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A Belhassen

Publications and source records attributed to A Belhassen.

10 recordsLinked to original sources
PubMed1995

Risk of thromboembolism in relation to an in-vitro fertilization programme: three case reports.

Severe thrombotic events following ovarian stimulation for in-vitro fertilization (IVF) procedures in three women are reported. None of these patients presented any concomitant clinical sign of ovarian hyperstimulation syndrome. Coagulation inhibitors were in the normal range but cardiovascular risk factors were present. It is postulated that early thrombosis could be favoured by high endogenous plasma oestrogen concentrations subsequent to ovarian stimulation when associated with another risk factor. Our data are discussed in relation to previous publications. It is suggested that risk factors must be considered individually before each IVF attempt. In patients at high risk, clinical management of the post-transfer period is recommended.

Adult↗
PubMed1993

[Duodenal ulcer: value of truncal vagotomy through thoracoscopy].

The authors report 21 cases of chronic duodenal ulcer treated by truncal vagotomy performed thoracoscopy. A description of the technique is presented. Mean feeding after surgery was 1.6 days. Mean hospital stay was 4.6 days (2-9). All patients were reviewed one month later by endoscopy and/or X Ray. There was no diarrhea or gastric outlet obstruction in this preliminary study.

Adult↗
PubMed1993

[Right iliac fossa pain in women. Conventional diagnostic approach versus primary laparoscopy. A controlled study (65 cases)].

In a series of 187 patients with acute abdominal pain syndrome, 65 young women reported non specific pain in right iliac or pelvic area. A controlled study compared 33 patients with immediate laparoscopy and 32 explored with a laboratory contrast or imaging approach. In the laparoscopic group, an exact diagnosis was made in 97% of the patients, allowing in 2/3 of cases the endoscopic treatment. Only 28% in the second group had an exact diagnosis. Hospital stay was shorter in the laparoscopic group (4.18 vs 6.16 days; p = 0.01) decreasing the hospital cost. The authors suggest that immediate laparoscopy should be performed in young women presenting with non-specific abdominal pain.

Abdominal Pain↗
PubMed1993

[Appendectomies. Mac Burney or laparoscopy? (100 cases)].

The authors have compared their early (50 cases) experience on laparoscopic appendectomy for acute appendicitis with a control group treated by open approach. A teaching period is necessary to reduce the converting rate to an open procedure from 22% to 6% p = 0.05 and to obtain an equal median anesthesia time (39 vs 40 mn+/-16) ns). The mean post operative stay for open operation was 5-8 (range 3-23) days and for the laparoscopic route 3.3 (range 1-8) days (p < 0.005). The wound infection rate was 16% (n = 8) for open/ and 0% for laparoscopic appendectomy p = 0.001. The results suggest that emergency laparoscopic appendectomy should be explored further as an alternative to open surgery for acute appendicitis.

Adolescent↗
PubMed1987

[Ruptured lutein cyst associated with undiagnosed contralateral tubal pregnancy].

We are dealing with the case of a patient suspected of ectopic pregnancy. Laparoscopy showed a ruptured corpus luteum on the right side with haemoperitoneum. Four days after her discharge, she came back with a ruptured ectopic pregnancy in the outer third of the left tube. We emphasize the difficulties of an early diagnosis of ectopic pregnancy and its etiology.

Adult↗
PubMed1987

[Value of amiodarone in the treatment of fetal supraventricular tachycardia. Apropos of a case].

Description of a case of supraventricular tachycardia at 33 1/2 weeks of pregnancy following a treatment with salbutamol. After failure of digoxin alone then in association with propranolol, amiodarone allowed control of this tachycardia. A baby was born at 36 weeks, his cardiac and thyrodial assessment were normal. Different problems are discussed: the part of salbutamol on the onset of the tachycardia, the limits of fetal monitoring, the use of echocardiography and the various treatments available.

Amiodarone↗
PubMed1987

[Splenosis: an unrecognized cause of pelvic pain].

A case of painful pelvic splenosis is reported. This diagnosis concerns a patient suffering from pelvic pain who had had a splenectomy done thirteen years earlier. Two complementary examinations allowed us to make a precise pre-operatory diagnosis. The differential diagnoses are listed and endometriosis in particular. The authors think that the nodules of splenosis are probably a defense against infections affecting "splenic" patients. Consequently, the removal only of symptomatic ectopic splenic tissue is indicated.

Adult↗