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Biomedical subjects

J Senèze

Publications and source records attributed to J Senèze.

At least 19 recordsLinked to original sources
PubMed1995

[Treatment of genital prolapse. Long term results].

From 1975 to 1984 case histories of 237 women operated on for major genital prolapse were looked over. 142 formed the subject of prolonged observation of 4 years and more. 63 over ten years. Prévention of static disorders and tissue atrophy has shown itself to be very useful. The procedure for doing this surgical treatment has been dictated by the clinical, urodynamic and per-operative findings. Vaginal surgery treatment was selected for minor uterine prolapse and for very old patients. Most of them had an operation either through abdominal duct or, more often, mixed abdomino perineal duct. The uterine cervix replacement was realized through presacral cervicopexy, by means of non resolving prothesis. In that manner, an anatomical repair can be achieved. We report the excellent long dated results of this method. Posterior perineorraphy remains a high grad process. His result depends upon the quality of perineal muscles. More difficult is the vesical ptosis and urinary stress incontinence treatment, carried, at one and the same time, through intervesico-vaginal prothesis and/or retropublic pexy. Long dated failures depend usually more on the sphincteral insufficiency than on the recurrence of the cervico-vesical ptosis. Perineal and vesico-sphincteral re-education on one hand, substitutive hormonotherapy on the other hand, add a "plus" essential to the surgical repair. Sphincteral bladder insufficiency remains and ill controlled handicap. These desorders are more the consequence of constitutional fragility of connective tissue rather than obstetrical traumatism.

Combined Modality Therapy↗
PubMed1990

[Value and advantages of laparoscopic surgery in the treatment of ectopic pregnancies].

Laparoscopic treatment of ectopic pregnancies (EP) has been performed for several years. From 1st January 1987 to 14th February 1989, 63 women with an EP were operated in our hospital by surgeons trained in laparoscopic surgery (LS). The decision to perform laparotomy was taken either in the presence of laparoscopic contraindications (n = 2), or after diagnostic laparoscopy in the presence of LS contraindications (n = 13). LS was performed 48 times (76.20%) and laparotomy was performed 15 times (23.80%). The women were classified in two groups: laparoscopic surgery (LS) and laparotomy (L). The mean ages were 30.29 and 31.40 years and mean amenorrhea was 6.48 and 6.83 weeks. The EP was ruptured 11 times in the L group (73.33%) and 4 times in the LS group (8.33%). Hemoperitoneum was more frequent in the L group (80.00%) than in the LS group (52.08%). Treatment more often consisted of salpingectomy with laparotomy (86.66%) than with LS (18.75%). Laparoscopic treatment had to be abandoned only once because of persistent bleeding. The mean operation time and hospital stay were shorter in the case of laparoscopic treatment with respectively 63.14 minutes and 4.14 days for LS versus 86.92 minutes and 7.13 days for laparotomy. There were no deaths in either group. This study shows that LS can be used in 3/4 of cases of EP and that treatment significantly shortens the operation time and the hospital stay.

Adolescent↗
PubMed1990

[The characteristics of triphasic estrogen-progesterone contraceptives and their theoretical indications].

In the long history of oral contraception, unfortunate events have been associated with the use of oestrogens and progestogens. The discovery of new progestational hormones with weak androgenic activity but powerful progestational action has led to the combination of very low doses of ethinyloestradiol with low doses of progestational hormones which progressively increase in three successive stages. The products thus show excellent safety, accompanied by a minimum of incidents, and are extremely reliable contraceptives.

Blood Coagulation↗
PubMed1989

[Phyllodes tumor associated with in-situ lobular carcinoma. Apropos of a case].

In this paper, the authors present a case of phyllodes tumor whose original interest lies in its association with an in situ lobular carcinoma. The authors present the clinical, radiological, and anatomopathological characteristics of these cases. Finally, they discuss the therapeutic management in light of data from the literature.

Adult↗
PubMed1987

[Subcutaneous mastectomy. Indications and surgical technics].

After having specified basic anatomy notions (excision line, vascularization, innervation), technics of under cutaneous mammectomy are presented with their alternatives and their difficulties. The opportunity and methods of the prosthetic restoration are debated. Present indications of the under cutaneous mammectomy are related in detail in the malignant and preneoplastic pathology and under other circumstances.

Breast Neoplasms↗
PubMedDate not supplied

[Serous tumors of the ovary with limited malignancy. Current analysis of a review of the international literature apropos of a case].

Serous ovarian tumours on malignancy borderline represent 2 to 5% of the epithelial ovarian tumours. They differ from malignant tumours by two particularities, namely: precise histological characteristics, the main one being the absence of stroma invasion, a favourable prognosis. The diagnosis rests on conventional histology in spite of the value of histo-immunoclinical markers or tumoral markers. The treatment is surgical, based on hysterectomy with bilateral adnexectomy, even if a conservative attitude may be considered for the young woman who wishes a pregnancy. Prolonged post-operative surveillance is very important because of possible relapses, whose detection seems to be facilitated by antigen CA 125 assay.

Adult↗