydatidiform mole coexisting with a viable twin pregnancy. Apart from prematurity which created early problems in caring for these girls twins, born with a good Apgar score and birth weights of 1400 g and 1350 g, the outcome was satisfactory for both the mother and daughters, who thrived marvelously. The incidence of this clinical form of trophoblastic disease which is 1/10,000 deliveries in our series confirms it rarity as reported by many authors.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 3","pages":"164-5"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18784644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Uterine rupture during labor. Report of 106 cases at the Maternity Center of Tunis (Tunisia)]. 分娩时子宫破裂。突尼斯妇产中心106例病例报告[突尼斯]。
S Zine, A Abed, E Sfar, T Mouelhi, H Chelli
{"title":"[Uterine rupture during labor. Report of 106 cases at the Maternity Center of Tunis (Tunisia)].","authors":"S Zine,&nbsp;A Abed,&nbsp;E Sfar,&nbsp;T Mouelhi,&nbsp;H Chelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study involves 106 cases of the uterus seen at the Rabta Maternity and Neonatology Center (Tunis) over a period of 6 years. The incidence was 1.51% of labors and 75.4% of cases involved rupture of a scarred uterus. Rupture of a healthy uterus accounted for 24.6% of cases. The clinical picture was asymptomatic in 66.25% of cases involving a scarred uterus. Treatment of rupture of the uterus was essentially conservative by suture of the tear (73.6%). Maternal mortality was 2.8%. Perinatal mortality was high at 37.7%.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 3","pages":"166, 169-73"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18784645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Clinical trials in homeopathy: treatment of mastodynia due to premenstrual syndrome]. 【顺势疗法临床试验:治疗经前综合征所致乳突痛】。
C Lepaisant
{"title":"[Clinical trials in homeopathy: treatment of mastodynia due to premenstrual syndrome].","authors":"C Lepaisant","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"94-7"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18734465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Congestive pelvic syndromes]. [充血性盆腔综合征]。
G Charles
{"title":"[Congestive pelvic syndromes].","authors":"G Charles","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pelvic congestion syndrome is encountered in three pathological situations: premenstrual syndrome, intermenstrual syndrome, chronic pelvic congestion syndrome. The first two syndromes, with a range of physical and/or psychological symptoms, are cyclical. Their pathogenesis is multifactorial. Hormonal and circulatory factors are essentially blamed. Treatment is most often based upon combinations of progestogens and venotonics. The third syndrome, that of chronic pelvic congestion, is characterised by long term pelvic pain and raises etiopathogenic problems which remain only partially solved and in which a vascular role may sometimes be recognised. Endovaginal ultrasonography with colour-coded Doppler and celioscopy sometimes reveal pelvic varicose veins and indicate their responsibility for such pain, after having eliminated specific pelvic pathology (post-infectious or post-operative inflammatory sequelae of pelvic tissue, rupture of the broad ligaments, endometriosis, etc.). Treatment is above all medical, based upon hormone therapy acting upon venous receptors, venotonics which decrease the consequences of stasis, intermittent courses of anti-inflammatory agents and antibiotics when there is inflammation secondary to local infection. These various types of treatment may be combined. Surgical treatment should be restricted to certain carefully assessed cases only.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"84-90"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18734463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hypertrophic tuberculosis of the cervix]. [宫颈肥厚性肺结核]。
A el Mansouri
{"title":"[Hypertrophic tuberculosis of the cervix].","authors":"A el Mansouri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report two cases of tuberculosis of the uterine cervix. They point out the exceptional nature of this form of genital tuberculosis, and its epidemiological aspects. They stress that its macroscopic appearance is highly suggestive of a carcinomatous lesion. Doubt can be eliminated only by cervical biopsy and appropriate treatment for tuberculosis can then be started. Surgery is only very rarely required.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"91-3"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18734464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[3rd Francophone congress on coleosurgery. Deauville, April 6-7, 1995. Abstracts]. 第三届法语国家结肠外科大会。多维尔,1995年4月6日至7日。摘要]。
{"title":"[3rd Francophone congress on coleosurgery. Deauville, April 6-7, 1995. Abstracts].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"99-114"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18734466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pelvic pain related to pelvic ligament support]. [与骨盆韧带支撑有关的盆腔疼痛]。
V Loffredo
{"title":"[Pelvic pain related to pelvic ligament support].","authors":"V Loffredo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the context of organic pelvic pain, alongside post-infectious pain or pain related to endometriosis, ruptured ligaments of the pelvic fascia are an important cause of the pelvic congestion syndrome well known to classical authors. Surgical treatment combines two procedures: suture of the tear and exclusion of the pouch of Douglas.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18735203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Painful pelvic adhesion syndrome]. [盆腔粘连综合征]。
C D'Ercole, F Bretelle, H Heckenroth, L Cravello, L Boubli, B Blanc
{"title":"[Painful pelvic adhesion syndrome].","authors":"C D'Ercole,&nbsp;F Bretelle,&nbsp;H Heckenroth,&nbsp;L Cravello,&nbsp;L Boubli,&nbsp;B Blanc","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pelvic adhesions may be responsible for pelvic pain, at least partially, in the following conditions: sequelae of past infection, chronic active inflammatory state, endometriosis, post-operative adhesions. The problem in the presence of adhesions is to determine whether pain is mechanical, inflammatory and/or linked to associated ovarian dystrophy, and what is the psychological component. The postulate \"adhesion = pain\" is far from constant and there is no systematic relationship between clinical picture and anatomical findings. After careful clinical and laboratory evaluation, celioscopy is the key diagnostic procedure. It should include thorough examination of all pelvic organs, of the abdomen in general and the peri-hepatic region in particular. A diagnosis of psychosomatic pain can be made only in the absence of any macroscopic, histological and bacteriological lesion, though bearing in mind that this term certainly covers failure to recognise other causes.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"73-6"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18735204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pelvic pain and endometriosis]. [骨盆疼痛和子宫内膜异位症]。
P Lopes, A Mensier, F X Laurent, O Besse
{"title":"[Pelvic pain and endometriosis].","authors":"P Lopes,&nbsp;A Mensier,&nbsp;F X Laurent,&nbsp;O Besse","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endometriosis is defined by the presence outside the uterine cavity of tissue histologically and functionally similar to the endometrium. Endometriosis consists of glands and an underlying cytogenic stroma. This ectopic tissue can react to hormonal stimulation: estrogens and progesterone (growth, decidualisation, withdrawal bleeding). Pain is correlated with the depth of implantation of endometriosis lesions. Deeply infiltrating endometriosis exceeds 6 mm in depth, with an incidence of between 6 and 20% of women complaining of pelvic pain. The authors review the various types of treatment and mention the special role of celio-surgery and prolonged hormone therapy.</p>","PeriodicalId":21300,"journal":{"name":"Revue francaise de gynecologie et d'obstetrique","volume":"90 2","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"1995-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18734462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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