Biomedical subjects

Mohamed Faouzi Gara

Publications and source records attributed to Mohamed Faouzi Gara.

7 recordsLinked to original sources

PubMed2006

[Fetal cystic hygroma antenatal diagnosis. Prognosis and management].

Fetal cystic hygroma is a rare congenital malformation. The incidence of this pathology is 1/700 pregnancies. This malformation can be seen at antenatal ultrasonography from the end of the first trimester of pregnancy. The prognosis depends on chromosome analysis, other ultrasound abnormality and the size of the fetal cystic hygroma. Starting from a case diagnosed in the prenatal follow up and from litterature review, the authors discusse the ultrasound diagnosis, prognosis and management of this malformation.

Adult↗

PubMed2006

[Giant placental chorioangioma].

The large placental chorioangioma is a non-trophoblastic vascular tumor of placenta which size is more than 4 cm. It's a rare tumor, the incidence is between 1/3500 and 1/9000 birth. We analyze, on base of our case and from a literature review, the ultrasonography aspects of this tumor: we bring out also the physiological mechanisms of maternal and fetal complications and finally we detail the therapeutic possibilities. Chorioangioma appears in ultrasound scan like a thoroughly limited hypo-echogenic zone The vascular origin of the tumor can be confirmed by color Doppler. A left-right shunt effect results from arterio-venous communications and causes backwardness growth and fetal death in-utero The fetus is exposed to anemia and microangiopathic thrombopenia The maternal complications are: hydramnios, abruption placenta, premature ruptured membrane. Therapeutic possibilities are reduced: In several fetal anemia, blood transfusion can be done. Some techniques for tumor devascularization are be tried by someone.

Adult↗

PubMed2005

[Association fibromyoma and pregnancy. About 23 cases].

UNLABELLED: The coexistence of leiomyoma and pregnancy may lead to complications with unequal gravity. MATERIAL AND METHODS: The authors propose a retrospective study about 23 cases of association of fibromyoma and pregnancy collected over a period of seven years. OBJECTIVES: Study of the effect of fibromyoma on pregnancy and vice-versa. Analysis mode of delivery. RESULTS: Aseptic necrobiosis: 21.7%. Urinary tract compression: 4.3%. Miscarriage: 13%. Threatened premature birth: 26%. Caesarean section: 47.8%. Premature birth: 8.6 %. Neonatal death: nil. CONCLUSION: Maternal morbidity due to this association is important. It is essential that pregnant women be aware of the importance of prenatal consultation during the first trimester of pregnancy.

Abortion, Spontaneous↗

PubMed2005

[Postmenopausal uterine bleeding. Analytic study about 65 cases].

UNLABELLED: Postmenopausal uterine bleeding is frequent in gynecology. This symptom can reveal benign causes as well as cancers. So it's essential to rule out organic pathology. MATERIALS AND METHODS: We propose a retrospective study of 65 postmenopausal women who had uterine bleeding for two years. OBJECTIVES: - To study the relative frequency of different causes of postmenopausal uterine bleeding. - To evaluate the different investigation procedures. RESULTS: In 65 cases of postmenopausal bleeding, we found: - 6 cases of cancer (9.2 %): 4 cases of cancer of uterine corpus and 2 cases of cancer of uterine cervix. - Benign pathology was more frequent (59 cases : 90.8%), essentially represented by endometrial atrophy (37 cases) and hyperplasia (11 cases). - Hysteroscopic aspect in the 4 cases of endometrial cancer: - Polypoid hypertrophy: 2 cases. - Simple hyperplasia: 2 cases. CONCLUSION: Despite the fact that benign pathology is more frequent than malignancy as a cause postmenopausal uterine bleeding, we must always rule out a cancer by oriented biopsy.

Aged↗

PubMed2004

[The obstetrical advantages of epidural analgesia in a trial of labor].

Two series of labour trial were compared in a forward-looking study. The first series of 24 parturient women (series I) to whom the labour trial took place under peridural analgesy. The second series of 80 parturient women (series II) to whom the labour trial took place without peridural analgesy. The rate of caesarean section is significantly less important in the series I (33.3% versus 58%) P = 0.37. The average duration of the labour trial is significantly prolonged under peridural analgesy but without bared effects for the newborn children. The authors consider that the peridural analgesy is the method that brings ideal conditions for a real test allowing to eliminate dynamic dystocia and maternal restlessness in order to have an accurate cephalo-pelvic confrontation.

Adult↗

PubMed2004

[Breech presentation: vaginal delivery or planned caesarean section?].

UNLABELLED: Breech delivery is a high risk situation because of its numerous dystocies. The most serious is the last head retention. The authors realized a retrospective study concerning 347 patients who had given birth to a newborn child in breech presentation during a period of 4 years. RESULTS: The vaginal delivery was associated in a significant way to an excess of obstetric traumatisms (5.5%) versus caesarean section (0.5%) and this even after strict selection of vaginal delivery's conditions (P = 0.00453). The rate of the newborn child having Apgar's score < 7 in 5 min was higher in case of vaginal delivery (17.39%) than caesarean section's birth (3.48%). Corrected neonatal mortality is higher in the group of vaginal delivery than caesarean section's group (34% versus 0.49%, P = 0.02553). There is no significant difference of maternal morbidity between caesarean section and vaginal delivery group (P = 4.65). Vaginal delivery is associated to an excess of morbidity and neonatal mortality even after strict selection of the candidates of the vaginal delivery.

Breech Presentation↗

PubMed2003

[Cervical maturation in post-term pregnancy: prostaglandin E2 versus Foley probe].

To compare two methods of cervical maturation in frame of labor induction the case of overtaking of term. Study review compare two groups, first group is to form of 51 patients having had one cervical maturation by gel of predipil, second in compound of 63 patients having benefited of one maturation cervical by one probe of Foley. The entrance spontaneous in labor later administration cervical of gel of prostaglandin is of 45% against 8% only in-group of patients having had one maturation by probe of foley. Duration of labor is more short in first group. Probe Foley countered so effective that gel of prostaglandin it appears as one method of cervical maturation of choice in our environment.

Adult↗