Biomedical subjects

A Cayol

Publications and source records attributed to A Cayol.

7 recordsLinked to original sources

PubMed1992

Benefit of operative laparoscopy for ovarian tumors suspected of benignity.

Ovarian tumors need to be treated systematically due to the risk of complications and degeneracy. The aim of this study was to show the usefulness of laparoscopic surgical treatment of ovarian tumors suspected of benignity. From September 4, 1985 through December 1, 1989, 108 patients were operated on in our unit for ovarian tumors suspected of benignity (absence of clinical and ultrasound scanning signs of malignancy). There were 111 operations due to three recurrences. Operative laparoscopy was carried out 100 times. The laparoscopic operations were 71 transparietal cystectomies, 20 intraperitoneal cystectomies, 8 transparietal oophorectomies, and 1 intraperitoneal oophorectomy. Of these, 43 operations were performed in emergency situations and 57 were not. Eight patients were pregnant at the time of laparoscopic treatment, there were no miscarriages. Average operation time and hospital stay duration were 51.80 min and 3.27 days, respectively. Three borderline tumors were diagnosed (one through laparoscopy and two through histology) and were treated by secondary laparotomy. Operative laparoscopy was the only treatment for ovarian tumors 98 times out of 111 (88.28%). A histological diagnosis was obtained in every case. Laparoscopic treatment of the tumor was efficient and safe. For ovarian tumors suspected of benignity this technique is of double interest: diagnostic and therapeutic. Operative laparoscopy allows determination of a histological certainty without the disadvantages of laparotomy.

Adult↗

PubMed1991

[Ceco-appendicular endometriosis and appendicitis].

Endometriosis of the vermiform appendix is rare. We describe a case of acute appendicitis in association with endometriosis of the appendix. The diagnosis was made from histopathological examination. The indications for resection of the bowel are limited.

Adult↗

PubMed1991

[Padding of the uterine wall in severe obstetrical hemorrhage].

Severe obstetrical hemorrhage demand an emergency treatment, and hysterectomy is not always adequate. We report our technique of uterine wall padding (UWP), as performed on five women who underwent surgery with UWP for an obstetrical hemorrhage that was severe either at the onset (n = 3) or after transfer to our department (n = 2). The technique consists of padding the uterine walls with X stitches of slowly resorbable thread. The reasons for the operation were: uterine muscle atonia in 2 cases and vaginal laceration, placenta preavia and placenta accreta in 1 case each. The UWP technique was carried out during or after subtotal hysterectomy for hemorrhage in 4 patients, and with preservation of the uterus in one patient. No secondary operation was required after UWP. Less blood products were transfused in women who had immediate UWP than in those for whom UWP was a second-line operation. UWP was more efficient when performed at an early stage. In the woman with placenta accreta the uterus could be salvaged by UWP. This simple technique contributes to the reduction of blood transfusions in severe obstetrical hemorrhage.

Blood Transfusion↗

PubMed1991

[Hernias of the groin. A new complication of celioscopy].

Crural hernia is acquired and mainly affects women. We report a case of hernia discovered after two laparoscopic operations. There was no hernia or risk factor for abdominal wall hernia before the operations. We consider that this hernia is the consequence of repeated abdominal distensions over a short period of time. We have not found this complication in the literature.

Adult↗

PubMed1991

[Value of celioscopic surgical treatment of ovarian tumors at the beginning of pregnancy].

Ovarian tumours complicate one in every thousand pregnancies. New techniques have changed the way of diagnosing and treating this condition. This study aims to demonstrate the value of laparoscopic surgery for ovarian cysts in the early months of pregnancy. From the 7th November 1985 to the 1st September 1989, eight pregnant women with less than 17 weeks amorrhoea consulted for ovarian tumours that were more than 6 centimeters in diameter. They were all operated on for ovarian tumours of more than 6 centimeters diameter and they were all operated on laparoscopically. Four operations were emergency and four non-emergency. In seven cases cystectomy was carried out transparietally and in one oophorectomy was. Laparoscopic surgery was possible in every case. These was no complication to the pregnancy due to the operation. Laparoscopic surgery permits early treatment of ovarian tumours in pregnancy without the risks of laparotomy. In emergency a quick diagnosis and treatment diminishes the risk of abortion. In non urgent cases a simple technique made it possible to avoid complications of the cyst and to obtain a histological assessment that they were benign.

Adult↗

PubMedDate not supplied

[Intra-peritoneal appendectomy by celioscopy. Preliminary results of a new technique].

The diagnostic and therapeutic value of laparoscopic surgery is known for ovarian cysts and ectopic pregnancies. The diagnostic of appendicitis is difficult and laparoscopy is useful. The aim of this study is to assess the feasibility, the efficacy and the advantages of a new technique of laparoscopic appendectomy. From August 1, 1989 to July 31, 1990 the women seen for pelvic pain have been divided in three groups: appendicitis, pelvic inflammatory disease (PID) and doubt. Intra peritoneal appendectomy has been performed if the laparoscopic diagnosis was not PID. Via three supra symphyseal trocars the appendix has been exposed and his meso coagulated. The appendix stump has been closed with a clip applicator (Ethnor T1300). Thirty-one women have been involved in this study. Twenty women had a laparoscopic appendectomy. Mean operation time was 36 minutes. In no occasion laparotomy was necessary. There was no post-operative complication and stool was obtained on the second post operative day. Patients and nurses appreciation was excellent. This operative procedure was possible in each attempt. This technique is sure, quick and easily reproducible. Comfortable post operative period and esthetic advantage have been noticed by the women. This operation has been possible in each attempt. This technique is sure, quick and easily reproducible.

Appendectomy↗

PubMedDate not supplied

[Fertility tests (hamster, electronic microscopy): are they useful?].

Tests of sperm function are often considered to be able to predict the in vivo or in vitro fertility of a given patient although they only assess part of the process of sperm fertilizing ability. It appears from the literature, that the sperm penetration assay (SPA) which investigates the sperm fusiogenic and nuclear functions cannot accurately predict the in vivo fertility and there is still much debate on the reliability of its correlation with in vitro fertilization (IVF) principally in cases of severe sperm deficiency. With the development of new techniques of assisted fertilization, by-passing the zona pellucida, a test of sperm fusion, hetero or homospecific as well, could be interesting. Considering sperm ultrastructure and beyond some specific morphological alterations of the whole sperm population that can be responsible for the infertility, such studies were not able, as yet, to reveal significative differences between semen fertile in vitro or not.

Animals↗