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Biomedical subjects

F Zhioua

Publications and source records attributed to F Zhioua.

At least 19 recordsLinked to original sources
PubMed2004

[Management of severe thrombopenia in pregnancies and labor. Report of 14 cases and review of the literature].

Thrombocytopenia occured in 14 of 5557 pregnant women (0.25%) in our hospital over 4-year interval. The patients with thrombocytopenia could be devided into two groups: healthy women: 2 patients (14.28%). hypertensive patients and patients with immune thrombocytopenia: 12 patients (85.72%). Cesarian section rate for delivery was 35.7%. Six foetal loss were observed. Foetal morbidity is represented by prematurity and low weight at delivery (3 cases) and in one case cerebral bleeding was observed.

Adult↗
PubMed1995

[Laparoscopic surgery of an intraperitoneal intrauterine device].

This study involved 13 cases of patients fitted with intra-uterine contraceptive devices which migrated in the abdominal cavity. Laparoscopy enabled localization of the IUCD and full lesion assessment. It was removed by celio-surgery in all 13 cases. Difficulties encountered were due to parietoepiploic adhesions and IUCD impacted in the wall of the rectum.

Female↗
PubMed1994

[Predictive factors of macrosomia in diabetic pregnancies].

The authors carried out a retrospective analysis of 105 cases of pregnant diabetic patients in order to identify the women facing a high risk of a macrosomal birth. This group, which included 84 cases of diabetes of pregnancy and 21 cases of diabetes present before pregnancy, had an incidence of macrosomia of 46.6%. The patients were divided into 2 sub-groups: PM, which consisted of 49 diabetic patients with a macrosomal foetus and PN, consisting of 56 patients who delivered a foetus of normal weight. There was a significant correlation between the equilibrium of diabetes and the birth weight. However, there was a macrosomal rate of 35% in well-equilibrated patients. Comparison of the maternal characteristics did not reveal any significant difference between the two groups with regard to age, parity, history of macrosomia or weight gain during pregnancy. In contrast, the incidence of maternal obesity was significantly higher in the PM group. In addition, the induced hyperglycaemia values by oral route were higher in the mothers of macrosomal foetuses. The authors therefore think that obesity in diabetic pregnancy and orally-induced hyperglycaemia in diabetes of pregnancy provide an early test for macrosomia and make it possible to envisage prophylactic treatment.

Adult↗
PubMed1994

[Maternal hydrocephaly and pregnancy. A new case report and review of the literature].

The authors describe a fresh case combining hydrocephalus and pregnancy. The improved quality of the shunt used and neurosurgical methods available have transformed the prognosis for non-tumoral hydrocephalus. The ventriculo-peritoneal shunt malfunctioned during pregnancy in 50% of cases. In the absence of acute neurological complications at term due to distal malfunction of the shunt, vaginal delivery is to be preferred.

Adult↗
PubMed1993

[Evaluation of neonatal prognosis using Doppler velocimeter in cases of a high risk fetus].

The authors describe the main characteristics of the Doppler method in the early diagnosis of chronic fetal distress, and report their personal results in the study of 51 high risk pregnancies. In their study the fetal doppler ultrasound findings were correlated with birth weight related to gestational age, and neonatal morbidity. The parameters established from the doppler ultrasound assessment were the placenta resistance (calculated from the formula of Pourcelot: R = S-D/S applied to the umbilical artery) and the cerebro-placental index, Rp/Rc, Rc being the index of cerebral arterial resistance. The diagnosis performance of the method appeared very good: the Rp index was found to be highly specific for hypotrophy (85,7%) and for neonatal morbidity (90%), the RCP index adding its own good sensitivity (85% for hypotrophy and 83,3% for neonatal morbidity). The authors conclude upon the interest to study simultaneously the fetal umbilical and cerebral arterial circulations. The pathological significance of the two indexes appears different so that they are to be complementary in the evaluation of fetal distress.

Female↗
PubMed1993

[Maffucci syndrome and ovarian tumor].

Maffucci's syndrome was first described in 1881 and results of a mesodermic dysembryoplasia, congenital but not hereditary. Pathogenic hypothesis are multiple. This syndrome is characterized by the occurrence of multiple haemangiomas in the soft tissue, and multiple enchondromas of the bones. The association of ovary tumor is however exceptional. Four cases are reported in the literature; we report the fifth case.

Adolescent↗
PubMed1993

[Hysteroscopic metroplasty of uterine septa].

A series of 23 patients with septate uteri who underwent hysteroscopic division of the septum between January 1990 and March 1992 were studied. Before operation 19 of the 23 patients had 50 pregnancies with 29 spontaneous abortions, 7 late abortions, 5 premature deliveries and 9 deliveries at term. Sixteen patients who were followed up for more than 6 months conceived 9 times. Six of these went to term with 4 normal deliveries and 2 caesarean sections for obstetrical indications. There are 2 pregnancies continuing at present (at 25 and 27 weeks of amenorrhoea) and one spontaneous abortion in the first trimester. Two patients had to be operated on again because a partial residual septum was found post-operatively.

Abortion, Spontaneous↗
PubMed1993

[Bologna operation].

Thirty cases of urinary incontinence and genital prolapse have been treated using Bologna's method. The authors describe this operation. The post-operative controls were based on the clinical state of the patient and in ten cases on the urodynamic tests. Anatomical result was very satisfactory. In all but one case the abdominal pressure transmission defect to the upper urethral was corrected without deterioration of maximal urethral pressure.

Aged↗
PubMed1993

[Swallowing of an amniotic string by a fetus at term].

Amniotic band syndrome is a rare pathology which involves a group of fetal malformations due to the formation of bands between the fetus and the extraembryonic derivatives. These fetal malformations are extremely variable and their type depends upon the period of gestation during which the bands develop. In rare cases, these bands could strangulate the umbilical cord vessel and lead to fetal death. The authors report an exceptional case fo swallowing of the amniotic band by a fetus at term and fetal death due to strangulation of the umbilical cord vessels by amniotic band.

Adult↗
PubMed1993

[Hysteroscopy and hysterosalpingography. Which examination to chose?].

The authors report 58 patients undergoing hysterosalpingography (HSG) then hysteroscopy (HC) for investigation of the uterine cavity. Comparison of HSG and HC findings revealed the following: In 26.9 per cent of cases HC disproved or rectified the result of HSG. Results of the two investigations were in agreement in 74.1 per cent of cases. In the light of our results, and after a review of the literature, HSG is indicated as the first line investigation for exploration of the uterine cavity and/or the tuboperitoneal level. HC alone is sufficient for exploration of the cervical canal and of the uterine cavity.

Evaluation Studies as Topic↗
PubMed1993

[Acardiac malformation: ultrasonographic diagnosis. A case report].

Acardia is an extremely rare malformation which is seen in less than 1 per cent of monozygous twin pregnancies. Pathological aspects and etiopathogenic theories concerning this malformation are reviewed on the basis of a case diagnosed in utero at 24 weeks. The value of the antenatal diagnosis of this malformation is that of monitoring the progression of the pregnancy and predicting the fate of the healthy twin.

Adult↗
PubMed1993

[Peripartum cardiomyopathy. Analysis of 3 cases and review of the literature].

Peripartum cardiomyopathy is defined as a syndrome of cardiac failure occurring in the latter part of pregnancy or in the puerperium without obvious cause and without prior evidence of heart disease. Analysis of the particular features of this syndrome and a review of the literature indicate its similarity with other cardiomyopathies in terms of clinical features, natural history and treatment, but maternal and fetal prognosis is poor.

Adult↗
PubMed1993

[Uterine fixation to the promontory and the Orr-Loygue operation in associated genital and rectal prolapse].

The association of genital prolapse and rectal prolapse is rare. The authors report six cases of simultaneous mixed prolapse treated surgically via an abdominal approach. The latter technique enables the treatment of genital prolapse by uterine fixation to the promontory and rectal prolapse by rectopexy using the Orr-Loygue technique. Chronic constipation and obstetric trauma are constantly found among etiological factors. Four of our patients had urinary stress incontinence. There were no preoperative complications. One patient reported worsening of her constipation. Mean follow-up is only 20 months (2 months to 3 years), but no recurrences have occurred. Review of the literature and of series with more than fifteen years follow-up shows that the Orr-Loygue operation is reliable with a low complication rate and only rare recurrences.

Aged↗