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Biomedical subjects

M Ferchiou

Publications and source records attributed to M Ferchiou.

15 recordsLinked to original sources
PubMed2003

[Fertility after hysteroscopic treatment of intra-uterine adhesions].

OBJECTIVE: The main aim of the study was to evaluate the efficacy of hysteroscopy in the treatment of intra-uterine adhesions with infertility. PATIENTS AND METHODS: This retrospective study of patients with uterine synechias treated exclusively hysteroscopically included 120 cases: 109 of them (90.8%) low fertility patients, 110 (91.7%) with menstrual disorders and 2 (1.7%) with no others symptoms. Mean age was 34 years (range: 21-45 years). Operative hysteroscopy was performed in 155 cases including electrosection in 124 cases (80%) and a collapse in 31 cases (20%). A single endoscopic procedure was performed in 96 patients, 2 procedures in 17 patients, 3 in 3 patients and 4 in 4 patients. Mean follow-up was 26.8 months (range: 6-52 months). RESULTS: Good anatomic results were achieved in 116 patients (96.7%) after 1, 2 or 3 hysteroscopic procedures. We obtained good results in 58.2% of the patients with menstrual disorders. One pregnancy was achieved in 49 of patients (44.9%) including: 35 childbirth, 13 abortions and 1 molar pregnancy. DISCUSSION AND CONCLUSION: Hysteroscopy, easy procedure, allowing reproducible treatment with low morbidity should be proposed as first intention treatment in all cases with synechia. Fertility prognosis is tightly related to the gravity of synechia and its topography.

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

[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

[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

[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↗
PubMed1992

[Acute lymphoblastic leukemia and pregnancy. Apropos of a case].

The authors report on a case of a woman with acute lymphoblastic leukemia treated with cortisone therapy during pregnancy. No problems were encountered during the gestational period or at parturition; and no maternal or neonatal complications were observed.

Adrenal Cortex Hormones↗